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Massive Hemorrhage Protocol Application and Teamwork Skills.

Géraldine Pettersen1, France Gauvin1, Nancy Robitaille2

  • 1Critical Care Division Department of Pediatrics University of Montreal Montreal QC Canada.

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Summary
This summary is machine-generated.

Interprofessional simulation training significantly improved healthcare teams' adherence to massive hemorrhage protocols, teamwork, and confidence during crisis situations. This approach enhances patient safety in critical obstetric and pediatric trauma cases.

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Area of Science:

  • Medical Simulation
  • Emergency Medicine
  • Obstetrics

Background:

  • Massive hemorrhages (MHs) are rare but severe complications in pediatric trauma and obstetrics.
  • Effective management relies on adherence to protocols and strong teamwork.

Purpose of the Study:

  • To evaluate the impact of interprofessional simulation on adherence to a massive hemorrhage protocol (MHP).
  • To assess improvements in teamwork skills and confidence levels during hemorrhagic crises.

Main Methods:

  • A pre-post experimental study involving pediatric emergency and obstetric teams.
  • Simulated trauma and postpartum MH scenarios with debriefing and MHP lectures.
  • Measured MHP adherence, teamwork (Mayo High Performance Teamwork Scale), and confidence pre- and post-training.

Main Results:

  • MHP adherence scores improved significantly from 19.1 to 25.8 post-training.
  • Teamwork skills scores showed a significant increase (difference = 3.9).
  • Participant confidence levels significantly improved post-training (difference = 6.9).

Conclusions:

  • Interprofessional simulation and protocol review enhance MHP adherence and teamwork.
  • Confidence levels increased across all participating disciplines.
  • Simulation-based training is effective for managing massive hemorrhage events.