J.Jpn. Surg. Soc.. 125(3): 221-228, 2024

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Feature topic

ROLE OF ACUTE CARE SURGEONS IN EMERGENCY DEPARTMENTS FOR RAPID HEMOSTAIS AND SURGICAL RESUSCITATION

In recent years, as surgical treatments have become increasingly fragmented and minimally invasive, there is a worldwide need for surgeons who can rapidly respond to multiple organ injuries or dysfunctions such those as induced by trauma and abdominal sepsis. To meet this need, acute care surgery has been effectively established around the world including in Japan. Staffing emergency departments with surgeons 24 hours a day, 365 days a year enables rapid decision-making not only for hemostasis procedures in patients suffering severe trauma but also for infection source control procedures in patients with sepsis. This is also useful for prompt planning and implementation of surgical procedures that are required during intensive care. To make the most of this system for surgeons staffing emergency departments, institutional strategies and tactics should be shared during normal times so that acute care surgeons and nonsurgeons can follow common treatment guidelines and decision-making. Daily multidisciplinary simulation training is also essential to ensure that surgery can be performed quickly and reliably in the resuscitation room. It will be desirable in the future to establish two-way collaboration with elective surgery departments to ensure that young surgeons can acquire or maintain the necessary technical surgical skills.

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