Trauma surgeons can render definitive surgical care for major thoracic injuries. Discussion.
American Association for the Surgery of Trauma. Annual session. New Orleans LA USA, 1993/09/23.
Restrictions on the operative domain of general surgeons threaten the viability of trauma surgery as a career choice.
Our study hypothesis is that an experience trauma surgeon can provide definitive care for life-threatening thoracic trauma.
This analysis is based on clinical outcomes at an ACS-verified level I center in which there are more than 3000 trauma admissions managed annually under the direction of four academic trauma surgeons.
We selected penetrating cardiac wounds and blunt tears of the thoracic aorta because these injuries are managed exclusively by the trauma service and the endpoints are distinct.
During the past 4 years, 40 patients with cardiac wounds were delivered to the ED ; 23 patients arrived dead.
Mots-clés Pascal : Plaie pénétrante, Coeur, Thorax, Rupture tissu, Aorte thoracique, Traitement, Chirurgie, Aptitude professionnelle, Chirurgien, Homme, Spécialité médicale, Formation professionnelle, Cardiopathie, Appareil circulatoire pathologie, Traumatisme, Aorte pathologie, Artère pathologie, Vaisseau sanguin pathologie, Personnel sanitaire
Mots-clés Pascal anglais : Penetrating injury, Heart, Thorax, Tissue rupture, Thoracic aorta, Treatment, Surgery, Vocational aptitude, Surgeon, Human, Medical specialty, Occupational training, Heart disease, Cardiovascular disease, Trauma, Aortic disease, Arteriopathy, Vascular disease, Health staff
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0712491
Code Inist : 002B16A. Création : 09/06/1995.