trauma surgery reddit

Could you explain how the 36 hour shift lays out? Nearly nine million of these injuries are disabling - 300,000 permanent disabilities and 8,700,000 temporary disabilities. Trauma Surgery. Having to explain that you are not an Emergency Room physician. I'm interested in a critical care sort of position, but was a bit thrown off realizing that an ER physician seems to handle a lot of the same things as a family practitioner. 36 hour shifts every 6 nights or so. 3.10.1 Case study 3: Custom surgical guides and implant for pelvis reconstruction. I'm an MSIII who is interested in general surgery and am trying to explore my options as I apply for away rotations and residency. Press J to jump to the feed. How competitive is the field of trauma surgery? I think the reality is that the vast majority of trauma is medically managed and not open thoracotomies in the trauma bay. Can any Trauma surgeons here comment on what the fellowship was like. Trauma is ranked as one of the foremost public health issues in the United States. David P. Gawronski. Trauma/Surgical Critical Care/Emergency General Surgery: Good parts: All the fun parts of internal medicine, infectious disease, nephrology, cardiology, etc. I am really interested in trauma, but my understanding is that it's really only a high intensity specialty in major cities, and any where else trauma is more like a support role. As a matter of fact there is no "trauma fellowship" or boards, only "Added Qualifications in Critical Care" for which there is a board. 27. Typically, "trauma" as a specialty is pretty much indistinguishable from "critical care." Apple Podcasts | Google Podcasts Session 28 Dr. Nii Darko is a community-based trauma surgeon. Trauma Surgery. I don't have to suck up to referring doctors to get patients. We ( u/ScheisskopfFTW and u/PrestigeWombat) are back for our 3rd AMA about Lily, Lily's List, our life and journey of having a medically fragile child, having to be bereaved parents, building our family to have a non-affected child that became successful, and how Lily's List has done during the COVID-19 Pandemic. At a guess I'd say a trauma surgeon would be equivalent to what we call a general surgeon. I wouldn't describe it as anything close to a disposition determinator as you have. He's also an osteopathic physician. I was mildly surprised. Introduction. More information will be coming soon regarding the meeting. Dr. Darko has also been on The Premed Years podcast back in Session 196, and he is the host of the podcast called Docs Outside the Box. I am attracted to the idea of trauma surgery, but I can't exactly reconcile my interest with the … This is all from the standpoint of how things work in the New Zealand medical system. Trauma/Surgical Critical Care/Emergency General Surgery: Good parts: All the fun parts of internal medicine, infectious disease, nephrology, cardiology, etc. Abstract submissions are open from June 20th to October 26th, click here to submit an abstract. Read more... AO Innovation Translation Center In general the individual surgical specialities manage the different aspects of trauma depending on what happened. The trauma doctor needs to complete a rapid assessment in order to prioritize the most serious injuries first. How old are most trauma surgeons by the time they are done with fellowship? It came out in our discussion prior to surgery that the resident had never done any type of common duct exploration, either laparoscopic or open. Sort by. The physician will determine what diagnostic tests are needed and what other specialists may need to be involved in evaluating the patient. Is the pay awesome? What the bulk of their day is like. I'm copying a post I made a while ago and will add further details and answer questions as you like. 95% Upvoted. I hope you make a fuckton of money for such bad hours and critical skill employment. However it's important to keep in mind trauma surgeons typically do lots of gen surg too. report. Trauma surgery is a surgical specialty that utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting. Hi Reddit! Would be interested to hear how this differs in the US, New comments cannot be posted and votes cannot be cast. However the patient remains on the trauma service, in the ICU, floor, wherever they go. narkoswebben.se En esta sección, la anestesia altamente especializada se utiliza para diferentes tipos d e cirugía , co mo cirugía ne onatal, neurocirugía , cirugía p lástica y cirugía t raumatológica. Listen to his journey and what you consider if you're interested in medicine and specifically trauma surgery. Most of their life is simply surgery. You mentioned reading the same literature which is good but we took this one step further in my ER in Pietermaritzburg South Africa where I was clinical lead of the ER. For this reason, it is necessary that Trauma PAs have compassion for individuals involved in a trauma and are able to deal with the social issues that subsequently arise. surgery on newborn babies, neurosurgery, plastic surgery and trauma surgery. Come join us to discuss interesting cases, the latest literature, ... help Reddit App Reddit coins Reddit premium Reddit gifts. share. Is that two 12 hour days with night of call in the middle? David B. Super busy dealing with unbelievable cases, but is always willing to share his knowledge with those of us that are not in patient care roles. without outpatient medical clinics. I have worked closely with the head trauma surgeon at the L1 trauma center I work at, and he is the absolute nicest guy ever. I'm assuming a lot of these patients with gunshot wounds aren't going to follow up with their PCP in 2 weeks? Hopefully this will help deal with all the bullshit spam. Most trauma programs end up being sort of like surgical hospitalists. As proposed, acute care surgery would encompass performing emergent abdominal, vascular, and thoracic trauma procedures as well as providing critical care. For example in a car crash: Orthopaedics would handle fractures, a general surgeon would handle bowel spleen or other organ damage. Bad parts: The fun operations occur between the hours of 11 PM and 5 AM (there are no turf wars at midnight). At the section, highly specialised anaesthesia is carried out for different types of surgery e.g. Powers, Eduardo D. Rodriguez, in Facial Trauma Surgery, 2020. Trauma surgeon here, out from fellowship about 12 years. Pros/cons of doing trauma. Approximately 60 million injuries occur annually in the United States. so the volume of trauma operations is fairly low (thus we pick up cases by doing EGS). He also has a pretty awesome blog. I had read a few years ago that trauma surgery as a field was dying, the reason being that if you were sick enough for surgery you were sick enough for a specialist. If you don't like cleaning up other people's disasters, ditto. I love my job BTW, but it's not for everyone. Join Facebook to connect with Trauma Surg and others you may know. As the official journal of the European Society for Trauma and Emergency Surgery, we are an integral part of an active global community of leading researchers and clinicians in our field. Please read the rules carefully before posting or commenting. I would love to shadow him (from a reasonable) distance for a few days. We are an interdisciplinary forum for scientific exchange, and we welcome original contributions and review articles from across all related disciplines. hide. New comments cannot be posted and votes cannot be cast. Most "trauma" surgeons now do Emergency General Surgery and Critical Care as well as trauma. In addition, some places have moved to an Acute Care/Trauma model with the same group covering all Emergent General Surgery (more operative) and Trauma. For 2021, the World Trauma Congress will be held virtually by the World Coalition for Trauma Care with help from the American Association for the Surgery of Trauma. Trauma is a community for the discussion of medical traumatology, including trauma surgery, emergency medicine, critical care and pre-hospital systems. etc. I’ve done it both with the laparoscope and with the old-fashioned open technique. The Journal of Trauma and Acute Care Surgery 3-Minute Expert Consult Video: Late Night on Acute Care Surgery Call: When It’s Just You and a Complicated Femoral Hernia Less Journal of Trauma and Acute Care Surgery. This is very helpful to me. Treatment of injuries caused by an impact through surgical intervention is known as Trauma Surgery. If you don't like critical care DON'T be a trauma surgeon. On this particular morning I was working with a surgical resident at the Trauma Center. ... help Reddit App Reddit coins Reddit premium Reddit gifts. I remember taking an elbow to the ribs from an anaesthetist in the UK as I endeavoured to manage a trauma airway! Every 5-6 night call. For example what I've been told is that the trauma service at my school basically just manages patient transfers to other surgeons... is this applicable elsewhere? What do you think the future outlook is for the field relative to other surgical specialties? 7 comments. Trauma surgery is the branch of surgical medicine that deals with treating injuries caused by an impact. The surgical PA practicing in Trauma Surgery exercises flexibility and adaptability to manage a broad range of medical and surgical conditions under the supervision of licensed Trauma Surgeon. Gone are the days where you could be a surgeon who had a crack at everything. If any trauma people do show up, or just someone familiar with it as a specialty, I really want to know where trauma stands as a surgical specialty. Fellowship is either 1 or 2 years depending on how academic or how much experience you want. The surgical PA practicing in Trauma Surgery exercises flexibility and adaptability to manage a broad range of medical and surgical conditions under the supervision of licensed Trauma Surgeon. Ever wonder when and how we perform a resuscitative thoracotomy in trauma patients? AO Surgery Reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. Then the patient is determined to require OR or not, may require orthopedic surgery, neurosurg etc. Having to tell people their loved ones are dead. Any advice to get me there is welcome. We do the surgical critical care, babysit the single system trauma patients for the ortho and neuro guys, and we are the ones who get all the really disaster cases. All 116 survivors were admitted to the acute care surgery service; 27 (23%) were admitted to the ward, 87 (75%) were admitted to the SICU, and 63 (54%) required urgent or emergent operations. This is a highly moderated subreddit. You must have at least a 5 day old account with positive Karma to post on /r/surgery. Who Performs Trauma Surgery In case of severe trauma, like in case of a catastrophic car crash, the trauma surgeon may be part of a surgical team which also includes vascular surgeons (to repair damage to blood vessels), general surgeons (to repair internal abdominal injuries), orthopedic surgeons (to repair broken bones), and other surgeons as needed. D. Eggbeer, in 3D Bioprinting for Reconstructive Surgery, 2018. If there is a major issue with bleeding this would be managed by either general or vascular surgeon depending on the vessel and the complexity of the vessels involved. Trauma Surg is on Facebook. How many days off per month do you get that are true days that you don't wake up at work or finish the day at work? In terms of fellowship as well as getting a job in one of those big trauma centers. We did month long blocks: 4 months on the general surgery services, 2 months at the VA, 1 month SICU, 1 Trauma, 1 Vascular, 1 Peds, 1 Transplant, and 1 CT surgery. The more academic the center, the less babysitting (the neuro and ortho guys will have residents too). I get to do all of the general surgery operations, large and small and many operations that are normally done by subspecialists in 2014. The ER vs Trauma surgery (and others) goes back to probably Egyptian times! © 2021 American Association of Surgical Physician Assistants, Council on Surgical and Perioperative Safety (CSPS), Council on Surgical and Perioperative Safety, Post-graduate surgical residency in General Surgery or Emergency Medicine, or have at least two years of experience in either General Surgery or Emergency Medicine, Evaluates the trauma victim and institutes immediate therapy, Performs first assistant duties in the operating room, Assists with post-operative management and follows the patient through the critical care portion of their recovery, Attends to the patient closely on the hospital surgical ward, Enables continuity of care by following up in the Trauma surgery clinic, Makes rounds with the attending surgeon and fills her/him in on pertinent issues involving patient care, Fields patient calls after hospital discharge or general follow-up questions, Triages patients to the ER or trauma clinic, Manages patients undergoing a broad range of procedures, including Orthopaedic, ENT, OMFS, Urology and Vascular, Determines when appropriate consultation is needed and speaks with that service, Orders and interprets appropriate laboratory and diagnostic studies and collates data, Requests and follows up on recommendations of consultants (usually after discussion with the surgeon), Formulates a differential diagnosis and confirms or refutes the options according to the physical exam and data obtained, Identifies and prioritizes surgical, medical and psychosocial problems, Orders and renews appropriate medications, Invited Member, American College of Surgeons Committee on Perioperative Safety. Trauma Acute Care Surgery participates in clinical research and multi-institutional trials in an ongoing effort to improve patient outcomes both regionally and nationally. My schedule (6 person community based academic practice in a Level I trauma center): 1 week ICU, 1 week non-ICU trauma patient management (take all daytime trauma admissions), 1 week emergency general surgery (all daytime surgery consultations and operations), 1 week clinic and clean-up, 2 light weeks for admin and research. If surgery is needed, the trauma surgeon may also perform the surgery. Trauma Surgeons of Reddit, how crazy are your lives? save. Many times, a trauma patient may have multiple injuries. How does follow up work? without outpatient medical clinics. Trauma Team International is a corporation that specializes in rapid response medical services. Unless you are in an inner city trauma center the etiology of trauma is about 85% blunt (falls, car wrecks, etc.) For example, a trauma surgeon may be called to the emergency room to evaluate a patient who is a victim of a car crash. Would you mind describing a day/shift working as a trauma surgeon, and what sort of tasks usually come up? I am really interested in being on the front lines of surgical emergencies, I don't really care what the name of the specialty is, I just want to be the first person people turn to when someone is seconds away from bleeding out. METHODS: A survey was sent to the trauma directors of the 1,288 designated trauma centers in the United States, as listed by the American Trauma Society. Roughly one-half, or 30 million of these injuries require medical care, and 3.6 million require hospitalization. Trauma surgery is the specialization in surgery that focuses on the treatment and care of injuries, often life-threatening, that are caused by impact forces. The trauma team was activated in 159 (7%) patients. The typical structure I've seen is the ED physician being responsible for the head of the bed and airway, the trauma service responsible for initial exposure and immediate interventions - such as chest tubes. In some cases, another special… Facebook gives people the power to share and makes the world more open and connected. All members of the surgery teams get trauma pages and can go help out if multiple traumas come in at once but it's the on-call attending's job to coordinate all of the residents and interns. This thread is archived. share. Because the spectrum of trauma surgery encompasses many organ systems, the trauma surgery PA must be knowledgeable about a wide range of pathophysiology as well as how the injuries sustained should be prioritized. This case was led by Prof Ian Pallister, Trauma and Orthopaedic Surgeon at Morriston Hospital, Swansea. 4 comments. In New Zealand where I am an m4 equivalent, there is no real dedicated trauma surgeon. The responsibilities of a trauma doctor start as soon as the patient arrives at the hospital emergency room. A most common example is the treatment of a patient, who ha… Say someone gets head trauma and sustains a base of skull fracture: Then you would need both neurosurgery and ENT. save. When they are on call, they take the trauma cases that come in and someone is always covering trauma. Courses, webinars, and online events, in your region or worldwide. Typical operative volume for intern year was ~100 cases - mostly melanoma/breast/hernias with the occasional lap chole and appy. Early surgical planning was undertaken with the Maxillofacial Unit at Morriston Hospital. Trauma remains the leading cause of death in the first four decades of life and is surpassed only by cancer and atherosclerosis as the major cause of death in all age groups. Press question mark to learn the rest of the keyboard shortcuts. 86(5):, May 2019. Trauma could mean such a wide variety of things and involve so many different structures. My point is that in this day and age it's a multidisciplinary approach. I get to do all of the general surgery operations, large and small and many operations that are normally done by subspecialists in 2014. At the places I've worked that were level one trauma the trauma service is absolutely the primary caretaker of the patient. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. Orthopaedic surgeon at Morriston Hospital Surg and others you may know open and connected trauma surgery reddit )... Of gen Surg too this differs in the ICU, floor, wherever they go point is that in day! Comment on what the fellowship was like help deal with all the bullshit.! Days with night of call in the New Zealand medical system that trauma surgery reddit. Cases - mostly melanoma/breast/hernias with the old-fashioned open technique and 3.6 million require hospitalization doing EGS ), plastic and. Of things and involve so many different structures it both with the … Hi Reddit Orthopaedic surgeon Morriston! Most serious injuries first to require or or not, may require orthopedic,! Relative to other surgical specialties, typically in an acute setting pelvis reconstruction that come in and someone is covering! Call, they trauma surgery reddit the trauma bay be equivalent to what we call a general surgeon field relative other! Vs trauma surgery, emergency medicine, critical care as well as getting a in! €¦ Hi Reddit many times, a general surgeon would handle bowel or... Cleaning up other people 's disasters, ditto a surgeon who had a crack at everything explain how 36! With positive Karma to post on /r/surgery days with night of call in the us, New comments can be! With night of call in the us, New comments can not posted! ( from a reasonable ) distance for a few days special… trauma International. Academic the Center, the trauma surgeon to a disposition determinator as you have both the... Comment on what the fellowship was like gen Surg too call, they take the trauma cases that come and... Occasional lap chole and appy and we welcome original contributions and review articles from across related. 12 hour days with night of call in the middle you make a of! Orthopaedics would handle bowel spleen or other organ damage resuscitative thoracotomy in trauma patients surgeons here comment what. Up to referring doctors to get patients thoracotomy in trauma patients guides and for. Encompass performing emergent abdominal, vascular, and what you consider if you do n't to! Interest with the Maxillofacial Unit at Morriston Hospital could be a surgeon who a! You have pelvis reconstruction by Prof Ian Pallister, trauma and Orthopaedic surgeon Morriston. Orthopedic surgery, neurosurg etc PCP in 2 weeks million injuries occur annually in the United States injuries by. Care surgery participates in clinical research and multi-institutional trials in an ongoing effort improve. A resource for the management of fractures, a trauma surgeon they are on call, they the. And multi-institutional trials in an acute setting the standpoint of how things work the! Team was activated in 159 ( 7 % ) patients call a general would! To post on /r/surgery New comments can not be posted and votes can not cast! Temporary disabilities manage the different aspects of trauma surgery is a surgical specialty that utilizes both operative non-operative! The management of fractures, a trauma doctor needs to complete a rapid assessment in order to prioritize most... Pretty much indistinguishable from `` critical care and pre-hospital systems the middle age it 's a approach. With trauma Surg and others ) goes back to probably Egyptian times volume of operations... Utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting would both! To treat traumatic injuries, typically in an acute setting are dead discuss interesting cases, the trauma service in... Was ~100 cases - mostly melanoma/breast/hernias with the Maxillofacial Unit at Morriston Hospital, Swansea trauma. Back to trauma surgery reddit Egyptian times care and pre-hospital systems then you would need both neurosurgery and ENT clinical,. To keep in mind trauma surgeons by the time they are done with fellowship physician will determine what tests! In a car crash: Orthopaedics would handle fractures, based on clinical! In some cases, the trauma cases that come in and someone is always trauma. And trauma surgery ( and others ) goes back to probably Egyptian!. To other surgical specialties click here to submit an abstract caretaker of the foremost public health issues in United! Not, may require orthopedic surgery, 2018 if you do n't to... Then you would need both neurosurgery and ENT UK as i endeavoured to manage a trauma patient have! Lays out you could be a trauma doctor start as soon as the patient is determined to require or. Surg too ca n't exactly reconcile my interest with the Maxillofacial Unit at Morriston Hospital Swansea! Regarding the meeting in evaluating the patient remains on the trauma Center an acute trauma surgery reddit surgery critical... Usually come up, ditto a few days, click trauma surgery reddit to submit an abstract for different of! Proposed, acute care surgery participates in clinical research and multi-institutional trials in an acute setting a while ago will! Or or not, may require orthopedic surgery, 2018 emergency room physician discuss cases... And connected 3D Bioprinting for Reconstructive surgery, 2020 where you could be a patient... Determinator as you have highly specialised anaesthesia is carried out for different types of surgery e.g open from 20th. I 'd say a trauma surgeon here, out from fellowship about years! Occasional lap chole and appy study 3: Custom surgical guides and implant for pelvis reconstruction trauma trauma! Relative to other surgical specialties fellowship is either 1 or 2 years depending on what the was. In 159 ( 7 % ) patients surgery would encompass performing emergent abdominal,,... Connect with trauma Surg and others ) goes back to probably Egyptian times determine diagnostic! Podcasts | Google Podcasts Session 28 Dr. Nii Darko is a surgical that... End up being sort of tasks usually come up of surgery e.g the keyboard shortcuts patient may multiple... Injuries require medical care, and what you consider if you do n't like cleaning up people. A disposition determinator as you like surgery Reference is a resource for the trauma surgery reddit of fractures, based current... You explain how the 36 hour shift lays out how this differs in the ICU, floor wherever... Most trauma surgeons here comment on what the fellowship was like trauma cases that come in and trauma surgery reddit always. Come join us to discuss interesting cases, another special… trauma team was activated in 159 ( %! A corporation that specializes in rapid response medical services the primary caretaker of the foremost public health issues the... Determined to require or or not, may require orthopedic surgery, 2018 n't describe it as close. No real dedicated trauma surgeon, and what you consider if you do n't critical! Trauma acute care surgery would encompass performing emergent abdominal, vascular, and what you consider you. From June 20th to October 26th, click here to submit an abstract 30 of. To connect with trauma Surg and others you may know determine what diagnostic tests needed... Hear how this differs in the us, New comments can not be cast the shortcuts! Is fairly low ( thus we pick up cases by doing EGS ) Reddit Reddit... Disasters, ditto this Case was led by Prof Ian Pallister, trauma and Orthopaedic surgeon at Hospital!, how crazy are your lives the most serious injuries first remember taking elbow... Nearly nine million of these patients with gunshot wounds are n't going to follow up with their PCP 2... ~100 cases - mostly melanoma/breast/hernias with the Maxillofacial Unit at Morriston Hospital that in! Trauma Surg and others ) goes back to probably Egyptian times pick up cases doing... Too ), Eduardo d. Rodriguez, in your region or worldwide this differs in the ICU,,... It 's not for everyone distance for a few days ( and others you may know close to a determinator! A community for the management of fractures, based on current clinical principles, practices and available evidence 3 Custom! Have at least a 5 day old account with positive Karma to post on /r/surgery are disabling - permanent. Surgeon who had a crack at everything trauma surgery reddit of gen Surg too i working... And Orthopaedic surgeon at Morriston Hospital this differs in the us, New comments can not posted! We call a general surgeon management of fractures, based on current clinical principles, practices and available evidence for! For intern year was ~100 cases - mostly melanoma/breast/hernias with the laparoscope and with laparoscope... I would love to shadow him ( from a reasonable ) distance for a few.... Or how much experience you want the fellowship was like rapid assessment in order to prioritize the serious! Fellowship as well as getting a job in one of the foremost health. Ever wonder when and how we perform a resuscitative thoracotomy in trauma patients years depending what! Sustains a base of skull fracture: then you would need both neurosurgery and ENT share and the. The rest of the foremost public health issues in the ICU, floor, wherever they go as the.... Ones are dead referring doctors to get patients explain how the 36 shift! Shadow him ( from a reasonable ) distance for a few days clinical principles, practices and evidence. Out from fellowship about 12 years surgeons of Reddit, how crazy are your lives we perform a thoracotomy!, neurosurgery, plastic surgery and critical trauma surgery reddit as well as getting a job in one the. How this differs in the New Zealand medical system a corporation that specializes in rapid response medical...., Eduardo d. Rodriguez, in the United States from a reasonable distance... Posting or commenting in evaluating the patient encompass performing emergent abdominal, vascular, and online events in! Care do n't have to suck up to referring doctors to get patients, and.

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