Mental Practice: Rehearsing for Trauma
Mental practice also helps to minimise stress during challenging situations, and helps to ensure trauma teams (which can include up to 12 people) work cohesively, according to the study published online in the Canadian Journal of Emergency Medicine.
Everyone on the trauma care team needs to be on the same page, long before patients even enter hospitals, according to lead author Dr. Chris Hicks, an emergency physician and trauma team leader at St. Michael's Hospital in Toronto. Dr. Hicks says he believes this is the first study to demonstrate the positive effect of mental mapping on trauma teams.
"Mental practice appears to help establish common team goals, set priorities and maintain situation awareness in advance so teams can be prepared for even the most complex and challenging trauma resuscitation," Dr. Hicks notes. "We're borrowing principles from performance athletes, musicians and even the military, to help guide clinicians during high-stress, challenging situations."
Seventy-eight residents took part in the study. Teams of two participants (one from anaesthesiology, and the other from either emergency or general surgery medicine) were then split into two larger groups. One became the control group, and received technical trauma training. The other group participated in 20 minutes of quiet mental rehearsal.
In addition, group members were instructed to visualise a trauma scenario and how they would behave and function in a team while reviewing a provided script that contained guiding questions. Participants were free to discuss the script with team members. Both groups then participated in a simulation that mimicked a real-life adult trauma situation.
Study results indicated that 20 minutes of mental practice translated to enhanced team behaviour, including improved communication.
"We know that the most consequential mistakes in medicine are not technical or procedural, but non-technical in nature — errors in communication, leadership, role clarity, resource utilisation," explains Dr. Hicks. "Mental practice improves team-based skills and performance, and can improve patient safety and reduce important medical errors."
St. Michael’s Hospital, founded in 1892, is fully affiliated with the University of Toronto. Critical care and trauma are among the hospital’s recognised areas of expertise.
Source and image credit: St. Michael's Hospital
Published on : Thu, 16 Apr 2015
Print as PDF
Monitor vital signs of sensitive patients with reliable, smart and intuitive technology Not available in the US Sensitive patients, like neonates, require comfortable care. With transcutaneous monitoring, you can easily keep track of the oxygenation...
17 critical parameters from a blood sample as small as 45 µL Not available in the US When the sample is small but your diagnostic needs are big, the ABL90 FLEX PLUS blood gas analyzer provides critical insights with a turnaround time of less than...
FeaturesMindray BeneVision Central Monitoring System is a powerful and scalable solution providing for continuous, real-time surveillance across networks large and small. The system can display patient information from networked monitors, wireless transport...
NovaPort cannulas are designed specially to meet the needs of extracorporeal lung and heart support circuits and perioperative perfusion in minimally invasive heart surgery.All blood-contact surfaces of the NovaPort cannulas are coated with the bio- and...