29:
507:
This course is based around ATLS and allows the PHTLS-trained EMTs to work alongside paramedics and to transition smoothly into the care provided by the ATLS and ATCN-trained providers in the hospital. On March 22, 2013, the
American College of Surgeons Committee on Trauma renamed their annual Award for Meritorious Service in ATLS to the James K. Styner Award for Meritorious Service in honor of Styner's contributions to trauma care.
1522:
1534:
490:, produced the initial ATLS course which was held in 1978. In 1980, the American College of Surgeons Committee on Trauma adopted ATLS and began US and international dissemination of the course. Styner himself recently recertified as an ATLS instructor, teaching his Instructor Candidate course in Nottingham in the UK, July 2007, and then in the Netherlands.
447:
193:
The
American College of Surgeons Committee on Trauma has taught the ATLS course to over 1 million doctors in more than 80 countries. ATLS has become the foundation of care for injured patients by teaching a common language and a common approach. However, there is no high-quality evidence to show that
182:, especially outside North America. Its goal is to teach a simplified and standardized approach to trauma patients. Originally designed for emergency situations where only one doctor and one nurse are present, ATLS is now widely accepted as the standard of care for initial assessment and treatment in
389:
and physical examination, including the reassessment of all vital signs. Each region of the body must be fully examined. X-rays indicated by examination are obtained. If at any time during the secondary survey the patient deteriorates, another primary survey is carried out as a potential life threat
478:
of his children at the crash site. Styner had to flag down a car to transport him to the nearest hospital; upon arrival, he found it closed. Even once the hospital was opened and a doctor called in, he found that the emergency care provided at the small regional hospital where they were treated was
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is a quick method to determine the level of consciousness, and is predictive of patient outcome. If not done in the primary survey, it should be performed as part of the more detailed neurologic examination in the secondary survey. An altered level of consciousness indicates the need for immediate
339:
During the primary survey a basic neurological assessment is made, known by the mnemonic AVPU (alert, verbal stimuli response, painful stimuli response, or unresponsive). A more detailed and rapid neurological evaluation is performed at the end of the primary survey. This establishes the patient's
506:
has developed the
Prehospital Trauma Life Support (PHTLS) course for basic Emergency Medical Technicians (EMT)s and a more advanced level class for Paramedics. The International Trauma Life Support committee publishes the ITLS-Basic and ITLS-Advanced courses for prehospital professionals as well.
493:
Since its inception, ATLS has become the standard for trauma care in
American emergency departments and advanced paramedical services. Since emergency physicians, paramedics and other advanced practitioners use ATLS as their model for trauma care it makes sense that programs for other providers
502:. ATCN meets concurrently with ATLS and shares some of the lecture portions. This approach allows for medical and nursing care to be well-coordinated with one another as both the medical and nursing care providers have been trained in essentially the same model of care. Similarly, the
479:
inadequate and inappropriate. Upon returning to
Lincoln, Styner declared: "When I can provide better care in the field with limited resources than what my children and I received at the primary care facility, there is something wrong with the system and the system has to be changed"
186:. The premise of the ATLS program is to treat the greatest threat to life first. It also advocates that the lack of a definitive diagnosis and a detailed history should not slow the application of indicated treatment for life-threatening injury, with the most
384:
When the primary survey is completed, resuscitation efforts are well established, and the vital signs are normalizing, the secondary survey can begin. The secondary survey is a head-to-toe evaluation of the trauma patient, including a complete
426:(ATACC) is an international trauma course based in the United Kingdom that teaches an advanced trauma course and represents the next level for trauma care and trauma patient management post ATLS certification. Accredited by two
437:
In military medicine, the ATLS protocol has been modified to the
Battlefield Advanced Trauma Life Support (BATLS) protocol. The treatment procedure is cABCDE. Added c = Catastrophic bleeding (massive external bleeding).
236:. Airway adjuncts may be required. If the airway is blocked (e.g., by blood or vomit), the fluid must be cleaned out of the patient's mouth by the help of suctioning instruments. In the case of obstruction, pass an
406:
A careful and complete examination followed by serial assessments help recognize missed injuries and related problems, allowing a definitive care management. The rate of delayed diagnosis may be as high as 10%.
232:. If the patient is able to talk, the airway is likely to be clear. If the patient is unconscious, he/she may not be able to maintain his/her own airway. The airway can be opened using a chin lift or
474:. His wife Charlene was killed instantly and three of his four children, Ken, Randy, and Kim sustained critical injuries. His son Chris suffered a broken arm. He carried out the initial
202:
The first and key part of the assessment of patients presenting with trauma is called the primary survey. During this time, life-threatening injuries are identified and simultaneously
768:
Amal Mattu; Deepi Goyal; Barrett, Jeffrey W.; Joshua Broder; DeAngelis, Michael; Peter
Deblieux; Gus M. Garmel; Richard Harrigan; David Karras; Anita L'Italien; David Manthey (2007).
503:
331:
if this is not available, should be given. External bleeding is controlled by direct pressure. Occult blood loss may be into the chest, abdomen, pelvis or from the long bones.
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Upon returning to work, he set about developing a system for saving lives in medical trauma situations. Styner and his colleague Paul 'Skip' Collicott, with assistance from
430:
and numerous emergency services, the course runs numerous times per year for candidates drawn from all areas of medicine and trauma care. Specific injuries, such as major
360:
and drugs, including alcohol, may influence the level of consciousness. If these are excluded, changes in the level of consciousness should be considered to be due to
1358:
178:. Similar programs exist for immediate care providers such as paramedics. The program has been adopted worldwide in over 60 countries, sometimes under the name of
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announced that it was donating surgical simulators to ATLS training centers in 9 countries that agreed to switch from animal use to training on the simulators.
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Enderson BL, Reath DB, Meadors J, Dallas W, DeBoo JM, Maull KI.The tertiary trauma survey: a prospective study of missed injury.J Trauma. 1990 Jun;30(6):666-9
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The patient should be completely undressed, usually by cutting off the garments. It is imperative to cover the patient with warm blankets to prevent
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in the emergency department. Intravenous fluids should be warmed and a warm environment maintained. Patient privacy should be maintained.
803:
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2010:
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Mannequin surgical simulators are widely used in the United States as alternatives to the use of live animals in ATLS courses. In 2014,
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and tracheal deviation must be identified if present. The aim is to identify and manage six life-threatening thoracic conditions as
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Cervical spine stabilization is the first step, after that follow ABCD. The first stage of the primary survey is to
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905:"The Advanced Trauma Life Support course: a history of its development and review of related literature"
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ATLS improves patient outcomes as it has not been studied. If it were studied, this would be known.
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and placed on a firm mattress as soon as reasonably feasible as the spine board can rapidly cause
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and pain while a firm mattress provides equivalent stability for potential spinal fractures.
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is caused by significant blood loss. Two large-bore intravenous lines are established and
75:
981:
Croce, Martin; Livingston, David; Luchette, Frederick; Mackersie, Robert (Sep 13, 2013).
296:, tracheal deviation, penetrating injuries and bruising can be recognized by inspection.
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James Styner with three of his children who all received severe head trauma in the crash
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The Light of the Moon - Life, Death and the Birth of
Advanced Trauma Life Support
958:
The Light of the Moon - Life, Death and the Birth of
Advanced Trauma Life Support
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reevaluation of the patient's oxygenation, ventilation, and perfusion status.
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may be given. If the person does not respond to this, type-specific blood, or
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Bouillon B, Kanz KG, Lackner CK, Mutschler W, Sturm J (October 2004). "".
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American
Association for the Surgery of Trauma 75th Anniversary 1938-2013
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170:) is a training program for medical providers in the management of acute
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caring for trauma would be designed to interface well with ATLS. The
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Emergency medicine: avoiding the pitfalls and improving the outcomes
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has developed the Advanced Trauma Care for Nurses (ATCN) course for
987:. The American Association for the Surgery of Trauma. p. 164.
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856:"ABC to <C>ABC: redefining the military trauma paradigm"
721:"Advanced training in trauma life support for ambulance crews"
854:
Hodgetts, TJ; Mahoney, PF; Russell, MQ; Byers, M (Oct 2006).
670:
Jayaraman, S; Sethi, D; Chinnock, P; Wong, R (Aug 22, 2014).
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piloting a light aircraft, crashed his plane into a field in
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is the predominant cause of preventable post-injury deaths.
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may be present. The person should be removed from the hard
672:"Advanced trauma life support training for hospital staff"
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833:
462:
ATLS has its origins in the United States in 1976, when
1025:(8th ed.). Chicago: American College of Surgeons.
1023:
ATLS: Advanced Trauma Life Support Program for Doctors
804:"PETA's Donation to Help Save Lives, Animal and Human"
772:. Malden, Mass: Blackwell Pub./BMJ Books. p. 60.
581:"Advanced Trauma Life Support ATLS Provider Programme"
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injury, may be better managed by other more programs.
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National Association of Emergency Medical Technicians
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for the order in which problems should be addressed.
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308:can be recognized by percussion and auscultation.
1019:Committee on Trauma, American College of Surgeons
340:level of consciousness, pupil size and reaction,
719:Jayaraman, S; Sethi, D; Wong, R (Aug 21, 2014).
1359:International Federation for Emergency Medicine
1363:International Conference on Emergency Medicine
1681:Focused assessment with sonography for trauma
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1116:
8:
1379:Canadian Association of Emergency Physicians
1485:Care of the Critically Ill Surgical Patient
1374:Australasian College for Emergency Medicine
725:The Cochrane Database of Systematic Reviews
676:The Cochrane Database of Systematic Reviews
542:Care of the Critically Ill Surgical Patient
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961:. Kindle Books: Kindle Books. p. 267.
458:The Beechcraft Baron Plane after the crash
248:The chest must be examined by inspection,
1052:(1 ed.). Kindle Books. p. 364.
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1369:American College of Emergency Physicians
1074:American College of Surgeons, About ATLS
537:Battlefield Advanced Trauma Life Support
300:can be recognized by palpation. Tension
1389:European Society for Emergency Medicine
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948:
572:
1399:American Academy of Emergency Medicine
830:"Anaesthesia Trauma and Critical Care"
18:
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1394:Asian Society for Emergency Medicine
971:Nottingham Evening Post-July 5, 2007
488:Lincoln Medical Education Foundation
424:Anaesthesia Trauma and Critical Care
2011:Acute respiratory distress syndrome
1479:Advanced Life Support in Obstetrics
1384:Royal College of Emergency Medicine
802:McNeil, Donald (13 January 2014).
552:List of emergency medicine courses
368:Exposure and environmental control
14:
1084:Definitive Surgical Trauma Skills
547:Definitive Surgical Trauma Skills
312:Circulation with bleeding control
180:Early Management of Severe Trauma
156:Fundamental critical care support
16:American medical training program
2016:Chronic traumatic encephalopathy
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1176:International emergency medicine
650:The American College of Surgeons
335:Disability/Neurologic assessment
116:and other advanced practitioners
27:
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1473:Pediatric Advanced Life Support
1186:Pre-hospital emergency medicine
1079:Advanced Trauma Care for Nurses
557:Pediatric Advanced Life Support
190:interventions performed early.
152:Pediatric advanced life support
2067:Post-traumatic stress disorder
1461:Acute Care of at-Risk Newborns
1455:Neonatal Resuscitation Program
737:10.1002/14651858.CD003109.pub3
688:10.1002/14651858.CD004173.pub4
1:
1443:Advanced cardiac life support
1426:Cardiopulmonary resuscitation
522:Advanced Cardiac Life Support
484:advanced cardiac life support
206:is begun. A simple mnemonic,
148:Advanced cardiac life support
1708:Advanced trauma life support
1676:Diagnostic peritoneal lavage
1467:Pediatric basic life support
1449:Advanced trauma life support
1432:Mouth-to-mouth resuscitation
1181:Pediatric emergency medicine
909:Postgraduate Medical Journal
176:American College of Surgeons
164:Advanced trauma life support
100:American College of Surgeons
44:Advanced trauma life support
22:Advanced trauma life support
2134:
2103:Emergency medicine courses
1151:Emergency medical services
860:Emergency Medicine Journal
221:
124:3 days (for hybrid course)
1749:Resuscitative thoracotomy
1637:Clinical prediction rules
1515:
615:10.1007/s00113-004-0847-2
585:Royal College of Surgeons
244:Breathing and ventilation
26:
1645:Abbreviated Injury Scale
1326:Epinephrine / Adrenaline
921:10.1136/pgmj.2004.021543
496:Society of Trauma Nurses
364:until proven otherwise.
174:cases, developed by the
1876:Penetrating head injury
1871:Intracranial hemorrhage
872:10.1136/emj.2006.039610
78:, Paul 'Skip' Collicott
2108:Emergency life support
2072:Subcutaneous emphysema
2031:Volkmann's contracture
1881:Traumatic brain injury
1718:Early appropriate care
1713:Damage control surgery
1048:Styner, Randy (2012).
955:Styner, Randy (2012).
459:
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362:traumatic brain injury
298:Subcutaneous emphysema
262:Subcutaneous emphysema
1846:Thoracic aorta injury
1806:Diaphragmatic rupture
1650:Injury Severity Score
1620:Trauma triad of death
1507:Injury Severity Score
1278:Nasopharyngeal airway
1251:Intraosseous infusion
527:Advanced Life Support
457:
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2021:Compartment syndrome
1660:Revised Trauma Score
1284:Oropharyngeal airway
1161:Emergency psychiatry
1146:Emergency department
325:crystalloid solution
110:emergency physicians
2113:Medical credentials
1856:Blunt kidney trauma
1826:Pulmonary contusion
1263:Tracheal intubation
1257:Intravenous therapy
903:Carmont MR (2005).
286:Pulmonary Contusion
36:General information
1970:Spinal cord injury
1929:Penetrating trauma
1796:Soft tissue injury
1437:Basic life support
1341:Sodium bicarbonate
1139:Emergency medicine
1132:Emergency medicine
1094:2014-07-02 at the
808:The New York Times
644:Rotondo, Michael.
532:Basic Life Support
486:personnel and the
468:orthopedic surgeon
460:
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353:Glasgow Coma Scale
346:spinal cord injury
342:lateralizing signs
266:Airway Obstruction
218:Airway maintenance
2118:Medical mnemonics
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1836:Cardiac tamponade
1791:Joint dislocation
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1336:Magnesium sulfate
1245:Electrocardiogram
1171:Medical emergency
1156:Emergency nursing
1032:978-1-880696-31-6
779:978-1-4051-4166-6
603:Der Unfallchirurg
500:registered nurses
321:Hypovolemic shock
290:Cardiac Tamponade
278:Open Pneumothorax
238:endotracheal tube
230:assess the airway
224:airway management
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1991:Pediatric trauma
1986:Geriatric trauma
1950:Abdominal trauma
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609:(10): 844–50.
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517:ABC (medicine)
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428:Royal Colleges
422:Additionally,
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396:skin breakdown
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222:Main article:
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198:Primary survey
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184:trauma centers
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2077:Wound healing
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2004:Complications
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1960:Facial trauma
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1924:Gunshot wound
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1196:Trauma center
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605:(in German).
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2098:Traumatology
1955:Chest injury
1914:Crush injury
1904:Blunt trauma
1899:Blast injury
1821:Pneumothorax
1707:
1605:Traumatology
1600:Major trauma
1531:
1519:
1448:
1413:Life support
1191:Major trauma
1049:
1022:
998:. Retrieved
983:
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863:
859:
849:
838:. Retrieved
834:the original
824:
812:. Retrieved
807:
797:
788:
769:
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728:
724:
714:
679:
675:
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653:. Retrieved
649:
646:"About ATLS"
639:
606:
602:
584:
575:
492:
481:
461:
436:
421:
414:
411:Alternatives
405:
383:
371:
358:Hypoglycemia
350:
338:
315:
302:Pneumothorax
270:Pneumothorax
258:auscultation
247:
227:
201:
192:
179:
167:
163:
162:
137:Additionally
106:Participants
49:Abbreviation
2026:Contracture
1979:Demographic
1965:Head injury
1811:Flail chest
1733:Trauma team
1290:Pocket mask
1166:Golden hour
1000:2 September
655:1 September
562:Trauma team
392:spine board
374:hypothermia
306:Haemothorax
294:Flail chest
282:Flail chest
274:Haemothorax
91:Description
2092:Categories
1934:Stab wound
1816:Hemothorax
1742:Procedures
1701:Principles
1694:Management
1655:NACA score
1629:Assessment
1595:Polytrauma
1588:Principles
1502:NACA score
1311:Amiodarone
1225:Chest tube
1089:About ATLS
840:2018-10-03
568:References
329:O-negative
317:Hemorrhage
272:, Massive
268:, Tension
254:percussion
234:jaw thrust
114:paramedics
1892:Mechanism
1786:Degloving
1421:First aid
1306:Adenosine
1273:Combitube
1247:(ECG/EKG)
1211:Equipment
1041:22228190M
250:palpation
129:Frequency
96:Organizer
2050:Embolism
1526:Category
1487:(CCrISP)
1331:Naloxone
1321:Dopamine
1316:Atropine
1092:Archived
1021:(2008).
939:15701739
890:16988297
755:25144654
706:25146524
631:36286887
623:15452655
511:See also
472:Nebraska
212:mnemonic
121:Duration
72:Inventor
62:Medicine
1832:Cardio
1538:Outline
1463:(ACoRN)
1409:Courses
930:1743195
881:2579588
814:9 March
746:6492494
697:7184315
442:History
387:history
348:level.
67:History
1943:Region
1867:Neuro
1770:Injury
1610:Triage
1581:Trauma
1481:(ALSO)
1475:(PALS)
1469:(PBLS)
1451:(ATLS)
1445:(ACLS)
1201:Triage
1056:
1039:
1029:
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694:
629:
621:
476:triage
344:, and
172:trauma
1802:Resp
1457:(NRP)
1439:(BLS)
1428:(CPR)
1299:Drugs
1286:(OPA)
1280:(NPA)
1221:(BVM)
627:S2CID
466:, an
208:ABCDE
58:Field
41:Names
1909:Burn
1777:MSK
1259:(IV)
1253:(IO)
1054:ISBN
1027:ISBN
1002:2020
989:ISBN
935:PMID
886:PMID
816:2015
774:ISBN
751:PMID
729:2014
702:PMID
680:2014
657:2020
619:PMID
432:burn
417:PETA
351:The
304:and
288:and
256:and
168:ATLS
86:1978
52:ATLS
2060:fat
2055:air
1852:GI
1239:ICD
1234:AED
925:PMC
917:doi
876:PMC
868:doi
741:PMC
733:doi
692:PMC
684:doi
611:doi
607:107
2094::
1411:/
1037:OL
1035:.
947:^
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593:^
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166:(
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
