Radvinsky David S, Yoon Richard S, Schmitt Paul J, Prestigiacomo Charles J, Swan Kenneth G, Liporace Frank A
Department of General Surgery, University of Florida, Gainesville, Florida 32610, USA.
Orthopedics. 2012 Apr;35(4):305-11. doi: 10.3928/01477447-20120327-07.
The Advanced Trauma Life Support (ATLS) protocol is a successful course offered by the American College of Surgeons. Once based on didactic lectures and seminars taught by experts in the field, trauma training has evolved to become a set of standardized assessment and treatment protocols based on evidence rather than expert opinion. As the ATLS expands, indices to predict outcome, morbidity, and mortality have evolved to guide management and treatment based on retrospective data. This historical, perspective article attempts to tell the story of ATLS from its inception to its evolution as an international standard for the initial assessment and management of trauma patients.
高级创伤生命支持（ATLS）协议是美国外科医师学会提供的一门成功课程。创伤培训曾经基于该领域专家讲授的理论讲座和研讨会，如今已演变成一套基于证据而非专家意见的标准化评估和治疗协议。随着ATLS的扩展，用于预测结果、发病率和死亡率的指标也不断发展，以便根据回顾性数据指导管理和治疗。这篇具有历史视角的文章试图讲述ATLS从创立到发展成为创伤患者初始评估和管理的国际标准的历程。
