© 2005 BMJ Publishing Group Ltd, British Association for Accident & Emergency Medicine, & Faculty of Accident & Emergency Medicine
EDITORIAL
Advanced trauma life support
Should the UK develop and run its own advanced trauma course?
Correspondence to:
Correspondence to:
Dr D McKeown
Department of Anaesthesia, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK; dermot.mckeown@ed.ac.uk
The strong ATLS infrastructure can provide a basis for the production of a truly international trauma course
| The first 150 words of the full text of this article appear below. |
I first heard of ATLS when I was a very junior consultant in anaesthesia and ICU. I had attended a meeting at which a (quite famous) intensivist had said that all major trauma patients should be anaesthetised, paralysed, intubated, have bilateral chest drains inserted, and undergo diagnostic peritoneal lavage. He claimed that this (in my view, dangerous) philosophy was taught at ATLS courses. These courses had only just been introduced to the UK, and were being supported by the Royal College of Surgeons of England.
I therefore sought out an ATLS course to attend as a confirmed sceptic. It is a tribute to the teaching and quality of that course (Guildford, since you ask) that I became convinced that ATLS, although "American" in flavour, had much to offer UK trauma care at that time. I also learnt that much of what is said in criticism of
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