Blumenfeld A, Kluger Y, Ben Abraham R, Stein M, Rivkind A
Israel Defence Force, Medical Corps.
Mil Med. 1997 Jul;162(7):463-7.
Within a military framework, the trauma course student, a young medical officer, is trained to become a trauma team leader and the first provider of medical aid. By adding battlefield medicine-related subjects to the basic Advanced Trauma Life Support (ATLS) course, as well as exercises tailored to the distinctive demands of military medicine, we could develop a special teaching unit: Combat Trauma Life Support (CTLS). The curriculum is basically the complete unchanged ATLS course of the American College of Surgeons enriched with lectures and practicums to fill the gap between the essentially civilian emergency department character of the ATLS course and the military tasks of the medical officer.
To compare the cognitive knowledge achievements of trauma course participants in the Israel Defence Force Medical Corps and to delineate the impact of the course type on students' written test results.
A retrospective comparison analysis of pre- and post-course written test scores of 2,614 physicians who had participated in the ATLS and CTLS courses in the Israel Defence Force School of Military Medicine between 1990 and 1993.
The analysis indicated that students who undertook the CTLS course achieved statistically better results in written tests (87.9 +/- 8.7 vs. 79.6 +/- 11.4, R2 = 0.33).
We conclude that the CTLS comprehensive curriculum provides an improved training basis for the complex task of army battlefield trauma care support.
在军事框架内,创伤课程学员,即年轻的军医,接受培训以成为创伤团队领导者和医疗救助的首要提供者。通过在基础高级创伤生命支持(ATLS)课程中增加与战场医学相关的科目,以及针对军事医学独特需求量身定制的练习,我们可以开发一个特殊的教学单元:战斗创伤生命支持(CTLS)。该课程基本上是美国外科医师学会完整不变的ATLS课程,并辅以讲座和实习,以填补ATLS课程本质上的民用急诊科性质与军医军事任务之间的差距。
比较以色列国防军医疗队创伤课程参与者的认知知识成就,并描述课程类型对学生笔试成绩的影响。
对1990年至1993年期间在以色列国防军军事医学院参加ATLS和CTLS课程的2614名医生的课前和课后笔试成绩进行回顾性比较分析。
分析表明,参加CTLS课程的学生在笔试中取得了统计学上更好的成绩(87.9 +/- 8.7对79.6 +/- 11.4,R2 = 0.33)。
我们得出结论,CTLS综合课程为军队战场创伤护理支持的复杂任务提供了改进的培训基础。