HLTH6174 Major Trauma Practicum
Recent years have seen a revolution in both the clinical and system management of major trauma. Against this background thisis exciting and unique module provides an opportunity to study in depth, the trauma patient’s journey by means of a clinical practicum, from pre-hospital care to acute rehabilitation. You will follow the patient’s pathway though observation within relevant clinical areas, critically exploring the application of evidence and new knowledge to patient care. This module will include observation shifts on a rapid response car or pre-hospital vehicle, observation shifts in the emergency department and following the patient journey through specialist wards through to acute rehabilitation. You will also participate in the 3-day European Trauma Course (ETC) see more at http://www.europeantrauma.com and complete a one-day trauma workshop.
Aims and Objectives
This module will enable you to integrate the theoretical elements of the trauma modules into clinical practice through observation of patient care or simulations and analysis of recorded episodes of care.
Having successfully completed this module you will be able to:
- Use critical reflection to analyse the key elements of a trauma patient pathway with regard to evidenced based care.
- Critically evaluate the methods and systems employed for gathering and interpreting clinical data in diverse clinical presentations and situations.
- Critically consider alternative problem solving and decision making strategies in resolving challenges identified in the patient pathway across the trauma care continuum.
- Demonstrate an ability to critically evaluate the management of diverse trauma presentations from pre-hospital care to acute rehabilitation including: assessment, resuscitation, establishing homeostasis, diagnosis, interventional skills, interpretation of investigations, clinical diagnosis and decision-making and human factors.
- Critically reflect on how the specialised individual knowledge and skills of the inter-professional team contributes to patient outcomes and service provision.
• Clinical exposure to patients in the pre-hospital and Major Trauma Centre and acute rehabilitation environments through observation • Safety • Simulation in trauma education • The role of case review, vignettes, rounding, and Morbidity and Mortality meetings in learning from practice • Participation in the European Trauma Course (ETC) see more at http://www.europeantrauma.com • Pre-hospital Care: Dispatch, scene safety and discipline, triage and decision-making, interventions, transportation, communication, systems, multi-agency teamwork • Managing major trauma and transfer • Major Trauma Centre: Early phase: Communication and preparation, reception, assessment, interventions, investigations, diagnosis and treatment of Level 1 trauma • Critical and Acute phases: homeostasis, diagnostics, stabilisation, surgical interventions, physiological goals and parameters, monitoring, metabolism and nutrition • Acute care – ongoing stabilisation, nutrition and pharmacology management and motivation • Acute rehabilitation – initiation of the rehabilitation pathway • The patient/carer perspective: family, motivation and psychological support, key factors in recovery • The clinician perspective • Using information from clinical practice to inform prevention
This module will include: • Clinical Supervision in relevant clinical environments such as: pre-hospital vehicles, emergency department, surgical ward, orthopaedic ward, plastics, older persons, paediatrics, general, rehabilitation wards. • Hearing about the patient experience from their families • Participation in complex pre-hospital simulations • Participation in the (3 day) European Trauma Course (see http://www.europeantrauma.com) • Trauma simulations • Trauma training day (1 day)
Learning and Teaching
Teaching and learning methods
Individual learning outcomes will be negotiated, depending on the student's area of focus but with the goals to enable them to experience all the elements of the trauma patient journey to restored health. This will include: • Supervised observation of care provision which will facilitate the integration of knowledge and practice • Participation in an internationally recognised trauma course the European Trauma Course (ETC) http://www.europeantrauma.com • Simulation of complex pre-hospital road traffic collisions, including entrapment and resuscitation as well as in hospital trauma resuscitations, critical care, acute care and rehabilitation scenarios • Online video resources and case scenarios for analysis • Observe Morbidity and mortality meetings • Facilitated Serious Incidents Requiring Investigation reports and scenarios
|Preparation for scheduled sessions||25|
|Wider reading or practice||15|
|Practical classes and workshops||6|
|Practical classes and workshops||18|
|Completion of assessment task||50|
|Total study time||130|
Resources & Reading list
Dan E (2010). Cases in Pre-hospital and Retrieval Medicine.
Shah SS (2011). Tips and tricks in Trauma Management.
The Journal of Literature and Trauma Studies. ,0 , pp. 0.
Trauma Quarterly. ,0 , pp. 0.
Smith J (2011). Oxford desk reference: major trauma, Smith J, Greaves I, Porter KM (Eds).
Skinner DV (2013). ABC of major trauma, Skinner DV and Driscoll PA (Eds).
Bailitz J (2011). Emergent management of trauma.
Journal of Emergency Medicine, Trauma and Acute Care. ,0 , pp. 0.
Bhangu AA (2010). Emergencies in trauma. Bhangu AA, Lee C and Porter K (Eds).
The Journal of Trauma. ,0 , pp. 0.
Kochar SK (2013). Principles and practice of trauma care.
The Journal of Trauma Practice. ,0 , pp. 0.
Completion of ETC assessment and Submit portfolio plan
Repeat type: Internal & External
Costs associated with this module
Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.
In addition to this, students registered for this module typically also have to pay for:
Travel Costs for placements
Travel to and from other trauma service provider’s i.e: SCAS ambulance stations/ air ambulance response car base stations.
Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at www.calendar.soton.ac.uk.