Using video recording to identify management errors in pediatric trauma resuscitation

Abstract

OBJECTIVE: To determine the ability of video recording to identify management errors in trauma resuscitation and to compare this method with medical record review. METHOD: The resuscitation of children who presented to the emergency department of the Royal Children's Hospital between February 19, 2001, and August 18, 2002, for whom the trauma team was activated was video recorded. The tapes were analyzed, and management was compared with Advanced Trauma Life Support guidelines. Deviations from these guidelines were recorded as errors. Fifty video recordings were analyzed independently by 2 reviewers. Medical record review was undertaken for a cohort of the most seriously injured patients, an..