TY  - JOUR
PY  - 2019//
TI  - Terrorist threat: creating a nationwide damage control training program for non-trauma care providers
JO  - Anaesthesia, critical care and pain medicine
A1  - Swiech, Astree
A1  - de Rocquigny, Gaël
A1  - Martinez, Thibault
A1  - Loarer, Gwion
A1  - Vico, Sylvain
A1  - Planchon, Jerome
A1  - Goff, Arnaud Le
A1  - Bertho, Kilian
A1  - Derkenne, Clément
A1  - Travers, Stéphane
A1  - Malgras, Brice
A1  - Martinaud, Christophe
A1  - Carfantan, Cyril
A1  - Gaudry, Stéphane
A1  - Boutonnet, Mathieu
A1  - Pasquier, Pierre
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: The terrorist threat leads to challenge nations to train numerous non-trauma care providers, with different backgrounds, in damage control (DC) strategies. The purpose of this work was to propose a specific DC training program. <br><br>METHODS: A Task Force of 16 civilian and military physicians met for a 24-hour session, to propose the construction of a DC training program for non-specialised caregivers. <br><br>RESULTS: Existing DC training programs are heterogeneous, mainly theoretical and almost only for physicians. A program entitled Damage Control for Terrorist Attack Victims (DC-TAV) was then proposed. Identified training targets were care providers from prehospital and hospital staffs, with no trauma experience. The training objectives were the improvement of individual and collective skills for DC strategies for management of terrorist attacks casualties. The tools selected for training concerned e-learning on a dedicated digital teaching platform (including a core section of four modules with types and mechanisms of injury, basic DC techniques, triage, organisation of emergency medical response; and two complementary modules for doctors with DC resuscitation including remote transfusion and DC surgery), hands-on workshops with procedural simulation and full-scale simulation exercises, technical (tourniquets, haemostatic gauzes, needle thoracostomy, chest tube drainage, management of airway, coniotomy) and non-technical (leadership, communication, coordination and triage, decision-making, appropriate use of resources) skills. Finally, an evaluation of the DC-TAV program was planned. <br><br>CONCLUSIONS: The DC-TAV program is an ambitious, civilian-military, nationwide and long-term program, based on a harmonised standard of care and including multidimensional training. Further studies are required to assess its efficacy.<br><br>Copyright © 2019. Published by Elsevier Masson SAS.<p />  <p>Language: en</p>
LA  - en
SN  - 2352-5568
UR  - http://dx.doi.org/10.1016/j.accpm.2019.09.011
ID  - ref1
ER  -