SP3.11 360 Video to Enhance Teaching of Code Red Resuscitative Thoracotomy to the Trauma Team: A Multi-disciplinary Approach

Aims Resuscitative thoracotomies (RTs) are a highly time sensitive procedure performed in very challenging environments - pre-hospital or a cramped ED resuscitation room with multiple staff attending. There are few high-quality teaching resources to teach the procedure and facilitate discussion. In situ teaching is challenging due to time and space constraints. 360 video recording allows for a novel way of teaching this previous difficult topic to higher training grade doctors as well as those early in their training and the wider trauma team. Method A scenario was created from the pre-alert call to entering theatres. All key stages were identified with a basic script. After a real time run through, this was filmed in one continuous take in ED. All patients’ confidentiality was maintained, consent sought and notices placed so everyone was aware of the simulation filming. 360 cameras were mounted to the Trauma Team Leader’s chest and over the mannequin’s waist. The mannequin used was SimbodiesTM Thoracotomy Trainer. Results The RiVR kit (includes laptop, WiFi router and 20 headsets) and standard computers were used for viewing. The video has been used by medical students, surgical and ED doctors and ED nurses. There has been a very high level of satisfaction and quantitatively better appreciation of their own role as well as the wider team. Conclusions RTs are difficult to teach and the current teaching resources are limited. This is the first freely available video demonstrating the real time procedure and wider working of the trauma team.