دورية أكاديمية
Putting the ready in readiness: A post hoc analysis of surgeon performance during a military mass casualty situation in Afghanistan.
| العنوان: | Putting the ready in readiness: A post hoc analysis of surgeon performance during a military mass casualty situation in Afghanistan. |
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| المؤلفون: | Andreatta PB; From the Department of Surgery (P.B.A., M.W.B., C.H.R., E.A.E.), Uniformed Services University of the Health Science; Department of Surgery (P.B.A., M.W.B., C.H.R., E.A.E.), Walter Reed National Military Medical Center, Bethesda, Maryland; Department of Trauma (J.C.G., J.M.G.), San Antonio Military Medical Center; and Joint Trauma System (J.C.G., J.M.G.), DHA Combat Support, San Antonio, Texas., Bowyer MW, Renninger CH, Graybill JC, Gurney JM, Elster EA |
| المصدر: | The journal of trauma and acute care surgery [J Trauma Acute Care Surg] 2024 Aug 01; Vol. 97 (2S Suppl 1), pp. S119-S125. Date of Electronic Publication: 2024 May 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott, Williams & Wilkins Country of Publication: United States NLM ID: 101570622 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2163-0763 (Electronic) Linking ISSN: 21630755 NLM ISO Abbreviation: J Trauma Acute Care Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hagerstown, MD : Lippincott, Williams & Wilkins |
| مواضيع طبية MeSH: | Clinical Competence* , Mass Casualty Incidents* , Afghan Campaign 2001-* , Military Medicine*/standards, Humans ; Afghanistan ; Surgeons/statistics & numerical data ; Surgeons/standards ; Male ; Military Personnel/statistics & numerical data ; Female |
| مستخلص: | Background: All military surgeons must maintain trauma capabilities for expeditionary care contexts, yet most are not trauma specialists. Maintaining clinical readiness for trauma and mass casualty care is a significant challenge for military and civilian surgeons. We examined the effect of a prescribed clinical readiness program for expeditionary trauma care on the surgical performance of 12 surgeons during a 60-patient mass-casualty situation (MASCAL). Methods: The sample included orthopedic (four) and general surgeons (eight) who cared for MASCAL victims at Hamad Karzai International Airport, Kabul, Afghanistan, on August 26, 2021. One orthopedic and two general surgeons had prior deployment experience. The prescribed program included three primary measures of clinical readiness: 1, expeditionary knowledge (examination score); 2, procedural skills competencies (performance assessment score); and 3, clinical activity (operative practice profile metric). Data were attained from program records for each surgeon in the sample. Each of the 60 patient cases was reviewed and rated (performance score) by the Joint Trauma System's Performance Improvement Branch, a military-wide performance improvement organization. All scores were normalized to facilitate direct comparisons using effect size calculations between each predeployment measure and MASCAL surgical care. Results: Predeployment knowledge and clinical activity measures met program benchmarks. Baseline predeployment procedural skills competency scores did not meet program benchmarks; however, those gaps were closed through retraining, ensuring all surgeons met or exceeded the program benchmarks predeployment. There were very large effect sizes (Cohen's d ) between all program measures and surgical care score, confirming the relationship between the program measures and MASCAL trauma care provided by the 12 surgeons. Conclusion: The prescribed program measures ensured that all surgeons achieved predeployment performance benchmarks and provided high-quality trauma care to our nation's service members. Level of Evidence: Prognostic and Epidemiological; Level IV. (Copyright © 2024 Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a "work of the United States Government" for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.) |
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| تواريخ الأحداث: | Date Created: 20240513 Date Completed: 20240725 Latest Revision: 20240725 |
| رمز التحديث: | 20240726 |
| DOI: | 10.1097/TA.0000000000004381 |
| PMID: | 38738895 |
| قاعدة البيانات: | MEDLINE |
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