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Acute Care Surgery: Implementation in Korea
한국에서 Acute Care Surgery의 확립
J Acute Care Surg 2018;8:51−58
Published online October 30, 2018;  https://doi.org/10.17479/jacs.2018.8.2.51
© 2018 Korean Society of Acute Care Surgery.

Chan Ik Park, M.D.*, Jae Hun Kim, M.D.*, Sung Jin Park, M.D.*, Seon Hee Kim, M.D., Ph.D.*, Ho Hyun Kim, M.D.*, Suk-Kyung Hong, M.D., Ph.D., Chi-Min Park, M.D., Ph.D.‡,§
박찬익*, 김재훈*, 박성진*, 김선희*, 김호현*, 홍석경, 박치민‡,§

*Department of Trauma Surgery, Pusan National University Hospital, Busan, Division of Acute Care Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Departments of Surgery and §Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
*부산대학교병원 외상외과, 울산대학교 의과대학 서울아산병원 외과학교실 외상중환자외과, 성균관대학교 의과대학 삼성서울병원 외과, §중환자의학과
Jae Hun Kim, M.D.
Department of Trauma Surgery, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea
Tel: +82-51-240-7369
Fax: +82-51-247-7719
E-mail: jjangmdkmdk@hanmail.net
ORCID: http://orcid.org/0000-0003-4504-9898
Received September 19, 2018; Accepted October 1, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The concept of acute care surgery (ACS) incorporates trauma, surgical critical care, and emergency general surgery. It was designed in the early 2000s by the United States as a solution to the looming crisis of trauma care and non-trauma emergency surgery. Reduced surgical opportunities for trauma surgeons resulted in a decreased interest in trauma surgery. Surgical sub-specialization further accelerated an indifference towards trauma and emergency general surgery. Started in 2008, the trauma center project in Korea is still in its infancy. Although the need for ACS was presented since the inception of the trauma center project, there was a lack of implementation at trauma centers due to government regulations. However, ACS has been initiated at several non-trauma center hospitals and is mainly operated by surgical intensivists. Studies demonstrate that adding emergency surgery to a trauma service does not compromise the care of the injured patients, despite an increase in trauma volume. Positive impacts of ACS are reported by numerous researches. We believe that the development and advancement of trauma centers will necessitate a discussion for the implementation of the ACS model at trauma centers in Korea.
Keywords : Acute care surgery, Trauma system, Emergency general surgery


October 2018, 8 (2)
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