A county hospital surgical practice: a model for acute care surgery

Development of an Acute Care Plastic Surgery Service in the Saskatoon Health Region: Effects on flexor tendon management

“…In the SHR, the acute care model in general surgery has decreased surgical wait times, led to fewer after-hours surgeries and improved surgeon satisfaction (6). American studies have demonstrated similar findings (7,8).…”

Waiting for definitive care: An analysis of elapsed time from decision to surgery or transfer in a rural centre

“…In order to increase availability of daytime operative availability and meet caseload demands, hospitals can create capacity for emergency cases on elective lists, use evening and weekend theatre sessions for semi-urgent cases, and physically separate emergency and elective operating teams. [1][2][3][4][5][6]9,20 However, it is recognised that it is not always possible to delay a procedure until the next morning.…”

“…[1][2][3][4][5][6] Acute surgical care models and emergency general surgery (EGS) units have been developed with the aim of increasing consultant-led patient care, dedicated in-hours emergency theatre lists and improved surgeon satisfaction. 1,3,[6][7][8][9] These have led to reductions in time to definite operative management, as measured by benchmark emergency procedures such as appendicectomy, cholecystectomy and hip joint replacements for femoral fractures. [6][7][8][10][11][12][13] However, many of these studies are based on data from metropolitan hospitals.…”

Trauma Surgery to Acute Care Surgery: Defining the Paradigm Shift

“…This approach can allow trauma surgeons to increase both their operative volume and their job satisfaction 4,5 and at the same time helps to provide hospitals (at least those that function as trauma centers) with emergency general surgery coverage. The power, appeal, and market drive of a shift to an ACS model of practice has been recognized by the American Association for the Surgery of Trauma, which has developed an ACS fellowship curriculum designed to train surgeons in emergency surgery and trauma and critical care.…”