Atls Introduction
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This document discusses Advanced Trauma Life Support (ATLS), a protocol for trauma care. It outlines the history and growth of ATLS since its introduction in 1988. While ATLS protocols align well with recommendations from reviews of trauma care, the document calls for strengthening ATLS training requirements and ensuring protocols fit current local practice. The future of ATLS would benefit from formal introduction into postgraduate medical education and commitment to ongoing skills retention.
![Advanced Trauma Life Support “ From [Jim Styner’s] initial efforts came Advanced Trauma Life Support (ATLS) and with it a new philosophy of care of the severely injured patient based around well thought through processes and teams trained in them – all adhering to the same workshop manual.” Professor T Treasure Chairman 2007](https://image.slidesharecdn.com/atlsintroduction-13162621124967-phpapp01-110917072242-phpapp01/85/Atls-Introduction-8-320.jpg)
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Atls Introduction
- 1. Trauma: Who cares? A response on behalf of ATLS Team provider Dr. Husni Ajaj
- 2. Protocols is dead because: Trauma in the wrong place No-one has protected his airway Those looking after him are caring but inexperienced Senior help arrived too late
- 3. You need to consider the unexpected
- 4. Education & Training “Cardiac Life Support” CPR In Hospital Care More Advanced More Specialized ACLS Training Education Pre-hospital life support
- 5. Education & Training Advanced “Trauma Life Support” ATLS First Aid In Hospital Care More Advanced More Specialized ATLS Training Education PHTLS
- 6. Advanced Trauma Life Support Strengths of ATLS Current areas of development Hopes for the future (wish list)
- 8. Advanced Trauma Life Support “ From [Jim Styner’s] initial efforts came Advanced Trauma Life Support (ATLS) and with it a new philosophy of care of the severely injured patient based around well thought through processes and teams trained in them – all adhering to the same workshop manual.” Professor T Treasure Chairman 2007
- 9. Advanced Trauma Life Support 1988 - ATLS lands in the UK 20 years of enthusiasm and commitment 2007 Over 16000 Providers Over 1500 Instructors 103 Centres 3 Separate Courses
- 10. ATLS 2007 Provider courses run - 237 Providers trained - 4215 Instructor courses run - 17 Instructors trained - 270
- 11. Is ATLS fit for purpose? – A + B NCEPOD “ Airway and Breathing are Urgent Priority” ATLS manual p42 - “Airway and Ventilation are the first priorities.”
- 12. Is ATLS fit for purpose? - C NCEPOD “ Investigations should be timely and appropriate. Senior input is vital.” ATLS manual p109 - “Missed internal injuries remain the leading area of preventable mortality in the non-brain injured patient.”
- 13. Is ATLS fit for purpose? - D NCEPOD “ Neurosurgical input Urgent Priority” ATLS manual p152 - “Consultation with a neurosurgeon early in the course of treatment is strongly recommended.”
- 14. Is ATLS fit for purpose? – Definitive Care NCEPOD “ There should be standardised transfer documentation of the patients details, injuries etc” ATLS manual p152 - “Pre-arranged transfer agreements with high level facilities should be in place.” “ Uniform transmission of information is enhanced by the use of an established transfer form.”
- 15. In a wider sense… Treat the greatest threat to life first Time is of the essence Do no further harm Know your own limitations
- 16. Advanced Trauma Life Support The ATLS course provides a common language to all that care for the injured patient [The strength is in the dogma] ATLS brings together different specialities outside the ED [It’s good to talk]
- 17. Some questions How are we ensuring ATLS fits current Libyan practice? How are we ensuring we are reaching the right doctors at the right time? How are we ensuring that skills are retained and refreshed?
- 18. Other courses ACLS ATLS Foundation Stone
- 19. National Libyan ATLS Course In 2008 we launch the National Verification Course 3 days course One centre Scenario based / Decision making Refreshes skills Includes changes / updates Formal assessment
- 20. Wish list Formal introduction of ATLS principles into postgraduate training Commitment from those in charge of postgraduate training that ATLS forms an essential part of the curriculum introduction the course to undergraduate
- 22. Experienced instructor Multispecialty faculty Medical student Chair of ATNC Enthusiastic providers Very old instructor!
- 23. Summary ATLS is a cornerstone of Trauma Care New developments will improve and strengthen the programme More commitment is needed to establish ATLS as a required part of training All physicians must recognise the importance of ATLS