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Original Articles
Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta
Sung Wook Chang, Dong Hun Kim, Dae Sung Ma, Ye Rim Chang
J Trauma Inj. 2023;36(1):3-7.   Published online September 22, 2022
DOI: https://doi.org/10.20408/jti.2022.0022
  • 1,888 View
  • 61 Download
  • 1 Citations
AbstractAbstract PDF
Purpose
As resuscitative endovascular balloon occlusion of the aorta (REBOA) is performed in an extremely emergent situation, achieving competent clinical practice is mandatory. Although there are several educational courses that teach the REBOA procedure, there have been no reports evaluating the impact of training on clinical practice. Therefore, this study is aimed to evaluate the effects of the course on procedural performance during resuscitation and on clinical outcomes.
Methods
Patients who were managed at a regional trauma center in Dankook University Hospital from August 2016 to February 2018 were included and were grouped as precourse (August 2016–August 2017, n=9) and postcourse (September 2017–February 2018, n=9). Variables regarding injury, parameters regarding REBOA procedure, morbidity, and mortality were prospectively collected and reviewed for comparison between the groups.
Results
Demographics and REBOA variables did not differ between groups. The time required from arterial puncture to balloon inflation was significantly shortened from 9.0 to 5.0 minutes (P=0.003). There were no complications associated with REBOA after the course. Mortality did not show any statistical difference before and after the course.
Conclusions
The endovascular training for REBOA pilot course, which uses a modified form of flipped learning, realistic simulation of ultrasound-guided catheter insertion and balloon manipulation, and competence assessment, significantly improved procedural performance during resuscitation of trauma patients.
Summary

Citations

Citations to this article as recorded by  
  • Nomogram for predicting in-hospital mortality in trauma patients undergoing resuscitative endovascular balloon occlusion of the aorta: a retrospective multicenter study
    Byungchul Yu, Jayun Cho, Byung Hee Kang, Kyounghwan Kim, Dong Hun Kim, Sung Wook Chang, Pil Young Jung, Yoonjung Heo, Wu Seong Kang
    Scientific Reports.2024;[Epub]     CrossRef
Can parents prevent tooth loss related to dental avulsion? An assessment of knowledge related to permanent teeth
Gowri Sivaramakrishnan, Deena Abawi, Fatima Mohammad Shoaib, Fatema Bucheery, Ahmed Ali Salman, Majeed Jasim Kadhem, Fatema AlSulaiti, Muneera Alsobaiei, Leena AlSalihi
J Trauma Inj. 2023;36(1):15-21.   Published online June 29, 2022
DOI: https://doi.org/10.20408/jti.2021.0094
  • 2,339 View
  • 41 Download
AbstractAbstract PDF
Purpose
Dental avulsion injuries have a poor prognosis that largely depends on the immediate steps taken to manage the avulsed tooth. A lack of knowledge about the initial management can lead to tooth loss, with further adverse implications for esthetics, phonetics, and overall growth and function. Hence, the present study aimed to assess parents’ knowledge regarding dental avulsion and the variables associated with their knowledge of avulsion injuries.
Methods
A series of closed-ended questions on parents’ knowledge regarding avulsion, such as immediate management, storage media, handling, and urgency of visiting the dentist, was asked. Univariate associations between the outcomes were assessed using the Pearson chi-square test. The chi-square goodness-of-fit test was used to check whether the sample data were representative of the population.
Results
In total, 211 mothers and 149 fathers were included, of whom 46.7% had experienced dental trauma during their own childhood. Sixty-one percent of mothers believed that they knew everything necessary about tooth avulsion and its management. A significant number of participants who thought that they had a good level of knowledge about avulsion chose water, tissue, or paper wrap to transport the tooth, and preferred tap water, alcohol, or antiseptic to clean the avulsed tooth.
Conclusions
Both mothers and fathers had poor knowledge about tooth avulsion, indicating that there is an immediate need for educational programs focusing on this issue. Since a substantial proportion of participants believed incorrect information, it is vital to disseminate accurate information.
Summary
The Effectiveness of Simulation Training in an Advanced Trauma Life Support Program for General Surgery Residents: A Pilot Study
Myoung Jun Kim, Jae Gil Lee, Seung Hwan Lee
J Trauma Inj. 2020;33(4):219-226.   Published online October 27, 2020
DOI: https://doi.org/10.20408/jti.2020.0015
  • 7,146 View
  • 143 Download
AbstractAbstract PDFSupplementary Material
Purpose

Although the Advanced Trauma Life Support (ATLS) course is now taught internationally, it has not been implemented in Korea. In recent years, interest has increased in simulation as a teaching tool in the ATLS course. We therefore hypothesized that simulation training would be a useful adjunct to the ATLS course.

Methods

We designed a 1-day curriculum that included skill development workstations, expert lectures, trauma patient simulations, and group discussion for general surgery residents. We conducted a survey to evaluate participants’ level of understanding of the initial evaluation and treatment of trauma patients, their degree of knowledge and technical improvement, their satisfaction with the learning goals, and their overall satisfaction with the curriculum. We then analyzed the effects before and after the training.

Results

Nine residents attended this course. None of the residents initially reported that they could perform a primary survey of trauma patients. The analysis revealed significant improvements after training in the questionnaire areas of “assembly of the team and preparation for resuscitation of a trauma patient” (p=0.008), “performance of a primary survey for trauma patients” (p=0.007), “resuscitative procedures for trauma patients” (p=0.008), “importance of re-evaluation” (p=0.007), “identifying the pitfalls associated with the initial assessment and management” (p=0.007), and “importance of teamwork” (p=0.007).

Conclusions

After the ATLS simulation training, all participants showed significant improvements in their understanding of how to manage multiple trauma patients. Therefore, ATLS simulation training for residents will help in the management of trauma patients.

Summary
Status and Needs of Continuing Education for Trauma Nursing
Yooun-Joong Jung, Suhyun Kim, Sangmi Noh, Eunkyoung Seo, Soyoung Jung, Jiyoung Kim
J Trauma Inj. 2019;32(3):157-167.   Published online September 30, 2019
DOI: https://doi.org/10.20408/jti.2019.016
  • 3,132 View
  • 64 Download
AbstractAbstract PDF
Purpose

This study was conducted to status and needs for continuing education for trauma hospital nurses in Korea.

Methods

Thirty nurses from the seven level I trauma center hospitals or trauma treatment systems were randomly selected and surveyed. The survey was conducted from March 1 to May 31, 2017. Categorical data were analyzed with Pearson chi-square tests and Continuous variables were analyzed with ANOVA.

Results

Only 86 out of 204 nurses had received continuing education (42.1%). The current status of continuing education programs, delivering institution (p<0.001), education method (p<0.001), education period (p=0.003), number of participants (p=0.007), and instructors (p=0.014) were also significantly different from trauma center to trauma center. There were 108 (52.9%) nurses who responded that continuing education programs were “needed” 92 (45.1%) and “very much needed 16 (7.8%). According to each trauma center’s characteristics were significantly differences in the need for continuing education (p=0.089), subject selection method (p<0.001) and the number of continuing education sessions (p=0.043) depending on the hospital.

Conclusions

It is necessary to consider differences between the hospitals to develop continuing education programs that reflect the needs of nurses, in order to improve the efficiency of and satisfaction with the educational programs.

Summary
The Effectiveness of Extended Focused Assessment with Sonography for Trauma Education Conducted on the Medical College Students
Kyu Ho Oh, Han Ho Do, Hee Young Kim, Jun Seok Seo
J Trauma Inj. 2016;29(3):82-88.   Published online September 30, 2016
DOI: https://doi.org/10.20408/jti.2016.29.3.82
  • 2,391 View
  • 12 Download
  • 1 Citations
AbstractAbstract PDF
PURPOSE
Sonongraphic examinations such as extended Focused Assessment with Sonography in Trauma (eFAST) are widely used in Emergency Departments. This study is designed to determine student achievement by teaching medical college students through short training.
METHODS
38 participants in their 3rd year of medical school were enrolled in this study. An Emergency Medicine physician trained the students to 2 hours of theoretical training followed by 2 hours of hands on training.
RESULTS
The average age of students was 28.1±3.4, with 21 male students. The average of pre-educational test results were 60.4±8.9 and post-educational exam results were 80.1±14.5 (p<0.001). The average success rate of eFAST was 87.5%. But success rate of each items were lowest in checking the hepatorenal recess and the splenorenal recess, each success rate, 65.8% and 68.4%, consecutively. The questionnaires filled out after the study showed that the students were highly interested in this education and that they found the education easy to understand. They also answered that eFAST education is necessary in the medical college curriculum.
CONCLUSION
This study shows that eFAST can be effectively taught to students through short training.
Summary

Citations

Citations to this article as recorded by  
  • Diagnostic performance of the extended focused assessment with sonography for trauma (EFAST) patients in a tertiary care hospital of Nepal
    Samjhana Basnet, Sanu Krishna Shrestha, Alok Pradhan, Roshana Shrestha, Anmol Purna Shrestha, Grishma Sharma, Sahil Bade, Latika Giri
    Trauma Surgery & Acute Care Open.2020; 5(1): e000438.     CrossRef

J Trauma Inj : Journal of Trauma and Injury