Top

Published in:

08-05-2023 | Basic Surgery | Focus - Institution and Surgeons

Trauma and Emergency Surgery: Conceptual Framework, Dedicated Distinctiveness, and Dignification

Authors: Sunil Jain, Ashok Puranik

Published in: Indian Journal of Surgery | Issue 1/2024

Abstract

The specialties dealing with emergency medicine and emergency surgery are at crossroads. There is a need for right directions, rationale plan, and reflective identity. Currently, trauma surgery has gradually evolved into Acute Care Surgery (ACS). Trauma care has seen neglect, attention, attenuation, and timely advances tact. Emergency General Surgery is an excellent target for quality improvement projects. Integrating emergency surgery and trauma surgery, a new subspecialty, ‘Acute Care Surgery’, emerged. Progressive perspective requires study of what is happening worldwide. Best education is excellent beginning. The ‘Halsted Training Model’ is all good, for all times. It needs to be expanded to meet the trauma and emergency surgery needs. We propose the ‘3SCs’ (Supervised capabilities, Scientific concepts, Skillful competency) model, for outstanding and unique patient care and academic training. This will ensure dedicated distinctiveness. With worldwide safety and peace measures bearing fruits, emergencies should take precedence and meet public’s expectance, with the essence of surgeon’s roles. The terminology use we are proposing is ‘Trauma and Emergency Surgery’, with advantages for the public, policy makers, and professionals.

Department of Surgery, Johns Hopkins Medicine. History. https://www.hopkinsmedicine.org/surgery/about/history.html. Accessed 06 Feb 2023

Polavarapu HV, Kulaylat AN, Sun S, Hamed OH (2013) 100 years of surgical education: the past, present, and future. Bull Am Coll Surg 98(7):22–27PubMed

Wright JR Jr, Schachar NS (2020) Necessity is the mother of invention: William Stewart Halsted’s addiction and its influence on the development of residency training in North America. Can J Surg 63(1):E13–E19. https://doi.org/10.1503/cjs.003319CrossRefPubMedCentral

Søreide K (2009) Trauma and the acute care surgery model–should it embrace or replace general surgery? Scand J Trauma Resusc Emerg Med 4(17):4. https://doi.org/10.1186/1757-7241-17-4CrossRef

Søreide K (2007) Acute care surgery on the Scandinavian agenda. Scand J Trauma Resusc Emerg Med 15(2):66–67

Castren M (2008) Scandinavian emergency medicine – a toddler steadily walking but still not running. Scand J Trauma Resusc Emerg Med 16(1):6CrossRefPubMedPubMedCentral

Exadaktylos AK, Velmahos GC (2008) Emergency medicine and acute care surgery: a modern “Hansel and Gretel” fairytale? Emerg Med J 25(6):321–322. https://doi.org/10.1136/emj.2008.058396CrossRefPubMed

Tai NR, Ryan JM, Brooks AJ (2006) The neglect of trauma surgery. BMJ 332(7545):805–806. https://doi.org/10.1136/bmj.332.7545.805CrossRefPubMedPubMedCentral

The American Association for the Surgery of Trauma. of Acute Care Surgery. https://www.aast.org/acute-care-surgery-overview. Accessed 06 Feb 2023

10.

Gaston SR (1971) Accidental death and disability: the neglected disease of modern society. A progress report. J Trauma 11:195–206CrossRefPubMed

11.

Hoyt DB, Kim HD, Barrios C (2008) Acute care surgery: a new training and practice model in the United States. World J Surg 32:1630–1635. https://doi.org/10.1007/s00268-008-9576-yCrossRefPubMed

12.

Engelhardt S, Hoyt D, Coimbra R, Fortlage D, Holbrook T (2001) The 15-year evolution of an urban trauma center: what does the future hold for the trauma surgeon? J Trauma 51(4):633–7; discussion 637–8. https://doi.org/10.1097/00005373-200110000-00002

13.

Mathur S, Goo TT, Tan TJ, Tan KY, Mak KS (2016) Changing models of care for emergency surgical and trauma patients in Singapore. Singapore Med J 57(6):282–286. https://doi.org/10.11622/smedj.2016101CrossRefPubMedPubMedCentral

14.

Martin RS, Meredith JW (2017) Management of Acute Trauma. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL (eds) Sabiston textbook of surgery: the biological basis of modern surgical practice, 20th edn. Elsevier, Philadelphia, pp 408–448

15.

Jain S, Puranik A (2022) General surgery: requirements, rationale, and robust results. Surg J (N Y) 8(4):e342–e346. https://doi.org/10.1055/s-0042-1758659CrossRefPubMed

16.

Jain S, Chandra N, Thapar RK (2019) Paediatric surgery experiences of a tertiary referral hospital: international classification of diseases spectrum for teaching, planning, & scaling up services. Indian J Child Health 6(6):313–319. https://doi.org/10.32677/IJCH.2019.v06.i06.013CrossRef

17.

Jain S, Thapar RK (2020) Emphasizing the hygiene and health: effects, experiences, and expertise of “Clean India Campaign” from a tertiary care hospital challenges in disease and health research, vol 2. Book Publisher International, Hooghly/London, pp 123–34. https://doi.org/10.9734/bpi/cdhr/v2 (eBook)

18.

The American College of Surgeons. How many years of postgraduate training do surgical residents undergo? https://www.facs.org/for-medical-professionals/education/online-guide-to-choosing-a-surgical-residency/guide-to-choosing-a-surgical-residency-for-medical-students/faqs/training/. Accessed 06 Feb 2023

19.

McIlhenny C, Kurashima Y, Chan C, Hirano S, Domínguez-Rosado I, Stefanidis D (2018) General surgery education across three continents. Am J Surg 215(2):209–213. https://doi.org/10.1016/j.amjsurg.2017.12.002CrossRefPubMed

20.

Ito Y (2008) Surgical Education and Postgraduate Training in Japan. World J Surg 32:2134–2137. https://doi.org/10.1007/s00268-008-9638-1CrossRefPubMed

21.

Sakamoto H, Rahman M, Nomura S et al (2018) Japan health system review. World Health Organization, Regional Office for South- East Asia, New Delhi. https://apps.who.int/iris/handle/10665/259941

22.

NMC (POSTGRADUATE MEDICAL EDUCATION BOARD). Teachers eligibility qualifications in medical institutions regulations, 2022. https://www.nmc.org.in/wp-content/uploads/2022/02/TEACHERS%20ELIGIBILITY%20QUALIFICATIONS.pdf. Accessed 06 Feb 2023

23.

Kumar S (2021) Editorial: Trauma and emergency surgery—a career with passion. Indian J Surg 83(Suppl 1):1–2. https://doi.org/10.1007/s12262-021-02940-wCrossRef

24.

Bordage G (2009) Conceptual frameworks to illuminate and magnify. Med Educ 43(4):312–319. https://doi.org/10.1111/j.1365-2923.2009.03295.xCrossRefPubMed

25.

Agha RA, Fowler AJ (2015) The role and validity of surgical simulation. Int Surg 100(2):350–357. https://doi.org/10.9738/INTSURG-D-14-00004.1CrossRefPubMedPubMedCentral

26.

Badash I, Burtt K, Solorzano CA, Carey JN (2016) Innovations in surgery simulation: a review of past, current and future techniques. Ann Transl Med 4(23):453. https://doi.org/10.21037/atm.2016.12.24CrossRefPubMedPubMedCentral

27.

Stefanidis D, Sevdalis N, Paige J, Zevin B, Aggarwal R, Grantcharov T, Jones DB, Association for surgical education simulation committee (2015) Simulation in surgery: what’s needed next? Ann Surg 261(5):846–53. https://doi.org/10.1097/SLA.0000000000000826CrossRefPubMed

28.

Chawla V, Aggarwal R, Goyal K et al (2023) Implementing a nationwide simulation-based training program in managing sick surgical patients. Indian J Surg. https://doi.org/10.1007/s12262-023-03740-0CrossRef

29.

NMC. Guidelines for competency based postgraduate training programme for MS in traumatology & surgery. https://www.nmc.org.in/wp-content/uploads/2019/09/MS-Traumatology-surgery.pdf. Accessed 06 Feb 2023

30.

Pérez-Fuentes MDC, Herera-Peco I, MoleroJurado MDM, Oropesa Ruiz NF, Ayuso-Murillo D, Gázquez Linares JJ (2019) The development and validation of the Healthcare Professional Humanization Scale (HUMAS) for nursing. Int J Environ Res Public Health 16(20):3999. https://doi.org/10.3390/ijerph16203999CrossRefPubMedPubMedCentral

31.

Markowiak S, Merrick H, Beroukhim S, Laukka JJ, Lightner A, Nazzal M et al (2019) Leadership in surgery. In: Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Kao LS et al (eds) Schwartz’s Principles of Surgery, 11th edn. McGraw-Hill Education, New York, pp 3–25

32.

Brunicardi FC (1999) Presidential Address. Academic program development. J Surg Res 83(1):1–6CrossRefPubMed

33.

Bohl JL, Sobba K (2015) Indications and options for surgery in ulcerative colitis. Surg Clin North Am 95(6):1211–32, vi. https://doi.org/10.1016/j.suc.2015.07.003

34.

Jain S, Dewey RS (2021) The role of “Special Clinics” in imparting clinical skills: medical education for competence and sophistication. Adv Med Educ Pract 12:513–518. https://doi.org/10.2147/AMEP.S306214CrossRefPubMedPubMedCentral

Title: Trauma and Emergency Surgery: Conceptual Framework, Dedicated Distinctiveness, and Dignification
Authors: Sunil Jain
Ashok Puranik
Publication date: 08-05-2023
Publisher: Springer India
Keywords: Basic Surgery
Emergency Medicine
Care
Published in: Indian Journal of Surgery / Issue 1/2024
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-023-03796-y

2024 ASCO Annual Meeting

Springer Medicine

Trauma and Emergency Surgery: Conceptual Framework, Dedicated Distinctiveness, and Dignification

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2024

Short-Term Retrospective Study of Low Rectal Cancer with Pelvic Floor Peritoneal Closure Combined with Extraperitoneal Stoma

A Rare Case of Gastrointestinal Bleeding from Idiopathic Varices of Entire Colon

Primary Ureteral Verrucous Carcinoma

Omentum Rotational Flap for Spleen Autotransplantation in Splenic Trauma — Experimental Study

Serpent Sign in Ruptured Pulmonary Hydatid Cyst: a Rare and Important Finding

Liver Transplantation in Children with Advanced Hepatoblastoma: a Systematic Review and Meta-Analysis