Technical and non-technical skills required to recruit patients and deliver pre-hospital REBOA (TDF skills; memory, attention and decision-making)
Participants highlighted the delivery of REBOA to be a technical skill which could often be difficult to maintain (in a trial), given the infrequency of eligible cases. As well as the technical, specialist skills required to conduct REBOA, participants also highlighted the non-technical skills required to effectively recruit patients and deploy the intervention in a pre-hospital setting. For example, communication skills were noted as essential, particularly in fast-paced pre-hospital environments whereby potential distractions could challenge the provision of patient care. The ability to make fast-paced decisions, such as the decision to randomise a patient, was also emphasised given the dynamic nature of the environment.…But the things that we do to try and bring any scene under control are the same that we do whether it’s a P-PRO or not, which are all about communication, primacy of care, dissemination of plan, role allocation, you know? Scene safety… it all comes down to… the unique skill set of pre-hospital care is just communication, you know? There’s no technical skill. And the ability to have been in enough scenes that you’ve got bandwidth to deploy that communication, and actually that’s not unique to REBOA or the P-PRO scenes. Consultant, participant 7.