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Sun Oct 8 22:56:38 BST 2006

Charlene, I have to respectively disagree with you.  I have been a
practicing paramedic for approximately 7 years now.  I do understand that
you have allot more schooling than myself.  However, in my mind when I take
a classes such as A.T.L.S. I go into it knowing that I will only be able to
"audit" it, and not become certified. For me its not what can I become
certified in, its more of what knowledge that I can gain from the class.  If
I were a "medical control" physician, I know that I would feel more
confident if I had a highly skilled and educated paramedic on staff, than
rather one that has no interests on attending various in and out hospital
classes.  Regardless of them being certified or not.
  I have attended some classes that are not normally offered to paramedics
on a normal basis like N.R.P or FCCS (Fundamentals of critical care
support).  I will never place an umbilical catheter or make adjustments on a
hospital ventilator, but some the knowledge that I gain from such classes
will directly affect the treatment of some of my patients.  So therefore
these classes have a huge impact.
  Please however, do not interpret this as you not wanting to become a
better P.A. You obviously show that you want to, by attending B.T.L.S.  I
apologize if this is how it came across. I just wanted to share with you
some of my thoughts from a non-physician practitioner.  One thing, of the
classes that I have attended I didn’t have to pay for one them.  That, I'm
sure is a huge factor for you.  So I can understand your point as well on
why not to go to a class.
  Ciao!
  Anthony M. Caruso
  NREMT-P
-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Charlene M Morris
Sent: Sunday, October 08, 2006 7:43 AM
To: Trauma &amp, Critical Care mailing list
Subject: ATLS for non-docs..

Of interest, I took BTLS, as I received credit and was allowed CME. As a PA,
ATLS is NOT a course for which I can certify, thus-- why wasted my time and
money?!

I can learn from any number of courses and benefit from all, but if the
politics dictate ATLS is *special* for docs only, I cannot reasonably
participate. Auditing just doesn't make it, to my mind

C M Morris

On 10/8/06, Ian Civil <icivil at xtra.co.nz> wrote:
>
> The way to have all consultants ATLS positive is to make it a 
> requirement for trainees in all specialties as it is in Australia and 
> NZ.
>
> The challenge is to ensure those involved in trauma care remain 
> current in their knowledge and practice which is no less problematic 
> down-under than anywhere else in the world
>
> Ian Civil
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto: 
> trauma-list-bounces at trauma.org] On Behalf Of "Hansen, Kari Schrøder"
> Sent: Sunday, October 08, 2006 9:32 PM
> To: Trauma &amp; Critical Care mailing list
> Subject: SV: ATLS for consultants...
>
> I sure would like every consultant to have the ATLS course, but I 
> don't believe it's possible to convince them to attend a 2.5 day 
> course with an exam...
>
> I have another solution: make them attend your local training in the 
> ER room. I suppose you have such training regularly........? If not, I 
> can suggest the concepts of the BEST-course (Better & Systematic 
> Trauma Care): http://www.bestnet.no/english/. BEST is a one-day course 
> held locally in your resuscitation room. It is based on CRM-principles 
> to make your trauma team work as a team. It is easier to ask the 
> consultants to participate in this course compared to ATLS. The course 
> will give them:
> -       A basic understanding of the ABCDE
> -       A basic understanding on how the trauma team work in the ER
> -       Knowledge and practice on how to work in a team
> -       Understanding of why the senior doctor is not the leader
> -       +++
>
> It is easy, fun and cheap!
>
> Kari Schrøder Hansen
> Deptartment of Surgery
> Bergen, Norway
>
>
> (If you want more information on how to introduce the course at your 
> hospital, I will be glad to help.)
>
>
> -----Opprinnelig melding-----
> Fra: trauma-list-bounces at trauma.org 
> [mailto:trauma-list-bounces at trauma.org
> ]
> På vegne av Ronald Gross
> Sendt: 6. oktober 2006 18:20
> Til: trauma-list at trauma.org
> Emne: Re: ATLS for consultants...
>
> Ron,
>
> We require that ortho and neurosurgeons take ATLS at least once.
>
> Please note that the ACS COT "Optimal Resourses" document states that, 
> "At a minimum, orthopaedic surgeons on the trauma team should be 
> encouraged to successfully complete an ATLS Student Course."  The same 
> statement is repeated in the neurosurgical chapter: "At a minimum, 
> neurosurgeons on the trauma team should be encouraged to successfully 
> complete an ATLS Student Course."
>
> Best wishes,
> Ron
>
> >>> Ronald Simon <Traumamd at nyc.rr.com> 10/5/2006 9:16 PM >>>
> We are currently having a debate in our State Trauma Advisory 
> Committee
>
> about whether trauma related consultants (neurosurg, ortho, ent, etc) 
> should be required to have taken ATLS to care for a trauma pt. The 
> question is whether this should be part of the requirements for trauma
>
> center designation. No question that members of the trauma service and
>
> the ED should but what about the subspecialists? Sure its a good 
> concept but actually getting them to take it is another thing. What is 
> the practice of other trauma systems?
> Thanks
> Ron Simon, MD
> Jacobi Medical Center
> Bronx, NY
>
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