North Texas Research Forum 2026
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Division
North Texas
Hospital
Medical City Arlington
Specialty
Emergency Medicine
Document Type
Poster
Publication Date
2026
Keywords
quality improvement, trauma, resuscitation
Disciplines
Emergency Medicine | Medicine and Health Sciences | Quality Improvement | Trauma
Abstract
Background Trauma resuscitation is a high-acuity, time-critical environment characterized by diagnostic uncertainty, simultaneous interventions, and complex team dynamics. Despite the widespread adoption of standardized trauma frameworks such as Advanced Trauma Life Support (ATLS), deviations from best practice and process variability remain common. Trauma video review (TVR) has emerged as a method to objectively evaluate resuscitation performance beyond traditional documentation.
Methods A narrative literature review was conducted of English-language publications examining the use of video recording and structured video review in trauma resuscitation. Peer-reviewed articles and relevant gray literature were identified through database and citation searches. Included works evaluated TVR for assessment of clinical processes, protocol adherence, team performance, and educational outcomes. Studies focused solely on technical recording systems without clinical application were excluded. Findings were synthesized thematically.
Results The reviewed literature demonstrates that TVR enables more precise and objective assessment of trauma resuscitation than chart review alone. Reported benefits include improved measurement of time-dependent interventions, identification of latent process failures, enhanced evaluation of team communication and role clarity, and targeted educational feedback. TVR was consistently described as valuable for assessing both technical and non-technical skills. Common barriers to implementation included medicolegal concerns, privacy and data governance challenges, resource requirements, and cultural resistance related to perceived surveillance.
Conclusion Trauma video review is well supported in the literature as a powerful tool for objective evaluation of trauma resuscitation performance and team dynamics. Its successful adoption depends on careful attention to legal, ethical, technical, and cultural considerations to ensure its use as a learning and improvement modality rather than a punitive mechanism.
Original Publisher
HCA Healthcare Graduate Medical Education
Recommended Citation
Smith, Joshua and Iqbal, Leena, "Improving Trauma Resuscitation Through Video Review: A Quality Improvement-Oriented Literature Review" (2026). North Texas Research Forum 2026. 4.
https://scholarlycommons.hcahealthcare.com/northtexas2026/4