The Acute Care Surgery Model in the World, and the Need for and Implementation of Trauma and Emergency Surgery Units in Spain

Publication date: Available online 22 January 2019Source: Cirugía Española (English Edition)Author(s): José Manuel Aranda-Narváez, Luis Tallón-Aguilar, José Antonio López-Ruiz, Felipe Pareja-Ciuró, José María Jover-Navalón, Fernando Turégano-Fuentes, Salvador Navarro-Soto, José Ceballos-Esparragón, Lola Pérez-DíazAbstractThe Acute Care Surgery model groups trauma and emergency surgery with surgical critical care. Conceived and extended during the last 2 decades throughout North America, the magnitude and clinical idiosyncrasy of emergency general surgery have determined that this model has been expanded to other parts of the world. In our country, this has led to the introduction and implementation of the so-called trauma and emergency surgery units, with common objectives as those previously published for the original model: to decrease the rates of emergency surgery at night, to allow surgeons linked to elective surgery to develop their activity in their own disciplines during the daily schedule, and to become the perfect link and reference for the continuity of care. This review summarizes how the original model was born and how it expanded throughout the world, providing evidence in terms of results and a description of the current situation in our country.ResumenEl modelo Acute Care Surgery agrupa bajo una misma disciplina el trauma, la cirugía de urgencias y los cuidados intensivos posquirúrgicos. Concebido y extendido durante las 2 últimas décadas p...
Source: Cirugia Espanola - Category: Surgery Source Type: research