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Optimizing Pediatric Trauma Team Performance Through Interdisciplinary Trauma Simulation and Feedback From Trauma

Lea C Dikranian1, Katherine Oag2, Lisa Vitale2

  • 1Department of Pediatric Emergency Medicine.

Pediatric Emergency Care
|October 3, 2025
PubMed
Summary

Multidisciplinary teams using simulation and targeted video review (TVR) improved pediatric trauma resuscitation skills. This approach enhanced teamwork, communication, and adherence to protocols, supporting quality improvement in emergency care.

Keywords:
non-technical skillspediatricssimulationtrauma

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Area of Science:

  • Medical Education
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Pediatric trauma care relies heavily on effective teamwork and nontechnical skills (NOTECHS), which are often underexplored in training.
  • Simulation-based training (SBT) is a valuable tool for enhancing these skills.
  • Targeted video review (TVR) can further optimize SBT by providing precise, case-specific feedback.

Purpose of the Study:

  • To evaluate the impact of combining multidisciplinary SBT with TVR on technical performance and NOTECHS in pediatric trauma resuscitations.
  • To assess improvements in team dynamics, communication, and clinical metrics following the intervention.

Main Methods:

  • A prospective educational quality improvement study was conducted at a level 1 pediatric trauma center.
  • Multidisciplinary teams underwent in situ pediatric trauma simulations with structured debriefings incorporating TVR.
  • Seventy-six trauma activations were reviewed pre- and post-intervention, assessing team behavior and clinical outcomes using tools like the Trauma Team Evaluation Tool and T-NOTECHS.

Main Results:

  • Post-intervention, there was a significant decrease in cases lacking a team leader (33% to 9.1%) and an increase in defined disposition plans (66.7% to 100%).
  • Overall team performance scores improved significantly (P < 0.001), with notable gains in communication (P = 0.012) and situational awareness (P = 0.033).
  • Time-to-vitals decreased significantly (P = 0.027), while other clinical metrics showed non-significant trends.

Conclusions:

  • The integration of multidisciplinary SBT with TVR effectively enhanced teamwork, communication, and decision-making in pediatric trauma resuscitations.
  • This combined approach reinforced protocol adherence and contributed to quality improvement initiatives.
  • While direct patient outcome effects require further study, SBT and TVR are promising strategies for improving performance in high-acuity medical settings.