Skip to main content
Log in

Effect of Basic Prehospital Trauma Life Support Program on Cognitive and Trauma Management Skills

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

We tested the effectiveness of a basic prehospital trauma life support (PHTLS) program by assessing cognitive performance and trauma management skills among prehospital trauma personnel. Fourteen subjects who completed a standard PHTLS course (group I) were compared to a matched group not completing a PHTLS program (group II). Cognitive performance was assessed on 50-item multiple choice examinations, and trauma skills management was assessed with four simulated trauma patients. Pre-PHTLS multiple choice questionnaire scores were similar (45.8 ± 9.4% vs. 48.8 ± 8.9% for groups I and II, respectively), but the post-PHTLS scores were higher in group I (80.4 ± 5.9%) than in group II (52.6 ± 4.9%). Pre-PHTLS simulated trauma patient performance scores (standardized to a maximum total of 20 for each station) were similar at all four stations for both groups, ranging from 7.9 to 10.4. The post-PHTLS scores were statistically significantly higher at all four stations for group I (range 16.0–19.0) compared to those for group II (range 8.0–11.1). The overall mean pre-PHTLS score for all four stations was 8.3 ± 2.1 for group I and 8.8 ± 2.0 (NS) for group II; the group I post-PHTLS mean score for the four stations was 17.1 ± 2.7 ( p < 0.05) compared to 9.1 ± 2.3 for group II. Pre-PHTLS Adherence to Priority scores on a scale of 1 to 7 were similar (1.1 ± 0.9 for group I and 1.2 ± 1.0 for group II). Post-PHTLS group I Priority scores increased to 5.9 ± 1.1. Group II (1.1 ± 1.0) did not improve their post-PHTLS scores. The pre-PHTLS Organized Approach scores in the simulated trauma patients on a scale of 1 to 5 were 2.1 ± 1.0 for group I and 1.9 ± 1.2 for group II (NS) compared to 4.2 ± 0.9 ( p < 0.05) in group I and 2.0 ± 0.8 in group II after PHTLS. This study demonstrates improved cognitive and trauma management skills performance among prehospital paramedical personnel who complete the basic PHTLS program.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ali, J., Adam, R., Josa, D. et al. Effect of Basic Prehospital Trauma Life Support Program on Cognitive and Trauma Management Skills. World J. Surg. 22, 1192–1196 (1998). https://doi.org/10.1007/s002689900543

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s002689900543

Keywords

Navigation