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Should the Trauma Surgeon Do the Emergency Surgery?

      The field of trauma surgery traditionally has been part of the domain of all surgical specialties. In the Americas, however, broad-based general surgical training has uniquely qualified general surgeons to be “captains of the ship” when multiple physicians are caring for injured or critically ill patients. This situation has resulted largely from the interest of general surgeons in assuming this role, coupled with their training in the anatomy and operations of all body domains, and a major emphasis on the underlying physiology of injured patients. The influence of the Committee on Trauma of the American College of Surgeons also has been significant in this regard. Perhaps the most critical change in the field of trauma surgery occurred as a result of the transition of urban county hospitals to academic regional trauma centers during the 1960s and 1970s, leading to the establishment of the discipline of trauma surgery within general surgery departments [
      • Moore E.E.
      • Maier R.V.
      • Hoyt D.B.
      • et al.
      Acute care surgery: eraritjaritjaka.
      ].
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