Get access

Advanced trauma life support training for hospital staff

  • Review
  • Intervention




Injury is responsible for an increasing global burden of death and disability. As a result, new models of trauma care have been developed. Many of these, though initially developed in high-income countries (HICs), are now being adopted in low and middle-income countries (LMICs). One such trauma care model is advanced trauma life support (ATLS) training in hospitals, which is being promoted in LMICs as a strategy for improving outcomes for victims of trauma. The impact of this health service intervention, however, has not been rigorously tested by means of a systematic review in either HIC or LMIC settings.


To quantify the impact of ATLS training for hospital staff on injury mortality and morbidity in hospitals with and without such a training program.

Search methods

We searched the CENTRAL, MEDLINE, EMBASE, PUBMED, CINAHL and ZETOC databases and the Cochrane Injuries Group's Specialised Register. For this update, the search strategy was expanded to include more parameters on research methodology and was run for all years to September 2008.

Selection criteria

Randomised controlled trials, controlled trials and controlled before-and-after studies comparing the impact of ATLS-trained hospital staff versus non-ATLS trained hospital staff on injury mortality and morbidity.

Data collection and analysis

One author applied the eligibility criteria to trial reports for inclusion, and extracted data.

Main results

There is a limited amount of literature about this topic. None of the studies identified by the search met the inclusion criteria for this review.

Authors' conclusions

There is no clear evidence that ATLS or similar programs impact the outcome for victims of injury, although there is some evidence that educational initiatives improve knowledge of hospital staff of available emergency interventions. Furthermore, there is no evidence that trauma management systems that incorporate ATLS training impact positively on outcome. Future research should concentrate on the evaluation of trauma systems incorporating ATLS, both within hospitals and at the health system level, by using more rigorous research designs.




創傷是造成全球死傷負擔增加的原因.因此, 創傷照護的新模式已經被發展.雖起始發展於高收入國家,目前大部分被用於低及中收入國家(LMICs). 這些創傷照護模式之一是在醫院的進階性創傷生命維持(ATLS)訓練, 這已經在低及中收入國家推行當作為創傷患者的預後的策略之一.然而, 此健康照護的介入效果的證據,不管於高收入或中低收入國家的環境多尚未被使用像系統性回顧的方法加以嚴謹的檢視.




我們搜尋Cochrane Injuries Group Specialised Register (CIGSR), the Cochrane Controlled Trials Register (CCTR), MEDLINE & PubMed, EMBASE, CINAHL, Science Citation Index, National Research Register, 及網路上的實驗資料庫如Current Controlled Trials. 我們檢查背景資料的參考文獻及與作者接洽來發現額外已刊登或未刊登的資料.


Randomised controlled trials, controlled trials, 於研究前或後的控制比較有進階創傷生命支持訓練的醫院的創傷反應系統與沒有此反應系統的醫院在受傷後於降低死亡及罹病的效果.






沒有清楚的證據顯示進階創傷生命支持訓練(或類似)對創傷患者的結果有影響,雖然有些證據顯示教育的倡導促進關於緊急狀況該如處置的知識. 而且,沒有證據顯示創傷處置系統結合創傷照護訓練有正向的結果.進一步的研究需用嚴謹的研究設計,集中於在醫院及健康系統上的創傷系統結合創傷照護訓練的價值.



此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。


需有更多的研究來顯示在醫院的進階創傷生命支持訓練是否可以減少死亡率及促進恢復.進階創傷生命支持的訓練Training in ‘advanced trauma life在富裕及貧窮國家使用漸漸增加.進階創傷生命支持想要促進對受傷者如何照護的方式,經此,減少死亡與罹病的機率. 有些已完成的研究顯示進階創傷生命支持課程真的增加那些受訓的工作人員的知識.然而, 尚未有研究顯示進階創傷生命支持(或類似)課程對那些受傷的患者的生存與恢復有影響. 此回顧需要更多的研究且提出如何被施行的建議.

Plain language summary

More research needed to show whether ATLS training in hospitals can cut death rates and decrease disability in injured people

Training in 'advanced trauma life support' (ATLS) is increasingly used in both rich and poor countries. ATLS is intended to improve the way in which care is given to injured people, thereby reducing death and disability. Some research has been done that suggests ATLS programmes improve the knowledge of staff who have been trained, but there have been no trials to show the impact of ATLS-trained staff (or staff trained in similar programmes) on the rates of death and disability of injured patients themselves. The review calls for more research and puts forward suggestions about how future research might be conducted.

Get access to the full text of this article