Development of trauma team cognition can be explained by ”split vision”: A grounded theory study

Figures & data

Table 1. Roles represented in all trauma teams.

Role	Explanation
Examining physician	Emergency physician, surgery resident or intern
Team leader	Emergency physician, surgery resident or attending surgeon
Anesthesiologist	Resident or attending anesthesiologist
Orthopedic surgeon	Resident or attending orthopedic surgeon
Emergency room nurses 1 and 2	Emergency room registered nurse
Airway nurse	Registered nurse specialized in either anesthesia or intensive care through one academic year at the university
Emergency room assistant nurses 1 and/or 2	Emergency room assistant nurse

Figure 1. Theoretical sampling of interactions in trauma teams.

Theoretical sampling with guidance of memos and grounded theory principles (pink). Simplified coding trajectory (orange-red). V = Video.

Figure 2. The “split vision” theory.

Split vision is a team sense that ensures appropriate motion between the process modes “team positioning” and “sensitivity to the patient.” Probing is an implicit component of split vision and is used to absorb team and patient needs.

Table 2. Videos from which materials used for the study were obtained.

Video	Case details	Total length of video
Video 1 (V1)	Young girl, horse riding accident	21 min, 23 s
Video 2 (V2)	Young man, bicycle accident	13 min, 25 s
Video 3 (V3)	Young man, attacked from behind, knife assault	23 min, 47 s
Video 4 (V4)	Man hit by a truck	10 min, 55 s
Video 5 (V5)	Middle-aged man, bicycle accident	19 min, 8 s
Video 6 (V6)	Eldery man, four-wheel vehicle accident	27 min, 13 s
Video 7 (V7)	Man involved in an unspecified multitrauma, with several suspected fractures	34 min, 23 s.
Video 8 (V8)	Simulation. Middle-aged woman squeezed between an elephant and a wall at a zoo	21 min, 20 s