General trauma care: Advanced Trauma Life Support

2021 ◽  
pp. 85-93
Author(s):  
M. Holla
Keyword(s):  
Trauma Care ◽  
Life Support ◽  
Advanced Trauma Life Support ◽  
General Trauma

scholarly journals Knowledge and Proficiency in Skills of Initial Trauma Management among Healthcare Personnel in Secondary Care

2020 ◽  
Vol 3 (1) ◽  
pp. 267-271
Author(s):  
HY Embu ◽  
SI Nuhu ◽  
SP Bishmang
Keyword(s):  
Airway Management ◽  
Respiratory Distress ◽  
Trauma Care ◽  
Secondary Care ◽  
Life Support ◽  
Healthcare Personnel ◽  
Advanced Trauma Life Support ◽  
Trauma Management ◽  
Management Skills ◽  
North Central

Advanced Trauma Life Support (ATLS) protocols aim to provide good trauma care by enhancing the skills of medical personnel all over the world and while this is well established in developed countries it does not appear to be so in developing countries. This study aims to assess the knowledge and proficiency in initial trauma management skills among health caregivers in some general/cottage hospitals in north central Nigeria. Questionnaires were developed to assess the knowledge and skills of care givers in airway management, respiratory distress and shock. The questionnaires were administered on caregivers involved in trauma care in some general/cottage hospitals that offer secondary care in a state in north-central Nigeria. There were 34 health workers who responded, 10 (29.41%) were doctors and 24(70.54%) were nurses. Their years of experience were from 2 to 35 years (median 14years). Ten (29.41%) had at least one training in ATLS in the past while 24(70.59%) had none. In assessing their management skills, 97.06% reported they were able to assess the airway, 88.24% could do chin lift, 73.53% jaw thrust while 91.18% were able to insert oral airway. Thirty-one (91.18%) were able to recognize respiratory distress, 88.24 were able to administer oxygen using facemask and 64.71% using nasal prong. Thirty (88.24%) could assess a patient for shock, 82.35% could splint fractures for haemorrhage control. Twenty-seven (79.41%) reported knowing parameters to monitor during resuscitation. We concluded that knowledge of airway management was high but proficiency and confidence in performing these skills were low.

Knowledge and Proficiency in Skills of Initial Trauma Management among Healthcare Personnel in Secondary Care

2020 ◽  
Vol 3 (1) ◽  
pp. 267-271
Author(s):  
HY Embu ◽  
SI Nuhu ◽  
SP Bishmang
Keyword(s):  
Airway Management ◽  
Respiratory Distress ◽  
Trauma Care ◽  
Secondary Care ◽  
Life Support ◽  
Healthcare Personnel ◽  
Advanced Trauma Life Support ◽  
Trauma Management ◽  
Management Skills ◽  
North Central

Advanced Trauma Life Support (ATLS) protocols aim to provide good trauma care by enhancing the skills of medical personnel all over the world and while this is well established in developed countries it does not appear to be so in developing countries. This study aims to assess the knowledge and proficiency in initial trauma management skills among health caregivers in some general/cottage hospitals in north central Nigeria. Questionnaires were developed to assess the knowledge and skills of care givers in airway management, respiratory distress and shock. The questionnaires were administered on caregivers involved in trauma care in some general/cottage hospitals that offer secondary care in a state in north-central Nigeria. There were 34 health workers who responded, 10 (29.41%) were doctors and 24(70.54%) were nurses. Their years of experience were from 2 to 35 years (median 14years). Ten (29.41%) had at least one training in ATLS in the past while 24(70.59%) had none. In assessing their management skills, 97.06% reported they were able to assess the airway, 88.24% could do chin lift, 73.53% jaw thrust while 91.18% were able to insert oral airway. Thirty-one (91.18%) were able to recognize respiratory distress, 88.24 were able to administer oxygen using facemask and 64.71% using nasal prong. Thirty (88.24%) could assess a patient for shock, 82.35% could splint fractures for haemorrhage control. Twenty-seven (79.41%) reported knowing parameters to monitor during resuscitation. We concluded that knowledge of airway management was high but proficiency and confidence in performing these skills were low.

scholarly journals Effect of team training on efficiency of trauma care in a Chinese hospital

2017 ◽  
Vol 46 (1) ◽  
pp. 357-367 ◽  
Author(s):  
Yucai Hong ◽  
Xiujun Cai
Keyword(s):  
Propensity Score ◽  
Emergency Room ◽  
Trauma Care ◽  
Life Support ◽  
Propensity Score Analysis ◽  
Team Training ◽  
Advanced Trauma Life Support ◽  
Trauma Patients ◽  
Traditional Practice ◽  
Blood Routine

Objective Multidisciplinary trauma teams are the standard of care in the USA, but staffing differences and lack of advanced trauma life support training hinder replication of this system in Chinese hospitals. We investigated the effect of simulation team training on initial trauma care. Methods Over 15 months, we compared grade I trauma patients cared for by the trained team and those cared for using traditional practice on times from emergency room arrival to tests/procedures. Propensity-score analysis was performed to improve between-group comparisons. Results During the study, 144 grade I trauma patients were treated. Trained team patients showed shorter times from emergency room arrival to initiation of hemostasis (31.0 [13.5–58.5] vs. 113.5 [77–150.50] min), blood routine report (8 [5–10.25] vs. 13 [10–21] min), other blood tests (21 [14.75–25.75] vs. 31 [25–37] min), computed tomography scan (29.5 [20.25–65] vs. 58.5 [30.25–71.25] min) and tranexamic acid administration (31 [13–65] vs. 90 [65–200] min). Similar results were obtained for the propensity-score matched cohort. Conclusion Simulation team training could help reduce time to blood routine reports, scans and hemostasis. Assessment of available resources and development of targeted team training could improve care in resource-limited hospitals.

scholarly journals Knowledge and Proficiency in Skills of Initial Trauma Management among Healthcare Personnel in Secondary Care

2020 ◽  
Vol 3 (1) ◽  
pp. 267-271
Author(s):  
HY Embu ◽  
SI Nuhu ◽  
SP Bishmang
Keyword(s):  
Airway Management ◽  
Respiratory Distress ◽  
Trauma Care ◽  
Secondary Care ◽  
Life Support ◽  
Healthcare Personnel ◽  
Advanced Trauma Life Support ◽  
Trauma Management ◽  
Management Skills ◽  
North Central

Advanced Trauma Life Support (ATLS) protocols aim to provide good trauma care by enhancing the skills of medical personnel all over the world and while this is well established in developed countries it does not appear to be so in developing countries. This study aims to assess the knowledge and proficiency in initial trauma management skills among health caregivers in some general/cottage hospitals in north central Nigeria. Questionnaires were developed to assess the knowledge and skills of care givers in airway management, respiratory distress and shock. The questionnaires were administered on caregivers involved in trauma care in some general/cottage hospitals that offer secondary care in a state in north-central Nigeria. There were 34 health workers who responded, 10 (29.41%) were doctors and 24(70.54%) were nurses. Their years of experience were from 2 to 35 years (median 14years). Ten (29.41%) had at least one training in ATLS in the past while 24(70.59%) had none. In assessing their management skills, 97.06% reported they were able to assess the airway, 88.24% could do chin lift, 73.53% jaw thrust while 91.18% were able to insert oral airway. Thirty-one (91.18%) were able to recognize respiratory distress, 88.24 were able to administer oxygen using facemask and 64.71% using nasal prong. Thirty (88.24%) could assess a patient for shock, 82.35% could splint fractures for haemorrhage control. Twenty-seven (79.41%) reported knowing parameters to monitor during resuscitation. We concluded that knowledge of airway management was high but proficiency and confidence in performing these skills were low.

scholarly journals Is the advanced trauma life support simulation exam more stressful for the surgeon than emergency department trauma care?

Clinics ◽  
2005 ◽  
Vol 60 (4) ◽  
Author(s):  
Ana Paula Quilici ◽  
Renato Sergio Pogetti ◽  
Belchor Fontes ◽  
Luis Fernando Correa Zantut ◽  
Eliana Torrea Chaves ◽  
...  
Keyword(s):  
Emergency Department ◽  
Trauma Care ◽  
Life Support ◽  
Advanced Trauma Life Support

scholarly journals Knowledge and Proficiency in Skills of Initial Trauma Management among Healthcare Personnel in Secondary Care

2020 ◽  
Vol 3 (1) ◽  
pp. 267-271
Author(s):  
HY Embu ◽  
SI Nuhu ◽  
SP Bishmang
Keyword(s):  
Airway Management ◽  
Respiratory Distress ◽  
Trauma Care ◽  
Secondary Care ◽  
Life Support ◽  
Healthcare Personnel ◽  
Advanced Trauma Life Support ◽  
Trauma Management ◽  
Management Skills ◽  
North Central

Advanced Trauma Life Support (ATLS) protocols aim to provide good trauma care by enhancing the skills of medical personnel all over the world and while this is well established in developed countries it does not appear to be so in developing countries. This study aims to assess the knowledge and proficiency in initial trauma management skills among health caregivers in some general/cottage hospitals in north central Nigeria. Questionnaires were developed to assess the knowledge and skills of care givers in airway management, respiratory distress and shock. The questionnaires were administered on caregivers involved in trauma care in some general/cottage hospitals that offer secondary care in a state in north-central Nigeria. There were 34 health workers who responded, 10 (29.41%) were doctors and 24(70.54%) were nurses. Their years of experience were from 2 to 35 years (median 14years). Ten (29.41%) had at least one training in ATLS in the past while 24(70.59%) had none. In assessing their management skills, 97.06% reported they were able to assess the airway, 88.24% could do chin lift, 73.53% jaw thrust while 91.18% were able to insert oral airway. Thirty-one (91.18%) were able to recognize respiratory distress, 88.24 were able to administer oxygen using facemask and 64.71% using nasal prong. Thirty (88.24%) could assess a patient for shock, 82.35% could splint fractures for haemorrhage control. Twenty-seven (79.41%) reported knowing parameters to monitor during resuscitation. We concluded that knowledge of airway management was high but proficiency and confidence in performing these skills were low.

scholarly journals Increasing the use of continuing professional development courses to strengthen trauma care in Ghana

2020 ◽  
Vol 54 (3) ◽  
pp. 197-200
Author(s):  
Samuel Debrah ◽  
Peter Donkor ◽  
Charles Mock ◽  
Joseph Bonney ◽  
George Oduro ◽  
...  
Keyword(s):  
Professional Development ◽  
Trauma Care ◽  
Life Support ◽  
Continuing Professional Development ◽  
Teaching Hospitals ◽  
Advanced Trauma Life Support ◽  
The Past ◽  
Keywords Trauma ◽  
District Hospitals ◽  
Primary Trauma

Injury is a major cause of death and disability in Ghana. Strengthening care of the injured is essential to reduce this burden. Trauma continuing professional development (CPD) courses are an important component of strengthening trauma care. In many countries, including Ghana, their use needs to be more uniformly promoted. We propose lowcost strategies to increase the utilization of trauma CPD in Ghana, especially in district hospitals and higher need areas. These strategies include developing plans by regional health directorates and teaching hospitals for the regions for which they are responsible. Lists could be kept and monitored of which hospitals have doctors with which type of training. Those hospitals that need to have at least one doctor trained could be flagged for notice of upcoming courses in the area and especially encouraged to have the needed doctors attend. The targets should include at least one surgeon or one emergency physician at all regional or large district hospitals who have taken the Advanced Trauma Life Support (ATLS) (or locally-developed alternative) in the past 4 years, and each district hospital should have at least one doctor who has taken the Primary Trauma Care (PTC) or Trauma Evaluation and Management (TEAM) (or locally-developed alternatives) in the past 4 years. Parallel measures would increase enrollment in the courses during training, such as promoting TEAM for all medical students and ATLS for all surgery residents. It is important to develop and utilize more “home grown” alternatives to increase the long-term sustainability of these efforts, Keywords: trauma, injury, education, training, continuing professional developmentFunding: None

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