All Emergency Surgeries
Optimal management of emergency surgical patients represents one of the major health challenges worldwide. Emergency general surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions in the hospital. EGS represents the easiest viable way to provide affordable and high-quality level of care to emergency surgical and trauma patients. It may result from the association of different physicians with other specialties in a cooperative model.
The EGS service will educate physician extenders, medical students, residents, and clinical fellows to increase their understanding of acute general surgical problems. Medical students will develop their initial understanding of the acute abdomen. Surgical residents can advance their understanding of the pathophysiology of acute surgical disease, resuscitation of the surgical patient, and hone their surgical skills. Clinical fellows can focus surgical infections, complications of acute surgical disease, and complex surgical management.
The EGS service managed with an evidence based medicine approach should be a rich background to study the management of acute surgical disease. From the Emergency Department to the Operating Room to the ICU to the Floor, the care of the patient must be under study. This allows us to address our primary mission of improving patient care, to increase our understanding of surgical disease as well as decreasing morbidity, mortality, length of stay, and cost of care.
Optimal management of emergency surgical patients represents one of the major health challenges. Emergency surgical procedures may interfere with the daily planned surgical activity and therefore overwhelm the unprepared system. Many medical systems are not ready to deal with concurrent emergency and elective surgical procedures. Emergency general surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions during the same admission in the hospital. EGS represents the easiest viable way to provide affordable and high-quality level of care to emergency surgical and trauma patients taking into account the pathophysiology, surgical and trauma emergencies, and critical care . In several countries, it may result from the association of different physicians with other specialties in a cooperative model (i.e., emergency physicians, intensivists). In low-resource settings, these different providers may even be represented by the only general surgeon. The critically ill EGS patient requires prompt evaluation and, in many cases, early surgical intervention because of the uniqueness of the surgical acute conditions which are accompanied by high rates of complications and death . The aforementioned landscape of EGS highlights the difficulty for the emergency general surgeon to plan and endorse appropriate management schemes to optimize timely treatment.