Highlights
- •Lack of adequate trauma training contributes to trauma burden in LMICs.
- •Most technologies represented in trauma training literature are high-fidelity mannequins which are impractical to integrate in low-resource settings; virtual simulation, digital courses and video-assisted debriefing are feasible technologies that show potential to enhance trauma training such settings.
Summary
Background
Lack of training contributes to the burden of trauma-related mortality and morbidity
in low- and lower-middle-income countries (LMICs). Educational technologies present
a unique opportunity to enhance the quality of trauma training. Therefore, this study
reviews current technologies used in trauma courses and evaluates their feasibility
for LMICs.
Methods
We conducted a scoping review evaluating the learning outcomes of technology-enhanced
training in general trauma assessment, team skills or any procedures covered in the
2020 Advanced Trauma Life Support® program. Based on the Technology-Enhanced Learning
criteria, we created and applied a feasibility analysis tool to evaluate the technologies
for use in LMICs.
Results
We screened 6471 articles and included 64. Thirty-four (45%) articles explored training
in general trauma assessment, 28 (37%) in team skills, and 24 (32%) in procedures.
The most common technologies were high-fidelity mannequins (60%), video-assisted debriefing
(19%), and low-fidelity mannequins (13%). Despite their effectiveness, high-fidelity
mannequins ranked poorly in production, maintenance, cost, and reusability categories,
therefore being poorly suited for LMICs. Virtual simulation and digital courses had
the best feasibility scores, but still represented a minority of articles in our review.
Conclusion
To our knowledge, this is the first study to perform a feasibility analysis of trauma
training technologies in the LMIC context. We identified that the majority of trauma
courses in the literature use technologies which are less suitable for LMICs. Given
the urgent need for pediatric trauma training, educators must use technologies that
optimize learning outcomes and remain feasible for low-resource settings.
Level of Evidence
IV.
Keywords
Abbreviations:
LMICs ((low-to middle-income countries)), TEL ((technology-enhanced learning)), ATLS ((Advanced trauma life support))To read this article in full you will need to make a payment
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Article info
Publication history
Accepted:
January 10,
2023
Received:
January 9,
2023
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
