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Home > List Archives

non-trauma surgeons doing trauma

Enrique Daza edazamd at verizon.net
Tue Jul 3 23:56:07 BST 2007


Attached is a reference I found comparing high volume (>35 pts with ISS>15 
per year), vs low volume surgeons. They found mortality was no different in 
six different injury patterns. Low volume surgeons had higher mortality in 
certain subsets.

E Daza
----- Original Message ----- 
From: "Valerie Malka" <osiris11_2000 at yahoo.com>
To: "Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>
Sent: Tuesday, July 03, 2007 6:30 PM
Subject: Re: non-trauma surgeons doing trauma


> 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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