J.Jpn. Surg. Soc.. 120(3): 312-317, 2019

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Feature topic

TEAM APPROACH TO TRAUMA SURGERY

The treatment of severe trauma patients requires management by a team of medical professionals, as does trauma surgery performed during the clinical course of such cases. Therefore, it is extremely important to manage the team while trauma surgery is being performed with high degrees of urgency and certainty. Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS) is helpful in team-building efforts for trauma surgery, and the Team STEPPS principle suggests that the four competencies of “communication,” “leadership,” “situation monitoring,” and “mutual support” are necessary for effective team management. Furthermore, the establishment of a command system that can exercise leadership is important for trauma surgery. The “situation, background, assessment, and recommendation” (widely known as SBAR) system for trauma treatment and closed-loop communication are recommended to ensure that communication is clear and effective. Adequate team management during initial treatment in the emergency room is necessary for the establishment of teams for trauma surgery, and a system for trauma team activation must be established. Surgeons should therefore acquire nontechnical team management skills.

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