The emergency surgical team - the way forward in emergency care?

Annals of the Royal College of Surgeons of England
Laura TincknellMark Gudgeon

Abstract

With reduced working hours and shift patterns, surgical training and continuity of patient care is being put at risk. We have devised a system for managing the emergency surgical patients in an effort to counteract these perceived problems. This study describes the emergency surgical team and audits its activity. The emergency surgery team concept is described in detail. Over a 2-week period, general surgical referral data, patient management and operative activity were audited. A total of 229 patients were referred to the emergency surgical team with 159 treated conservatively, 45 underwent operative intervention and 25 were discharged without admission. Of the emergency surgical team referrals, 58% had gallstone pathology, appendicitis or constipation/non-specific abdominal pain. Average daily number of patients under the care of the emergency surgical team was 26 (range, 10-40). The consultant-led emergency surgical team look after many of the acutely sick surgical patients. Our system not only provides good teaching opportunities but ensures optimal continuity of patient care in a busy district general hospital. Such an approach to emergency surgical care has been successfully developed to optimise training opportunities an...Continue Reading

References

Feb 21, 2004·BMJ : British Medical Journal·Joanna ChikweJohn R Pepper
Mar 5, 2005·Surgery·G J Morris-StiffM H Lewis
May 20, 2005·Annals of the Royal College of Surgeons of England·Timothy R WilsonDavid J Alexander

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Citations

Mar 23, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Kulbir MannSukhpal Singh
Dec 1, 2010·ANZ Journal of Surgery·Dora Von ConradyDavid Fletcher
Dec 26, 2013·The Journal of Trauma and Acute Care Surgery·Jonathan B KoeaHardeep Hundal
Oct 9, 2013·ANZ Journal of Surgery·Sandhya PillaiIan Civil
May 8, 2020·World Journal of Surgery·Mats J L van der WeeRigo Hoencamp

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