TY - CHAP M1 - Book, Section TI - Acute Care Surgery A1 - Lewis, Anthony J. A1 - Rosengart, Matthew R. A1 - Peitzman, Andrew B. A2 - Moore, Ernest E. A2 - Feliciano, David V. A2 - Mattox, Kenneth L. PY - 2017 T2 - Trauma, 8e AB - Over the past decade the organization of a new paradigm in the management of acutely ill surgical patients has emerged, one emphasizing surgeons trained in trauma, emergency general surgery, and surgical critical care.1 The need has been established for a specialized group of surgeons to care for patients with “time sensitive surgical disease” of high acuity, at any time of the day or night, regardless of the patients’ insurance or other social factors.2 This comes at a time where we are experiencing an ever-increasing volume of emergency general surgery patients, with estimates revealing in excess of 27.6 million emergency general surgery hospital admission over the past decade.3 To address this need, the specialty of acute care surgery (ACS) was proposed by the American Association for the Surgery of Trauma (AAST). Acute care surgery as initially presented was comprised of trauma, surgical critical care, and emergency surgery. We have redefined the five components of ACS as trauma, surgical critical care, emergency surgery, elective general surgery, and surgical rescue (Fig. 6-1). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1141185437 ER -