Advanced trauma life support training for hospital staff

Abstract

There is no clear evidence that ATLS or similar programs impact the outcome for victims of injury, although there is some evidence that educational initiatives improve knowledge of hospital staff of available emergency interventions. Furthermore, there is no evidence that trauma management systems that incorporate ATLS training impact positively on outcome. Future research should concentrate on the evaluation of trauma systems incorporating ATLS, both within hospitals and at the health system level, by using more rigorous research designs.

Crystalloid resuscitation is associated with decreased treatment delays and improved systolic blood pressures in a blood-constrained setting

“…Although this recommendation aligns with advanced trauma life support (ATLS) education, prohibitive costs and incompatibility with local capacities of standardized trauma education courses such as ATLS prevent LMIC provider participation. [35][36][37][38] This accommodation reflects the reality of limited blood transfusions in Africa and also conforms with previous advocation of clear fluid resuscitation in blood-constrained settings. 10-12 34 Significant controversy exists between CB and no intervention if no blood is available.…”

Crystalloid resuscitation is associated with decreased treatment delays and improved systolic blood pressures in a blood-constrained setting

“…Although this recommendation aligns with advanced trauma life support (ATLS) education, prohibitive costs and incompatibility with local capacities of standardized trauma education courses such as ATLS prevent LMIC provider participation. [35][36][37][38] This accommodation reflects the reality of limited blood transfusions in Africa and also conforms with previous advocation of clear fluid resuscitation in blood-constrained settings. 10-12 34 Significant controversy exists between CB and no intervention if no blood is available.…”

Evaluation of the primary medical treatments based on the advanced trauma life support principles in trauma patients

“…12 Although there is no evidence from controlled trials that ATLS or similar programs impact the outcome for victims of injury, there is some evidence that educational initiatives can improve knowledge of hospital staff of available emergency interventions. [13][14][15] In this study 363 patients (71.5%) survived and 144 patients died (28.5%) after severe trauma. The results showed that patients who had performed complete procedures according to ATLS protocols survived significantly more often (32.7% vs 6.9%).…”

Management of bleeding and coagulopathy following major trauma: an updated European guideline

“…In addition, studies that analyse trauma systems indirectly emphasise the importance of minimising the time between admission and surgical bleeding control in patients with traumatic haemorrhagic shock [ 31 , 32 ]. At present, the evidence base for the impact of the implementation of the Advanced Trauma Life Support (ATLS) protocol on patient outcome is very poor, because the available literature focuses primarily on the effectiveness of ATLS as an educational tool [ 33 ]. Future studies are needed to define the impact of the ATLS programme within trauma systems at the hospital and health system level in terms of controlled before-and-after implementation designed to assess post-injury mortality as the primary outcome parameter.…”

Crystalloid resuscitation is associated with decreased treatment delays and improved systolic blood pressures in a blood-constrained setting

“…Although this recommendation aligns with advanced trauma life support (ATLS) education, prohibitive costs and incompatibility with local capacities of standardized trauma education courses such as ATLS prevent LMIC provider participation. [35][36][37][38] This accommodation reflects the reality of limited blood transfusions in Africa and also conforms with previous advocation of clear fluid resuscitation in blood-constrained settings. 10-12 34 Significant controversy exists between CB and no intervention if no blood is available.…”

Evaluation of the primary medical treatments based on the advanced trauma life support principles in trauma patients

“…12 Although there is no evidence from controlled trials that ATLS or similar programs impact the outcome for victims of injury, there is some evidence that educational initiatives can improve knowledge of hospital staff of available emergency interventions. [13][14][15] In this study 363 patients (71.5%) survived and 144 patients died (28.5%) after severe trauma. The results showed that patients who had performed complete procedures according to ATLS protocols survived significantly more often (32.7% vs 6.9%).…”

Management of bleeding and coagulopathy following major trauma: an updated European guideline

“…In addition, studies that analyse trauma systems indirectly emphasise the importance of minimising the time between admission and surgical bleeding control in patients with traumatic haemorrhagic shock [ 31 , 32 ]. At present, the evidence base for the impact of the implementation of the Advanced Trauma Life Support (ATLS) protocol on patient outcome is very poor, because the available literature focuses primarily on the effectiveness of ATLS as an educational tool [ 33 ]. Future studies are needed to define the impact of the ATLS programme within trauma systems at the hospital and health system level in terms of controlled before-and-after implementation designed to assess post-injury mortality as the primary outcome parameter.…”

Crystalloid resuscitation is associated with decreased treatment delays and improved systolic blood pressures in a blood-constrained setting

“…Although this recommendation aligns with advanced trauma life support (ATLS) education, prohibitive costs and incompatibility with local capacities of standardized trauma education courses such as ATLS prevent LMIC provider participation. [35][36][37][38] This accommodation reflects the reality of limited blood transfusions in Africa and also conforms with previous advocation of clear fluid resuscitation in blood-constrained settings. 10-12 34 Significant controversy exists between CB and no intervention if no blood is available.…”

Evaluation of the primary medical treatments based on the advanced trauma life support principles in trauma patients

“…12 Although there is no evidence from controlled trials that ATLS or similar programs impact the outcome for victims of injury, there is some evidence that educational initiatives can improve knowledge of hospital staff of available emergency interventions. [13][14][15] In this study 363 patients (71.5%) survived and 144 patients died (28.5%) after severe trauma. The results showed that patients who had performed complete procedures according to ATLS protocols survived significantly more often (32.7% vs 6.9%).…”

Management of bleeding and coagulopathy following major trauma: an updated European guideline

“…In addition, studies that analyse trauma systems indirectly emphasise the importance of minimising the time between admission and surgical bleeding control in patients with traumatic haemorrhagic shock [ 31 , 32 ]. At present, the evidence base for the impact of the implementation of the Advanced Trauma Life Support (ATLS) protocol on patient outcome is very poor, because the available literature focuses primarily on the effectiveness of ATLS as an educational tool [ 33 ]. Future studies are needed to define the impact of the ATLS programme within trauma systems at the hospital and health system level in terms of controlled before-and-after implementation designed to assess post-injury mortality as the primary outcome parameter.…”