Trauma video review through the legal lens: Improving care while minimizing risk

Video-based platforms are revolutionizing trauma surgery, particularly through trauma video review (TVR), which enhances performance metrics, medical education, and patient outcomes. However, the adoption of TVR is hindered by medicolegal concerns, including issues related to spoliation, patient privacy, and consent. Despite the proven benefits of TVR, such as improved processes of care, many institutions remain hesitant due to the potential legal risks. Only a few legal cases have addressed TVR explicitly, noting that certain state statutes can protect video disclosures in specific contexts, especially when linked to quality assurance and peer review activities.

Additionally, the Health Insurance Portability and Accountability Act has historically created apprehension among providers regarding patient privacy. Nevertheless, integrating video review consent into general hospital consent processes may alleviate some concerns. While litigation and privacy issues continue to pose challenges, the advantages of TVR—particularly in enhancing surgical performance and potentially reducing medicolegal risks—suggest that its adoption is likely to increase as technology evolves.