Discussion
ROSC, trauma
In the prehospital setting, a 25-item checklist for the management of a patient with ROSC can significantly increase guideline adherence and thereby have a direct, potential positive impact on the outcome. This effect was achieved without the need to invest in additional process time. Rather, the checklist significantly increases the efficient usage of the prehospital resource “time” by enabling a team to complete 29% more tasks per minute.The ‘ABCDE’ mnemonic, which is established in patient care, can be used as a basic content framework to design a prehospital, guideline-oriented checklist. As a part of the standardized trained prehospital trauma life support [PHTLS]-format the ‘ABCDE’ mnemonic improved efficiency in prehospital care by significantly reducing both transfer times (9.3 vs. 10.5 min, Guideline compliance was measured using a self-defined performance score (PS) Although the global PS differed significantly, individual areas of the ‘ABCDE’ mnemonic showed no difference between the groups. Since the individual subsections mainly consist of items representing established measures of daily routine like the electrocardiogram and blood pressure measurements [The checklist with the underlying ‘ABCDE’ mnemonic did not significantly change the workflow of the teams. The analysis showed a medium effect size, indicating that a larger sample size could have resulted in a statistically significant difference, as it is described in the literature [The effects differ between the respective parts of the checklist. In our study, checklist use had a more formative effect on A, B, and E than on C and D, illustrating that the ‘ABCDE’ mnemonic is sufficiently established in the ambulance service. The checklist is used as a classic ‘memory aid’, which makes teamwork more efficient and faster [The target temperature measure (TTM) as a surrogate parameter for accelerated knowledge transfer showed no significant difference between groups with only 45% of groups performing TTM at best in the INT group. The checklist alone was unable to accelerate transfer of knowledge from scientific findings to healthcare practice. Transfer currently lasts at least 17 years [