Ulus Travma Acil Cerrahi Derg. 2008; 14(1): 1-4

Status of trauma and acute care surgery in the United States

Andrew B. Peitzman
Department Of Surgery, University Of Pittsburgh, Pittsburgh, Usa

Acute Care Surgery (ACS) is an evolving specialty. The components, as defined by the American Association for the Surgery of Trauma are trauma, surgical critical care and emergency surgery. As documented by the recent reports from the Institute of Medicine, the shortage of surgical specialists who make themselves available for emergency care in the United States, the overcrowding of emergency departments and lack of surge capacity are reaching crisis conditions. The Institute of Medicine has recommended the development of regional centers of surgical specialists, analogous to trauma systems. The training of surgeons in ACS will address the manpower issue to some degree.

Keywords: Acute care surgery, attitude of health personnel; surgery/ education; traumatology/manpower; United States.

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Birleþik Devletler’de travma ve acil cerrrahinin durumu

Andrew B. Peitzman
Pittsburgh Üniversitesi, Cerrahi Anabilim Dalý, Pittsburgh, Abd

Acil cerrahi geliþmekte olan bir alandýr. Ögeleri, Amerikan Travma Cerrahisi Derneði tarafýndan tanýmlandýðý þekilde travma, cerrahi yoðun bakým ve acil cerrahidir. The Institute of Medicine (Týp Enstitüsü) kaynaklý yeni yayýnlarda bildirildiði gibi, Birleþik Devletler’de acil alanýnda çalýþan cerrahi uzmanlarýnýn sayýca azalmasý, acil bölümlerin aþýrý kalabalýklaþmasý ve hasta kapasitesinin karþýlanamamasý durumlarý kriz derecesine ulaþmýþtýr. The Institute of Medicine cerrahi uzmanlarýn çalýþtýðý ve travma sistemlerine benzeyen bölgesel merkezler önermiþtir. Cerrahlarýn acil cerrahi alanýnda eðitim almalarý iþgücü sorununa bir oranda çözüm olacaktýr.

Anahtar Kelimeler: Akut cerrahi, Birleþik Devletler; cerrahi/eðitim; saðlýk çalýþan tutumu; travmatoloji/insan gücü.

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