Authors (including presenting author) :
Hui TM(1), Chan KI(1), Ko S(1), Lau MT(1), Wong SH(1), Tsang HKP(1), Wong OF(1)
Affiliation :
(1) Accident and Emergency Department, North Lantau Hospital
Introduction :
North Lantau Hospital (NLTH) is a regional hospital in Tung Chung with Accident and Emergency Department (AED) and 60 acute beds in Emergency Medicine Ward. There is no in-patient surgical or orthopaedic units and emergency operation service. Sometimes we have to manage major trauma cases from nearby infrastructures. The lack of specialties support, long transportation time to definitive care, and a relatively inexperienced team are the main challenges we face. Simulation training is widely applied in healthcare education, and it is a potential solution to our challenges.
Objectives :
To implement Trauma Simulation Training in our department for building a team with continuous readiness to manage trauma resuscitation.
Methodology :
Current concepts in healthcare simulation education were used in developing a trauma simulation training program to suit the unique needs of our department. Major features include clearly defined learning objectives, knowledge sharing before running simulation, the use of simulation trainers and manikins for procedural skills, and combined training with doctors and nurses to enhance interprofessional team dynamics.
Result & Outcome :
From April to September 2021, a total of five training sessions were delivered to 18 doctors and 19 nurses in our department. Each session lasted for 3 hours, consisting of interactive knowledge sharing sessions on primary survey and urgent blood transfusion; procedural skills training on spinal immobilization and logroll, removal of helmet, application of pelvic binder and trauma tourniquet; and scenario-based simulation followed by debriefing.
The participants were asked to fill out an anonymous evaluation form at the end of the trauma simulation session. The feedback based on five core aspects in simulation-based learning from the participants were positive. Almost all of them agreed that simulation training enhanced their competency in handling major trauma emergency, and effective in enhancing the quality and safety in patient management. The participants also agreed that simulation training is more appropriate in preparing them to handle clinical emergencies compared to other means of training.
In conclusion, the Trauma Simulation Training program enhanced the staff’s confidence in managing trauma resuscitation. Regular training on different clinical topics can be considered in the future according to the needs of the department.
