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J Trauma Acute Care Surg ; 97(2S Suppl 1): S19-S23, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-38745350

ABSTRACT

BACKGROUND: Since 2021, the predeployment training of French FSTs has included a simulation-based curriculum consisting of organizational and human factors. The purpose of this article is to describe the development of a crew-resource management (CRM) training course dedicated for the forward surgical teams (FSTs) of the French Military Health Service. METHODS: The approach was based on three steps: (1) establishment of a conceptual framework of FSTs deployment; (2) development of an aircrew-like CRM training combining lectures, laboratory exercises, and situational training exercises to consider four fundamental "nontechnical" (cognitive and social) skills for effective and safe combat casualty care: (a) leadership, (b) decision-making, (c) coordination, and (d) situational awareness; (3) Implementation of teamwork evaluation tools. RESULTS: A multidisciplinary team designed a conceptual framework for FST preparedness, 24 French FSTs completed a high-quality training that takes into account both technical and nontechnical skills to maintain quality of combat care during mass-casualty incidents, FSTs' CRM skills were assessed using an audio/video recording of a simulated mass-casualty incident.


Subject(s)
Mass Casualty Incidents , Patient Care Team , Humans , Patient Care Team/organization & administration , Military Medicine/education , Military Medicine/organization & administration , France , Curriculum , Leadership , Crew Resource Management, Healthcare , Simulation Training/methods , Military Personnel/education , Decision Making , Clinical Competence
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