Simulated Trauma and Resuscitation Team Training course-evolution of a multidisciplinary trauma crisis resource management simulation course.
BACKGROUND
We previously reported on a pilot trauma multidisciplinary crisis resource course titled S.T.A.R.T.T. (Simulated Trauma and Resuscitative Team Training). Here, we study the course's evolution.


METHODS
Satisfaction was evaluated by postcourse survey. Trauma teams were evaluated using the Ottawa global rating scale and an Advanced Trauma Life Support primary survey checklist.


RESULTS
Eleven "trauma teams," consisting of physicians, nurses, and respiratory therapists, each completed 4 crisis simulations over 3 courses. Satisfaction remained high among participants with overall mean satisfaction being 4.39 on a 5-point Likert scale. As participants progressed through scenarios, improvements in global rating scale scores were seen between the 1st and 4th (29.8 vs 36.1 of 42, P = .022), 2nd and 3rd (28.2 vs 34.6, P = .017), and 2nd and 4th (28.2 vs 36.1, P = .003) scenarios. There were no differences in Advanced Trauma Life Support checklist with mean scores for each scenario ranging 11.3 to 13.2 of 17.


CONCLUSIONS
The evolved Simulated Trauma and Resuscitative Team Training curriculum has maintained high participant satisfaction and is associated with improvement in team crisis resource management skills over the duration of the course.
Department of Surgery, University of Manitoba, Z3053 - 409 Tache Avenue, Winnipeg, Manitoba, R2H 2A6, Canada. Electronic address: gillmanlm@yahoo.ca.
Lawrence M
LM
Gillman
Division of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.
Peter
P
Brindley
Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
John Damian
JD
Paton-Gay
Department of Surgery, McMaster University, Hamilton, Ontario, Canada; Department of Critical Care Medicine, McMaster University, Hamilton, Ontario, Canada.
Paul T
PT
Engels
Department of Surgery, University of Manitoba, Z3053 - 409 Tache Avenue, Winnipeg, Manitoba, R2H 2A6, Canada.
Jason
J
Park
Department of Surgery, University of Manitoba, Z3053 - 409 Tache Avenue, Winnipeg, Manitoba, R2H 2A6, Canada.
Ashley
A
Vergis
Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Sandy
S
Widder
D000704:Analysis of Variance; D002170:Canada; D057189:Checklist; D002983:Clinical Competence; D003479:Curriculum; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D010865:Pilot Projects; D058996:Quality Improvement; D012151:Resuscitation / Q000193:education*; D000066908:Simulation Training; D014194:Traumatology / Q000193:education*
Crisis resource management; Multidisciplinary education; Simulation; Trauma