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DR Laszlo Gorove CMO Hungarian GP. ITLS and Trackside medical intervention. László Gorove MD Hungarian GP. Overwiew. What is ITLS? Short History ITLS Principles Benefits on the track Examples ITLS and ATLS. What is ITLS?.
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DR Laszlo Gorove CMO Hungarian GP
ITLS and Trackside medical intervention László Gorove MD Hungarian GP
Overwiew What is ITLS? Short History ITLS Principles Benefits on the track Examples ITLS and ATLS
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
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
Hungary • First course 2007 • Over 10 Corses – 250 provider • ITLS Hungary since 2010 • Hungaroring • Extrication teams • FIV Doctors
ITLS Principles Time is critical; teamwork is essential Primary Survey Less than 2 minutes Delegate any intervention Rapid Trauma Survey Load, go and treat
Load Go and Treat Situations Altered mental status Abnormal respiration Abnormal circulation Abnormal chest exam Tender, distended abdomen Pelvic instability Bilateral femur fractures
On-scene procedures Manage airway Assist ventilation Administer oxygen Begin CPR Control major externalbleeding Seal sucking chest Stabilize flail chest Decompress tensionpneumothorax Stabilize impaled Complete packaging
Benefits on the track Key to trauma care Not difficult, but time-critical Optimum speed by organization and teamwork
Example 1. 2009.07.25. 1’17” 6’19” 5’02” • IV Line • Sedation • Beanbag 20’40” 14:42:10 Accident 14:42:15 Car crash to trackside wall 14:42:30 First flag marshal at scene (G force lamp) 14:42:36 First firemen at scene 14:42:46 First Technical Rescue at scene 14:43:27 FIA Medical Car at scene 14:44:37 2 Ambulance cars at scene 14:45:03 Extrication Team at scene 14:46:24 Extrication done 14:46:55 Driver in Ambulance 14:48:29 Ambulance depart to MC 14:50:25 Ambulance at MC 15:07:15 Driver in the Helicopter 15:11:05 Helicopter takes off
Example 2. 2010.07.31. 0’40” 9’23” 8’43” • IV Line • Druges (pain) • Ultrasound • Sedation • Beanbag 16’37” 15:49:50 Accident 15:50:03 SC 15:50:22 First flag marshal at scene 15:50:30 FIA Medical Car at scene 15:51:43 FIV 1. at scene 15:51:43 Extrication Team 1. at scene 15:52:33 Ambulance car 1. at scene 15:52:43 Red Flag 15:55:57 Ambulance car 2. at scene 15:56:01 Extrication Team 2. at scene 15:57:48 Ambulance 1. depart to MC 15:59:13 Ambulance 1. at MC 16:01:22 Ambulance 2. depart to MC 16:02:50 Ambulance 2. at MC 16:16:00 Helicopter 1. takes off
Summary ITLS guidelines are helpful at trackside accidents ATLS providers are important in the MC Optimum speed by organization and teamwork