Role of acute care surgeons in disasters and their training: a highly skilled surgeon and trauma leader

DOI
  • Okada Ichiro
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • Inoue Kazushige
    Department of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center
  • Seki Satoshi
    Department of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center

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Other Title
  • 災害医療におけるacute care surgeon の役割とその育成： 高度技能医および外傷リーダーとしての役割を中心に

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Abstract

Disasters frequently result in a large number of trauma patients. Acute care surgeons as trauma specialists have a crucial function in disaster medicine. In the event of a disaster, acute care surgeons are primarily required to play two roles: one is a highly skilled surgeon who performs trauma surgery, and the other is a trauma leader who manages trauma care area. Many surgeries for extremity trauma are reported to be required in actual disasters, and acute care surgeons as highly skilled surgeons are required to be proficient not only in surgeries for torso trauma but also in the initial treatment of extremity trauma involving vascular injury. Appropriate trauma leader management is required for the success of the initial disaster response; thus, acute care surgeons who work in trauma bays, operating rooms, and intensive care units are considered appropriate for trauma leaders. It is important to participate in disaster medicine during normal times to improve the ability to respond to disasters, and acute care surgeons should play a major role in building a trauma care system that includes general and specialty surgeons during disasters.

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