J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text HTML] [Full Text PDF] （in Japanese / 425KB） [Members Only]

J.Jpn. Surg. Soc.. 118(5): 506-512, 2017

Feature topic

ADVANCED TRAUMA OPERATIVE MANAGEMENT (ATOM) COURSE

1) Division of Disaster and Emergency Medicine, Department of Advanced Medical Initiatives, Kyushu University Faculty of Medical Sciences, Fukuoka, Japan
2) Department of Gastroenterological Surgery Ⅱ, Hokkaido University Graduate School of Medicine, Sapporo, Japan
3) Department of Emergency and Critical Care Medicine, Tohoku University Hospital, Sendai, Japan
4) Division of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
5) Department of Emergency Medicine, Teikyo University School of Medicine, Tokyo, Japan
6) Department of Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Japan
7) Department of Critical Care Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan
8) Department of Traumatology and Critical Care Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan
9) Department of Emergency and Critical Care Medicine, Kyushu University Hospital, Fukuoka, Japan
10) Department of Surgery and Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan
11) Division of Disaster and Emergency Medicine, Department of Advanced Medical Initiatives, Kyushu University Faculty of Medical Sciences, Fukuoka, Japan
12) Self-Defense Forces Central Hospital, Tokyo, Japan
13) Department of Surgery, Jichi Medical University, Shimotsuke, Japan

Takashi Nagata1), Soichi Murakami2), Takeaki Sato3), Shigeki Kushimoto4), Takashi Fujita5), Yoshimitsu Izawa6), Naoki Shinyama7), Yasumitsu Mizobata8), Tomohiko Akahoshi9), Yoshihiko Maehara10), Makoto Hashizume11), Koji Sensaki12), Alan Kawarai Lefor13)

The Advanced Trauma Operative Management (ATOM) course is a one-day course combining didactic lectures with a live animal surgery laboratory providing trainees with the opportunity to practice the management of actual penetrating abdominal traumatic injuries and gain the skills needed for trauma surgery. This review covers several topics including the current activity of the Japanese ATOM, efficacy and controversial issues of the course, the new ATOM nursing course, and the relationship between military surgery and the ATOM course. Several reports have demonstrated the effectiveness of the ATOM course, which gives trainees self-confidence in performing trauma surgery. There are also some difficulties regarding the ATOM course, such as anatomical differences between humans and pigs, course logistics, and ethical issues. Recently, the ATOM nursing course was created and its effectiveness is being evaluated. After the start of the Iraq and Afghanistan wars, the importance of surgical management, especially damage control surgery, was elucidated, and military surgeons benefit from training in a live animal laboratory, such as the ATOM course. Finally, due to the number of mass shootings in the USA, the Hartford Consensus was established, which defined the role of police, fire departments, emergency medical services, and hospitals in response to mass shootings.

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