Trauma and Emergency Surgery: An Evolutionary Direction for Trauma Surgeons

Lynette A. Scherer, Felix D. Battistella, Mark A. Malangoni, Charles E. Lucas, Joseph M. Van De Water, Christopher C. Baker, Rao R. Ivatury

Research output: Contribution to journalArticle

66 Scopus citations

Abstract

Background: The success of nonoperative management of injuries has diminished the operative experience of trauma surgeons. To enhance operative experience, our trauma surgeons began caring for all general surgery emergencies. Our objective was to characterize and compare the experience of our trauma surgeons with that of our general surgeons. Methods: We reviewed records to determine case diversity, complexity, time of operation, need for intensive care unit care, and payor mix for patients treated by the trauma and emergency surgery (TES) surgeons and elective practice general surgery (ELEC) surgeons over a 1-year period. Results: TES and ELEC surgeons performed 253 ± 83 and 234 ± 40 operations per surgeon, respectively (p = 0.59). TES surgeons admitted more patients and performed more after-hours operations than their ELEC colleagues. Both groups had a mix of cases that was diverse and complex. Conclusion: Combining the care of patients with trauma and general surgery emergencies resulted in a breadth and scope of practice for TES surgeons that compared well with that of ELEC surgeons.

Original languageEnglish (US)
Pages (from-to)7-12
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume56
Issue number1
StatePublished - Jan 2004

Keywords

  • Emergency surgery
  • General surgery
  • Trauma critical care
  • Trauma surgery

ASJC Scopus subject areas

  • Surgery

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    Scherer, L. A., Battistella, F. D., Malangoni, M. A., Lucas, C. E., Van De Water, J. M., Baker, C. C., & Ivatury, R. R. (2004). Trauma and Emergency Surgery: An Evolutionary Direction for Trauma Surgeons. Journal of Trauma - Injury, Infection and Critical Care, 56(1), 7-12.