Getting out of the bay faster: Assessing trauma team performance using trauma video review

This study investigates the relationship between trauma team performance and the timeliness of care for hypotensive trauma patients in hemorrhagic shock. Analyzing data from a multicenter observational study, researchers used video reviews to assess team dynamics based on the Non-Technical Skills for Trauma scale, which evaluates aspects such as leadership, communication, and situational awareness. The primary outcome measured was the time taken from patient arrival to the next phase of care, with secondary outcomes including the timing of blood resuscitation and inpatient mortality. Results indicated that better performance in key areas, particularly leadership and situational awareness, correlated with quicker transitions to care, while larger team sizes were associated with delays.

Overall, the findings highlight the critical importance of effective team dynamics in trauma settings, suggesting that improved training in non-technical skills could enhance the speed of care delivery for trauma patients experiencing hemorrhagic shock. Specifically, each point decrease in team performance scores led to significant delays, underscoring the need for focused efforts to optimize team functioning in emergency situations.