Trauma Non-Technical Training (TNT-2): the development, piloting and multilevel assessment of a simulation-based, interprofessional curriculum for team-based trauma resuscitation

Trauma Non-Technical Training (TNT-2): the development, piloting and multilevel assessment of a simulation-based, interprofessional curriculum for team-based trauma resuscitation

Can J Surg 2014;57(5):354-55 | PDF

Aristithes G. Doumouras, MD, BHSc*; Itay Keshet, MBBS*; Avery B. Nathens, MD, PhD†‡; Najma Ahmed, MD, PhD*‡; Christopher M. Hicks, MD, MEd*§

From the *Department of Surgery, Keenan Research Center of the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Ont., †Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ont., ‡Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ont., §Department of Emergency Medicine, St. Michael’s Hospital, Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ont.

Summary

Medical error is common during trauma resuscitations. Most errors are nontechnical, stemming from ineffective team leadership, nonstandardized communication among team members, lack of global situational awareness, poor use of resources and inappropriate triage and prioritization. We developed an interprofessional, simulation-based trauma team training curriculum for Canadian surgical trainees. Here we discuss its piloting and evaluation.


This work was presented at the 2013 Canadian Association of Emergency Physicians Annual Conference, Vancouver BC, June 5, 2013.

Accepted for publication Jan. 27, 2014

Competing interests: This work was supported in part by funds from a University of Toronto Education Development Fund grant (N. Ahmed and C.M. Hicks.), a St. Michael’s Hospital Keenan Research Centre Scholarship and a Queen’s University Research Studentship (A.G. Doumouras).

Contributors: All authors contributed substantially to writing and revising and to the conception and design of the manuscript and approved the final version submitted for publication.

DOI: 10.1503/cjs.000814

Correspondence to: C. Hicks, 30 Bond St., 1-008c Shuter Wing. Toronto ON M5B 1W8; hicksc@smh.ca