Dhillon Navpreet K, Schwed Alexander C, Kundi Rishi, Savage Stephanie A, Brenner Megan, Scalea Thomas M
R Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA.
Riverside University Health System Medical Center, Moreno Valley, California, USA.
Trauma Surg Acute Care Open. 2025 Jun 23;10(2):e001842. doi: 10.1136/tsaco-2025-001842. eCollection 2025.
Modern vascular trauma is complex and requires multidisciplinary care to assure optimal patient outcomes. Recognizing this, the American Association for the Surgery of Trauma (AAST) Associate Member Council hosted grand rounds to explore key issues in contemporary vascular trauma care and potential solutions. Current training paradigms may not adequately prepare either general surgery residents or integrated vascular surgery residents to care for these patients alone. The current iteration of the AAST Acute Care Surgery fellowship program hopes to overcome these limitations with a formal curriculum in vascular trauma. New attending surgeons must actively seek out and maintain vascular surgery skills, which can be done in collaboration with fellow trauma partners or vascular colleagues and will depend on the local culture of each institution. We also share a model of care implemented at the R Adams Cowley Shock Trauma Center, highlighting lessons learned from a team-based approach to modern vascular trauma care.
现代血管创伤情况复杂，需要多学科护理以确保患者获得最佳治疗效果。有鉴于此，美国创伤外科协会（AAST）准会员委员会举办了系列学术讲座，探讨当代血管创伤护理中的关键问题及可能的解决方案。当前的培训模式可能无法让普通外科住院医师或综合血管外科住院医师充分做好独立护理这些患者的准备。AAST急性护理外科住院医师培训项目的当前版本希望通过一套血管创伤方面的正规课程来克服这些局限性。新入职的主治外科医生必须积极寻求并保持血管外科技能，这可以与创伤科同行或血管外科同事合作完成，并且这将取决于每个机构的当地文化。我们还分享了R·亚当斯·考利休克创伤中心实施的一种护理模式，重点介绍了从基于团队的现代血管创伤护理方法中学到的经验教训。
