Lee Jin Young, Kim Seheon, Ye Jin Bong, Lee Jin Suk, Sul Younghoon
Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, South Korea.
Department of Trauma Surgery, Chungbuk National University College of Medicine, Cheongju, South Korea.
World J Emerg Surg. 2025 Jan 20;20(1):5. doi: 10.1186/s13017-025-00578-7.
Trauma surgery is a fundamental aspect of medicine. According to the 2023 mortality report from Statistics Korea, external factors such as intentional self-harm and transportation incidents are leading causes of death among individuals aged 10 to 30, accounting for 7.9% of overall mortality. Despite advances in the field, specialization has hindered comprehensive trauma care.
In South Korea, regional trauma centers have been established to meet critical trauma management needs; however, challenges remain, including a shortage of trauma surgeons and inefficient resource utilization. The reluctance of surgical residents to pursue trauma training exacerbates the scarcity of qualified specialists. Trauma surgeons often bear extensive responsibilities, which limits their ability to perform prompt interventions. Acute Care Surgery (ACS) offers a model to integrate trauma and non-trauma surgical care, enabling hospitals to implement effective protocols for urgent cases and improving patient outcomes. Research indicates that ACS enhances emergency surgical management, increases training opportunities for residents, and improves job satisfaction among participating surgeons.
Integrating ACS into South Korea's healthcare system is essential to optimize resource allocation and improve emergency care, ultimately leading to enhanced public health outcomes.
创伤外科是医学的一个基本领域。根据韩国统计局2023年的死亡率报告，故意自残和交通意外等外部因素是10至30岁人群死亡的主要原因，占总死亡率的7.9%。尽管该领域取得了进展，但专业化阻碍了全面的创伤护理。
在韩国，已设立区域创伤中心以满足关键创伤管理需求；然而，挑战依然存在，包括创伤外科医生短缺和资源利用效率低下。外科住院医师不愿接受创伤培训加剧了合格专家的稀缺。创伤外科医生往往承担广泛的责任，这限制了他们进行及时干预的能力。急性护理外科（ACS）提供了一种整合创伤和非创伤外科护理的模式，使医院能够为紧急情况实施有效的方案并改善患者预后。研究表明，ACS加强了急诊外科管理，增加了住院医师的培训机会，并提高了参与手术的医生的工作满意度。
将ACS纳入韩国医疗体系对于优化资源分配和改善急诊护理至关重要，最终可提高公众健康水平。
