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Tele-mentored damage-control and emergency trauma surgery: A feasibility study using live-tissue models
Philip Dawe1, Andrew Kirkpatrick2, Max Talbot3
1Canadian Armed Forces, 1 Canadian Field Hospital, 147 Flanders Row, Garrison Petawawa, Ontario, K8H 2X3, Canada; Vancouver General Hospital, 855 W 12th Avenue, Vancouver, British Columbia, V5Z 1M9, Canada.
American Journal of Surgery
|February 6, 2018
Summary
Tele-mentoring via smartphone enabled non-surgeon medical officers to effectively perform critical damage-control surgeries. This innovative approach improved clinician confidence and willingness to perform emergency procedures.
Area of Science:
- Trauma Surgery
- Surgical Education
- Telemedicine
Background:
- Damage-control and emergency surgical procedures are vital in trauma care but may be limited by clinician inexperience.
- Lack of comfort and knowledge can hinder the performance of life-saving surgical interventions.
Purpose of the Study:
- To assess the feasibility of tele-mentored surgery for non-surgeon medical officers in trauma.
- To evaluate the effectiveness and impact on comfort levels of tele-mentoring for critical surgical procedures.
Main Methods:
- Canadian Armed Forces (CAF) non-surgeon Medical Officers (MOs) participated in a live tissue training exercise.
- Tele-mentoring was provided using a secure smartphone/tablet video-conferencing application.
- Effectiveness was measured by task completion, and comfort/willingness were assessed via pre- and post-study surveys.
Main Results:
- Participants achieved 100% effectiveness in completing surgical airway, chest tube insertion, and resuscitative thoracotomy without complications.
- Tele-mentoring significantly improved comfort levels and willingness to perform these procedures.
- Resuscitative thoracotomy was identified as the procedure most benefiting from tele-mentored assistance.
Conclusions:
- Tele-mentored surgery is a feasible method to support non-surgeon clinicians in performing damage-control and emergency surgical procedures.
- Further research is necessary to validate the effectiveness of tele-mentoring in real-world trauma scenarios.
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