Site Search
Trauma-List Subscription


Would you like to receive list emails batched into one daily digest?
No Yes
Modify Your Subscription


Home > List Archives

article in the may issue of "Annals of Emergency Medicine"

John Filangeri JohnFilangeri at att.net
Fri Apr 21 19:17:02 BST 2006

Whew! Something to take the heat off of us poor paramedics. But, maybe that 
start of WWIII

----- Original Message ----- 
From: <alcalaye at post.tau.ac.il>
To: "'Trauma &amp; Critical Care mailing list'" <trauma-list at trauma.org>
Sent: Friday, April 21, 2006 1:20 PM
Subject: article in the may issue of "Annals of Emergency Medicine"

Dear list-members,
Recently I've read postings about the need for trauma surgeons with 
that will enable them to deal with trauma patients without the need for
physicians from other specialties. In the May issue of the Annals of 
Medicine S.M. Green writes, if I've correctly understood,  that there is no
proof that the routine presence of surgeons in the ER when trauma patients
arrive is beneficial. I've brought you the abstract and wonder what the 
masters think about it.
Eli Alkalay
Rural Family Physician
Moshav Herut

Annals of emergency medicine -may 2006

Is There Evidence to Support the Need for Routine Surgeon Presence on Trauma
Patient Arrival?
Steven M. Green MD ,

The trauma center certification requirements of the American College of 
include the expectation that, whenever possible, general surgeons be 
present at the emergency department arrival of seriously injured patients. 
2 historical factors that originally prompted this requirement, frequent
exploratory laparotomies and emergency physicians without trauma training, 
longer exist in most modern trauma centers. Research from multiple centers 
in multiple varying formats has not identified improvement in 
outcomes from early surgeon involvement. Surgeons are not routinely present
during the resuscitative phase of Canadian and European trauma care, with no
demonstrated or perceived decrease in the quality of care. American trauma
surgeons themselves do not consistently believe that their use in this 
is either necessary or an efficient distribution of resources. There is not
compelling evidence to support the assumption that trauma outcomes are 
by the routine presence of surgeons on patient arrival. Research is 
to clarify which trauma patients require either emergency or urgent unique
expertise of a general surgeon during the initial phase of trauma 
Individual trauma centers should be permitted the flexibility necessary to
perform such research and to use such findings to refine and focus their
secondary triage criteria.

This message was sent using IMP, the Internet Messaging Program.

trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:

More information about the trauma-list mailing list