La conseguenza logica e' che i DEA con medici che hanno conseguito la certificazione ATLS sono piu' affidabili degli altri.
In tempi in cui si gratifica piu' la quantita' che la qualita' non e' cosa da poco.
Chi fosse interessato all'argomento puo' rivolgersi al:
Prof. S.Oliveiro, (responsabile per l'Italia dei corsi ATLS)
Cattedra di Chirurgia d'Urgenza e di Pronto Soccorso della Universita' di Torino
corso A.M. Dogliotti,14 - 10126 Torino
tel e fax : 011-663.55.97
Prof. Chiarugi, (responsabile per la Toscana dei corsi ATLS)
Cattedra di Chirurgia d'Urgenza e di Pronto Soccorso della Universita' di Pisa
Ospedale S.Chiara - Pisa
Programma del corso ATLS: clicka qui
Da: KMATTOX@aol.com A: firstname.lastname@example.org Cc: Redstart@aol.com Oggetto: Re: Tension pneumos.... Data: domenica 7 marzo 2004 16.52 The ATLS is now in its 4th or 5th revision. It has always been written by a committee and consensus. It has been and is a wonderful course to bring people together with a common language. It has changed to evidence based data over the years. Relating to fluid resuscitation, it originally stated to start two large bore IVs and give 3 liters of fluid. Currently the ATLS emphasizes, stop the bleeding then restore lost volume, totally a reversal from the former cyclic hyper resuscitation. The original chapter on chest injury was initially written by me prior to going to the committee. Remember that at the time of the first writings, evidence based medicine was not yet emphasized. You will also recall that the ACLS has been revised almost 20 times, and the current ACLS has no similarity to its original course. You should expect that the ATLS will continue to change. The newer imaging technology is already changing my mind regarding CT. Endovascular stented grafts may replace up to 75% of the operations for thoracic outlet and blunt thoracic aortic injury. We all should be grateful that health care is not static, or we would still be giving (worthless) mercury injections for syphilis. I recently saw the data to be presented at the upcoming Las Vegas Trauma & Critical Care post graduate course (www.trauma-criticalcare.com) and find that many of the talks present data which is totally different from our traditional views and treatments, like the data to be presented in the debate on air ambulance use. The presentations at the breakfast session on injury in children is very very interesting. Adults may be just grown up kids and visa versa. The presentations on fluid choices continues to be a focused refinement and massive change from the treatments of the 1970s. I am sorry, but again this year this course sold out and registration was closed in early February, with again more than 1200 registrants, coming from 50 states, 19 foreign countries, and even the District of Columbia. The Program Committee is already at work for the 2005 scientific meeting to be just as provocative and educational. Yes, we were there then when ATLS began, are here now, and will continue to be here, as will the many wise voices on this web site. It is the continuing questioning, as you have done which keeps up honest and looking for the truth. Keep up the dialogue and the questioning of how we improve our treatment of the injured patient. k www.trauma-criticalcare.com