Acute Care Surgery: Implementation in Korea.
10.17479/jacs.2018.8.2.51
- Author:
Chan Ik PARK
1
;
Jae Hun KIM
;
Sung Jin PARK
;
Seon Hee KIM
;
Ho Hyun KIM
;
Suk Kyung HONG
;
Chi Min PARK
Author Information
1. Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea. jjangmdkmdk@hanmail.net
- Publication Type:Review
- Keywords:
Acute care surgery;
Trauma system;
Emergency general surgery
- MeSH:
Critical Care;
Emergencies;
Government Regulation;
Humans;
Korea*;
Surgeons;
Trauma Centers;
United States
- From:
Journal of Acute Care Surgery
2018;8(2):51-58
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The concept of acute care surgery (ACS) incorporates trauma, surgical critical care, and emergency general surgery. It was designed in the early 2000s by the United States as a solution to the looming crisis of trauma care and non-trauma emergency surgery. Reduced surgical opportunities for trauma surgeons resulted in a decreased interest in trauma surgery. Surgical sub-specialization further accelerated an indifference towards trauma and emergency general surgery. Started in 2008, the trauma center project in Korea is still in its infancy. Although the need for ACS was presented since the inception of the trauma center project, there was a lack of implementation at trauma centers due to government regulations. However, ACS has been initiated at several non-trauma center hospitals and is mainly operated by surgical intensivists. Studies demonstrate that adding emergency surgery to a trauma service does not compromise the care of the injured patients, despite an increase in trauma volume. Positive impacts of ACS are reported by numerous researches. We believe that the development and advancement of trauma centers will necessitate a discussion for the implementation of the ACS model at trauma centers in Korea.
