About the difficult diagnosis, standards in medicine in general and the ATLS standard in particular

A.V. Kozachenko, M.A. Khomchenko


Point of view on the necessity and appropriateness of the standards in medicine is given in the article. Authors highlight the positive effects of the application of standards in case when we have limits of the time and the data. On the other hand, the authors warn that the mechanical adherence to the standards makes impossible to take the right decision in unusual and rare cases. ATLS (Advance trauma life support) system is given as a successful example of the standard use. ATLS is also a training program developed by the American College of Surgeons. The main principles of the ATLS standard are: to treat the greatest threat to life first, the lack of a definitive diagnosis and a detailed history should not slow the application of indicated treatment for life-threatening injury, with the most time-critical interventions performed early. The first and key part of the assessment of patients presenting with trauma is called the primary survey. During this time, life-threatening injuries are identified, and simultaneously resuscitation is begun. A simple mnemonic, ABCDE, is used as a memory aid for the order, in which problems should be addressed.


standard in medicine; emergency care; ATLS


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