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Current status of the Korean acute care surgery system for non-traumatic abdominal emergency surgery: a single-regional trauma center study
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비외상성 복부 응급환자를 위한 급성치료수술 시스템 소개: 권역외상센터를 운영 중인 일개 대학 병원 자료분석

논문 기본 정보

Type
Academic journal
Author
Ji Young Jang (연세대학교) Hongjin Shim (연세대학교) Jae Hun Kim (부산대학교) Hong Suk-Kyung (울산대학교) Keum Seok Bae (연세대학교)
Journal
Korean Medical Association 대한의사협회지 대한의사협회지 제62권 제2호 KCI Accredited Journals
Published
2019.1
Pages
130 - 134 (5page)

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Current status of the Korean acute care surgery system for non-traumatic abdominal emergency surgery: a single-regional trauma center study
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Abstract· Keywords

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Abdominal sepsis is mainly caused by intra-abdominal or retroperitoneal infection; therefore, early detection of the source of infection and adequate, prompt treatment are the most important contributors to patient outcomes. Because patients with sepsis often receive emergency abdominal surgery after regular hours, and most patients need critical care postoperatively, the need for personnel to specialize in these areas has emerged. The concept of acute care surgery (ACS), which includes trauma care, emergency general surgery, and surgical critical care, has been discussed since the early 2000s, and ACS fellowships were launched in the United States in 2008. ACS teams have been found to reduce mortality and complication rates, to decrease the time to surgery, and to lower financial costs in comparison to the traditional surgical model. In Korea, a regional trauma center project was started in 2012, and the government provided funding for each trauma center as part of this project. In the ACS field, the system for non-trauma emergency surgery is currently in the early stages of discussion. The need for such a system has been accelerated by the reduction of working hours per week of residents, as well as the shortage of manpower for emergency general surgery and surgical critical care on the night shift. In this review, we discuss the manpower problems that impact the treatment of abdominal emergency patients, and consider ways in which the Korean ACS system can treat these patients professionally.
#외과 #응급 #급성복증 #패혈증 #복부손상

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References (16)

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Sartelli M / 2013 / 2013 WSES guidelines for management of intra-abdominal infections / World J Emerg Surg 8:3 google schola Hoyt DB / 2008 / Acute care surgery : a new train-ing and practice model in the United States / World J Surg 32:1630~1635 google schola Uranues S / 2008 / Acute care surgery : the European model / World J Surg 32:1605~1612 google schola Goslings JC / 2006 / Trauma surgery in the era of nonoperative management : the Dutch model / J Trauma 61:111~114 google schola Handolin L / 2006 / Finnish Trauma Audit 2004 : current state of trauma management in Finnish hospitals / Injury 37:622~625 google schola

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