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Surgical Innovation
January 2, 2019

Supporting the Educational, Research, and Clinical Care Goals of the Academic Trauma Center: Video Review for Trauma Resuscitation

Author Affiliations
  • 1Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 2Division of General and Acute Care Surgery, University of Texas Southwestern Medical School, Dallas
  • 3Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA Surg. Published online January 2, 2019. doi:10.1001/jamasurg.2018.5077

Video review technology has changed dramatically over the past 3 decades. Advances in camera technology and information storage efficiency have streamlined a historically cumbersome process, allowing for the implementation of continuous video recording. Hoyt et al1 described the first use of trauma video review (TVR) as a performance improvement (PI) and educational tool in 1988. Researchers recorded more than 2500 resuscitations using a now archaic portable device and were able to demonstrate a decrease in time to definitive care for matched patient groups treated by the same resuscitation team over a 3-month period. In modern applications, video review technology located in the trauma resuscitation bay can continuously record high-definition video and audio feeds and store these data as encrypted files. These files may be remotely accessible and subject to automatic deletion after a prespecified period. Reviewing software offers the ability to annotate and timestamp these files as well as rewind, fast-forward, and even zoom playback over critical portions of resuscitations; emerging technology allows for video-based activity recognition.2 Innovations in TVR lie in these technological advancements as well as the novel ways in which TVR is used to better patient care.

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