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ADDRESSING THE EDUCATIONAL GAP IN THE ROLE OF LAW ENFORCEMENT PERSONNEL IN THE RESUSCITATION BAY
Mary E Schroeder, *Amber Brandolino, *Kathleen Williams, *Brady McIntosh, *Alicia Pilarksi, *David J Milia, *Terri deRoon-Cassini
Medical College of Wisconsin, WAUWATOSA, WI

OBJECTIVE(S): The presence and role of law enforcement personnel (LEP) in the trauma bay is a recognized area of confusion. We designed an educational program to address the knowledge gaps.
METHODS: The intervention involved 2 sessions for trauma and emergency medicine (EM) faculty, residents and staff. The 1st was a formal presentation by hospital risk management and security personnel that provided responses to questions generated by real-life scenarios involving LEP in the resuscitation bay. The 2nd incorporated feedback from the 1st session and was a panel discussion of clinical scenarios led by attending physicians with input from hospital risk management and security. A pre- and post-survey was administered, including clinical scenarios with multiple choice answers and space for open feedback.
RESULTS: There were 31 post-survey respondents after the first joint conference. More than 1/3 of post-survey respondents did not know the correct answer to 15 of 19 (78.9%) clinical scenarios presented. Of the 14 (45.2%) respondents who provided open-ended feedback, 50% indicated confusion and 21.4% expressed strong, negative emotions. There were 39 respondents to the second conference pre-survey and 18 (46.2%) to the post-survey. In the pre-survey, confusion was again demonstrated in 6 of 7 (85.7%) questions with greater than 1/3 of respondents choosing the incorrect answer. In the post-survey, this improved to 4 of 7 (57.1%) questions.
CONCLUSIONS: Confusion about the role of LEP in the trauma bay can be addressed using multi-disciplinary joint conferences, but should be led by clinicians to ensure real-life clinical applicability and limit confusion.  A pre-/post-survey data collection design can track changes in policy knowledge gaps and areas of concern, thereby directing content for future education as well as areas that require hospital policy clarification.


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