
World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification (TACS)
2013; BioMed Central; Volume: 8; Issue: 1 Linguagem: Inglês
10.1186/1749-7922-8-17
ISSN1749-7922
AutoresYoram Kluger, Offir Ben‐Ishay, Massimo Sartelli, Luca Ansaloni, Ashraf Abbas, Ferdinando Agresta, Walter L. Biffl, Gian Luca Baiocchi, Miklosh Bala, Fausto Catena, Raúl Coimbra, Yunfeng Cui, Salomone Di Saverio, Koray Daş, Tamer El Zalabany, Gustavo Pereira Fraga, Carlos Augusto Gomes, Ricardo Alessandro Teixeira Gonsaga, Jakub Kenig, Ari Leppäniemi, Sanjay Marwah, Gerson Alves Pereira Júnior, Boris Sakakushev, Boonying Siribumrungwong, Norio Sato, Cristian Tranà, Nereo Vettoretto, Ernest E. Moore,
Tópico(s)Trauma and Emergency Care Studies
ResumoTiming of surgical intervention is critical for outcomes of patients diagnosed with surgical emergencies. Facing the challenge of multiple patients requiring emergency surgery, or of limited resource availability, the acute care surgeon must triage patients according to their disease process and physiological state. Emergency operations from all surgical disciplines should be scheduled by an agreed time frame that is based on accumulated data of outcomes related to time elapsed from diagnosis to surgery. Although literature exists regarding the optimal timing of various surgical interventions, implementation of protocols for triage of surgical emergencies is lacking. For institutions of a repetitive triage mechanism, further discussion on optimal timing of surgery in diverse surgical emergencies should be encouraged. Standardizing timing of interventions in surgical emergencies will promote clinical investigation as well as a commitment by administrative authorities to proper operating theater provision for acute care surgery.
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