Advanced training in trauma life support for ambulance crews

Abstract

Editorial group: Cochrane Injuries Group. Publication status and date: New search for studies and content updated (no change to conclusions), published in Issue 8, 2014.

Educational and Clinical Impact of Advanced Trauma Life Support (ATLS) Courses: A Systematic Review

“…Ten original articles studied the impact of ATLS on cognitive and clinical skills of health care providers (Tables 2, 3), and six articles studied the attrition of skills gained in ATLS courses (Tables 4, 5). The Cochrane Library search resulted in three systematic reviews on this topic: two addressed the clinical impact of ATLS training [28, 29]; the other addressed the clinical impact of Advanced Life Support (ALS) training for pre‐hospital staff and was excluded because it studied another course [30].…”

Educational and Clinical Impact of Advanced Trauma Life Support (ATLS) Courses: A Systematic Review

“…Ten original articles studied the impact of ATLS on cognitive and clinical skills of health care providers (Tables 2, 3), and six articles studied the attrition of skills gained in ATLS courses (Tables 4, 5). The Cochrane Library search resulted in three systematic reviews on this topic: two addressed the clinical impact of ATLS training [28, 29]; the other addressed the clinical impact of Advanced Life Support (ALS) training for pre‐hospital staff and was excluded because it studied another course [30].…”

Prehospital Care Post-Road-Crash: A Systematic Review of the Literature

“… 29 , 43 – 45 Further to this, the application of Basic Life Support (BLS) and Advanced Life Support (ALS) interventions as part of post-crash response needs to be critically reviewed. 46 – 48 Whilst Noland has reported an association between improvements in medical care and reduced crash fatality, 49 – 51 Al-Shaqsi reported that “existing studies reporting potential benefits of Advanced Life Support were descriptive studies with small sample sizes as opposed to testing of hypothesis and tended to be grossly confounded and biased.” 47 At the same time, Jayaraman, et al in their systematic review reported no evidence to suggest that ALS training for ambulance personnel improved the outcomes for injured people. 46 Likewise, Lydon, et al reported that “… it is unclear if improvements to post-crash response can deliver significant benefits.” 52…”

“… 46 – 48 Whilst Noland has reported an association between improvements in medical care and reduced crash fatality, 49 – 51 Al-Shaqsi reported that “existing studies reporting potential benefits of Advanced Life Support were descriptive studies with small sample sizes as opposed to testing of hypothesis and tended to be grossly confounded and biased.” 47 At the same time, Jayaraman, et al in their systematic review reported no evidence to suggest that ALS training for ambulance personnel improved the outcomes for injured people. 46 Likewise, Lydon, et al reported that “… it is unclear if improvements to post-crash response can deliver significant benefits.” 52…”

Italy’s Post-COVID-19 Stroke Network: Has It Returned to Pre-Pandemic Standards?

“…Our analysis indicates that the pandemic had a significant impact on the EMS system, corroborating findings from other studies [ 30 ]. Despite EMS personnel being well trained in managing advanced emergencies, such as advanced cardiovascular life support (ACLS) [ 31 ] and advanced trauma care [ 32 ], protocols for pandemic preparedness and management remain inadequate [ 33 , 34 , 35 ]. This issue is critical, as EMS personnel must be prepared to confront pandemic scenarios given the substantially different patient profiles encountered during such events compared to the pre-pandemic period.…”

Educational and Clinical Impact of Advanced Trauma Life Support (ATLS) Courses: A Systematic Review

“…Ten original articles studied the impact of ATLS on cognitive and clinical skills of health care providers (Tables 2, 3), and six articles studied the attrition of skills gained in ATLS courses (Tables 4, 5). The Cochrane Library search resulted in three systematic reviews on this topic: two addressed the clinical impact of ATLS training [28, 29]; the other addressed the clinical impact of Advanced Life Support (ALS) training for pre‐hospital staff and was excluded because it studied another course [30].…”

Prehospital Care Post-Road-Crash: A Systematic Review of the Literature

“… 29 , 43 – 45 Further to this, the application of Basic Life Support (BLS) and Advanced Life Support (ALS) interventions as part of post-crash response needs to be critically reviewed. 46 – 48 Whilst Noland has reported an association between improvements in medical care and reduced crash fatality, 49 – 51 Al-Shaqsi reported that “existing studies reporting potential benefits of Advanced Life Support were descriptive studies with small sample sizes as opposed to testing of hypothesis and tended to be grossly confounded and biased.” 47 At the same time, Jayaraman, et al in their systematic review reported no evidence to suggest that ALS training for ambulance personnel improved the outcomes for injured people. 46 Likewise, Lydon, et al reported that “… it is unclear if improvements to post-crash response can deliver significant benefits.” 52…”

“… 46 – 48 Whilst Noland has reported an association between improvements in medical care and reduced crash fatality, 49 – 51 Al-Shaqsi reported that “existing studies reporting potential benefits of Advanced Life Support were descriptive studies with small sample sizes as opposed to testing of hypothesis and tended to be grossly confounded and biased.” 47 At the same time, Jayaraman, et al in their systematic review reported no evidence to suggest that ALS training for ambulance personnel improved the outcomes for injured people. 46 Likewise, Lydon, et al reported that “… it is unclear if improvements to post-crash response can deliver significant benefits.” 52…”

Italy’s Post-COVID-19 Stroke Network: Has It Returned to Pre-Pandemic Standards?

“…Our analysis indicates that the pandemic had a significant impact on the EMS system, corroborating findings from other studies [ 30 ]. Despite EMS personnel being well trained in managing advanced emergencies, such as advanced cardiovascular life support (ACLS) [ 31 ] and advanced trauma care [ 32 ], protocols for pandemic preparedness and management remain inadequate [ 33 , 34 , 35 ]. This issue is critical, as EMS personnel must be prepared to confront pandemic scenarios given the substantially different patient profiles encountered during such events compared to the pre-pandemic period.…”

Educational and Clinical Impact of Advanced Trauma Life Support (ATLS) Courses: A Systematic Review

“…Ten original articles studied the impact of ATLS on cognitive and clinical skills of health care providers (Tables 2, 3), and six articles studied the attrition of skills gained in ATLS courses (Tables 4, 5). The Cochrane Library search resulted in three systematic reviews on this topic: two addressed the clinical impact of ATLS training [28, 29]; the other addressed the clinical impact of Advanced Life Support (ALS) training for pre‐hospital staff and was excluded because it studied another course [30].…”

Prehospital Care Post-Road-Crash: A Systematic Review of the Literature

“… 29 , 43 – 45 Further to this, the application of Basic Life Support (BLS) and Advanced Life Support (ALS) interventions as part of post-crash response needs to be critically reviewed. 46 – 48 Whilst Noland has reported an association between improvements in medical care and reduced crash fatality, 49 – 51 Al-Shaqsi reported that “existing studies reporting potential benefits of Advanced Life Support were descriptive studies with small sample sizes as opposed to testing of hypothesis and tended to be grossly confounded and biased.” 47 At the same time, Jayaraman, et al in their systematic review reported no evidence to suggest that ALS training for ambulance personnel improved the outcomes for injured people. 46 Likewise, Lydon, et al reported that “… it is unclear if improvements to post-crash response can deliver significant benefits.” 52…”

“… 46 – 48 Whilst Noland has reported an association between improvements in medical care and reduced crash fatality, 49 – 51 Al-Shaqsi reported that “existing studies reporting potential benefits of Advanced Life Support were descriptive studies with small sample sizes as opposed to testing of hypothesis and tended to be grossly confounded and biased.” 47 At the same time, Jayaraman, et al in their systematic review reported no evidence to suggest that ALS training for ambulance personnel improved the outcomes for injured people. 46 Likewise, Lydon, et al reported that “… it is unclear if improvements to post-crash response can deliver significant benefits.” 52…”

Italy’s Post-COVID-19 Stroke Network: Has It Returned to Pre-Pandemic Standards?

“…Our analysis indicates that the pandemic had a significant impact on the EMS system, corroborating findings from other studies [ 30 ]. Despite EMS personnel being well trained in managing advanced emergencies, such as advanced cardiovascular life support (ACLS) [ 31 ] and advanced trauma care [ 32 ], protocols for pandemic preparedness and management remain inadequate [ 33 , 34 , 35 ]. This issue is critical, as EMS personnel must be prepared to confront pandemic scenarios given the substantially different patient profiles encountered during such events compared to the pre-pandemic period.…”