Date post: | 27-May-2015 |
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Health & Medicine |
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Breaking new ground in Trauma Education
Dr Amit Maini MBBS BSc FACEM
Alfred Hospital, Melbourne
Dr Andy Buck MBBS BMedSc FACEM
No Fixed Abode
Why is Trauma Education Important?
• Trauma is a major health problem
world-wide, and it’s on the up• Responsible for 10% of global
deaths, and by 2020, MVA will be 3rd leading cause of death in the world
• All trauma is managed in the Emergency Department first
• ACEM defines it as core, and high and expert level knowledge is expected
Trauma is COMMON!
• Heterogenous - no two traumas are
the same• Multisystem injuries - time critical
decisions, and skills can affect outcomes
• Many confounders - extremes of age, pregnancy, obesity, intoxication
• Conflicting priorities in management• Managing the room - co-ordinating
the “team” - human factors• In our system - most ED’s don’t
manage major trauma, but we all need to know how
Trauma is HARD!
Trauma is EXPENSIVE!
• Affects all ages, in Australia, peak incidence in 15-24y age group• Large economic burden attached to this:• hospital treatment• productive life years lost to morbidity & mortality• social / psychological cost - families, staff
But does education affect clinical outcomes?
• Aim of education – to improve quality of care• Outcomes are the key, but are difficult to
measure:• Heterogeneity of trauma• Poor methods for assessment of morbidity• Difficulty measuring intervention that
affects only one aspect of patient care
Trauma Education – the old way
Textbooks Working at a trauma centre One short course
Trauma Education Needs Survey *
* Trauma Education Needs Survey via www.edexam.com.au and www.edtcc.com November 2012
Less than 50% who attended an alternative trauma course feel adequately prepared to confidently
manage trauma patients.
• Old article but validates utility of face to face short course format
• Lectures, small group sessions, skill stations and scenarios – seen to be effective
• Demonstrated improved compliance with guidelines
• Hard to demonstrate effect on clinical outcomes
• Studies show combination of online learning & face to face teaching better than either alone
Face to face courses
Would you consider doing a trauma course other than EMST / ATLS if it was designed to meet your trauma
education / experience needs?*
* Trauma Education Needs Survey via www.edexam.com.au and www.edtcc.com November 2012
Trauma Education – the new way
www.etmcourse.com
Course manual in iBook format with video, audio & digital imagesAccessible & up to date
Blog Podcast3 Day CourseFace to faceInteractiveRelevant
ED Focused
www.etmcourse.com
@etmcourse
www.facebook.com/etmcourse