Thies Karl, Gwinnutt Carl, Driscoll Peter, Carneiro António, Gomes Ernestina, Araújo Rui, Cassar Mary Rose, Davis Mike
Birmingham Childrens' Hospital, Birmingham, UK.
Resuscitation. 2007 Jul;74(1):135-41. doi: 10.1016/j.resuscitation.2007.02.011. Epub 2007 Apr 30.
The Advanced Trauma Life Support (ATLS) course, developed by the American College of Surgeons, has revolutionised in-hospital management of major trauma patients and is now accepted as a standard of care in many countries worldwide. However, within Europe, there are significant differences in both the aetiology of trauma and the specialties involved in its initial management compared to the American model. Over the past 4 years, there have been a number of initiatives aimed at producing a trauma management course that was evidence based, practical and flexible enough to meet regional European needs and team oriented. Initial attempts tried to incorporate both pre- and in-hospital trauma care. This was eventually rationalised to the production of an in-hospital course and the first pilot course was run in Malta in November 2006. This article describes the evolution of the course, its current structure and plans for the future following the feedback received from candidates and instructors who participated in the first course.
由美国外科医师学会开发的高级创伤生命支持（ATLS）课程，彻底改变了对重大创伤患者的院内管理方式，如今在全球许多国家已被视为一种护理标准。然而，与美国模式相比，在欧洲，创伤的病因以及其初始管理所涉及的专业领域存在显著差异。在过去4年里，有多项举措旨在制定一门基于证据、实用且灵活的创伤管理课程，以满足欧洲地区的需求并以团队为导向。最初的尝试试图将院前和院内创伤护理都纳入其中。最终合理调整为制作一门院内课程，首个试点课程于2006年11月在马耳他开展。本文描述了该课程的演变、其当前结构以及根据参加首个课程的学员和教员所提供的反馈而制定的未来计划。
