Simulation-Based Training to Promote Whole Blood Administration Protocol Among Critical Care Transport of Trauma Patients

Q3 Nursing

Air Medical Journal Pub Date : 2026-03-01 Epub Date: 2025-11-25 DOI:10.1016/j.amj.2025.10.013

Olivia C. Newbern DNP, CRNA , Julee Waldrop DNP, FNP, PNP, CNE, EBP-C , Michele Kuszajewski DNP, RN, CHSE , Virginia C. Simmons DNP, CRNA, CHSE-A, ANEF, FAANA, FAAN

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引用次数: 0

Abstract

Objective

Trauma patients often present to emergency departments with coagulopathies. Recognizing the unique challenges of caring for trauma patients and the urgent need for protocol-driven resuscitation is essential.

Methods

This project used a practice evaluation design that incorporated simulation-based learning (SBL) to educate critical care transport team (CCTT) providers on the existing whole blood administration protocol (WBAP), aiming to enhance protocol adherence and staff preparedness.

Results

Most participants (77%) successfully adhered to all critical decision points, indicating notable improvements in adherence. Participants reported increased confidence, knowledge, and preparedness following SBL, each with a mean of 2.9 and a median of 3.0, where 1 = do not agree, 2 = somewhat agree, and 3 = strongly agree. Simulation reinforced critical decision-making (mean 3.0) and procedural skills (mean 2.9), aligning with established best practices.

Conclusion

SBL improved trauma care training, reinforced critical decision-making, and strengthened procedural skills among CCTT providers. Further research is needed to assess multiple aspects of the WBAP during critical care transport missions and the long-term sustainability of educational interventions. Ongoing training, policy enhancements, and continued whole blood use in CCTT care may contribute to improved outcomes for trauma patients.

查看原文本刊更多论文

以模拟为基础的训练促进全血给药方案在创伤病人重症监护转运中的应用。

目的：创伤患者经常出现凝血功能障碍的急诊科。认识到照顾创伤患者的独特挑战和迫切需要的方案驱动的复苏是必不可少的。方法：本项目采用结合模拟学习（SBL）的实践评估设计，对危重病转运团队（CCTT）提供者进行现有全血给药协议（WBAP）的教育，旨在提高协议的依从性和工作人员的准备程度。结果：大多数参与者（77%）成功地坚持了所有关键决策点，表明依从性显着改善。参与者报告在SBL之后增加了信心，知识和准备，每个平均值为2.9，中位数为3.0，其中1 =不同意，2 =有些同意，3 =非常同意。模拟强化了关键决策（平均3.0）和程序技能（平均2.9），与已建立的最佳实践保持一致。结论：SBL改善了CCTT提供者的创伤护理培训，强化了关键决策，增强了程序技能。需要进一步的研究来评估重症监护运输任务中WBAP的多个方面和教育干预的长期可持续性。持续的培训，政策的加强，以及在CCTT护理中继续使用全血可能有助于改善创伤患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Air Medical Journal Nursing-Emergency Nursing

CiteScore

1.20

自引率

0.00%

发文量

112

审稿时长

69 days

期刊介绍： Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.