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Managing Vascular Trauma: Trauma Surgeons versus Vascular Surgeons
Melike N Harfouche1, David S Kauvar2, David V Feliciano1,3
1Department of Surgery, RinggoldID:12264University of Maryland School of Medicine, Baltimore, MD, USA.
The American Surgeon
|February 28, 2022
Summary
Trauma surgeons express interest in vascular trauma care but lack experience and comfort. Collaboration between vascular and trauma surgeons is recommended to bridge this gap and improve patient outcomes.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Surgical Education
Background:
- Evolving vascular trauma care necessitates re-evaluating surgeon roles.
- Trainee exposure to vascular surgery has changed, impacting future practice.
Purpose of the Study:
- To assess nationwide trends in vascular trauma management.
- To understand perceptions of vascular and trauma surgeons regarding vascular trauma care.
Main Methods:
- Online surveys distributed to vascular and trauma surgeons via professional societies (AAST, VESS, WVS).
- Data collected on demographics, practice, experience, and comfort with vascular trauma.
- Exclusion of trainees and international surgeons; analysis using Stata/BE v16.1.
Main Results:
- 163 trauma surgeons (66%) and 84 vascular surgeons (34%) participated.
- Vascular surgeons were younger and had less practice experience.
- Vascular surgeons reported greater experience and comfort, but less interest in vascular trauma care compared to trauma surgeons.
- Trauma surgeons cited skill maintenance and unfamiliarity as key barriers.
Conclusions:
- Trauma surgeons show interest but feel unprepared for vascular trauma management.
- Collaboration between vascular and trauma surgeons can enhance skills and address practice gaps.
- Addressing barriers is crucial for effective vascular trauma patient care.
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