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The Advanced Life Support in Obstetrics (ALSO®) Program: Fourteen Years of Progress

Published online by Cambridge University Press:  28 June 2012

John W. Beasley ,
Lee T. Dresang ,
Diana B. Winslow  and
James R. Damos
John W. Beasley*
Affiliation:
University of Wisconsin Department of Family Medicine, Madison, Wisconsin, USA
Lee T. Dresang
Affiliation:
University of Wisconsin Department of Family Medicine, Milwaukee, Wisconsin, USA
Diana B. Winslow
Affiliation:
American Academy of Family Physicians, ALSO® Program, Leawood, Kansas, USA
James R. Damos
Affiliation:
St. Marys/Dean Venture-Baraboo and University of Wisconsin-Madison, Baraboo Family Medicine Rural Training Program, Baraboo, WisconsinUSA
*
University of Wisconsin Department of Family Medicine, 777 South Mills Street Madison, WI 53715, USA E-mail: john.beasley@fammed.wisc.edu
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Abstract

Background:

The Advanced Life Support in Obstetrics (ALSO®) program is a highly structured, evidence-based, two-day course designed to provide healthcare professionals with the knowledge and skills to manage the emergency conditions that can occur during childbirth.

Objectives:

To document the number of ALSO®-trained clinicians and instructors in the United States and internationally and to promote ALSO® training among prehospital and disaster medicine professionals.

Methods:

Records maintained by the American Academy of Family Physicians (AAFP) for each country where ALSO® is taught were reviewed for: (1) the years and locations of the ALSO® courses; (2) the number of ALSO®-trained caregivers; and (3) the number of ALSO® instructors.

Results:

Between 1991 and 2005, 54,071 ALSO®-trained caregivers and 2,251 instructors have completed provider and instructor ALSO® courses in 25 countries. Of these, 17,755 caregivers and 1,220 instructors are from outside the United States.

Conclusion:

The ALSO® program is a popular, multi-disciplinary course for preparing maternity caregivers to manage obstetric emergencies. Limited evidence suggests it can be effective and efficient in enhancing the knowledge and skills of prehospital and disaster medicine clinicians. Hong Kong provides a model in which emergency physicians have taken the lead in promoting the ALSO® course. As the ALSO® program expands, additional research is needed to assess its impact on educational and health outcomes.

Keywords

advanced life supporteducationemergency carefamily medicineobstetrics
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 20 , Issue 4 , August 2005 , pp. 271 - 275
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

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References

1Beasley, JW, Byrd, JE, Damos, JR et al,: Advanced life support in obstetrics course. Am Fam Phys 1993;47:579–580.Google ScholarPubMed
2Deutchman, M, Carter, CJ, Apgar, B: The ALSO® article series. Am Fam Physician 2004;69(7):1610,1612–1613.Google ScholarPubMed
3Taylor, HA: Providing the Advanced Life Support in Obstetrics course within the military family practice training system. Military Medicine 1996; 161:696–700.CrossRefGoogle ScholarPubMed
4Beasley, JW, Damos, JR, Roberts, RG, Nesbitt, TS: The advanced life support in obstetrics course: A national program to enhance obstetric emergency skills and to support maternity care practice. Arch Fam Med 1994;3: 1037–1041.CrossRefGoogle ScholarPubMed
5Dresang, LT, Rodney, WM, Leeman, L et al,:Advanced life support in obstetrics in Ecuador: Teaching the teachers. J Am Board Fam Pract 2004;17(4): 276–282.CrossRefGoogle ScholarPubMed
6Taylor, HA, Kiser, WR: Reported comfort with obstetrical emergencies before and after participation in the Advanced Life Support in Obstetrics (ALSO) course. Fam Med 1998;30:103–107.Google ScholarPubMed
7Bower, DJ, Wolkomir, MS, Schubot, DB: The effects of the ALSO® course as an educational intervention for residents. Fam Med 1997;28:187–193.Google Scholar
8Lewis, P: The Advanced Life Support in Obstetrics course. Mod Midwife 1996;6(12):17–19.Google ScholarPubMed
9Baxley, EG, Gobbo, RW: Shoulder dystocia. Am Fam Physician 2004;69(7):1707.Google ScholarPubMed
10Etches, D, Klein, M, Handfield-Jones, R: Advanced Life Support in Obstetrics. Practical approaches to obstetric emergencies. Can Fam Physician 1998;44:2480–2481.Google ScholarPubMed
11Lomax, A: ALSO®: The Advanced Life Support in Obstetrics course. Midwives 1997;110(1314):176–177.Google ScholarPubMed
12Cline, MK, Taylor, H, Baxley, EG (ed): Advanced Life Support in Obstetrics Instructor Manual. Shawnee Mission (KS): American Academy of Family Physicians 2002:1–175.Google Scholar
13American Academy of Family Physicians: AAFP Five Year Business Review (1993–1998). Kansas City, MO: American Academy of Family Physicians, June; 1998.Google Scholar
14Williams, MJ, Lockey, AS, Culshaw, MC: Improved trauma management with Advanced Trauma Life Support (ATLS) training. J Accident and Emergency Medicine 1997;14:81–83.CrossRefGoogle ScholarPubMed
15Ali, J, Cohen, RJ, Gana, TJ, Al-Bedah, KF: Effect of the Advanced Trauma Life Support program on medical students' performance in simulated trauma patient management. J Trauma 1998;44:588–591.CrossRefGoogle ScholarPubMed
16Kurrek, MM, Devitt, JH, Cohen, M: Cardiac arrest in the OR: How are our ACLS skills? Can J Anaesthesia 1998;45:130–132.CrossRefGoogle ScholarPubMed
17Ali, J, Howard, M: The Advanced Trauma Life Support program in Manitoba: A 5-year review. Can J Surg 1993;36:181–183.Google ScholarPubMed
18Camp, BN, Parish, DC, Andrews, RH: Effect of Advanced Cardiac Life Support training on resuscitation efforts and survival in a rural hospital. Ann Emer Med 1997;29:529–533.CrossRefGoogle Scholar
19Kacsorowski, J, Levitt, C., Hammond, M, et al: Retention of neonatal resuscitation skills and knowledge: A randomized controlled trial. Fam Med 1998;30:705–711.Google Scholar
20Taylor, HW, Hansen, GH: Perceived characteristics of successful family practice maternity care training programs. Fam Med 1997;29:709–714.Google ScholarPubMed