The NTRI coordinates clinical education programs of The Alfred Trauma Service and Monash University. This includes the Trauma Orientation program, the Trauma Reception and Resuscitation Training Program©, the Resuscitative Thoracotomy program, the Trauma Reception and Resuscitation (TRR©) System, the TraumaApt© inpatient tracking program and accredited training programs for partner organisations and trauma clinicians.
In Australia the introduction of injury data collection was followed by a coordinated and systematic approach to the resuscitation and surgical management of the severely injured that reduced preventable deaths from injury by 60%.
In countries without organised trauma systems, up to 70% of deaths from injury after hospital arrival have been demonstrated to be preventable. Errors occur because of time pressure, inexperience, reliance on memory, multi-tasking and failures in trauma team coordination – especially during the initial minutes of patient reception and resuscitation. Between 55 and 90% of errors that contribute to adverse outcomes in trauma care occur during initial hospital reception.
The American College of Surgeons Committee on Trauma’s ATLS (Advanced Trauma Life Support®) internationally acclaimed program teaches a systematic and concise approach to the early care of the trauma patient concentrating on individual medical performance.
The Trauma Reception and Resuscitation Training Program© is an intense one day multidisciplinary course that concentrates on trauma team coordination and error reduction. It concentrates on standardized triggers for life saving interventions – particularly airway control, ventilation and the initial management of shock (blood loss). The Program emphasizes a team approach to improve the reception and resuscitation of the severely injured at hospital arrival and addresses three broad development themes – injury management, disaster response and education cooperation.
The Trauma Reception and Resuscitation Training Program© has been introduced in China, India, Myanmar, the Philippines, and Sri Lanka.
The Trauma Reception and Resuscitation (TRR©) system is a real-time, computer-assisted decision support system that reduces errors during hospital trauma reception and resuscitation (http://www.trrproject.com). It facilitates standardisation of resuscitation with an associated reduction in errors of omission. TraumaApt© is an inpatient tracking program that tracks diagnoses and interventions, with in-built checklists and prompts to reduce common errors of omission. The system is designed to run on computers or hand-held devices and has been built as a module for Cerner© Millennium hospital information systems. The data collected is integrated with The Alfred Trauma Registry.
The Resuscitative Thoracotomy program is a one day credentialing program that emphasises ultrasonography triage, standardised triggers, pericardial decompression and haemorrhage control.