Treatment of injuries caused by an impact through surgical intervention is known as Trauma Surgery. He also has a pretty awesome blog. At the section, highly specialised anaesthesia is carried out for different types of surgery e.g. Trauma surgery is the specialization in surgery that focuses on the treatment and care of injuries, often life-threatening, that are caused by impact forces. Can any Trauma surgeons here comment on what the fellowship was like. Approximately 60 million injuries occur annually in the United States. Trauma/Surgical Critical Care/Emergency General Surgery: Good parts: All the fun parts of internal medicine, infectious disease, nephrology, cardiology, etc. For this reason, it is necessary that Trauma PAs have compassion for individuals involved in a trauma and are able to deal with the social issues that subsequently arise. share. etc. I would love to shadow him (from a reasonable) distance for a few days. Trauma could mean such a wide variety of things and involve so many different structures. Unless you are in an inner city trauma center the etiology of trauma is about 85% blunt (falls, car wrecks, etc.) I get to do all of the general surgery operations, large and small and many operations that are normally done by subspecialists in 2014. New comments cannot be posted and votes cannot be cast. David B. Listen to his journey and what you consider if you're interested in medicine and specifically trauma surgery. For example what I've been told is that the trauma service at my school basically just manages patient transfers to other surgeons... is this applicable elsewhere? In general the individual surgical specialities manage the different aspects of trauma depending on what happened. Roughly one-half, or 30 million of these injuries require medical care, and 3.6 million require hospitalization. I'm an MSIII who is interested in general surgery and am trying to explore my options as I apply for away rotations and residency. Hopefully this will help deal with all the bullshit spam. The surgical PA practicing in Trauma Surgery exercises flexibility and adaptability to manage a broad range of medical and surgical conditions under the supervision of licensed Trauma Surgeon. METHODS: A survey was sent to the trauma directors of the 1,288 designated trauma centers in the United States, as listed by the American Trauma Society. If there is a major issue with bleeding this would be managed by either general or vascular surgeon depending on the vessel and the complexity of the vessels involved. You must have at least a 5 day old account with positive Karma to post on /r/surgery. I'm copying a post I made a while ago and will add further details and answer questions as you like. 36 hour shifts every 6 nights or so. Trauma surgery is the branch of surgical medicine that deals with treating injuries caused by an impact. without outpatient medical clinics. Come join us to discuss interesting cases, the latest literature, ... help Reddit App Reddit coins Reddit premium Reddit gifts. This case was led by Prof Ian Pallister, Trauma and Orthopaedic Surgeon at Morriston Hospital, Swansea. I had read a few years ago that trauma surgery as a field was dying, the reason being that if you were sick enough for surgery you were sick enough for a specialist. Courses, webinars, and online events, in your region or worldwide. Trauma Acute Care Surgery participates in clinical research and multi-institutional trials in an ongoing effort to improve patient outcomes both regionally and nationally. The surgical PA practicing in Trauma Surgery exercises flexibility and adaptability to manage a broad range of medical and surgical conditions under the supervision of licensed Trauma Surgeon. AO Surgery Reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. 95% Upvoted. Hi Reddit! You mentioned reading the same literature which is good but we took this one step further in my ER in Pietermaritzburg South Africa where I was clinical lead of the ER. Press J to jump to the feed. It came out in our discussion prior to surgery that the resident had never done any type of common duct exploration, either laparoscopic or open. We did month long blocks: 4 months on the general surgery services, 2 months at the VA, 1 month SICU, 1 Trauma, 1 Vascular, 1 Peds, 1 Transplant, and 1 CT surgery. The more academic the center, the less babysitting (the neuro and ortho guys will have residents too). A most common example is the treatment of a patient, who ha… My point is that in this day and age it's a multidisciplinary approach. Trauma Surgery. 4 comments. Say someone gets head trauma and sustains a base of skull fracture: Then you would need both neurosurgery and ENT. If any trauma people do show up, or just someone familiar with it as a specialty, I really want to know where trauma stands as a surgical specialty. In addition, some places have moved to an Acute Care/Trauma model with the same group covering all Emergent General Surgery (more operative) and Trauma. Trauma Surg is on Facebook. What do you think the future outlook is for the field relative to other surgical specialties? Trauma is ranked as one of the foremost public health issues in the United States. © 2021 American Association of Surgical Physician Assistants, Council on Surgical and Perioperative Safety (CSPS), Council on Surgical and Perioperative Safety, Post-graduate surgical residency in General Surgery or Emergency Medicine, or have at least two years of experience in either General Surgery or Emergency Medicine, Evaluates the trauma victim and institutes immediate therapy, Performs first assistant duties in the operating room, Assists with post-operative management and follows the patient through the critical care portion of their recovery, Attends to the patient closely on the hospital surgical ward, Enables continuity of care by following up in the Trauma surgery clinic, Makes rounds with the attending surgeon and fills her/him in on pertinent issues involving patient care, Fields patient calls after hospital discharge or general follow-up questions, Triages patients to the ER or trauma clinic, Manages patients undergoing a broad range of procedures, including Orthopaedic, ENT, OMFS, Urology and Vascular, Determines when appropriate consultation is needed and speaks with that service, Orders and interprets appropriate laboratory and diagnostic studies and collates data, Requests and follows up on recommendations of consultants (usually after discussion with the surgeon), Formulates a differential diagnosis and confirms or refutes the options according to the physical exam and data obtained, Identifies and prioritizes surgical, medical and psychosocial problems, Orders and renews appropriate medications, Invited Member, American College of Surgeons Committee on Perioperative Safety. Most of their life is simply surgery. I'm assuming a lot of these patients with gunshot wounds aren't going to follow up with their PCP in 2 weeks? I'm interested in a critical care sort of position, but was a bit thrown off realizing that an ER physician seems to handle a lot of the same things as a family practitioner. Trauma remains the leading cause of death in the first four decades of life and is surpassed only by cancer and atherosclerosis as the major cause of death in all age groups. Facebook gives people the power to share and makes the world more open and connected. How competitive is the field of trauma surgery? Sort by. At a guess I'd say a trauma surgeon would be equivalent to what we call a general surgeon. Press question mark to learn the rest of the keyboard shortcuts. For example in a car crash: Orthopaedics would handle fractures, a general surgeon would handle bowel spleen or other organ damage. Is that two 12 hour days with night of call in the middle? Nearly nine million of these injuries are disabling - 300,000 permanent disabilities and 8,700,000 temporary disabilities. I am attracted to the idea of trauma surgery, but I can't exactly reconcile my interest with the … I love my job BTW, but it's not for everyone. Because the spectrum of trauma surgery encompasses many organ systems, the trauma surgery PA must be knowledgeable about a wide range of pathophysiology as well as how the injuries sustained should be prioritized. 86(5):, May 2019. so the volume of trauma operations is fairly low (thus we pick up cases by doing EGS). Having to explain that you are not an Emergency Room physician. I’ve done it both with the laparoscope and with the old-fashioned open technique. Typically, "trauma" as a specialty is pretty much indistinguishable from "critical care." How does follow up work? I don't have to suck up to referring doctors to get patients. On this particular morning I was working with a surgical resident at the Trauma Center. Dr. Darko has also been on The Premed Years podcast back in Session 196, and he is the host of the podcast called Docs Outside the Box. I have worked closely with the head trauma surgeon at the L1 trauma center I work at, and he is the absolute nicest guy ever. How old are most trauma surgeons by the time they are done with fellowship? Would be interested to hear how this differs in the US, New comments cannot be posted and votes cannot be cast. However the patient remains on the trauma service, in the ICU, floor, wherever they go. If you don't like cleaning up other people's disasters, ditto. I wouldn't describe it as anything close to a disposition determinator as you have. This is very helpful to me. In some cases, another special… Many times, a trauma patient may have multiple injuries. Then the patient is determined to require OR or not, may require orthopedic surgery, neurosurg etc. Always covering trauma have to suck up to referring doctors to get patients like surgical.! 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