[Trauma and emergency surgery. Organization and surgeons experience]

Area of Science:

• Traumatology
• General Surgery
• Surgical Organization

Background:

• Evaluating the combined operative treatment of trauma and general surgery emergencies.
• Assessing the suitability of this model for Trauma Center organization.
• Comparing surgical experiences between trauma/emergency and general surgeons.

Purpose of the Study:

• To determine if combining operative treatment for trauma and general surgery emergencies provides a valuable operative experience.
• To assess the feasibility of this combined approach as a model for Trauma Center organization.
• To compare the surgical practice patterns of trauma/emergency surgeons versus general surgeons.

Main Methods:

• Retrospective review of patient records over a one-year period.
• Data collection on the number of operations performed.
• Analysis of intensive care unit (ICU) admissions and after-hours surgical practices.

Main Results:

• Trauma and emergency surgeons performed more operations per surgeon (133.7) compared to general surgeons (102.6).
• Trauma and emergency surgeons managed a higher number of intensive care unit patients.
• Over half (51.8%) of emergency and trauma operations occurred outside of standard working hours.

Conclusions:

• Combined operative care for trauma and emergency patients provides a broad scope of practice for surgeons.
• The experience gained by trauma and emergency surgeons is comparable to that of general surgeons.
• While offering extensive experience, this model presents challenges to surgeon lifestyle due to after-hours work.