Education of the surgeons in gastroenterology for multiple trauma care

Hara Takanobu, Hidaka Masaaki, Inoue Yusuke, Inokuma Takamitsu, Soyama Akihiko, Matsumoto Ryo, Imamura Hajime, Matsushima Hajime, Adachi Tomohiko, Ito Shinichiro, Kanetaka Kengo, Eguchi Susumu

doi:10.50840/jjacs.12-18

In our hospital, abdominal trauma surgeries are mainly performed by gastrointestinal and hepatobiliary pancreatic surgeons. Previously, surgeons intervened after the diagnosis of abdominal trauma, but since 2014, a system has been in place to provide initial care in collaboration with emergency physicians from the time of transport of multiple trauma patients. In addition, since opportunities for multiple trauma care are decreasing with the decline in traffic accidents, the hospital holds regular in-house conferences for the purpose of sharing experienced cases widely and participates in case review meetings with other facilities. As a third initiative, the hospital conducts cadaver training twice a year as part of its own trauma surgery training. The results of these efforts were examined and found that the time from visit to surgery tended to decrease after 2014, and the number of open abdomen management cases increased significantly.　The system we have established is functioning effectively in a regional university hospital where departments are subdivided. Multidisciplinary conferences and training in collaboration with emergency physicians were also considered effective in disseminating damage control strategies to the hospital trauma team.

Education of the surgeons in gastroenterology for multiple trauma care

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