Mathur Sachin, Goo Tiong Thye, Tan T'zu Jen, Tan Kok Yang, Mak Kenneth Seck Wai
Department of Surgery, Khoo Teck Puat Hospital, Singapore.
Singapore Med J. 2016 Jun;57(6):282-6. doi: 10.11622/smedj.2016101.
The last 15 years have seen changing patterns of injury in emergency surgery and trauma patients. The ability to diagnose, treat and manage these patients nonoperatively has led to a decline in interest in trauma surgery as a career. In addition, healthcare systems face multiple challenges, including limited resources, an ageing population and increasing subspecialisation of medical care, while maintaining government-directed standards and managing public expectations. In the West, these challenges have led to the emergence of a new subspecialty, 'acute care surgery', with some models of care providing dedicated acute surgical units or separating acute and elective streams with the existing manpower resources. The outcomes for emergency surgery patients and efficiency gains are promising. In Singapore, Khoo Teck Puat Hospital has implemented its first dedicated acute surgical unit. This article outlines the evolution of acute care surgery and its relevance to Asia.
在过去15年里，急诊手术和创伤患者的损伤模式不断变化。非手术诊断、治疗和管理这些患者的能力导致人们对创伤外科作为一种职业的兴趣下降。此外，医疗保健系统面临多重挑战，包括资源有限、人口老龄化以及医疗护理专业化程度不断提高，同时还要维持政府规定的标准并管理公众期望。在西方，这些挑战催生了一个新的亚专业——“急性护理外科”，一些护理模式设立了专门的急性外科病房，或利用现有人力资源将急性和择期手术流程分开。急诊手术患者的治疗效果和效率提升前景乐观。在新加坡， Khoo Teck Puat医院开设了首个专门的急性外科病房。本文概述了急性护理外科的发展历程及其与亚洲的相关性。
