RESUMEN
The American College of Surgeons Committee on Trauma's Advanced Trauma Life Support Course is currently taught in 50 countries. The 8th edition has been revised following broad input by the International ATLS subcommittee. Graded levels of evidence were used to evaluate and approve changes to the course content. New materials related to principles of disaster management have been added. ATLS is a common language teaching one safe way of initial trauma assessment and management.
Asunto(s)
Curriculum/normas , Educación Médica Continua , Cuidados para Prolongación de la Vida/normas , Traumatología/educación , Heridas y Lesiones/terapia , Competencia Clínica , Curriculum/tendencias , Medicina de Emergencia/educación , Tratamiento de Urgencia/normas , Tratamiento de Urgencia/tendencias , Femenino , Predicción , Humanos , Cuidados para Prolongación de la Vida/tendencias , Masculino , Resucitación/educación , Sensibilidad y Especificidad , Traumatología/tendencias , Estados UnidosRESUMEN
The objective of this study was to develop a "best-practice" treatment algorithm for the management of primary open-angle glaucoma in patients receiving initial medical therapy, to serve as a consideration for future ophthalmology practice. For comparison, a baseline, "common-practice" treatment algorithm was also created that reflects current ophthalmology practice patterns. Survey instruments were developed based on a comprehensive review of relevant literature, along with input from a general ophthalmologist. A panel of eight ophthalmologists subspecialized in glaucoma management was surveyed. Consensus was achieved using a modified Delphi technique. A comparison of common- and best-practice treatment algorithms suggests that in contrast with expert opinion, nonselective beta blockers are currently used more often, and alpha-2 agonists less often, as first-line therapy for the treatment of primary open-angle glaucoma.