World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification (TACS)

Abstract

Timing 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.

Effects of COVID-19 pandemic on general surgical emergencies: Are some emergencies really urgent? Level 1 Trauma center experience

“…One of similar the features of blunt trauma, gunshot wounds, stab wounds, GIS bleeding, mesenteric ischemia, GIS perforations, is that they are in the emergency surgery class that requires intervention for immediate or several hours. Mortality is high if early intervention is not performed in these emergencies [19]. In our study, we concluded that these surgeries, which are in the Immediate and emergency class requiring intervention within several hours, are not affected by the COVID 19 pandemic.…”

Scand-Ankle: Alcohol intervention in acute surgery of ankle fracture

“…157,183,[195][196][197][198] The question of timely and effective intervention A challenge in surgery is, among other things, the time frame -there is an interrelation of postponing acute surgery and the increased risk of developing complications. 199 In contrast, we would need time before surgery to intervene and allow time for recovery from organ dysfunctions and related improvements of postoperative complications.…”

Implementação de um modelo de triagem cirúrgica para casos urgentes em um hospital terciário.

“…In 2013, the World Society for Emergency Surgery Study Group (WSES) recommended the use of a color system to classify emergency surgeries to reduce the loss of information and to allow the establishment of standardized language among the teams. Timing of Acute Care Surgery (TACS) was based on a survey of a panel of specialists about the ideal time for more frequent emergency surgeries 6 .…”