TRAUMA SURGERY IN EMERGENCY MEDICINE CURRENT TRENDS AND BEST PRACTICES
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Keywords
Trauma surgery, Emergency medicine, Trauma scoring systems, minimally invasive surgery (MIS), Enhanced Recovery After Surgery (ERAS), Disparities in trauma care
Abstract
Trauma surgery in emergency medicine is a crucial component in managing severe injuries and improving patient survival. This paper explores the evolving trends and best practices in trauma care, focusing on the role of trauma scoring systems, minimally invasive surgery (MIS), and disparities in care across different regions. Trauma scoring systems, such as the Injury Severity Score (ISS), Revised Trauma Score (RTS), and Emergency Surgery Score (ESS), are vital tools in guiding clinical decisions and predicting outcomes. The integration of MIS, combined with Enhanced Recovery After Surgery (ERAS) protocols, has revolutionized trauma surgery by reducing recovery times and minimizing postoperative complications. However, challenges persist, especially in low-resource settings where trauma care systems may be underdeveloped. Disparities in access to advanced care and technology contribute to poorer outcomes in low-income countries. Simplified trauma scoring systems, like CRAMS and KTS, have shown promise in these regions. The study emphasizes the need for ongoing research and innovation, including the use of artificial intelligence to enhance trauma care systems globally. Collaborative efforts between high- and low-income countries are essential to address these disparities and improve outcomes for all trauma patients.
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Dr Deepankar Satapathy
Assistant Professor, Department of Orthopaedics, AIIMS Bibinagar, Hyderabad,
Email: dipun86@gmail.com
Dr Piyush Pippal
Dept of General Surgery, Consultant General Surgeon, Ujala Cygnus Hospital Bahadurgarh Haryana,
Email: Piyushpippal5@gmail.com
Dr. Vishal Singh
Assistant Professor, School of pharmacy, ITM sls Baroda University, Vadodara,
Email: mailvishalpro@gmail.com
Dr. Aniketa Sharma
Assistant professor, Department of Medicine, Dr. YSP GOVT.MEDICAL COLLEGE, NAHAN,
Email: aniketa.shonyo786@gmail.com