The document discusses the Prehospital Trauma Life Support (PHTLS) program developed by the National Association of EMTs and the American College of Surgeons Committee on Trauma. PHTLS provides continuing education to improve prehospital trauma care and focuses on critical thinking, problem solving, and teamwork. The goal of PHTLS is to reduce death and disability from traumatic injury globally by educating emergency responders.

1. Prehospital Trauma Life Support Developed by the National Association of EMTs (NAEMT) In cooperation with The Committee on Trauma, American College of Surgeons (COT-ACS) NAEMT MOSBY

2. Lesson 1 Introduction and Overview

3. Objectives As a result of active participation in this lesson you should be able to: Recognize the seriousness of traumatic injury as a disease, globally and within your own community Explain the history and purpose of PHTLS Discuss the responder’s role and responsibilities in trauma management and injury prevention

4. Accident vs. Disease Is perspective important? Injury: being hurt or killed Trauma: inflicted wounds or injury Accident: an event that is unforeseen or without apparent cause Disease: an unhealthy condition , illness, or disorder

5. Traumatic Injury in the U.S. Leading cause of death in persons ages 1 to 44 years Three times more Americans die from trauma each year than died in the entire Vietnam war Only in the fifth decade of life do cancer and heart disease compare with trauma as leading causes of death 80% of teenage deaths and 60% of childhood deaths result from trauma

6. Traumatic Injury Worldwide WHO Statistics (2000) 5 million people died from injuries Mortality rate: 83.7/100,000 population 9% of world deaths 12% of world burden of disease 90% of world injury deaths occur in low- and middle-income countries Road traffic injury is the leading cause of injury-related deaths

7. Traumatic Injury Worldwide WHO Statistics (2000) Injury mortality among men is twice that among women In some regions mortality rates for suicide and burns in females are as high or even higher than in males Young people between 15 and 44 years account for almost 50% of injury-related mortality Children under 5 years account for 25% of drowning deaths and 15% of fire-related deaths

8. Global Injury Control Initiatives Injury prevention programs Creation of safe environments Public policy and legislation Funding Enabling public access to data Networks to sustain and promote programs Enabling and promoting research Ensuring optimal emergency response, acute care, and rehabilitation How is your EMS service participating?

9. Global Injury Control Initiatives Australia National Injury Prevention Plan: Priorities for 2001-2003 and the Implementation Plan Canada A Safer Canada (year 2000): Injury Control Objectives for Canada United Kingdom Preventing Accidental Injury: Priorities for Action United States Healthy People 2010 DOD: Injury/Occupational Illness, Prevention, Practices, and Initiatives World Health Organization

10. By participating in this PHTLS Provider program and using what you learn here in your own practice, you will be contributing to the success of global injury control initiative programs by decreasing death rates and minimizing disability. Global Injury Control Initiatives

11. The History of PHTLS Based on the ATLS Program (ACS) Developed in response to the need for improved prehospital trauma care Pilot courses held in 1983 Now offered in 33 countries The fifth edition text is published in several languages

12. What Is PHTLS? Continuing education program Builds on participants’ base knowledge and skills Focuses on critical thinking and problem solving skills Promotes teamwork

13. What Is PHTLS? Provides a “safe” skills practice environment Contributes to life-long learning and professional development Provides foundations of understanding Uses principles, not protocols Based on science (research)

14. Course Agenda–Day 1 Skill–Teaching Stations 3 hours, 20 minutes Central Nervous System 45 minutes Lunch 45 minutes Airway, Oxygenation, and Ventilation 50 minutes Principles of Assessment and Management 45 minutes Kinematics 60 minutes Break 10 minutes Lessons Learned 20 minutes Baselines 45 minutes Course Introduction and Overview 15 minutes

15. Course Agenda–Day 2 Thermal Trauma 30 minutes Break 10 minutes Final Evaluations 3 hours Golden Principles 20 minutes Lunch 45 minutes Skill–Teaching Stations 90 minutes Special Considerations: Elderly, Pediatric, and Pregnant Patients 45 minutes Thoracic Trauma 45 minutes Shock: A Multisystem Approach 55 minutes

16. Alternative Course Agenda–Day 1 Baselines 45 minutes Skill–Teaching Stations 3 hours 20 minutes Lunch 45 minutes Central Nervous Systems 45 minutes Airway, Oxygenation, and Ventilation 50 minutes Principles of Assessment and Management 45 minutes Break 10 minutes Kinematics 60 minutes Lessons Learned 20 minutes Course Introduction and Overview 15 minutes

17. Alternative Course Agenda–Day 2 Break 10 minutes Final Evaluations 3 hours Golden Principles 20 minutes Lunch 45 minutes Skill-Teaching Stations 90 minutes Special Considerations: Elderly, Pediatric and Pregnant Patients 45 minutes Thermal Trauma 30 minutes Thoracic Trauma 45 minutes Shock: A Multisystems Approach 55 minutes

18. Continued Involvement Other opportunities to contribute to global trauma care Become a PHTLS Instructor Prevention Embrace it within your own life — modeling Actively teach it within your community Engage in research

19. QUESTIONS?