J Korean Med Assoc.  2007 Aug;50(8):680-691. 10.5124/jkma.2007.50.8.680.

Advanced Trauma Life Support

Affiliations
  • 1Department of Emergency Medicine, Kyungpook National University College of Medicine, Korea. jaechung@knu.ac.kr

Abstract

Among the deaths from trauma, 50% were dead at the scene, 30% in several hours, and 20% in a few weeks by multiple organ failure. The 30% occurring in several hours may be saved with rapid assessment and management of injuries. Trauma deaths could be reduced through an organized trauma system and standardized and systemic approach by physicians involved in the initial assessment and management of trauma. This is likely to present emergent and general traumatic care to increase the ability of treating trauma patients on the base of Advanced Trauma Life Support (ATLS) by the American College of Surgeons (ACS). Thus, both legal and systemic reform with an establishment of trauma centers or use of the ATLS program in intra-hospital trauma team is necessary to maximize operation of the medical team. Introduction of and emphasis on the skill oriented ATLS program in the medical school curriculum is also needed to prepare for real situations rather than knowledge-orientated education.

Keyword

Trauma; Triage; Primary survey; Resuscitation; Secondary survey

MeSH Terms

Advanced Trauma Life Support Care*
Curriculum
Education
Humans
Multiple Organ Failure
Resuscitation
Schools, Medical
Trauma Centers
Triage

Reference

1. Cales RH, Trunkey DD. Preventable trauma deaths. A review of trauma care systems development. JAMA. 1985. 254:1059–1063.
Article
2. Committee on Trauma, American College of Surgeons. Hospital and prehospital resources for optimal care of the injured patient. Bull Am Coll Surg. 1983. 68:11–21.
3. Mann NC, Mullins RJ, MacKenzie EJ, Jurkovich GJ, Mock CN. Systematic review of published evidence regarding trauma system effectiveness. J Trauma. 1999. 47:S25–S33.
Article
4. Acosta JA, Yang JC, Winchell RJ, Simons RK, Fortlage DA, Hollingsworth-Fridlund P, Hoyt DB. Lethal injuries and time to death in a level I trauma center. J Am Coll Surg. 1998. 186:528–533.
5. Committee on Trauma, American College of Surgeons. Advanced trauma life support program for doctors. 2004. 7th ed. Chicago: American College of Surgeons;4–85.
6. Cornwell EE 3rd, Berne TV, Belzberg H, Asensio J, Velmahos G, Murray J, Demetriades D. Health care crisis from a trauma center perspective: The LA story. JAMA. 1996. 276:940–944.
Article
7. Lucas CE. Resuscitation of the injured patient: the three phases of treatment. Surg Clin North Am. 1977. 57:3–15.
Article
8. Bickell WH, Wall MJ Jr, Pepe PE, Martin RR, Ginger VF, Allen MK, Mattox KL. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med. 1994. 331:1105–1109.
Article
9. Brain Trauma Foundation. American Association of Neurological Surgeons. Congress of Neurological Surgeons. Joint Section on Neurotrauma and Critical Care. Indications for intracranial pressure monitoring. J Neurotrauma. 2007. 24:S37–S44.
10. Adelson PD, Bratton SL, Carney NA, Chesnut RM, du Coudray HE, Goldstein B, Kochanek PM, Miller HC, Partington MD, Selden NR, Warden CR, Wright DW. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Pediatr Crit Care Med. 2003. 4:S45–S48.
11. McKenney M, Lentz K, Nunez D, Sosa JL, Sleeman D, Axelrad A, Martin L, Kirton O, Oldham C. Can ultrasound replace diagnostic peritoneal lavage in the assessment of blunt trauma? J Trauma. 1994. 37:439–441.
Article
12. Perez-Brayfield MR, Gatti JM, Smith EA, Broecker B, Massad C, Scherz H, Kirsch AJ. Blunt traumatic hematuria in children. Is a simplified algorithm justified? J Urol. 2002. 167:2543–2546.
Article
13. Morey AF, Bruce JE, McAninch JW. Efficacy of radiographic imaging in pediatric blunt renal trauma. J Urol. 1996. 156:2014–2018.
Article
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr