Surgical Critical Care and Surgical Emergencies, Yale University School of Medicine, New Haven, CT, USA.
Crit Care Med. 2010 Sep;38(9 Suppl):S405-10. doi: 10.1097/CCM.0b013e3181ec55c8.
At the center of the development of acute care surgery is the growing difficulty in caring for patients with acute surgical conditions. Care demands continue to grow in the face of an escalating crisis in emergency care access and the decreasing availability of surgeons to cover emergency calls. To compound this problem, there is an ever-growing shortage of general surgeons as technological advances have encouraged subspecialization. Developed by the leadership of the American Association for the Surgery of Trauma, the specialty of acute care surgery offers a training model that would produce a new breed of specialist with expertise in trauma surgery, surgical critical care, and elective and emergency general surgery. This article highlights the evolution of the specialty in hope that these acute care surgeons, along with practicing general surgeons, will bring us closer to providing superb and timely care for patients with acute surgical conditions.
急性外科治疗的发展核心是对急性外科病症患者的护理日益困难。尽管紧急护理通道的危机不断升级，可用于处理紧急呼叫的外科医生也越来越少，但护理需求仍在持续增长。更糟糕的是，由于技术进步鼓励了亚专业的发展，普通外科医生的短缺问题也愈发严重。由美国创伤外科学会领导层开发的急性外科治疗专业提供了一种培训模式，旨在培养出新一代专家，他们在创伤外科、外科重症监护以及择期和急诊普通外科方面具有专长。本文重点介绍了该专业的发展历程，希望这些急性外科治疗医生与普通外科医生一道，为急性外科病症患者提供精湛、及时的护理，使我们更接近这一目标。
