Advanced Rescue Life Support (ARLS) is a course of training in what we call Technical Rescue Medicine.
Technical Rescue Medicine differs from Tactical Emergency Medicine, in that, while the environment is equally dangerous, the ARLS provider is trained to function in a "stay and play" mode, rather than the "scoop and run" mode of tactical teams.
The ARLS trained provider is comfortable providing care in a variety of circumstances unique to the technical rescue/heavy rescue situation.
Technical Medicine requires a different body of knowledge, a different mindset, and a different skill set than any other medical specialty.
ARLS provides intensive training, with a knowledge base and particular methods for the difficult and often unusual patient care scenarios encountered in the rescue environment. ARLS complements and exceeds the training provided in courses such as Disaster Medical Specialist or USAR Medical Specialist. ARLS skills may be practically applied to every patient care scenario at the rescue site, and focuses on the more common rescue situation with less than 5 victims, rather than the "stuff hits the fan" disaster courses. It's skills and information you can use from the entrapped auto accident victim to the person who fell down the ravine.
Medics trained in ARLS provide advanced care on the rescue scene, where conventional EMS may be out of their comfort zone.
Proficiency in rescue medicine eliminates the need to rush to get the patient out, and allows advanced, specialized medical care at the site of the rescue prior to extrication, utilizing your current medical protocols. Having providers trained in ARLS also eliminates placing both rescuers and victims at risk from well meaning, but untrained, providers attending to them on the rescue ground.
Advanced Rescue Life Support trains the Medical Special Operator to be a Technical Medicine Specialist, supplying them with the knowledge and skills required to provide exceptional patient care in specialty rescue situations.