non-trauma surgeons doing trauma

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Hello Dr Gross and others
   
  I was in fact talking about non Trauma/Critical Care certified or trained General Surgeons.
   
  Bearing in mind I am writing from Down Under where certified trauma surgeons are as rare as hen's teeth......and Critical Care certified surgeons even rarer! Most of our General Surgeons are NOT trauma or Critical Care trained.
   
  The reason I have asked this question is that there is a perception here in the Land of Oz, that essentially anyone can "do" trauma (operative or non-operative) and in fact it is not seen as a Specialty. Therefore on that premise the Health Department does NOT think they necessarily need to designate Levels and concentrate resources and expertise.
   
  So again........does anyone know of any literature showing different outcomes between these surgeons, such as we have seen in Consultant or Attending led and supervised resuscitations/operations etc. There is clear evidence that the more Senior the presence in trauma care from the start, the better the outcome but what about type of Senior presence?
   
  Thankyou
   
  Valerie Malka
   


Dr Valerie Malka MBBS,FRACS,MIPH
Director of Trauma Services
Department of Surgery
Westmead Hospital
Westmead, Sydney
Australia, 2145

Tel: 612 9845 7072
Fax: 612 9845 8321
Website: www.westmeadtrauma.org
Website: www.austraumaconference.org
       
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