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Sanjay
I do disagree your comments that teaching ATLS course 1 on 1 WOULD NOT improve trauma care in a country. We are
engaged in ATLS program officially since 1988.
Untill that time traumatized patients were rescued in our cities (in BRAZIL) by bystanders so, without ANY care.
ATLS course is not the best course and it is not the only course on trauma care. But it certainly contributed
to change our mind, our view of trauma care in our Country.
Just four years later we started to perform the ATLS program itself in Brazil.
In four years our firemen received, absorved and developed by themselves a program to train for trauma patient
rescue and rapidly they were ready to rescue traumatized patients and initiate field care in the correct way.
In these 4 years we have begun to share our new concepts with our regional medical assistance system in private
and public hospitals, private and public medical schools  to create a "critical mass" to debate how to care for
trauma patients in Brazil.
Nowadays we perform at least 150 ATLS Student Courses each year, almost 200 three or four years ago.
Now students and teachers in medical schools, policemen, public safety agencies, firemen and all health care
providers share the same philosophy and speak the same language as far as trauma care is concern. 
I do believe ATLS Program has big deal of participation in the improvement of the trauma care in our country.
Sometimes in trauma care you do not need a troupe to do your best, you just need someone who cares about it!
If you want, just do it!

MD, Newton Djin Mori
Emergency Surgery Service
Hospital das Clinicas
University of Sao Paulo School of Medicine
djinmori at terra.com.br
fnovo at ajato.com.br

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