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trauma surgery: #2: Initial Assessment and Management [精华]

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BoYang1998

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这个帖子发布于14年零55天前，其中的信息可能已发生改变或有所发展。

Trauma surgery #1: trauma surgery, trauma surgeon and trauma bay

Bo Yang, MD, Ph.D., Rifat Latifi, MD
Dept. of Surgery
University of Arizona

i don't know where to put it. temporarily put in this category.

Trauma surgery

Trauma surgery is a relative new subspecialty of General surgery. In 1976, an orthopedic surgeon and his family crashed an airplane, the wife died immediately and his children were in critical condition. In the hospital, he found he could provide better care for his children at the field with limited resource than the primary care facility, which told us something was wrong with system. That was the initiation of trauma surgery. trauma surgery was formed and started to function in 1980 and has become more and more sophisticated. If you have such experience in china, such as your family, relatives, friends involved in accidents or other traumatic injuries, you feel you can provide better care than the hospital, then there is a problem of the system. Then we need trauma surgery, this subspecialty of general surgery in china. Does anyone have such experience?

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2007-01-09 07:12 浏览 : 15001 回复 : 321

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BoYang1998 编辑于 2007-02-19 12:33

• 文献求助

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Trauma is very common medical problem in the USA, as well as in china. It is the leading cause of death in the first forty years of life (1 to 44 yr). ABOUT 150,000 deaths annually in the US. The death is distribute as a trimode. First peak: seconds to minutes at the scene, generally resulting from lacerations from brain stem, heart, aorta and large vessels. this is no-salvagable. Second peak: minutes to several hours after injury, resulting from hemopneumothorax, ruptured spleen liver, pelvic fractures..... This is the time that general surgeons can make a difference. Also it’s called the “golden hour”. Third peak: days after injury. resulting from sepsis, MOSF.

2007-01-09 07:16

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• 打死也别报全科规培-来自已毕业全科人的建议。

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Trauma surgeon

Trauma surgeon is a general surgeon. In 5 years of training of general surgery, a general surgeon should be very comfortable taking care any trauma patients at trauma bay. The trauma surgeon is the key person to save the trauma patient. You have many people around you, residents, nurses, respiratory technicians, ER doctors, anesthesia (see the attached picture). You are the one making quick assessment, operative decisions. Most Trauma surgeons are very aggressive. If you want to do critical care, you need one year fellowship of critical care at big trauma center, which will make you a complete trauma surgeon. After the fellowship, you are qualified to take care of critical patients in the ICU.

2007-01-09 07:19

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Trauma surgeons are:
  Fast, composed and organized
  Thinks ahead and predicts
  Make decisive decisions
  Recognizes the problem (s)
  Can operate in any cavity (not just a belly surgeon)
  Nice guy/girl!!!

2007-01-09 07:19

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• 烂进膝关节的痛风石，都是年轻时大量喝啤酒惹的祸

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