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Trauma and the acute care surgery model – should it embrace or replace general surgery?

The specialties dealing with emergency medicine and emergency surgery are in need for a new roadmap. While the medical and surgical management of emergency conditions very often go hand-in-hand, issues relating to emergency and trauma surgery have particular concerns, which are global in magnitude....

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Autor principal: Søreide, Kjetil
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646681/
https://www.ncbi.nlm.nih.gov/pubmed/19193218
http://dx.doi.org/10.1186/1757-7241-17-4
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author Søreide, Kjetil
author_facet Søreide, Kjetil
author_sort Søreide, Kjetil
collection PubMed
description The specialties dealing with emergency medicine and emergency surgery are in need for a new roadmap. While the medical and surgical management of emergency conditions very often go hand-in-hand, issues relating to emergency and trauma surgery have particular concerns, which are global in magnitude. Obviously, choosing a career dealing (solely) with emergencies and trauma is associated with concerns related to lifestyle issues and, for surgeons, maintenance of adequate operative experience with the increased non-operative management. Also, dealing with patients' whose outcome may be dismal with high associated morbidity and mortality is often not viewed as rewarding. The global flux of medical students away from general surgical training and trauma surgery in particular is an example of how recruitment to specialties dealing with uncomfortable, unpredictable, and "out-of-office-hours" work may be in dire straits. How surgeons around the world will deal with this challenge will likely be diverse and tailored according to the needs of any given region, be it North America, Europe, or Scandinavia. However, refurnishing the training in General Surgery in order to ensure proper care for acute surgical illness and trauma appears mandated in order to keep in line with the centennial words of Halstead that "every important hospital should have on its resident staff of surgeons at least one who is well and able to deal with any emergency that may arise".
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spelling pubmed-26466812009-02-24 Trauma and the acute care surgery model – should it embrace or replace general surgery? Søreide, Kjetil Scand J Trauma Resusc Emerg Med Commentary The specialties dealing with emergency medicine and emergency surgery are in need for a new roadmap. While the medical and surgical management of emergency conditions very often go hand-in-hand, issues relating to emergency and trauma surgery have particular concerns, which are global in magnitude. Obviously, choosing a career dealing (solely) with emergencies and trauma is associated with concerns related to lifestyle issues and, for surgeons, maintenance of adequate operative experience with the increased non-operative management. Also, dealing with patients' whose outcome may be dismal with high associated morbidity and mortality is often not viewed as rewarding. The global flux of medical students away from general surgical training and trauma surgery in particular is an example of how recruitment to specialties dealing with uncomfortable, unpredictable, and "out-of-office-hours" work may be in dire straits. How surgeons around the world will deal with this challenge will likely be diverse and tailored according to the needs of any given region, be it North America, Europe, or Scandinavia. However, refurnishing the training in General Surgery in order to ensure proper care for acute surgical illness and trauma appears mandated in order to keep in line with the centennial words of Halstead that "every important hospital should have on its resident staff of surgeons at least one who is well and able to deal with any emergency that may arise". BioMed Central 2009-02-04 /pmc/articles/PMC2646681/ /pubmed/19193218 http://dx.doi.org/10.1186/1757-7241-17-4 Text en Copyright © 2009 Søreide; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Commentary
Søreide, Kjetil
Trauma and the acute care surgery model – should it embrace or replace general surgery?
title Trauma and the acute care surgery model – should it embrace or replace general surgery?
title_full Trauma and the acute care surgery model – should it embrace or replace general surgery?
title_fullStr Trauma and the acute care surgery model – should it embrace or replace general surgery?
title_full_unstemmed Trauma and the acute care surgery model – should it embrace or replace general surgery?
title_short Trauma and the acute care surgery model – should it embrace or replace general surgery?
title_sort trauma and the acute care surgery model – should it embrace or replace general surgery?
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646681/
https://www.ncbi.nlm.nih.gov/pubmed/19193218
http://dx.doi.org/10.1186/1757-7241-17-4
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