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Retention of Basic Trauma Life Support Skills

Published online by Cambridge University Press:  28 June 2012

Howard A. Werman ,
David R. Keseg ,
Mayer Glimcher ,
Carol Schumacher ,
Steven Shaner  and
Charles G. Brown
Howard A. Werman*
Affiliation:
Division of Emergency Medicine, Ohio State University School of Medicine, Columbus, Ohio, USA
David R. Keseg
Affiliation:
Department of Emergency Medicine, Riverside Methodist Hospital, Columbus, Ohio, USA
Mayer Glimcher
Affiliation:
Emergency Medical Services Technology, Department of Allied Health, Columbus State Community College, USA
Carol Schumacher
Affiliation:
SKYMED Hospital Helicopter Consortium, Ohio State University Hospitals, Columbus, Ohio, USA
Steven Shaner
Affiliation:
SKYMED Hospital Helicopter Consortium, Ohio State University Hospitals, Columbus, Ohio, USA
Charles G. Brown
Affiliation:
Division of Emergency Medicine, Ohio State University School of Medicine, Columbus, Ohio, USA
*
Howard A. Werman, MD, FACEP, Division of Emergency Medicine, 8-59 Rhodes Hall, Ohio State University, 450 W. 10th Avenue, Columbus, OH 43210-1228 USA
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Abstract

The Basic Trauma Life Support (BTLS) course was developed to teach prehospital providers a rapid, prioritized approach to assess and manage the trauma victim. Little data currently are available relative to the retention of the cognitive and psychomotor skilk taught in the course. To examine this question, thirteen paramedics were retested on identically moulaged trauma scenarios and written examinations 14–16 months after initial training in BTLS. No advanced notification of the re-test was given. Written test scores decreased from an initial mean of 93.0±6.6 to a mean of 64.9±11.8 (p<0.001) 14–16 months later. Similarly, the trauma scenario test scores declined from 71.6±10.4 to 61.3±16.2 (p<0.05). The results suggest that there is significant loss of both didactic information and practical skills from the BTLS course 14–16 months after training. Frequent BTLS refresher training in the form of supplemental readings, lectures, and repeated exposures to trauma simulations is needed.

Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 5 , Issue 2 , June 1990 , pp. 137 - 144
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1990

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References

1. National Research Council: Institute of Medicine Committee on Trauma Research: Injuries in America: A Continuing Public Health Problem. Washington DC: National Academy Press, 1985.Google Scholar
2. Hartunian, NS, Smart, WJ, Thompson, MS: The Incidence and Economic Costs of Major Health Impairments. Lexington, Mass: Lexington Books, 1981.Google Scholar
3. Munoz, E: Economic costs of trauma: United States, 1982. J Trauma 1984;24:237–244.Google Scholar
4. Cales, RH, Trunkey, DD: Preventable trauma deaths: A review of trauma care systems development. JAMA 1985;254:1059–1063.CrossRefGoogle ScholarPubMed
5. Frey, CE, Huelke, DF, Gikas, PW: Resuscitation and survival in motor vehicle accidents. J Trauma 1969;9:292–310.CrossRefGoogle ScholarPubMed
6. Waters, JM Jr, Wells, CH: The effects of a modern emergency medical care system in reducing automobile crash deaths. J Trauma 1973;13:645–647.CrossRefGoogle ScholarPubMed
7. Campbell, JE: Basic Trauma Life Support: Advanced Prehospital Care (2nd edition). Englewood Cliffs, NJ: Prentice-Hall, Inc, 1988.Google Scholar
8. Werman, HA, Nelson, RN, Gandi, P, Campbell, J: Basic Trauma Life Support. Ann Emerg Med 1987;16:1240–1243.CrossRefGoogle ScholarPubMed
9. Wilson, E, Brooks, B, Tweed, WA: CPR skills retention of lay basic rescuers. Ann Emerg Med 1983;12:482–484.CrossRefGoogle ScholarPubMed
10. Weaver, FJ, Ramirez, AG, Dorfman, SB, Raizner, AE: Trainees' retention of cardiopulmonary resuscitation: How quickly they forget. JAMA 1979;241:901–903.CrossRefGoogle ScholarPubMed
11. Vanderschmidt, H, Burnap, T, Thwaites, J: Evaluation of a cardiopulmonary resuscitation course for secondary schools. Med Care 1975;13:763–774.CrossRefGoogle ScholarPubMed
12. Curry, L, Gass, D: Effects of training in car-diopulmonary resuscitation on competence and patient outcome. Can Med Assoc J 1987;137:491–496.Google Scholar
13. Shannon, FL, Jurkovich, GJ, Hansbrough, JF: Assessment of the proficiency of the surgeon in providing basic and advanced cardiac life support. Surg Gyn Obstet 1984;159:9–12.Google ScholarPubMed
14. Thrasher, CL: Physician one-rescuer CPR performance during advanced cardiac life support provider instruction (letter). Crit Care Med 1984;15:181–182.CrossRefGoogle Scholar
15. Lowenstein, SR, Hansbrough, JF, Libby, LS, et al: Cardiopulmonary resuscitation by medical and surgical house-officers. Lancet 1981;1:679–681.Google Scholar
16. Stross, JK: Maintaining competency in advanced cardiac life support skills. JAMA 1983;249:3339–3341.Google Scholar
17. Swanson, R, Swanson, S, Spooner, J, et al; Inter-rater variability in an advanced cardiac life support course: A case study. Med Teacher 1987;9:447–449.Google Scholar
18. DeFors, JH: Evaluating practical skills. J Emerg Med Serv 1984;11:36–38.Google Scholar
19. Atkins, JM: Education and evaluation in emergency cardiac care programs (CPR and advanced cardiac life support): State of the art. Circulation 1986;74(suppl):18–22.Google Scholar