James K. Styner
On February 17, 1976, Styner was flying from Los Angeles, California to return home to Lincoln, Nebraska after attending a wedding. His wife, Charlene (32), and four children, Christopher (10), Richard (8), Randal (7), and Kimberly (3), were aboard the aircraft with him. Styner piloted a 6-seat Beach Barron twin. They flew east, and landed in New Mexico to refuel. They continued through Texas, Oklahoma, and Kansas. In Nebraska, they intercepted a low, thin cloud layer. Styner stayed below the clouds. At five hours into the flight he became disoriented and lost altitude. They flew over a pond and into a row of trees at 168 miles per hour. Charlene was torn from the airplane and killed instantly. Kimberly, Richard and Randal were unconscious from head injuries. Styner had fractured ribs and wounds to his head and face and a zygomatic fracture. His son Christopher had a fracture to the right forearm and a severe laceration to the right hand. The two of them were able to evacuate the unconscious children from the aircraft and after 8 hours in sub-freezing conditions, Styner went to a nearby road and flagged down a car, which brought them to a local hospital a few miles south.
The hospital was closed, and took some time to gather personnel to open up for the Styner patients. Once open, Dr. Styner found that the doctors at the hospital had little training in the management of serious trauma. He was particularly concerned that they did not make any attempt to protect the injured children's cervical spines. He called his partner Bruce Miller for help. Miller arranged for evacuation by helicopter to Lincoln General Hospital.
Advanced Trauma Life Support course
Styner was very concerned at the lack of a system for treating trauma in the rural setting. He said later* "When I can provide better care in the field with limited resources than my children and I received at the primary facility, there is something wrong with the system and the system has to be changed." He collaborated with several of his colleagues and in 1978 in Auburn, Nebraska the prototype Advanced trauma life support course was held.
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 advanced cardiac life support personnel and the Lincoln Medical Education Foundation, 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.
- The Birth of Advanced Trauma Life Support by James K. Styner, MD, Journal of Trauma Nursing, Vol. 13 No.2, April - June 2006
- Nottingham Evening Post July 5 2007