Rural Trauma Team Development

Course©

Rural Trauma Team Development

Course©

RTTDC©

RTTDC©

ObjectivesRTTDC©

Objectives

• After attending this presentation the participant should be able:

• To explain the purpose of the Rural Trauma Team Development Course© (RTTDC©).

• To describe the concept of the trauma “team” approach to trauma care.

• To describe the three course components of Primary Survey, Transfer to Definitive Care, and Secondary Survey.

RTTDC©

ObjectivesRTTDC©

Objectives

• To describe the text sections of Problem Recognition, Assessment, Resuscitative Procedures and Team Members Roles and Responsibilities.

• To describe the Who, How and Where of course presentation.

RTTDC©

Purpose

The Rural Trauma Team Development Course© has been developed by the ad hoc Rural Trauma Committee of the American College of Surgeons. The course is designed to train small rural hospital or clinic trauma teams in the team approach to the initial assessment, resuscitation, and transfer to definitive care of the injured patient.

RTTDC©RTTDC©

• Course is not meant to replace any other trauma course

• If the participants have not taken ATLS or TNCC (or the equivalent), the course is meant to encourage them to take one of these courses as well as educate them in the team concept

• If they have taken ATLS or TNCC, then they benefit from the team concept taught in the course

This has been proven during the courses

we have given so far!!

RTTDC©

• The State COT chair or designee

• In the future the committee would appreciate their being responsible for approval of course sites

• Level I &II Trauma Centers

• Outreach education program

• One or more trauma centers providing instructors

• Course site

• Any site that can be agreed upon by the instructors and the local trauma team(s)

RTTDC©RTTDC©

• PowerPoint based on one CD• Pre-Course Folder

• Course Folder

• Post-Course Folder

• Participant booklet with text and appendices

• Continuing Education credits - 8 hours

RTTDC©RTTDC©

• Course attendance • One or more hospital and/or clinic trauma teams

• No more than seven teams (21 participants)

• Nine additional participants

• 30 participants total

• Trauma Teams are encouraged to sit and do everything together during the course

RTTDC©

RTTDC© Trauma Team

RTTDC©

RTTDC© Trauma Team• Team Leader

• Physician

• Physician Extender

• Team Member One• Nurse

• Physician Extender

• Pre-Hospital personnel

RTTDC©

RTTDC© Trauma Team RTTDC©

RTTDC© Trauma Team

• Team Member Two• Nurse

• Prehospital personnel

• ED clerk

• Other

• Additional members• Respiratory, X-Ray, or Lab Tech

• Pre-Hospital personnel

• Aide /Orderly

• Other

RTTDC©

• Modular• One 8-9 hour day • Four modules/sessions

• Minimal equipment• Intubation Equipment and Mannequin• Thoracic Needle Aspiration and Chest Tube

equipment

• Additional optional sessions

RTTDC©

• Instructors should be experienced in trauma education • Surgeons• Emergency Medicine Physicians• Family Practice Physicians• Nurses• Physician Extenders• Prehospital Personnel

• Minimum number of instructors • One instructor for each two (three member) trauma

teams participating

RTTDC©

RTTDC Components

• Introduction - Lecture Description of:• Rural Trauma • State Trauma System*• Pre-Hospital System* • Trauma Team Development• Triage• Course Outline

*This material may be modified by instructors

RTTDC©RTTDC Components

RTTDC©RTTDC Components

• Interactive Discussions • Airway • Breathing• Circulation• Disability• Exposure and Environment• Transfer to Definitive Care • Secondary Survey

• Scenario based Trauma Team Performance Stations*

*Scenarios may be modified by instructors

RTTDC©

Chapter SectionsRTTDC©

Chapter Sections

• Problem Recognition• Special Concerns and Reminders

• Assessment• Resuscitation Procedures• Trauma Team Roles and Responsibilities

• Team Leader• Team Member One• Team Member Two• Respiratory Tech• Radiology Tech• Laboratory Tech

RTTDC©: Eight Hour Schedule RTTDC©: Eight Hour Schedule• Night before Pre-Course

Instructors meeting• 7:30 - 8:00 Registration• 8:00 - 9:00 Introduction • 9:00 - 9:30 Airway • 9:30 - 9:45 Break• 9:45 - 10:15 Breathing • 10:15 - 10:45 Circulation • 10:45 - 11:15 Disability • 11:15 - 11:45 Exposure

Environment and Transfer to Definitive Care

• 11:45 - 12:15 Secondary Survey

• 12:15 - 12:45 Lunch• 12:45 - 1;15 Lumberjack Video and

Discussion• 1`:15 - 2:00 Team Performance

Scenario Session• 2:00 - 2:45 Team Performance

Scenario Session • 2:45 - 3:00 Break• 3:00 - 3:45 Team Performance

Scenario Discussion• 3:45 - 4:30 Team Performance

Scenario Session• 4:30 - 4:45 Course Evaluation by

participants• 4:45 - ??? Post- Course Evaluation

by Instructors

RTTDC©RTTDC©

• Module One• Introduction• Airway • Breathing

• Module Two• Circulation• Disability• Exposure/Environment • Transfer to Definitive Care

RTTDC©RTTDC©

• Module Three• Team Skill Station

• Secondary Survey

• Module Four• Team Performance Scenario Sessions

• Participants’ Evaluation Session

RTTDC©

Team Performance Scenario Sessions - I & III

• Video of real patient with airway compromise before scenario sessions• Discussion of management

• One Trauma Team (three members) per Instructor• Scenarios may be developed locally• Scenario presentation by instructor• Team assesses and resuscitates simulated patient

• Primary Survey• Transfer to Definitive Care• Secondary Survey if it does not delay transfer

• Other course participants involved according to their responsibilities

RTTDC©

Team Performance Scenario Stations - II RTTDC©

Team Performance Scenario Stations - II

• Scenario based • Scenarios may be developed locally• Scenario presentation by instructor• Team assesses simulated patient(s) and identifies

possible injuries of each patient• Triage• Transfer to Definitive Care

• Other course participants involved according to their responsibilities

RTTDC©RTTDC©

Questions???