Esposito T J, Kuby A, Unfred C, Gamelli R L
Loyola University Burn and Shock Trauma Institute, Maywood, Illinois, USA.
J Trauma. 1995 Nov;39(5):929-33; discussion 933-4. doi: 10.1097/00005373-199511000-00018.
The aim of this study was to assess Advanced Trauma Life Support (ATLS) training status of general surgeons, its perceived utility, and its relation to clinical trauma practice.
A national sample of 1300 general surgeons was surveyed by mail about trauma training, ATLS status, trauma call, and confidence in clinical trauma care abilities.
Response rate was 61%. Respondents most commonly (67%) felt they learned a great deal about trauma care in residency training; 13% responded similarly regarding ATLS. Course participation within 4 years of the survey was reported by 33% of respondents. Nearly 75% of those not taking the course cited primary reasons related to relevance (30%), redundancy (29%), and credentialing (15%). Inaccessibility, inconvenience, and cost were lesser factors. Of those expressing extreme confidence with trauma resuscitation, 40% had taken ATLS; 15% of those expressing a lesser degree of confidence had taken ATLS.
The ATLS course represents a standard of initial trauma care education in which only one-third of surgeons report current participation. Many view ATLS as not relevant or useful, yet take trauma call. To ensure standard education and patient care, an ATLS course curriculum specifically geared to the general surgeon should be developed and made a mandatory component of residency training or a requirement for board certification and trauma call credentialing.
本研究旨在评估普通外科医生的高级创伤生命支持（ATLS）培训状况、其感知效用以及与临床创伤实践的关系。
通过邮件对1300名普通外科医生的全国样本进行调查，内容涉及创伤培训、ATLS状况、创伤呼叫以及对临床创伤护理能力的信心。
回复率为61%。受访者最常（67%）表示他们在住院医师培训中对创伤护理学到了很多；13%对ATLS的回答类似。33%的受访者报告在调查前4年内参加过该课程。未参加该课程的人中近75%列举的主要原因与相关性（30%）、冗余性（29%）和认证（15%）有关。难以获得、不便和成本是次要因素。在对创伤复苏表示极度自信的人中，40%参加过ATLS；在表示信心较低的人中，15%参加过ATLS。
ATLS课程是初始创伤护理教育的一项标准，但只有三分之一的外科医生报告目前参与其中。许多人认为ATLS不相关或无用，但仍参与创伤呼叫。为确保标准化教育和患者护理，应制定专门针对普通外科医生的ATLS课程，并将其作为住院医师培训的强制组成部分或作为委员会认证和创伤呼叫资格认证的要求。
