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Updated: Jun 16, 2026

A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma

A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma

Published on: July 28, 2020

Trauma/critical care surgery.

M Margaret Knudson¹

¹University of California, San Francisco, Campus Box 0807, San Francisco, CA 94143-0807, USA. pknudson@sfghsurg.ucsf.edu

American Journal of Surgery

|February 2, 2010

Summary

The field of trauma and critical care surgery is evolving, facing surgeon shortages and reluctance to perform emergency care. Regionalization and training program changes are needed, but the specialty offers a rewarding career.

Area of Science:

Surgical Sciences
Trauma Surgery
Critical Care Medicine

Background:

The trauma/critical care specialty is a developing field.
There is a growing shortage of surgeons willing to provide emergency surgical care.
The current landscape necessitates significant adaptations in surgical training and practice.

Purpose of the Study:

To highlight the evolving nature of trauma/critical care surgery.
To address the challenges of surgeon availability for emergency care.
To discuss the implications of regionalization on surgical training and practice.

Main Methods:

This study is a review and discussion of current trends in trauma/critical care.
It synthesizes existing literature and expert opinion on the state of the specialty.

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A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma

A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma

Published on: July 28, 2020

No new clinical data was generated; it is an analysis of the field's trajectory.

Main Results:

The specialty faces a dual challenge: a shortage of surgeons and a reluctance among trained surgeons to engage in emergency care.
Nationwide regionalization of trauma and emergency surgical services is anticipated.
This shift will necessitate substantial modifications to surgical training curricula.

Conclusions:

Trauma/critical care and emergency surgery present unique career opportunities.
The field offers a manageable lifestyle, complex multidisciplinary cases, and significant research potential.
Adapting training programs is crucial for the future of emergency surgical care.