Tele-Mentored Damage-Control and Emergency Trauma Surgery: a Feasibility Study Using Live-Tissue Models
The American Journal of Surgery xxx (2018) 1e3 Contents lists available at ScienceDirect The American Journal of Surgery journal homepage: www.americanjournalofsurgery.com Tele-mentored damage-control and emergency trauma surgery: A feasibility study using live-tissue models * Philip Dawe a, b, , Andrew Kirkpatrick c, Max Talbot a, Andrew Beckett a, Naisan Garraway b, Heather Wong b, Syed Morad Hameed b a Canadian Armed Forces, 1 Canadian Field Hospital, 147 Flanders Row, Garrison Petawawa, Ontario, K8H 2X3, Canada b Vancouver General Hospital, 855 W 12th Avenue, Vancouver, British Columbia, V5Z 1M9, Canada c Foothills Medical Centre, 1403 29 Street NW, Calgary, Alberta, T2N 2T9, Canada article info abstract Article history: Background: Damage-control and emergency surgical procedures in trauma have the potential to save Received 15 November 2017 lives. They may occasionally not be performed due to clinician inexperience or lack of comfort and Received in revised form knowledge. 11 January 2018 Methods: Canadian Armed Forces (CAF) non-surgeon Medical Officers (MOs) participated in a live tissue Accepted 12 January 2018 training exercise. They received tele-mentoring assistance using a secure video-conferencing application on a smartphone/tablet platform. Feasibility of tele-mentored surgery was studied by measuring their Keywords: effectiveness at completing a set series of tasks in this pilot study. Additionally, their comfort and Tele-mentored surgery Life-saving-interventions willingness to perform studied procedures was gauged using pre- and post-study surveys. Telemedicine Results: With no pre-procedural teaching, participants were able to complete surgical airway, chest tube Combat injury insertion and resuscitative thoracotomy with 100% effectiveness with no noted complications.
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