Table 1.
Trauma scenario | Category | Training goal | CRM goal |
---|---|---|---|
Hypovolemic shock in a child with blunt abdominal trauma | C | Recognition and treatment of hypovolemic shock | Reevaluation effective communication |
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Maintenance two patients after MVA in the trauma room (double scenario) | A B C D | Recognition and treatment of respiratory failure, rapid sequence intubation, CPR Detecting and treating a hematothorax |
Team and time management prioritization Mobilization of all available resources Get help early |
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Tracheal tube dislocation after repositioning the patient | A B | DOPES | Avoidance of fixing errors of the tracheal tube Mobilization of all available resources |
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Battered child | B D | Differential diagnosis of unconsciousness CPR algorithm |
Dealing with parents Double check Use of any information |
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Tension pneumothorax in a major injured child with thoracic contusion | A B C | Differential diagnosis of acute circulatory insufficiency Treatment of a tension pneumothorax CPR |
Prioritization team leadership anticipation |
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Traumatic brain injury (TBI) with secondary deterioration and seizure following sledge accident | D | Treatment of TBI and seizure neuroprotection |
Prioritization (diagnostic procedures versus surgical care) |
A = airway, B = breathing, C = circulation, D = disability; CRM = crisis resource management; CPR: cardiopulmonary resuscitation. DOPES: D = displacement (tube), o = Obstruction (tube), P = pneumothorax, E = equipment failure, S = stomach pressure; MVA = motor vehicle accident.