Non-Technical Skills in Trauma and Disaster Response: Mapping Decision-Making, Communication, and Team Dynamics

Authors

  • Abdullmajid Eissa Alenazi Emergency Medical Specialist, Prince Sultan Military Medical City, Riyadh Author
  • Saud Ali AlOthaimin Emergency Medical Specialist, Prince Sultan Military Medical City, Riyadh Author
  • Abdullah Naif M Alanazi Emergency Medical Specialist, Prince Sultan Military Medical City, Riyadh Author
  • Abdullah Hamad Albuzaya Emergency Medical Technician, Prince Sultan Military Medical City, Riyadh Author
  • Naif Mohammed Altehani Health Informatics System, Prince Sultan Military Medical City, Riyadh Author

DOI:

https://doi.org/10.29070/x2wgcf93

Keywords:

Non-technical skills, Trauma response, Disaster management, Decision-making, Communication, Team dynamics, Human factors, Emergency preparedness

Abstract

Along with clinical experience and technical competency, non-technical skills (NTS) are crucial to trauma and disaster response efficacy and safety. Responders' capacity to make good judgments, communicate well, and work together affects patient outcomes and mission success in high-risk, time-sensitive, and resource-constrained circumstances. This research examines non-technical abilities in trauma and catastrophe scenarios, focusing on decision-making, communication, and teamwork. Situational awareness, prioritizing, and adaptive judgment are needed to make decisions in uncertain, incomplete, and fast changing situations. Multidisciplinary and multi-agency teams benefit from verbal and nonverbal communication, which reduces mistakes and promotes coordination. Operational efficiency and responder resilience depend on team dynamics including leadership, trust, role clarity, and coordination. The research shows how inadequacies in one fundamental non-technical domain might affect response performance by mapping their interrelationships. The concept emphasizes systematic training, simulation-based learning, and standardized evaluation techniques to improve trauma and disaster responders' non-technical skills. Adding non-technical skills to disaster planning frameworks may increase system resilience, minimize mistakes, and improve patient and responder safety in complicated emergency situations.

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References

1. Cohen TN, Cabrera JS, Litzinger TL, Captain KA, Fabian MA, Miles SG, et al (2018). Proactive safety management in trauma care: applying the human factors analysis and classification system. J Healthc Qual 40:89–96. doi: 10.1097/ JHQ.0000000000000094

2. Desmedt M, Ulenaers D, Grosemans J, Hellings J, Bergs J (2021). Clinical handover and handoff in healthcare: a systematic review of systematic reviews. Int J Qual Health Care 33. doi: 10.1093/intqhc/mzaa170

3. Vioque SM, Kim PK, McMaster J, Gallagher J, Allen SR, Holena DN, et al (2014). Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the joint commission’s standardized methodology. Am J Surg 208:187–94. doi: 10.1016/j.amjsurg.2014.02.006

4. Hamad DM, Mandell SP, Stewart RM, Patel B, Guttman MP, Williams P, et al (2022). Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. J Trauma Acute Care Surg 92:473–80. doi: 10.1097/TA.0000000000003485

5. Gillman LM, Brindley PG, Blaivas M, Widder S, Karakitsos D (2016). Trauma team dynamics. J Crit Care 32:218–21. doi: 10.1016/j.jcrc.2015.12.009

6. Lei C, Palm K (2019). Crisis resource management training in medical simulation [Internet]. StatPearls Available at: http://www.ncbi.nlm.nih.gov/pubmed/31869172

7. Tschan F, Keller S, Semmer NK, Timm-Holzer E, Zimmermann J, Huber SA, et al (2022). Effects of structured intraoperative briefings on patient outcomes: multicentre before-and-after study. Br J Surg 109:136–44. doi: 10.1093/bjs/znab384

8. Flin R, O’Connor P, Crichton M. Safety at the sharp end: a guide to non-technical skills. London: Taylor &. Francis. (2013). 1–317

9. Adair, J. (2019). Effective leadership: How to be a successful leader. Pan.

10. Adams, R., Owen, C., Scott, C., & Parsons, D. (2017). Beyond command and control: Leadership, culture and risk. CRC Press.

11. AFAC. (2017). AFAC Leadership capability framework. Australasian Fire and Emergency Service Authorities Council (AFAC).

12. Bancroft, H. (2019). Wellbeing of firefighters: The impact of individual factors, potentially traumatic event exposure and operational and organisational factors on mental health outcomes University of Melbourne]. Melbourne

13. Bearman, C. (2018a). Emergency Management Breakdown Aide Memoire. Bushfire and Natural Hazard Cooperative Research Centre. Retrieved 30 November 2021 from https://www.bnhcrc.com.au/embam

14. Allen, A. P., Kennedy, P. J., Cryan, J. F., Dinan, T. G., & Clarke, G. (2014). Biological and psychological markers of stress in humans: Focus on the Trier Social Stress Test. Neuroscience & Biobehavioral Reviews, 38, 94–124. https:// doi.org/10.1016/j.neubiorev.2013.11.005

15. Bendak, S., & Rashid, H. S. J. (2020). Fatigue in aviation: A systematic review of the literature. International Journal of Industrial Ergonomics, 76, 102928. https://doi.org/10.1016/j.ergon.2020.102928

16. Driskell, J. E., Salas, E., & Johnston, J. (2019). Does stress lead to a loss of team perspective? Group Dynamics: Theory, Research, & Practice, 3(4), 291–302.

17. Edgar, G., Catherwood, D., Martin, S., Nikolla, D., Alford, C., Brookes, D., Whelan, A., & Edgar, H. (2020, 11–16 July). Situation awareness, information use and uncertainty. It’s not what you have, it’s what you do with it... 27th International Congress of Applied Psychology, Melbourne, Melbourne.

18. Gregory, D., & Shanahan, P. (2017). Being human in safety-critical organisations. TSO.

19. Endsley, M. R., & Jones, W. M. (2017). Situation awareness information dominance and information warfare AL/CF-TR-1997-0156. United States Air Force Armstrong Laboratory.

20. Eysenck, M. W., & Keane, M. T. (2020). Cognitive psychology: A student’s handbook (8 ed.). Routledge.

21. Gregory, D., & Shanahan, P. (2017). Being human in safety-critical organisations. TSO.

22. Kanki, B. G., Anca, J., & Chidester, T. R. (Eds.). (2019). Crew resource management (3 ed.). Academic Press.

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Published

2025-01-01

How to Cite

[1]
“Non-Technical Skills in Trauma and Disaster Response: Mapping Decision-Making, Communication, and Team Dynamics”, JASRAE, vol. 22, no. 01, pp. 625–640, Jan. 2025, doi: 10.29070/x2wgcf93.