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training
innovation
professional

Long live the ‘king’?

02 September 2018
Opinion
02 September 2018
Volume 8 · Issue 2

Abstract

International Paramedic Practice Consultant Editor, Vijay Guatam, takes an in-depth look at the benefits of the Advanced Trauma Life Support course and whether its latest 10th edition will bring the course in line with widespread evidence-based practice from around the world

In 1422, France saw the succession of King Charles VII and declared the words ‘Le roi est mort, vive le roi!’ (The king is dead, long live the king). Since that day, the phrase has represented the idea of continuity despite inevitable change.

This guiding principle can be applied to the Advanced Trauma Life Support (ATLS®) course from the American College of Surgeons. Its 10th edition has arrived nearly 40 years after it was first launched in the United States. However, whether the ATLS course is relevant or desirable has been a matter of debate for decades (Davis, 2005; Driscoll and Wardope, 2005; Nolan, 2005; Wiles, 2015).

The fact that the course is effectively the only show in town in many parts of the world is not in dispute. Its virtual monopoly, and its arguably North American perspective, may or may not have stifled the growth of local solutions. Discussions about its fitness for purpose and the appropriateness of its claim to be ‘advanced’ continue unabated (Wiles, 2015).

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