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Optimizing Advanced Trauma Life Support (ATLS®) to Maximize Readiness.

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Optimizing the Advanced Trauma Life Support (ATLS®) course to include Individual Critical Task Lists (ICTLs) successfully increased skill competency and readiness for military medical personnel. This integrated approach streamlined training and improved completion rates at military treatment facilities.

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Area of Science:

  • Medical Education
  • Military Health Systems
  • Professional Skill Development

Background:

  • The U.S. Army uses Individual Critical Task Lists (ICTLs) to maintain medical service member competency and deployment readiness.
  • Challenges in maintaining proficiency exist due to infrequent performance of some tasks and lower patient volumes in military treatment facilities (MTFs).
  • Blanchfield Army Community Hospital (BACH) developed a novel strategy to address these readiness gaps.

Purpose of the Study:

  • To describe BACH's integrated approach to optimizing the Advanced Trauma Life Support (ATLS®) course for ICTL completion.
  • To demonstrate how this method enhances skill competency and streamlines training requirements for military medical personnel.
  • To suggest the broader applicability of this best practice to other MTFs.

Main Methods:

  • Cross-referenced the ATLS® course curriculum and appendices with established ICTLs.
  • Augmented standard ATLS® certification to include the completion of 12 specific ICTLs.
  • Expanded ATLS® curriculum exposure to medical providers not typically enrolled in the course.

Main Results:

  • Since April 2021, 73 military medical personnel from 24 specialties completed the integrated ATLS®/ICTL training at BACH.
  • A total of 361 ICTLs were completed, with individual ICTL completion counts ranging from 13 to 48.
  • All tested ICTLs met 100% of their annual completion requirements.

Conclusions:

  • Integrating ICTL completion into the mandatory ATLS® course represents a significant improvement over traditional methods.
  • This optimized approach maximizes the value of training time and broadens ATLS® exposure across various military medical roles.
  • The success at BACH indicates strong potential for adoption by other MTFs serving as ATLS® testing sites.