Structured to allow for continuous content update, the ATACC course has been designed to empower both candidates and the course instructors to keep abreast of the very latest evidence base in trauma care. The course content is updated prior to every course in order to ensure that the latest teachings in trauma management are delivered to candidates. Furthermore, the course manual is regularly updated and is already in its 6th edition in just 9 years, with chapters clearly distinguishing between opinion and fact. The varying quality of evidence supporting the patient management strategies presented are clearly referenced. Chapters aim to include paragraphs commenting on ongoing research and possible future developments. The goal is to create practitioners confident to make informed clinical decisions in stressful situations, as opposed to blindly following didactic protocols which are not in the patient’s best interests.
Over the 3 days the course is designed to teach the clinical techniques and management skills required in the pre-hospital and initial in-hospital phase; from trauma to other pre-hospital incidents and life-threatening events. It consists of lectures, skills stations and real-life simulated moulages using mock casualties and Sim-Man. The course also covers major incident management skills, mass casualties, extrications, confined access and special circumstances medical care.
Instructors are purposefully drawn from a wide range of healthcare disciplines, as well as specialists from Fire, Sea and Mountain Rescue, the Police, Military, and even Engineering to ensure a holistic, multidisciplinary approach to patient management that is mindful not only of the immediate problem at hand, but also the patients’ continuing care pathway. Roadside to Critical Care is ATACC’s ethos.
One of the course’s primary strengths is its practicality: adopting a variety of teaching modalities ensuring a busy 3 day mix of lectures, skills stations, expert demonstrations and practical exercises/moulages. It is one of the few courses that allow medical personnel to get involved in pre-hospital rescue, preparing them to safely work alongside the emergency services at accident scenes and allowing them to practically experience motor vehicle, confined space and difficult access extrication.
Trauma care beyond A&E and the operating theatre is covered, along with discussions surrounding continuing care whilst also addressing issues such as safe ICU patient transfer. Candidates are encouraged to realise both their strengths and limitations; ensuring minimal delays at each step of the trauma patient’s journey and that appropriate early specialist advice is always sought. The ATACC course represents the UK Gold Standard in trauma management, and is recognised as the most up to date advanced trauma course currently available in the UK; if not worldwide.
Topics covered throughout the course include:-
- Primary Survey
- Kinematics of Trauma
- Airway Trauma
- Cardio-Thoracic Trauma
- Shock & Circulation Preservation (including fluid resuscitation, permissive hypotension & massive transfusion protocol)
- Abdominal Trauma
- Pelvic Trauma
- Neuro Trauma
- Spinal Trauma
- Extremity Trauma
- Burns & Thermal Injury
- Bombs, Blasts & Ballistics
- Crush Injury & Suspension Trauma
- Paediatric & Obstetric Trauma
- Special Circumstances in Trauma
- Damage Control Surgery
- Emergency/Pre-Hospital Surgery
- Management of Trauma Patients on ITU/Critical Care
- Transfer of the Critically Ill Patient
- Trauma Radiology
- Pre-Hospital Care of the Trauma Patient
- Mass casualty management/major civilian disasters
- Casualty triage
The ATACC course is designed to meet and exceed the trauma training requirements for all medical personnel involved in trauma care. To ensure both a holistic and realistic skill mix of candidates in each moulage group, a number of places are purposefully made available to other specialties. There are also additional places in each group available for ODPs, nurses, paramedics, military medics, or fire-fighters.