Are trauma surgeons prepared? A survey of trauma surgeons’ disaster preparedness before and during the COVID-19 pandemic
Objective US trauma centers (TCs) must remain prepared for mass casualty incidents (MCIs). However, trauma surgeons may lack formal MCI training. The recent COVID-19 pandemic drove multiple patient surges, overloaded Emergency Medical Services (EMS) agencies, and stressed TCs. This survey assessed t...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-10-01
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| Series: | Trauma Surgery & Acute Care Open |
| Online Access: | https://tsaco.bmj.com/content/8/1/e001073.full |
| _version_ | 1797371105500987392 |
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| author | Eileen M Bulger Avi Bhavaraju Deborah A Kuhls John A Harvin Marko Bukur Katherine Kelley Jay Doucet Alison A Smith Robert D Winfield Adam Fox David V Shatz Christopher Newton Lewis J Kaplan Jonathan Gates Mark L Gestring Randeep Jawa Bradley Dennis Jeannette Capella Mary Fallat Kyle N. Remick David P Blake James Ficke Joanelle Bailey Alfredo Cesar Cordova Eleanor Curtis Michael Kenneth Dalton Alexander Laurance Eastman Lee David Faucher Peter Fischer Galina A Glinik Jane Josephine Keating Nicole Toscano |
| author_facet | Eileen M Bulger Avi Bhavaraju Deborah A Kuhls John A Harvin Marko Bukur Katherine Kelley Jay Doucet Alison A Smith Robert D Winfield Adam Fox David V Shatz Christopher Newton Lewis J Kaplan Jonathan Gates Mark L Gestring Randeep Jawa Bradley Dennis Jeannette Capella Mary Fallat Kyle N. Remick David P Blake James Ficke Joanelle Bailey Alfredo Cesar Cordova Eleanor Curtis Michael Kenneth Dalton Alexander Laurance Eastman Lee David Faucher Peter Fischer Galina A Glinik Jane Josephine Keating Nicole Toscano |
| collection | DOAJ |
| description | Objective US trauma centers (TCs) must remain prepared for mass casualty incidents (MCIs). However, trauma surgeons may lack formal MCI training. The recent COVID-19 pandemic drove multiple patient surges, overloaded Emergency Medical Services (EMS) agencies, and stressed TCs. This survey assessed trauma surgeons’ MCI training, experience, and system and personal preparedness before the pandemic compared with the pandemic’s third year.Methods Survey invitations were emailed to all 1544 members of the American Association for the Surgery of Trauma in 2019, and then resent in 2022 to 1575 members with additional questions regarding the pandemic. Questions assessed practice type, TC characteristics, training, experience, beliefs about personal and hospital preparedness, likelihood of MCI scenarios, interventions desired from membership organizations, and pandemic experiences.Results The response rate was 16.7% in 2019 and 12% in 2022. In 2022, surgeons felt better prepared than their hospitals for pandemic care, mass shootings, and active shooters, but remained feeling less well prepared for cyberattack and hazardous material events, compared with 2019. Only 35% of the respondents had unintentional MCI response experience in 2019 or 2022, and even fewer had experience with intentional MCI. 78% had completed a Stop the Bleed (STB) course and 63% own an STB kit. 57% had engaged in family preparedness activities; less than 40% had a family action plan if they could not come home during an MCI. 100% of the respondents witnessed pandemic-related adverse events, including colleague and coworker illness, patient surges, and resource limitations, and 17% faced colleague or coworker death.Conclusions Trauma surgeons thought that they became better at pandemic care and rated themselves as better prepared than their hospitals for MCI care, which is an opportunity for them to take greater leadership roles. Opportunities remain to improve surgeons’ family and personal MCI preparedness. Surgeons’ most desired professional organization interventions include advocacy, national standards for TC preparedness, and online training.Level of evidence VII, survey of expert opinion. |
| first_indexed | 2024-03-08T18:14:59Z |
| format | Article |
| id | doaj.art-d6f0ce754aba4abd9dc2cd2b7ded7211 |
| institution | Directory Open Access Journal |
| issn | 2397-5776 |
| language | English |
| last_indexed | 2024-03-08T18:14:59Z |
| publishDate | 2023-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Trauma Surgery & Acute Care Open |
| spelling | doaj.art-d6f0ce754aba4abd9dc2cd2b7ded72112023-12-31T16:05:08ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762023-10-018110.1136/tsaco-2022-001073Are trauma surgeons prepared? A survey of trauma surgeons’ disaster preparedness before and during the COVID-19 pandemic Eileen M Bulger0Avi BhavarajuDeborah A Kuhls1John A Harvin2Marko Bukur3Katherine KelleyJay Doucet4Alison A SmithRobert D WinfieldAdam Fox5David V Shatz6Christopher Newton7Lewis J Kaplan8Jonathan Gates9Mark L Gestring10Randeep Jawa11Bradley Dennis12Jeannette Capella13Mary Fallat14Kyle N. Remick15David P Blake16James Ficke17Joanelle BaileyAlfredo Cesar CordovaEleanor CurtisMichael Kenneth DaltonAlexander Laurance EastmanLee David FaucherPeter FischerGalina A GlinikJane Josephine KeatingNicole ToscanoDepartment of Surgery, University of Washington, Seattle, Washington, USAKirk Kerkorian School of Medicine, University of Nevada Las Vegas, Las Vegas, Nevada, USADepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center, Houston, Texas, USABellevue Hospital Center, New York, New York, USADepartment of Surgery, University of California San Diego Health System, San Diego, California, USADepartment of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USADepartment of General Surgery, UC Davis Medical Center, Sacramento, California, USAUCSF Benioff Children`s Hospital, San Francisco, California, USADepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USADepartment of Surgery, Hartford Hospital, Hartford, Connecticut, USADepartment of Surgery, University of Rochester, Rochester, New York, USADepartment of Surgery, Stony Brook University, Stony Brook, New York, USADepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USADepartment of Surgery, The Iowa Clinic, Des Moines, Iowa, USADepartment of Surgery, University of Louisville, Louisville, Kentucky, USADepartment of Surgery, Uniformed Services University School of Medicine, Bethesda, Maryland, USADivision of Acute Care Surgery, Inova Health System, Falls Church, Virginia, USADepartment of Orthopedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USAObjective US trauma centers (TCs) must remain prepared for mass casualty incidents (MCIs). However, trauma surgeons may lack formal MCI training. The recent COVID-19 pandemic drove multiple patient surges, overloaded Emergency Medical Services (EMS) agencies, and stressed TCs. This survey assessed trauma surgeons’ MCI training, experience, and system and personal preparedness before the pandemic compared with the pandemic’s third year.Methods Survey invitations were emailed to all 1544 members of the American Association for the Surgery of Trauma in 2019, and then resent in 2022 to 1575 members with additional questions regarding the pandemic. Questions assessed practice type, TC characteristics, training, experience, beliefs about personal and hospital preparedness, likelihood of MCI scenarios, interventions desired from membership organizations, and pandemic experiences.Results The response rate was 16.7% in 2019 and 12% in 2022. In 2022, surgeons felt better prepared than their hospitals for pandemic care, mass shootings, and active shooters, but remained feeling less well prepared for cyberattack and hazardous material events, compared with 2019. Only 35% of the respondents had unintentional MCI response experience in 2019 or 2022, and even fewer had experience with intentional MCI. 78% had completed a Stop the Bleed (STB) course and 63% own an STB kit. 57% had engaged in family preparedness activities; less than 40% had a family action plan if they could not come home during an MCI. 100% of the respondents witnessed pandemic-related adverse events, including colleague and coworker illness, patient surges, and resource limitations, and 17% faced colleague or coworker death.Conclusions Trauma surgeons thought that they became better at pandemic care and rated themselves as better prepared than their hospitals for MCI care, which is an opportunity for them to take greater leadership roles. Opportunities remain to improve surgeons’ family and personal MCI preparedness. Surgeons’ most desired professional organization interventions include advocacy, national standards for TC preparedness, and online training.Level of evidence VII, survey of expert opinion.https://tsaco.bmj.com/content/8/1/e001073.full |
| spellingShingle | Eileen M Bulger Avi Bhavaraju Deborah A Kuhls John A Harvin Marko Bukur Katherine Kelley Jay Doucet Alison A Smith Robert D Winfield Adam Fox David V Shatz Christopher Newton Lewis J Kaplan Jonathan Gates Mark L Gestring Randeep Jawa Bradley Dennis Jeannette Capella Mary Fallat Kyle N. Remick David P Blake James Ficke Joanelle Bailey Alfredo Cesar Cordova Eleanor Curtis Michael Kenneth Dalton Alexander Laurance Eastman Lee David Faucher Peter Fischer Galina A Glinik Jane Josephine Keating Nicole Toscano Are trauma surgeons prepared? A survey of trauma surgeons’ disaster preparedness before and during the COVID-19 pandemic Trauma Surgery & Acute Care Open |
| title | Are trauma surgeons prepared? A survey of trauma surgeons’ disaster preparedness before and during the COVID-19 pandemic |
| title_full | Are trauma surgeons prepared? A survey of trauma surgeons’ disaster preparedness before and during the COVID-19 pandemic |
| title_fullStr | Are trauma surgeons prepared? A survey of trauma surgeons’ disaster preparedness before and during the COVID-19 pandemic |
| title_full_unstemmed | Are trauma surgeons prepared? A survey of trauma surgeons’ disaster preparedness before and during the COVID-19 pandemic |
| title_short | Are trauma surgeons prepared? A survey of trauma surgeons’ disaster preparedness before and during the COVID-19 pandemic |
| title_sort | are trauma surgeons prepared a survey of trauma surgeons disaster preparedness before and during the covid 19 pandemic |
| url | https://tsaco.bmj.com/content/8/1/e001073.full |
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