Professional practice assessment for minor head injury management in emergency department and clinical impact of a simulation-based training: Interventional study (before/after)
| Autor: | Pierre Vandingenen, Nicolas Javaud, Anthony Chauvin, Daniel Aiham Ghazali |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Minor Head Injury
business.industry Consensus conference MEDLINE Reproducibility of Results Professional practice Professional Practice Emergency department medicine.disease Head trauma Anesthesiology and Pain Medicine Emergency Medicine medicine Craniocerebral Trauma Humans Surgery Time management Medical emergency Guideline Adherence business Emergency Service Hospital Tomography X-Ray Computed Simulation based Simulation Training |
| Zdroj: | Ulusal travma ve acil cerrahi dergisi = Turkish journal of traumaemergency surgery : TJTES. 26(4) |
| ISSN: | 1306-696X |
| Popis: | Background Minor head injury is a frequent reason for consultation in the emergency department. The use of computed tomography (CT) has increased dramatically in patients' care. Good time management implementation and interpretation are required. To study the level of agreement with recommendations for a minor head injury in emergency department management and the impacts of simulation-based training (SBT) on professional practice changes. Methods Evaluation of professional practice for patient care in an emergency department according to the recommendations of the French Emergency Medicine Society (SFMU) established in 2012 before and after an SBT, including theoretical and simulation courses. It was based on the analysis of time to carry out a CT scan. It was also based on analysis of adherence to brain and spine scan indications and to hospitalization criteria. Results The SBT carried out in the evaluation of the professional practices makes it possible to acquire the notion of urgency to obtain the CT Scan within one hour when the criteria are met (p=0.007). Rater reliability for agreement with the hospitalization recommendations was better after SBT (p=0.03, increased Kappa from 0.73 to 0.93). On the other hand, there appeared to be a lack of essential information in the medical file, such as time of onset of head trauma. Conclusion Management of this type of patient appeared to be satisfactory. It can be improved by SBT on the basis of the SFMU 2012 consensus conference. There is a need to improve the software used by the emergency departments, which should include the time of trauma and recommendations. The association of the clinic and the biomarkers could help to limit the indications of the CT scan, and thus to have it organized more rapidly. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|