ITLS Bulletin


ITLS Military 2nd Edition Released; Text, Instructor Materials Available


ITLS is proud to announce the publication of the ITLS Military 2nd Edition. The pro- gram textbook and dedicated Instructor Materials are in stock now and ready for use at new ITLS Military courses.


The ITLS Military 2nd edition program combines the fundamentals of ITLS trau- ma assessment and treatment with recent military innovations utilized in the world’s current war zones. Find out more about ITLS Military at ITRAUMA.org/military.


The textbook is published by ITLS in con- junction with Pearson Learning Solutions. The text may be purchased from ITLS or Pearson.


The cost of the ITLS Military 2nd Edition from ITLS is $50 per book ($47 per book for quantities of 5+). Textbooks are avail- able now at ITRAUMA.org/books.


Dedicated instructor materials include ITLS Military slides, instructor guide, and exams. Instructor guide and exams are available at no charge but must be re- quested from your local chapter or train- ing centre.


Military Provider Course Instructional Slides (PowerPoint) are under revision and will shortly be re-released and available from the ITLS bookstore for $30. This product cannot be purchased through Pearson.


Who can take the ITLS Mil- itary Provider course?


Anyone who can take an ITLS Provider course may take the ITLS Military Provid- er course. The course is NOT a tactical EMS course. It is a military-based version of the ITLS Provider course. Most participants are active-duty military, National Guard, or in the Reserves. Students receive an ITLS Advanced or Basic Military Provider card and certification upon suc- cessful completion of the course.


Who can teach the ITLS Military Provider course?


In addition to the require- ments for Instructor status, there are specific qualifica- tions for teaching the ITLS Military 2nd Edition course. Anyone involved in the planning, delivery or coordination of the course should have military experience. In addition, those who taught the 1st edi- tion ITLS Military course may continue to teach the course.


In unusual circumstances, a physician or other military medical provider (medic,


paramedic, nurse, nurse practitioner, or physician assistant) who has not taken the instructor course may help teach an ITLS course. However, this may be done only with the permission of the Chapter or Training Centre medical director or ad- visory committee.


Find an ITLS Military Provider course on- line at ITRAUMA.org/coursefind or con- tact your local chapter or training centre.


ITLS Publishes Three New Position Papers  From Page 1


Abstract - Needle Decompression of Tension Pneumothorax This is the official current thinking of International Trauma Life Support (ITLS) regarding needle decompression of ten- sion pneumothorax. It is the position of International Trauma Life Support that:


1. It is important to convey how to rec- ognize a tension pneumothorax and


2


how to carry out the appropriate field management.


2. The anterior approach is preferred for EMS decompression.


3. In the EMS setting, accessing the lateral site is generally more difficult than the anterior chest. In patients wearing body armor the lateral site is easier to access and is recom- mended for that operational envi- ronment


4. For EMS, the recommended ap- proach is to insert a catheter-needle combination anteriorly in the 2nd intercostal space (just over the 3rd rib) in the mid-clavicular line using either a purpose designed needle decompression device or an intrave- nous catheter of sufficient length to assure entry into the pleural space (>3.25 inches or 8 cm).


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