Rescue in Acute Care Surgery: Evolving Definitions and Metrics

AbstractPurpose of ReviewRescue is salvage of a patient after the development of a complication. This review describes the origins of this concept and provides an update on the factors influencing the ability to rescue acute care surgery (ACS) patients.Recent FindingsThe current literature on rescue in ACS reveals the complex interplay of patient and hospital characteristics that shape the development of complications and mortality during admission. Our unique patient population requires careful monitoring and timely intervention to achieve optimal outcomes. The definition of rescue in ACS patients is evolving based upon our understanding of preventability of adverse events and death, as well as the often emergent nature of our practice.SummarySurgical rescue is an essential component of the practice of Acute Care Surgery, encompassing the care of the injured patient, interventions for acute surgical pathology, and management of operative and procedural complications. The ability to rescue requires not only the skill of individual practitioners, but also the resources and commitment of entire institutions.

Source: Current Surgery Reports - January 22, 2018 Category: Surgery Source Type: research