DR
Laszlo Gorove
CMO Hungarian GP
ITLS and Trackside medical
intervention
László Gorove MD
Hungarian GP
Improving Trauma Care Worldwide
Overwiew
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What is ITLS?
Short History
ITLS Principles
Benefits on the track
Examples
ITLS and ATLS
Improving Trauma Care Worldwide
What is ITLS?
• International Trauma Life
Support (ITLS) is a global
organization dedicated
to preventing death and
disability from trauma
through education and
emergency trauma care
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Short History
• ITLS was founded in the early
1980s as Basic Trauma Life
Support
• In 2005, BTLS became ITLS
• ITLS have over 75 chapters and
training centres around the
world
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Hungary
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First course 2007
Over 10 Corses – 250 provider
ITLS Hungary since 2010
Hungaroring
– Extrication teams
– FIV Doctors
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ITLS Principles
• Time is critical; teamwork
is essential
• Primary Survey
• Less than 2 minutes
• Delegate any intervention
• Rapid Trauma Survey
• Load, go and treat
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Load Go and Treat Situations
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Altered mental status
Abnormal respiration
Abnormal circulation
Abnormal chest exam
Tender, distended abdomen
Pelvic instability
Bilateral femur fractures
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On-scene procedures
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Manage airway
Assist ventilation
Administer oxygen
Begin CPR
Control major external
bleeding
Seal sucking chest
Stabilize flail chest
Decompress tension
pneumothorax
Stabilize impaled
Complete packaging
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Benefits on the track
• Key to trauma care
• Not difficult, but timecritical
• Optimum speed by
organization and
teamwork
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Example 1. 2009.07.25.
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14:42:10
14:42:15
14:42:30
14:42:36
14:42:46
14:43:27
14:44:37
14:45:03
14:46:24
14:46:55
14:48:29
14:50:25
15:07:15
15:11:05
Accident
Car crash to trackside wall
First flag marshal at scene (G force lamp)
First firemen at scene
1’17”
First Technical Rescue at scene
FIA Medical Car at scene
2 Ambulance cars at scene
Extrication Team at scene
5’02”
Extrication done
Driver in Ambulance
Ambulance depart to MC
• IV Line
Ambulance at MC
• Sedation
Driver in the Helicopter
• Beanbag
Helicopter takes off
6’19”
20’40”
Improving Trauma Care Worldwide
Improving Trauma Care Worldwide
Example 2. 2010.07.31.
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15:49:50
15:50:03
15:50:22
15:50:30
15:51:43
15:51:43
15:52:33
15:52:43
15:55:57
15:56:01
15:57:48
15:59:13
16:01:22
16:02:50
16:16:00
Accident
SC
First flag marshal at scene
FIA Medical Car at scene
FIV 1. at scene
Extrication Team 1. at scene
Ambulance car 1. at scene
Red Flag
Ambulance car 2. at scene
Extrication Team 2. at scene
Ambulance 1. depart to MC
Ambulance 1. at MC
Ambulance 2. depart to MC
Ambulance 2. at MC
Helicopter 1. takes off
0’40”
9’23”
8’43”
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IV Line
Druges (pain)
Ultrasound
Sedation
Beanbag
16’37”
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ITLS and ATLS
Death after trauma (ISS ≧ 16)
Germany
USA
Trinidad &
Tobago
22 %
17,6 %
10,6 %
n = 14.110
n = 608.596
n = 350
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Summary
• ITLS guidelines are helpful at trackside
accidents
• ATLS providers are important in the MC
• Optimum speed by organization and
teamwork
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Thank you for your attention!
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