Acute Care Surgery in Our Department of Emergency and Critical Care Medicine for the Past 10 Years

Abstract

We studied acute care surgery in our Department of Emergency and Critical Care Medicine over the past 10 years. We reviewed 646 cases who underwent an emergency laparotomy in the 10 years from 2002, we divided the 10 years into half and approached from the number of cases, disease and contents of cases, number of operating clinicians and operations per doctor. For the 5 years from 2002, emergency laparotomies accounted for 371 cases, trauma for 181 cases（stab：63 cases, blunt：118 cases）, non-trauma for 190 cases, the annual average of the operating clinician was five, and operations per doctor were 10.3 cases (under 10 years' experience: 14.7 cases). For the 5 years from 2007, emergency laparotomies accounted for 275 cases, trauma for 115 cases (stab: 43 cases, blunt: 72 cases), non-trauma for 160 cases, the annual average of the operating clinician was three, and operations per doctor were 7.8 cases (under 10 years' experience: 26.0 cases). We understand that only these cases are not enough for a full review, but the quantity and quality of the operations were maintained at least to some extent during the training of acute care surgery parctitioners. For training acute care surgeons, a system is required which takes into consideration the characteristic of the department, experience and the skill of the doctor.