Abstract
Trauma center certification requires a trauma surgeon to be present in the emergency department (ED) on arrival of seriously injured patients. However, with improved diagnostic studies and non-surgical therapeutic options, the need for emergent surgery has decreased, and many centers have used criteria-based “secondary triage” protocols to guide when the immediate involvement of a surgeon is necessary. Recently, a clinical decision rule was developed in an attempt to accurately predict which patients need emergent operative intervention (EOI), defined as general surgery within one hour of ED arrival.
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