Military trauma training performed in a civilian trauma center

Martin Schreiber, John B. Holcomb, Cass W. Conaway, Kyle D. Campbell, Matthew Wall, Kenneth L. Mattox

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background. In 1996, Congress passed legislation requiring the Department of Defense to conduct trauma training in civilian hospitals. In September of 1998 an Army team composed of surgeons, nurses, emergency medical technicians (EMTs), and operating room technicians (OR techs) trained in a civilian level 1 trauma center. This study analyzes the quality of the training. Methods. The training period was 30 days. Before and after training all members completed a questionnaire of their individual and team ability to perform at their home station, at the civilian hospital, and in the combat setting. Surgeons maintained an operative log, which was compared with their prior year's experience. Primary trauma cases (PTCs) met Residency Review Committee criteria as defined category cases and were done acutely. Other personnel tracked the percentage of supporting soldier tasks (SSTs) they performed or were exposed to during the training period. Results. Review of the questionnaires revealed a significant increase in confidence levels in all areas tested (P <0.005). The three general surgeons performed a total of 42 PTCs during the 28 call periods, or 1.5 PTCs per call period. During the prior year, the same three general surgeons performed 20 PTCs during 114 call periods for 0.175 cases per call period (P = 0.003). The maximum number of PTCs performed during one call period at the civilian center was 4, compared with 5 PTCs performed by one Army surgeon during the Somalia 1993 mass casualty event. Performance of or exposure to SSTs was 71% for the EMTs, 94% for the nurses, and 79% for the OR techs. Conclusions. A 1-month training experience at a civilian trauma center provided military general surgeons with a greater trauma experience than they receive in 1 year at their home station. Other personnel on the team benefited by performing or being exposed to their SSTs. Further training of military teams in civilian trauma centers should be investigated.

Original languageEnglish (US)
Pages (from-to)8-14
Number of pages7
JournalJournal of Surgical Research
Volume104
Issue number1
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Trauma Centers
Wounds and Injuries
Operating Room Technicians
Military Personnel
Emergency Medical Technicians
Nurses
Somalia
Mass Casualty Incidents
Advisory Committees
Internship and Residency
Legislation
Surgeons

Keywords

  • Forward surgical team
  • Supporting soldier tasks
  • Trauma training

ASJC Scopus subject areas

  • Surgery

Cite this

Schreiber, M., Holcomb, J. B., Conaway, C. W., Campbell, K. D., Wall, M., & Mattox, K. L. (2002). Military trauma training performed in a civilian trauma center. Journal of Surgical Research, 104(1), 8-14. https://doi.org/10.1006/jsre.2002.6391

Military trauma training performed in a civilian trauma center. / Schreiber, Martin; Holcomb, John B.; Conaway, Cass W.; Campbell, Kyle D.; Wall, Matthew; Mattox, Kenneth L.

In: Journal of Surgical Research, Vol. 104, No. 1, 2002, p. 8-14.

Research output: Contribution to journalArticle

Schreiber, M, Holcomb, JB, Conaway, CW, Campbell, KD, Wall, M & Mattox, KL 2002, 'Military trauma training performed in a civilian trauma center', Journal of Surgical Research, vol. 104, no. 1, pp. 8-14. https://doi.org/10.1006/jsre.2002.6391
Schreiber, Martin ; Holcomb, John B. ; Conaway, Cass W. ; Campbell, Kyle D. ; Wall, Matthew ; Mattox, Kenneth L. / Military trauma training performed in a civilian trauma center. In: Journal of Surgical Research. 2002 ; Vol. 104, No. 1. pp. 8-14.
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