Optimizing Advanced Trauma Life Support (ATLS®) to Maximize Readiness.

Autor:	Danford JR 3rd; School of Medicine, Tulane Medical Center, New Orleans, LA 70112, USA.; Department of Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA., Reyes F Jr; Department of Surgery, Blanchfield Army Community Hospital, Fort Campbell, TN 42223, USA., Gurney JM; Joint Trauma System, Healthcare Operations, Defense Health Agency, Falls Church, VA 22042, USA.; United States Army Institute of Surgical Research, Joint Base San Antonio-Fort Sam Houston, San Antonio, TX 78234, USA., Smith JP; Department of Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA., Stinner DJ; Department of Surgery, Blanchfield Army Community Hospital, Fort Campbell, TN 42223, USA.; Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Jazyk:	angličtina
Zdroj:	Military medicine [Mil Med] 2024 Aug 30; Vol. 189 (9-10), pp. e2206-e2210.
DOI:	10.1093/milmed/usae073
Abstrakt:	Introduction: The Army utilizes Individual Critical Task Lists (ICTLs) to track and ensure competency and deployment readiness of its medical service members. ICTLs are the various skills and procedures that the Army has deemed foundational for each area of concentration (AOC)/military occupational specialty (MOS). While many ICTLs involve the patient care that military medical providers regularly provide, some procedures are not as commonly performed. This, when coupled with lower patient volume at military treatment facilities (MTF), poses a challenge for maintaining skill competency and deployment readiness. Fort Campbell's Blanchfield Army Community Hospital (BACH) has created a holistic and unique solution to meet many of these standardized requirements and support a ready medical force. By optimizing the Advanced Trauma Life Support (ATLS®) course curriculum to facilitate ICTL completion, BACH has increased its ICTL completion rates, ATLS® course exposure, and streamlined training requirements. The purpose of this article is to describe this best practice and suggest its applicability to other MTFs. Materials and Methods: By cross-referencing the ATLS® course curriculum and appendices with ICTLs, BACH has augmented ATLS® course certification with the additional completion of 12 ICTLs. This new approach not only increases ICTL completion, but also increases ATLS® curriculum exposure to medical providers, such as Registered Nurses or Nurse Practitioners, who would not typically take ATLS®. Results: Since starting this new approach in April 2021, 73 military medical personnel have completed the ATLS® course at BACH, with 24 different medical specialties represented. A total of 361 ICTLs have been completed with specific ICTL completion counts ranging from 13 to 48. Each ICTL tested was completed 100% of its annual requirement. Conclusion: ATLS® is a mandatory joint interoperability standard for military physicians and it is also an Army ICTL for many AOCs/MOSs. Only counting completion of this course as one ICTL is a missed opportunity for the time spent by Army medical providers and limits the exposure of ATLS® to select AOCs/MOSs. This optimized and novel approach has been successful at BACH, suggesting its applicability at other MTFs that serve as ATLS® testing sites. (Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2024. This work is written by (a) US Government employee(s) and is in the public domain in the US.)
Databáze:	MEDLINE
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