1. DR Laszlo Gorove CMO Hungarian GP

2. Improving Trauma Care Worldwide ITLS and Trackside medical intervention László Gorove MD Hungarian GP

3. Improving Trauma Care Worldwide Overwiew What is ITLS? Short History ITLS Principles Benefits on the track Examples ITLS and ATLS

4. 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

5. Improving Trauma Care Worldwide 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

6. Improving Trauma Care Worldwide Hungary First course 2007 Over 10 Corses – 250 provider ITLS Hungary since 2010 Hungaroring – Extrication teams – FIV Doctors

7. Improving Trauma Care Worldwide ITLS Principles Time is critical; teamwork is essential Primary Survey Less than 2 minutes Delegate any intervention Rapid Trauma Survey Load, go and treat

8. Improving Trauma Care Worldwide Load Go and Treat Situations Altered mental status Abnormal respiration Abnormal circulation Abnormal chest exam Tender, distended abdomen Pelvic instability Bilateral femur fractures

9. Improving Trauma Care Worldwide On-scene procedures 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

10. Improving Trauma Care Worldwide Benefits on the track Key to trauma care Not difficult, but time- critical Optimum speed by organization and teamwork

11. Improving Trauma Care Worldwide Example 1. 2009.07.25. 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 1’17” 5’02” 6’19” 20’40” IV Line Sedation Beanbag

12. Improving Trauma Care Worldwide

13. Example 2. 2010.07.31. 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 0’40” 8’43” 9’23” 16’37” IV Line Druges (pain) Ultrasound Sedation Beanbag

14. Improving Trauma Care Worldwide ITLS and ATLS Death after trauma (ISS ≧ 16) GermanyUSA Trinidad & Tobago 22 %17,6 %10,6 % n = 14.110n = 608.596n = 350

15. Improving Trauma Care Worldwide Summary ITLS guidelines are helpful at trackside accidents ATLS providers are important in the MC Optimum speed by organization and teamwork

16. Improving Trauma Care Worldwide Thank you for your attention!