Area of Science:

• Emergency Medicine
• Trauma Care
• Nursing Education

Background:

• Effective prehospital trauma care significantly impacts patient survival rates.
• Standardized protocols like Prehospital Trauma Life Support (PHTLS) aim to optimize emergency medical care.
• Assessing adherence to established trauma care concepts is vital for quality improvement.

Purpose of the Study:

• To evaluate ambulance nurses' compliance with PHTLS trauma care concepts in a simulated environment.
• To identify specific areas of non-compliance and inefficiencies in prehospital trauma management.
• To assess the utility of simulation-based observation protocols for quality assurance.

Main Methods:

• Utilized video recordings of trauma care simulations.
• Developed and applied a structured observation protocol to analyze nurse performance.
• Focused on systematic examination and time management at the simulated accident scene.

Main Results:

• Identified significant weaknesses in the systematic examination of trauma patients.
• Observed ineffective time utilization by nurses at the simulated injury scene.
• Highlighted a gap between PHTLS principles and actual practice.

Conclusions:

• Simulation-based observation protocols can effectively evaluate and ensure quality in trauma care.
• Deficiencies in systematic care during prehospital trauma management can lead to suboptimal treatment.
• Ineffective trauma care increases the risk of patient complications and mortality, underscoring the need for improved PHTLS adherence.