Salvijus Milašius Chief of Military Medical training Center

Hungary – inaugural courses in February 2005

International dissemination

Trimodal Death Distribution

ATLS® philosophy

• Treat the greatest threat to life first

• Lack of definitive diagnosis should never impede the application of an indicated treatment

• A detailed history is not the essential prerequisite to begin the evaluation of an acutely injured patient

ABCDE mnemonic

• A irway with cervical spine control
• B reathing
• C irculation
• D isability or neurological status
• E xposure with temperature control

ATLS Teaches

ATLS® Course structure and organisation

ATLS® course

• ATLS manual

• Pretest

• Lectures

• Demonstrations

• Group discussions

• Practical life saving skills

• Simulated patients scenarios

• Final test

ATLS®

• ATLS 400 pages manual

• Sent to students 6 weeks in advance

ATLS

• Pretest before the course

ATLS®

• Lectures

ATLS®

• Group discussions

ATLS®

• Practical life saving skills

ATLS®

• Simulated patients scenarios

ATLS®

• Test

ATLS®

• Certificate valid for 4 years

• After expiry – resertification

• 1 day refreshment course

ATCN Advanced Trauma Care for Nurses

PHTLS® Prehospital Basic and Advanced Trauma Life Support

ATLS® Advanced trauma life support International promulgation

International promulgation

• ”The development of ACS ATLS® Program within the requesting country via a recognized surgical organization or an ACS Chapter in that country, and outside the ACS COT network”

Implementation of ATLS® in Lithuania

Implementation process – main steps

• Request initiation – request from Traumatologist Orthopaedic society approved for implementation of ATLS into Lithuania in August 2002

• Introductory site (Military medical training center) visit by representatives from American college of surgeons ATLS committee – 28 of FEB 2003

• Development and equipping of site for conducting of ATLS courses in Lithuania

• Initial training of instructors –training of 8 Lithuanian instructors in USA – 07-17 of DEC 2003

• Inaugural courses in Lithuania 15-20 NOV 2004

• Continued promulgation

Introductory site visit 28 of February 2003

Representatives of variuos institutions signed the letter of intent to implement ATLS® in Lithuania

Training of Lithuanian ATLS® instructors candidates in Fresno, US 7-17 DEC 2003

ATLS® inaugural courses 15-20 NOV 2004

International ATLS® Faculty

ATLS® course possible students in Lithuania

• Ambulance service doctors

• Fire and rescue service doctors

• Emergency room (patients admitting room) physicians

• Search and rescue doctors (SAR)

• Military medical doctors

• Physicians, functioning at primary health care institutions (GP)

• Surgeons

• Anesthesiologists

• ....others

ATLS® courses in Lithuania

• 3 courses – 48 doctors participated in these courses

• About 4-6 courses per year in future

Conclusions

• ATLS® courses provide standardized information and skills for trauma patients treatment.

• After implementation of ATLS® methodic in Lithuania it will be build basement for creation and development of trauma care system

• Doctors will be proper trained for international missions