The paper reports on a questionnaire evaluation of the UK-based ATLS (Advanced Trauma Life Support) instructor course. The trainee instructors who responded were mainly at consultant grade with some senior registrars. The course was regarded as being very effective in achieving most of its objectives and in raising the confidence of postgraduate medical instructors, especially those lacking pre...

Acetabular fractures present with a bimodal distribution, as is often associated with traumatic injuries presenting to trauma and orthopaedic surgeons. It is an injury that mandates a multidisciplinary team approach as it is associated with injuries to another organ system and/or the lower extremities. The implementation of Advanced Trauma and Life Support (ATLS) principals has led to significa...

STUDY TYPE  Case series Introduction:  Craniocervical dissociation (CCD) is an uncommon and frequently fatal injury with few reports in the literature of survivors. Advances in automobile safety and improved emergency medical services have resulted in increased survival. Timely diagnosis and treatment are imperative for optimal outcome. Regrettably, the presence of multiple life threatening inj...

The case is described of a man who feigned being struck by a vehicle, leading to an unnecessary major trauma response by the ambulance service and hospital. Suspicion that the patient suffered from Munchausen syndrome was confirmed by later investigation. Accident and emergency staff should file details of such patients on the department computer records system, where available, so that staff a...

OBJECTIVE to evaluate the care for victims of traffic accidents by on call emergency physicians and/or surgeons in the emergency room. METHODS we conducted a retrospective, descriptive and exploratory study on the care for traffic accidents victims in the urban area of ​​Maringá-PR, between July 2013 and July 2014 in reference hospitals. We assessed demographics and vocational training throug...

AIM Definitions of the ala-tragus line (ATL) cause confusion, because the exact points of reference for this line do not agree. This study determined the relationship between the prosthetic occlusal plane (OP) corresponding to the lateral borders of the tongue and ATL which was established by using the inferior border of the ala of the nose and (1) the superior border of the tragus (ATL 1), (2)...

Humans often utilize past experience to solve difficult problems. However, if past experience is insufficient to solve a problem, solvers may reach an impasse. Insight can be valuable for breaking an impasse, enabling the reinterpretation or re-representation of a problem. Previous studies using between-subjects designs have revealed a causal relationship between the anterior temporal lobes (AT...

BACKGROUND The management of trauma patients is often difficult. The American college of surgeons suggests using advanced trauma life support (ATLS) measures. ATLS is regarded as the gold standard for the resuscitation of cases with acute life threatening injuries. OBJECTIVES To assess the change in base excess (BE) values and central venous pressure (CVP) one and six hours after injection of...

The pre-hospital care of patients is increasingly recognised as a discipline in its own right. Whilst some aspects of the knowledge used to treat patients in a hospital are relevant, there are many additional skills which are required to practice safely and effectively in the pre-hospital environment. The British Medical Association recognised in 1993 that the training of doctors in the managem...