Salvijus Milašius Chief of Military Medical training Center

They are passing different levels of medical care, the same passing different medical doctors (and other personnel)

Managing of trauma patients often will be in stressful environment

Trauma causes are different

Trauma

• In many countries reduction in trauma mortality of 15-20 % have been achieved largely as a result of improved health care interventions and trauma care systems (Cales 1984, Lecky 2000)

• Initiatives such as the Advanced Trauma Life Support training program in North America succesfully reduced mortality (Kirsch 1998, Reines 1988)

• Population based studies from North Carolina showed, that ATLS training is associated with a low rate of deaths from trauma

• (Rutledge et al., 1994)

Trauma

• One of three deaths occurred in hospital as a result of injury could be prevented

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