{
  "abstract": "Introduction This study investigated whether regular departmental in-situ simulation (ISS) in trauma resuscitation improves time to Computerised Tomography (CT) for major trauma patients in the Emergency Department (ED).Methods Over a 10-week period, ten weekly 30-minute ISS sessions were conducted in the ED of St James’s Hospital, Dublin. Each involved Emergency Medicine trauma team members and comprised a pre-briefing, trauma simulation scenario, and structured debrief. Simulations used a Laerdal MegaCode Kelly™ manikin with SimPad Plus and iSimulate ALSi software. Two cohorts were compared: pre-intervention (July–December 2023) and post-intervention (February–June 2024).The primary outcome was time from ED arrival to initiation of CT imaging in actual trauma patients.Results A total of 78 major trauma cases were analysed (40 pre-intervention, 38 post-intervention). Median time to CT decreased from 73 minutes to 41 minutes, representing a 43.8% reduction (p = 0.033) ( figure 1). Mean time to CT reduced from 88 to 61 minutes. The proportion of patients scanned within one hour increased significantly from 43% to 66% (p = 0.040). Although CT imaging within 30 minutes rose from 28% to 45% between groups, this did not reach statistical significance (p = 0.264). Distribution analysis confirmed a significant shift towards earlier imaging post-intervention (Kolmogorov-Smirnov test, p = 0.019).Abstract #304 Figure 1Boxplot showing the distribution of time to CT in pre- and post-intervention groups. The median time to CT was significantly lower in the post-intervention group (Mann-Whitney U test, p = 0.033)Conclusion Regular ISS training significantly reduced time to CT imaging for major trauma patients, enhances team coordination and improves clinical workflow. These findings support ISS as a translational simulation strategy capable of delivering measurable improvements in patient care. Multicentre studies with longer follow-up are warranted to assess sustainability and broader clinical impact. *presenting author",
  "authors": [
    {
      "affiliations": [
        "St. James’s Hospital, Dublin"
      ],
      "name": "Nikita Vainberg"
    },
    {
      "affiliations": [
        "St. James’s Hospital, Dublin"
      ],
      "name": "Máire Bourke"
    },
    {
      "affiliations": [
        "St. James’s Hospital, Dublin"
      ],
      "name": "Sarah Murphy"
    },
    {
      "affiliations": [
        "St. James’s Hospital, Dublin"
      ],
      "name": "Mustafa Mehmood"
    },
    {
      "affiliations": [
        "St. James’s Hospital, Dublin"
      ],
      "name": "Darragh Shields"
    }
  ],
  "title": "#304 In-situ trauma simulation training to improve time to computerised tomography among major trauma patients in an emergency department",
  "uid": "679e3169-f53d-5a58-89e5-3c2727f4d3dd"
}