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Trauma Surgery:
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Trauma
surgeons practice the last to be created
subspecialty of general surgery. Comfortable
at operating on most body parts and
cavities, trauma
surgeons carry on the tradition of
military surgeons as depicted in the
novel M*A*S*H. Trauma surgeons have
a high success rate regarding the
sickest of patients who have sustained
life and limb-threatening injuries.
Trauma surgeons have become specialists
in Surgical Critical Care, burns,
and Emergency Surgery, and have, in
the process, created the new specialty
of Acute Care Surgery. |
trauma
surgery
It has been suggested that Traumatology
be merged into this article or section.In
many hospitals throughout the United States
and Britain, trauma surgeons primarily stabilize
patients and then transfer the patient to
the appropriate department. For instance,
a patient presenting to the emergency room
with peripheral nervous system trauma would
preferably be treated by a neurosurgeon.
Likewise, patients with musculoskeletal
problems would be treated by an orthopedic
surgeon, oral/maxillofacial trauma by a
maxillofacial surgeon, and heart trauma
by a cardiovascular surgeon. As trauma surgery
has increasingly become inoperative in nature,
its popularity among medical students has
fallen drastically. Trauma surgeons make
life and death choices everyday.
Trauma
Surgeons are physicians who have
completed the typical five year general
surgery residency and usually continue with
a one to two year fellowship leading to
additional board certification in Surgical
Critical Care. It is important to note that
one does not receive board certification
in general surgery and trauma
surgery (trauma surgery
is not an option), but after the fellowship
would be eligible to sit for additional
qualifications in Surgical Critical Care.
Karim Brohi keeps a database of some of
the available fellowships in trauma and
or surgical critical care on his website
(http://www.trauma.org), an excellent reference
for those interested in trauma. This site
also links to many other websites on the
topic of trauma. For information on what
is involved in a trauma fellowship, please
reference the book published by the American
College of Surgeons (ACS) entitled Resources
for Optimal Care of the Injured Patient.
This book can be ordered off the web at
http://www.facs.org in the publications
section.
Trauma
surgeons tend to work at night and are expected
to make immediate, potentially life and
death decisions while utterly exhausted.
Some even have elective general surgery
schedules after their on-call nights. I
would suggest everyone interested in trauma
read the following interviews, which include
interviews with internationally known trauma
surgeons such as Kenneth L. Mattox from
Baylor and Norman McSwain from Tulane.
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to "Paediatric Surgery"
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