Application of SBAR communication mode combined with OTS scoring system in treatment of eye combat injury in field medical station

  Background  There is a high incidence rate of eye combat injury on the battlefield, and accurate assessment and timely treatment of complex eye combat injury are required to provide accurate information and a surgical basis for subsequent evacuation and treatment. Therefore, exploring the emergency treatment of eye combat injury is of great significance to improve the combat capabilities of troops.

  Objective   To establish a standardized grading system for eye combat injury in field medical stations based on the Situation-Background-Assessment-Recommendation (SBAR) communication mode and the ocular trauma score (OTS) scoring system, and provide objective and accurate information for the treatment process and the formulation of reasonable rescue and evacuation regimens.

  Methods  Combining with the application of SBAR and OTS in the training exercise of the field medical institute of our hospital, a template suitable for the standardization of the treatment process of the field medical institute of our hospital was designed, and the initiative of treatment, the timeliness of treatment, the accuracy of treatment, the fluency of handover, the completeness of information, and the satisfaction of work were compared before and after the application through the self-evaluation of the injury detection team and the mutual evaluation of the treatment group.

  Results  After the application of the standard SBAR template for eye trauma examination, the injury examination group had significantly better initiative of treatment (84.53±4.52 vs 78.87±5.00), timeliness of treatment (86.80±4.09 vs 82.00±4.07), accuracy of treatment (87.60±4.22 vs 83.37±4.31), fluency of handover of medical records to the treatment group (89.20±4.06 vs 83.97±4.77), completeness of information (90.00±4.39 vs 83.23±4.61), and degree of satisfaction with work (91.50±3.93 vs 85.90±4.41), and the differences were statistically significant (all P＜0.05).

  Conclusion  In the treatment of wounded soldiers with eye trauma, the application of the SBAR communication mode and the OTS scoring system can optimize the treatment process and improve the degree of satisfaction with medical staff in field medical stations, and therefore, it holds promise for clinical application.