文档介绍：The Journal of TRAUMA Injury, Infection, and Critical Care
Trauma Surgery in the Era of Nonoperative Management:
The Dutch Model
J. Carel Goslings, MD, PhD, Kees Jan Ponsen, MD, Jan S. K. Luitse, MD, and Gregory J. Jurkovich, MD
Background: Falling operative expe- Severity Score of 16 or above. During a maining operations were performed outside
rience and diminished job satisfaction of 3-year period (2001–2003), all operative office hours (evening 37%, night 13%,
trauma surgeons appears to be in part the interventions performed by or under di- weekend 50%).
result of nonoperative management of many rect supervision of the trauma surgeons Conclusion: This study shows that
blunt injuries. In herlands, the re- were retrospectively analyzed and catego- the addition of (non)operative fracture
sponsibility of trauma surgeons includes the rized into eight groups. care results in a viable mix of surgical and
operative treatment of most pelvic and ex- Results: During the 3-year period, nonsurgical management. This leads to
tremity injures, as well as the overall coor- 2,011 operations were performed by the broad skills and could enhance job satis-
dination of care. This study describes the trauma surgeon group. Of these, 1,459 faction. These data could be of interest for
type and number of operative procedures were single procedures and 552 were mul- the current discussio