Abstract
Acute care surgery (ACS) refers to the surgical management of serious, emergency conditions, requiring some form of immediate surgical care or intervention. Essentially ACS should offer the surgeon the opportunity to perform a working diagnosis, to intervene appropriately and thereby to promptly have an impact on the outcome of the critically ill patient. Several organizational models have been proposed and applied. The chapter encompasses these different models trying to propose a viable modular organizational model.
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References
Earley AS, et al. An acute care surgery model improves outcomes in patients with appendicitis. Ann Surg. 2006;244:498–504.
Trunkey DD. In search of solutions. J Trauma. 2002;53:1189–91.
Buckley J. The shame of emergency care for kids. US News World Rep. 1992;112:34–43.
Rontondo MF. At the center of the―perfect storm II: the patient. Surgery. 2007;141:291–2.
Schwab CW. Crises and war: step** stones to the future. J Trauma. 2007;62:1–16.
Søreide K, Nedrebø BS. Recruitment problems in the surgical specialty? Tidsskr Nor Laegeforen. 2008;128(16):1852–3.
Borman KR, et al. Changing demographics of residents choosing fellowships: longterm data from the American Board of Surgery. J Am Coll Surg. 2008;206:782–8. discussion, 788–9
Catena F, Moore E. WSES and the role of emergency surgery in the world. World J Emerg Surg. 2007;2:3.
De Waele JJ, Hoste EA. The future of surgical critical care: a European perspective. Crit Care Med. 2007;35:984–6.
Pascual J, et al. American College of Surgeons criteria for surgeon presence at initial trauma resuscitations: superfluous or necessary? Ann Emerg Med. 2007;50:15–7.
Uranues S, Lamont E. Acute care surgery: the European model. World J Surg. 2008;32:1605–12.
Spain DA, et al. Should trauma surgeons do general surgery? J Trauma. 2000;48:433–8.
Moore EE. Acute care surgery: the safety net hospital model. Surgery. 2007;141:297–8.
Austin MT, et al. Creating an emergency general surgery service enhances the productivity of trauma surgeons, general surgeons and the hospital. J Trauma. 2005;58:906–10.
Davis KA, et al. Trauma team oversight of patient management improves efficiency of care and augments clinical and economic outcomes. J Trauma. 2008;65:1236–44.
Representatives of the participating organizations in Congress. Acute care congress on the future of emergency surgical care in the United States. J Trauma. 2009;67:1–7.
Davis KA, Rozycki GS. Acute care surgery in evolution. Crit Care Med. 2010;38(9 Suppl):S405–10.
Søreide K. Trauma and the acute care surgery model—should it embrace or replace general surgery? Scand J Trauma Resusc Emerg Med. 2009;17:4.
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Coccolini, F., Maier, R., Moore, E.E., Ansaloni, L., Hodgetts, T., Balfe, P. (2020). Acute Care Surgery Unit Structure. In: Sugrue, M., Maier, R., Moore, E.E., Catena, F., Coccolini, F., Kluger, Y. (eds) Resources for Optimal Care of Emergency Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-49363-9_2
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DOI: https://doi.org/10.1007/978-3-030-49363-9_2
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