Jurnal Internasional vol.12 issue 2 2022
African Journal of Emergency Medicine
Impact of implementation of sequential trauma education programs (STEPs) course on missed injuries in emergency polytrauma patients, Ismailia, Egypt
Dublin Core
Title
Jurnal Internasional vol.12 issue 2 2022
African Journal of Emergency Medicine
Impact of implementation of sequential trauma education programs (STEPs) course on missed injuries in emergency polytrauma patients, Ismailia, Egypt
African Journal of Emergency Medicine
Impact of implementation of sequential trauma education programs (STEPs) course on missed injuries in emergency polytrauma patients, Ismailia, Egypt
Subject
STEPs course
Training programs
Trauma injuries
Training programs
Trauma injuries
Description
Introduction: Trauma deaths account for 8% of all deaths in Egypt. Patients with multiple injuries are at high
risk but may be saved with a good triage system and a well-trained trauma team in dedicated institutions. The
incidence of missed injuries in the Emergency Centre (EC) of Suez Canal University Hospital (SCUH) was found
to be 9.0% after applying Advanced Trauma Life Support (ATLS) guidelines. However, this rate is still high
compared with many trauma centers.
Aim: Improve the quality of management of polytrauma patients by decreasing the incidence of missed injuries
by implementing the Sequential Trauma Education Programs (STEPs) course in the EC at SCUH.
Methods: This interventional training study was conducted in the SCUH EC that adheres to CONSORT guidelines.
The study was conducted during the one month precourse and for 6 months after the implementation of the STEPs
course for EC physicians. Overall, 458 polytrauma patients were randomly selected, of which 45 were found to
have missed injuries after applying the inclusion and exclusion criteria. We assessed the clinical relevance of
these cases for missed injuries before and after the STEPs course.
Results: Overall, 45 patients were found to have missed injuries, of which 15 (12%) were pre-STEPs and 30
(9%) were post-STEPs course. The STEPs course significantly increased adherence to vital data recording, but
the reduction of missed injuries (3.0%) was not statistically significant in relation to demographic and trauma
findings. However, the decrease in missed injuries in the post-STEPs course group was an essential clinically
significant finding.
Conclusion: STEPs course implementation decreased the incidence of missed injuries in polytrauma patients.
Thus, the STEPs course can be considered at the same level of other advanced trauma courses as a training skills
program or possibly better in dealing with trauma patients. Repetition of this course by physicians should be
mandatory to prevent more missed injuries. Therefore, the validation of STEPs course certification should be
completed at least every two years to help decrease the number of missed injuries, especially in low-income
countries and low-resource settings.
risk but may be saved with a good triage system and a well-trained trauma team in dedicated institutions. The
incidence of missed injuries in the Emergency Centre (EC) of Suez Canal University Hospital (SCUH) was found
to be 9.0% after applying Advanced Trauma Life Support (ATLS) guidelines. However, this rate is still high
compared with many trauma centers.
Aim: Improve the quality of management of polytrauma patients by decreasing the incidence of missed injuries
by implementing the Sequential Trauma Education Programs (STEPs) course in the EC at SCUH.
Methods: This interventional training study was conducted in the SCUH EC that adheres to CONSORT guidelines.
The study was conducted during the one month precourse and for 6 months after the implementation of the STEPs
course for EC physicians. Overall, 458 polytrauma patients were randomly selected, of which 45 were found to
have missed injuries after applying the inclusion and exclusion criteria. We assessed the clinical relevance of
these cases for missed injuries before and after the STEPs course.
Results: Overall, 45 patients were found to have missed injuries, of which 15 (12%) were pre-STEPs and 30
(9%) were post-STEPs course. The STEPs course significantly increased adherence to vital data recording, but
the reduction of missed injuries (3.0%) was not statistically significant in relation to demographic and trauma
findings. However, the decrease in missed injuries in the post-STEPs course group was an essential clinically
significant finding.
Conclusion: STEPs course implementation decreased the incidence of missed injuries in polytrauma patients.
Thus, the STEPs course can be considered at the same level of other advanced trauma courses as a training skills
program or possibly better in dealing with trauma patients. Repetition of this course by physicians should be
mandatory to prevent more missed injuries. Therefore, the validation of STEPs course certification should be
completed at least every two years to help decrease the number of missed injuries, especially in low-income
countries and low-resource settings.
Creator
Adel Hamed Elbaih, Maged El-Setouhy , Jon Mark Hirshon, Hazem Mohamed El-Hariri , Monira Taha Ismail , Mohamed El-Shinawi
Source
https://doi.org/10.1016/j.afjem.2022.01.002
Date
25 January 2022
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Adel Hamed Elbaih, Maged El-Setouhy , Jon Mark Hirshon, Hazem Mohamed El-Hariri , Monira Taha Ismail , Mohamed El-Shinawi , “Jurnal Internasional vol.12 issue 2 2022
African Journal of Emergency Medicine
Impact of implementation of sequential trauma education programs (STEPs) course on missed injuries in emergency polytrauma patients, Ismailia, Egypt,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1900.
African Journal of Emergency Medicine
Impact of implementation of sequential trauma education programs (STEPs) course on missed injuries in emergency polytrauma patients, Ismailia, Egypt,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1900.