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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Related Experiment Video

Updated: Apr 14, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Innovation or rebranding, acute care surgery diffusion will continue.

Courtney E Collins1, Patricia L Pringle2, Heena P Santry1

  • 1Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts.

The Journal of Surgical Research
|April 21, 2015
PubMed
Summary

Acute Care Surgery (ACS) is seen by senior surgeons as the future of general surgery, despite concerns about resources and definition. Its adoption patterns are still emerging among early adopters.

Keywords:
Acute care surgeryDiffusion of innovationHealth care deliveryHealth care innovationResource allocationSurgery

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Area of Science:

  • Surgery
  • Health Services Research
  • Qualitative Research

Background:

  • The adoption patterns of Acute Care Surgery (ACS) as a strategy for Emergency General Surgery (EGS) are not well understood.
  • Understanding surgeon perspectives on ACS is crucial for its successful implementation and diffusion.

Purpose of the Study:

  • To explore senior surgeons' views on the adoption and future of Acute Care Surgery (ACS) for Emergency General Surgery (EGS).
  • To analyze the factors influencing the diffusion of ACS within teaching hospitals.

Main Methods:

  • Qualitative study using face-to-face interviews with 18 senior surgeons at diverse teaching hospitals.
  • Data analysis involved investigator triangulation and an inductive approach using NVivo software.
  • Findings were applied to the Rogers' diffusion of innovation theory.

Main Results:

  • A paradox exists: ACS is viewed as both a healthcare innovation and a rebranding of general surgery.
  • Surgeons express optimism for ACS due to career appeal and improved EGS outcomes.
  • Concerns include lack of continuity, poor resources, and financial viability.

Conclusions:

  • Despite challenges, senior surgeons perceive ACS as the evolving face of general surgery.
  • ACS is likely to continue diffusing from early adopters, reflecting innovation adoption patterns.
  • Addressing resource allocation and specialty definition is key for sustained ACS implementation.