Launch of the ATLS® 8th edition

2009 ◽  
Vol 91 (3) ◽  
pp. 84-85
Author(s):  
Rosalind Roden
Keyword(s):  
Gold Standard ◽  
Major Trauma ◽  
Life Support ◽  
Advanced Trauma Life Support ◽  
Common Language ◽  
Early Management ◽  
Wide Range ◽  
Eighth Edition ◽  
The Uk ◽  
8Th Edition

On 27 March 2009 The Royal College of Surgeons of England will host the launch of the eighth edition of the Advanced Trauma Life Support® (ATLS®) programme in the UK. ATLS® has just entered its 21st year of life in the UK. The courses are run in 120 regional centres and in 2008 trained over 4,200 providers. ATLS® represents the gold standard for those involved in the early management of major trauma. The programme currently has over 600 active instructors from a wide range of specialties, including general surgery, emergency medicine, trauma and orthopaedics, anaesthesiology and radiology. More than anything ATLS® promotes a common language among those of us who work together to care for trauma victims.

Trauma surgery

2014 ◽  
Author(s):  
Sebastian Dawson-Bowling ◽  
Serena Ledwidge
Keyword(s):  
Life Support ◽  
Trauma Surgery ◽  
Clinical Signs ◽  
Tension Pneumothorax ◽  
Trauma Team ◽  
Definitive Treatment ◽  
Advanced Trauma Life Support ◽  
Mortality And Morbidity ◽  
Golden Hour ◽  
The Uk

Appreciation of the ‘golden hour’ for resuscitation, and adoption of prin­ciples of the advanced trauma life support (ATLS) system are key factors in improving outcome for the patient with major injuries. Adherence to the strict protocols of the ABCDEs of the primary survey enables the trauma team to identify and deal with life-threatening conditions, prior to definitive treatment of problems with lesser immediacy. The clinician who understands the mechanism of injury will main­tain heightened levels of suspicion for clinical signs which point to well-recognized conditions resulting in early mortality and morbidity, for instance, tension pneumothorax, cardiac tamponade, and rising intrac­ranial pressure. This chapter will probe your grasp of the principles of trauma manage­ment. You will also be tested on common patterns of thoracic, abdomi­nal, vascular, and cranial injuries. Whilst clinical presentations of civilian trauma have remained consist­ent in recent years, the impact of military trauma in worldwide theatres of conflict has stimulated numerous advances in the management of trauma. The current impetus for reorganization of trauma services in the UK is tacit acknowledgement of the improvement in outcomes that can be achieved by adherence to recognized protocols in this challenging and demanding field of surgery.

Major trauma

2021 ◽  
pp. 581-596
Keyword(s):  
Major Trauma ◽  
Life Support ◽  
Head Injuries ◽  
Initial Assessment ◽  
Advanced Trauma Life Support ◽  
Thoracic Injuries ◽  
Golden Hour ◽  
Secondary Survey ◽  
Time Periods ◽  
Second Peak

This chapter discusses the management of major trauma. Trauma is the leading cause of death in the first four decades of life, and every minute, more than nine people die from injuries and violence. Trimodal distribution of death implies death from injury occurs in one of three time periods: first peak (within seconds to minutes), second peak (within minutes to several hours), and third peak (after several days to weeks). The ‘golden hour’ refers to the period when medical care can make the maximum impact on death and disability. A systematic, rapid initial assessment is essential and this includes preparation, triage, primary survey (ABCDE), resuscitation, secondary survey, continued monitoring, and reevaluation and definitive care. The chapter then looks at the advanced trauma life support (ATLS) system. It also considers thoracic injuries, abdominal trauma, vascular injuries, and head injuries.

scholarly journals ATLS®: breaking new ground

2013 ◽  
Vol 95 (10) ◽  
pp. 333-333
Author(s):  
Stephen Bush
Keyword(s):  
Differential Diagnosis ◽  
Life Support ◽  
Medical Training ◽  
Trauma Team ◽  
Advanced Trauma Life Support ◽  
Generic Skills ◽  
The Uk

The inaugural Advanced Trauma Life Support (ATLS)® course was run in the UK in 1988 and now over 50 countries worldwide run an ATLS® programme and over a million doctors have been trained. In the early days of ATLS®, its message was ground-breaking. It introduced the ABCDE approach, the generic skills of the trauma team and goal directed care. At the time, this message was at significant odds with the accepted model of history, examination, differential diagnosis, investigation, refinement of the differential and then treatment. It is a testament to the effect that the ATLS® programme has had on medical training throughout the globe that this approach is now the convention.

scholarly journals The ATLS® Moulage – A quick guide

2009 ◽  
Vol 7 (2) ◽  
Author(s):  
George Alex
Keyword(s):  
Health Professionals ◽  
Life Support ◽  
Real Life ◽  
Injured Patient ◽  
Initial Assessment ◽  
Advanced Trauma Life Support ◽  
Paediatric Age ◽  
Eighth Edition ◽  
Musculoskeletal Trauma ◽  
Trauma In Pregnancy

The Advanced Trauma Life Support (ATLS®) Course1 teaches a systematic, concise approach to the early care of the trauma patient. This course is vital to guiding care for the injured patient in emergency department trauma rooms as well as in the prehospital environment. Essentially, the course training provides a common language between emergency health professionals, and is designed to save lives in critical situations. On the last day of my ATLS® Course when we had to participate in a trauma moulage, I considered the feasibility and benefits of a summary guide listing the most important things to do, and the correct order in which they should be performed. The following is based on the ATLS Course Manual2 and is intended as a guide to assist both novice and expert emergency health professionals in the moulage exercise, or when faced with a real life trauma event. The eighth edition of the ATLS® Course Manual released in late 2008 has suggested changes3 in management with regards to Initial Assessment, Airway, Shock, Thoracic, Abominal, Head and Musculoskeletal trauma as well as trauma in Pregnancy and the Paediatric age group. The main changes have been incorporated in the summary below.

Advanced Trauma Life Support, 8th Edition, The Evidence for Change

2008 ◽  
Vol 64 (6) ◽  
pp. 1638-1650 ◽  
Author(s):  
John B. Kortbeek ◽  
Saud A. Al Turki ◽  
Jameel Ali ◽  
Jill A. Antoine ◽  
Bertil Bouillon ◽  
...  
Keyword(s):  
Life Support ◽  
Advanced Trauma Life Support ◽  
8Th Edition

scholarly journals (A215) Delayed Diagnosis of Injury in Survivors of the February 2009 Crash of Flight TK 1951

2011 ◽  
Vol 26 (S1) ◽  
pp. s59-s60
Author(s):  
I.L.E. Postma ◽  
J. Winkelhagen ◽  
T. Bijlsma ◽  
F. Bloemers ◽  
M. Heetveld ◽  
...  
Keyword(s):  
Injury Severity ◽  
Life Support ◽  
Delayed Diagnosis ◽  
Advanced Trauma Life Support ◽  
Trauma Patients ◽  
Emergency Intervention ◽  
Plane Crash ◽  
Tertiary Survey ◽  
Clinically Significant ◽  
The Uk

IntroductionIn 2009, a Boeing 737 crashed near Amsterdam, traumatically injuring 126 people. In trauma patients, some injuries initially escape detection. The aim of this study is to evaluate the incidence of Delayed Diagnosis of Injury (DDI) and the effects of tertiary survey on the victims of a plane crash.MethodsData collected included documentations of DDI, tertiary surveys, Injury Severity Scale (ISS) score, Glasgow Coma Scale score, number and type of injuries, and emergency intervention. Clinically significant injuries were separated from non-clinically significant injuries. Comparison was made to a crash in the UK (1989), before advanced trauma life support became practiced widely.ResultsAll 126 victims were evaluated in a hospital emergency department; 66 were admitted with a total of 171 clinically significant injuries. Twelve clinically significant DDIs were found in eight patients (12%). In 65%, a tertiary survey was documented. The DDI incidences differed for several risk factors. Eighty-one survivors of the UK crash had a total of 332 injuries. Of those with > 5 injuries, 5% had a DDI, versus 8% of those with ≤ 5 injuries.ConclusionsThe DDI incidence in this study was 7% of the injuries in 12% of the population. A tertiary survey was documented in 65%; ideally this should be 100%. In this study, a high ISS score, head injury, > 5 injuries, and emergency intervention were associated with DDI. The DDI incidence in the current study was lower than in the UK crash.

Acute Care SINS: Surgical Insights for the Non-surgeon

2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Deng Mapiour MD ◽  
Peter G. Brindley MD ◽  
Ronald Brisebois ◽  
Rachel G. Khadaroo MD PhD
Keyword(s):  
Causes Of Death ◽  
Major Trauma ◽  
Life Support ◽  
Myocardial Damage ◽  
Advanced Trauma Life Support ◽  
Medical Practitioners ◽  
Post Traumatic ◽  
Manual Skills ◽  
Robust Systems ◽  
Resuscitation Team

Fortunately, trauma care is evolving rapidly. Unfortunately, trauma is still ubiquitous and still one of the leading causes of death, especially amongst the young. Trauma skills are now widely taught to surgeons and non-surgeons alike via courses such as the Advanced Trauma Life Support course and the Simulated Trauma and Resuscitation Team Training course. These practical courses emphasize that the initials “MD” really mean “make a decision.”Medical practitioners should understand trauma as a complex, multisystem, and multistage disease. For example, major trauma can cause enormous physiological stresses.This means that frail patients may not survive the acute insultand that others will be left battling the medical consequences (infections, myocardial damage, rhabdomyolysis, wound healing, etc.). Trauma also creates substantial psychological burdens for both patients and caregivers, whether through lost income, depression, divorce, or post-traumatic stress.Above all, there is a growing acceptance that in order to vanquish trauma, we need comprehensive and robust systems, not just doctors trained in isolation. Trauma is evolving into a fascinating science that blends knowledge, manual skills, ongoing practice, and system-wide commitment. Accordingly, trauma belongs in the bailiwick of both surgeons and non- surgeons. This chapter offers a basic primer. If you can establish the mechanism, apply anatomy, and find a modicum of courage, then patients may increasingly live to tell the tale.

scholarly journals EP.TU.54Surgical curriculum concordance: requiem for the educational dream

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Oliver Luton ◽  
Osian James ◽  
Katie Mellor ◽  
Catherine Eley ◽  
Richard Egan ◽  
...  
Keyword(s):  
Life Support ◽  
Advanced Trauma Life Support ◽  
Regulatory Body ◽  
Surgical Skill ◽  
Relative Variation ◽  
Learned Societies ◽  
Minimum Number ◽  
Academic Competencies ◽  
The Uk ◽  
Competency Domains

Abstract Aim This study aimed to analyse the degree of relative variation in specialty-specific competencies required for Certification of Completion of Training (CCT) set by the UK Joint Committee for Surgical Training (JCST) 2021 curriculum. Methods Regulatory body guidance related to operative and non-operative surgical skill competencies required for CCT were analysed and compared. Results Wide inter-speciality variation was demonstrated in the minimum number of logbook cases (median 815; range 54-2100), indexed operations (8; 5-24), Procedure Based Assessments (35; 6-110). Academic competencies related to peer reviewed publications, communications to learned societies, and audits were aligned at zero, zero, and three across specialties respectively. Mandatory courses have been standardised with Advanced Trauma Life Support (ATLS) being the sole pre-requisite CCT for all. Discussion JCST certification guidelines have broadly standardised competency domains, yet large discrepancies persist regarding operative indicative numbers, and assessments. This article serves as a definitive CCT guide regarding prevailing changes.

Surgical curriculum concordance: requiem for the educational dream

2021 ◽  
pp. postgradmedj-2020-139385
Author(s):  
Oliver Luton ◽  
Osian Penri James ◽  
Katie Mellor ◽  
Arfon Powell ◽  
Luke Hopkins ◽  
...  
Keyword(s):  
Life Support ◽  
Advanced Trauma Life Support ◽  
Regulatory Body ◽  
Surgical Skill ◽  
Relative Variation ◽  
Learned Societies ◽  
Minimum Number ◽  
Academic Competencies ◽  
The Uk ◽  
Competency Domains

This study aimed to analyse the degree of relative variation in speciality-specific competencies required for Certification of Completion of Training (CCT) set by the UK Joint Committee for Surgical Training (JCST) 2021 curriculum. Regulatory body guidance related to operative and non-operative surgical skill competencies required for CCT were analysed and compared. Wide inter-speciality variation was demonstrated in the minimum number of logbook cases (median 815; range 54 to 2100), indexed operations (8; 5 to 24) and procedure-based assessments (35; 6 to 110). Academic competencies related to peer-reviewed publications, communications to learned societies and audits were aligned at zero, zero and three across specialities, respectively. Mandatory courses have been standardised with Advanced Trauma Life Support being the sole pre-requisite CCT for all. JCST certification guidelines have broadly standardised competency domains, yet large discrepancies persist regarding operative indicative numbers and assessments. This article serves as a definitive CCT guide regarding prevailing changes.

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