Published in:
Open Access
01-12-2013 | Commentary
World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification (TACS)
Authors:
Yoram Kluger, Offir Ben-Ishay, Massimo Sartelli, Luca Ansaloni, Ashraf E Abbas, Ferdinando Agresta, Walter L Biffl, Luca Baiocchi, Miklosh Bala, Fausto Catena, Raul Coimbra, Yunfeng Cui, Salomone Di Saverio, Koray Das, Tamer El Zalabany, Gustavo P Fraga, Carlos Augusto Gomes, Ricardo Alessandro Teixeira Gonsaga, Jakub Kenig, Ari Leppäniemi, Sanjay Marwah, Gerson Alves Pereira Junior, Boris Sakakushev, Boonying Siribumrungwong, Norio Sato, Cristian Tranà, Nereo Vettoretto, Ernest E Moore
Published in:
World Journal of Emergency Surgery
|
Issue 1/2013
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Abstract
Timing of surgical intervention is critical for outcomes of patients diagnosed with surgical emergencies. Facing the challenge of multiple patients requiring emergency surgery, or of limited resource availability, the acute care surgeon must triage patients according to their disease process and physiological state. Emergency operations from all surgical disciplines should be scheduled by an agreed time frame that is based on accumulated data of outcomes related to time elapsed from diagnosis to surgery. Although literature exists regarding the optimal timing of various surgical interventions, implementation of protocols for triage of surgical emergencies is lacking. For institutions of a repetitive triage mechanism, further discussion on optimal timing of surgery in diverse surgical emergencies should be encouraged. Standardizing timing of interventions in surgical emergencies will promote clinical investigation as well as a commitment by administrative authorities to proper operating theater provision for acute care surgery.