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September 02-03, 2019 | Vienna, Austria
WORLD NURSING FORUM
RHEUMATOLOGY & TRAUMA CARE
13
th
International Conference on
&
Nursing Forum 2019 & Rheumatology 2019
September 02-03, 2019
Journal name: Journal of Nursing Research and Practice
J Nurs Res Pract, Volume 3
Volume 3 | ISSSN: 2632-251X
Traumatic cardiac arrest in European trauma course
Florian Trummer
Hospital of the Brothers of St. John of God Vienna, Austria
T
he cardiac arrest of a patient with multiple injuries after an accident, the rescue teams usually faced an unsolvable task. Due
to declining numbers of polytraumatized patients, it is not possible to learn the necessary routine for the treatment of cardiac
arrest in multiple injuries in everyday working life. Therefore, TCA training is playing an increasingly important role in the
standardized courses for primary care and trauma management of the polytraumatized.
After an algorithm for resuscitation in Traumatic cardiac arrest (TCA) was included in the European Resuscitation Council
guidelines for Resuscitation 2015 and was cited in S3 – Guidelines in treatment of multiple-trauma patients of German Society
for Trauma Surgery in 2016, the "TCA in the European Trauma Course" was also decided as a pilot project to start.
Therefore, the working group of the ETC Austria decided that the implementation of the TCA Scenario should take place on
the second day of the course. The reason for this is that on the first day, the focus is on non-technical skills and structuring. To
carry out such a complex scenario on day 1 might lead to massive problems for the participants, but also for the instructors by
leading it to the teaching key points. But it was decided to emphasize on day 1 in the Thorax Workshop the role of bilateral thorax
decompression measures like needle thoracocentesis, pleurocentesis and chest drain insertion in TCA situations according to the
actual recommendations.
Materials
Preparation of material
Bilateral mini thoarotomy, according to Guidlines, has to be performed at every TCA if pneumothorax cannot be excluded
without any doubt. However, evidence-based data show that Clamshell thoracotomy is very more likely to be successful in TCA
after penetrating trauma. For this reason, it was decided that an already existing scenario with penetrating trauma should be
changed into a TCA scenario. Therefor the second scenario with penetrating trauma in the Abdomen Workshop already available
on day 2 was used as the basis for the creation of the new TCA scenario. In this context, the interactive Power Point presentations
and Role Cards for this example have been changed in advance. Furthermore, Power Point slides with the explanation of both
TCA algorithm and Clamshell thoracotomy were added. The duration of this scenario was planned with 30 minutes including
feedback.
Methods
A total of 20 instructors and 65 participants in three courses, conducted a survey, which consisted of questions about the need to
implement TCA scenarios in the European Trauma Course.
Results
• There were total 79 doctors and 6 nurses
o Participants: < 1-year work experience (n=4), 1 – 5 years work experience (n=25), 6 – 10 years’ work experience
(n=15), 11 – 15 years’ work experience (n=5), > 15 years work experience (n=16).
o Instructors: 1 course experience (n=1), 1 -5 courses experience (n=6), 6 – 10 courses experience (n=5), 11 – 15 courses
experience (n=1), > 15 courses experience (n=7).
• For 100% of the instructors and 96% of the participants, it’s very important to implement TCA scenarios to standardized
courses like ETC.