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Simulation-based education improves military trainees' skill performance and self-confidence in tourniquet placement:
Ross J Scalese1, S Barry Issenberg, Matthew Hackett
1From the University of Miami Miller School of Medicine (R.J.S., S.B.I., R.D.R., A.A.B., M.G.), Michael S. Gordon Center for Simulation and Innovation in Medical Education, Miami, Florida; Army Futures Command (M.H.), Combat Capabilities Development Command, Soldier Center, Orlando, Florida; and Optum-UnitedHealth Group (J.J.G.), Austin, Texas; University of Miami Miller School of Medicine (C.I.S.), DeWitt Daughtry Family Department of Surgery, William Lehman Injury Research Center, Miami, Florida.
Simulation-based Tactical Combat Casualty Care (TCCC) training significantly improved military cadets' tourniquet placement skills and confidence. These improvements were sustained for up to five months post-intervention, highlighting the effectiveness of this training method.
Area of Science:
- Medical Education
- Trauma Care
- Military Medicine
Background:
- Tactical Combat Casualty Care (TCCC) is the mandated standard for military trauma care.
- Simulation-based education offers a safe environment for practicing critical medical skills.
- This study evaluates a simulation-based TCCC intervention for tourniquet application.
Purpose of the Study:
- To assess the effectiveness of simulation-based TCCC training on tourniquet placement proficiency.
- To evaluate the impact of the training on participants' self-confidence in performing the procedure.
- To determine the sustainability of skill improvements over time.
Main Methods:
- A single-blinded, randomized trial with waitlist controls was conducted.
- Army Reserve Officers Training Corp cadets received simulation-based TCCC tourniquet training.
- Outcomes measured included proficiency via a skill checklist and self-rated confidence using Likert scales.
Main Results:
- Participants showed significant improvement in tourniquet placement proficiency from baseline to final assessment.
- Mean checklist scores increased by 36.7% (p < 0.001) across the study cohort.
- Self-confidence in tourniquet application also significantly increased post-training for both groups.
Conclusions:
- Simulation-based TCCC training leads to significant, consistent, and sustained improvements in skill proficiency.
- Participants maintained enhanced tourniquet placement skills and confidence for 2 to 5 months after training.
- This approach effectively enhances readiness for military trauma care scenarios.
