Waiving the ATLS requirement in favor of CALS or RTTDC

Level IV Trauma Care Facilities only

May 2006

 

 

1.     The winter of 2006, the State Trauma Advisory Council (STAC) recommended to the Department of Health and Family Services (DHFS), Bureau of Local Health Support and EMS that all Level IV trauma care facilities be able to substitute the ATLS requirement with either the Comprehensive Advanced Life Support (CALS) or the Rural Trauma Team Development (RTTDC) course.  DHFS has agreed to this recommendation.

 

2.     Currently the Trauma Care System Administrative Rules, Chapter 118 states "Level III and Level IV Trauma Care Facility physicians involved in the care of trauma patients shall take the Advanced Trauma Life Support (ATLS) Course and the refresher course every four years to meet CME requirements.  If a physician currently is Emergency Medicine Board Certified, ATLS course only need to be completed once."  The Trauma Care Facility (TCF) has three years from their original designation date or three years from the physician joining the trauma team to successfully complete the course.

 

3.     The Administrative Rule will need to be opened and changed which is a long process.  DHFS has agreed to waive the ATLS requirement and allow CALS or RTTDC to serve as a substitute for ATLS.  What this means for you is:

 

A.     In the Level IV's only, the physicians that apply to this rule, may take either the CALS or the RTTDC course, in place of ATLS, however this must be accomplished in the same time line, within the three years from the original designation date. This means most of the TCFs must have one of these courses completed by the summer of 2008. 

B.      In order to be waived from ATLS, each trauma care facility interested in taking the CALS or RTTDC in place of ATLS must submit a written letter sent by mail. (No electronic or faxing permitted).

C.     The recommended language may be to the effect of - "Our trauma care facility is requesting to be waived from the ATLS requirement in the Trauma Care System Administrative Rule Chapter 118, that is to be completed three years after our original designation.  The reason for this request is _________(State here why the ATLS is a hardship for your physicians).  We understand we must complete either the ATLS, CALS or the RTTDC course within the three years from our original designation date."

This is just to assist you - feel free to word the letter the way you so choose.  This must come from your CEO/President.

 

D.     Please address the inside part of the letter to:

     

Dan Williams, Chief

Bureau of LHS and EMS

PO 2659, 1 West Wilson Street

Madison, WI  53701-2659

 

However, this must be sent to me at:

DHFS

Attn:  Marianne Peck

State Trauma Care System Coordinator

Bureau of LHS & EMS

PO 2659, 1 West Wilson Street

Madison, WI  53701-2659

 

Note:  The Bureau of LHS and EMS and the STAC still highly recommend that all physicians caring for the trauma care patient should have ATLS at least once.  It is the national standard.

Also - both CALS and RTTDC are fairly new to Wisconsin.  It will take some time for those courses to be more widely available.  In the meantime you are welcome to come to the STAC meetings which are open for everyone which will give you an opportunity to ask questions.  The meeting times and places are listed on our website at:

http://dhfs.wisconsin.gov/ems

 

                     If you have questions about this - please address them to

                     Marianne Peck at:  608-266-0601 or peckme@dhfs.state.wi.us