Biography
Biography: Yasumitsu Mizobata
Abstract
It is important to start the resuscitative procedure as quick as possible in the massive hemorrhagic trauma patients. In addition to prepare all resources for the resuscitative surgery, high quality team performance is essential to achieve the good outcome. Recently teamwork training courses for the trauma surgery are provided.
Advanced trauma operative management (ATOM) started on 2008 in Japan. Recently we produced ATOM nurse course. The course contains didactic lecture for thoracic and abdominal injury, in which the instruments and procedures of the trauma surgery are introduced and how to be prepared in the operative theatre. Both the surgeons and the nurses join the teamwork lecture to learn about the team building, leadership, and communication. In the animal lab, they will communicate about the awared situation and decision for the surgical strategy. In the survey to the nurses who participated in the course, high score of satisfaction was observed.
In our institute, teamwork training for the trauma surgeons and nurses started. The course teaches non-technical skills for acute medicine, and named as NoTAM. After the implementation of these training, the time since arrival to the operation and the time of the operation were significantly shorter as compared to those in the period of pre-implementation. The standardized mortality ratio tended to decrease from 85% to 77%.
In conclusion, the resuscitation for the trauma patient should be started quickly. High level of the teamwork as well as the preparation of all resources for the resuscitation and operation is required. Teamwork training may improve the quality of trauma care and the outcome of the injured patients