Tele-mentored damage-control and emergency trauma surgery: A feasibility study using live-tissue models - 25/04/18
, Andrew Kirkpatrick c, Max Talbot a, Andrew Beckett a, Naisan Garraway b, Heather Wong b, Syed Morad Hameed bAbstract |
Background |
Damage-control and emergency surgical procedures in trauma have the potential to save lives. They may occasionally not be performed due to clinician inexperience or lack of comfort and knowledge.
Methods |
Canadian Armed Forces (CAF) non-surgeon Medical Officers (MOs) participated in a live tissue training exercise. They received tele-mentoring assistance using a secure video-conferencing application on a smartphone/tablet platform. Feasibility of tele-mentored surgery was studied by measuring their effectiveness at completing a set series of tasks in this pilot study. Additionally, their comfort and willingness to perform studied procedures was gauged using pre- and post-study surveys.
Results |
With no pre-procedural teaching, participants were able to complete surgical airway, chest tube insertion and resuscitative thoracotomy with 100% effectiveness with no noted complications. Comfort level and willingness to perform these procedures were improved with tele-mentoring. Participants felt that tele-mentored surgery would benefit their performance of resuscitative thoracotomy most.
Conclusion |
The use of tele-mentored surgery to assist non-surgeon clinicians in the performance of damage-control and emergency surgical procedures is feasible. More study is required to validate its effectiveness.
El texto completo de este artículo está disponible en PDF.Highlights |
• | Feasibility study that examined tele-mentoring of trauma surgical skills to non-surgeons using a live-tissue model. |
• | Mentored operators found tele-mentoring most helpful for more rarely performed and difficult procedures such as thoracotomy. |
• | Operators effectively completed surgical airway, chest tube insertion and thoracotomy with tablet-based mentoring. |
Keywords : Tele-mentored surgery, Life-saving-interventions, Telemedicine, Combat injury
Esquema
Vol 215 - N° 5
P. 927-929 - mai 2018 Regresar al número
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- Discussion of “Routine shave margins are not necessary in early stage breast cancer treated with breast conserving surgery”
- Nathalie Johnson
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- Camilo Rosales
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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