Another milestone reached: Emergency general surgery verification program

Abstract

The EGS verification program has been finalized. The national launch is planned at the 81st Annual Meeting of the AAST, in September 2022, in Chicago. Sign up to have your hospital verified! #EGS verification @RaulCoimbraMD

What Happens on call Doesn’t Stay on call. The Effects of In-House Call on Acute Care Surgeons’ Sleep and Burnout

“…In the face of increasing specialization within surgery, a growing need for emergency general surgery coverage, an increasing perception of trauma surgery as a nonoperative and non-lifestyle-friendly specialty, and a corresponding decrease in resident interest in the field, the American Association for the Surgery of Trauma (AAST) and the Committee on Trauma of the American College of Surgeons reorganized the field of trauma and renamed it as Acute Care Surgery. 45,46 The incorporation of surgical critical care, emergency general surgery, and trauma led to an increase of clinical and operative volume and was accompanied by a significant increase in the verification of trauma centers and supervision requirements of trainees-all of which contribute to a greater number of attending surgeons taking IHC and a greater amount of attending workload in the night hours. These changes are reflected in our data, with ACS participating in an average of 5 activations and 2.55 operations per IHC, demonstrating IHC is associated with significantly disrupted sleep due to work obligations.…”

A comprehensive analysis of 30-day readmissions after emergency general surgery procedures: Are risk factors modifiable?

“…This practice will soon change with the launch of the American College of Surgeons-American Association for the Surgery of Trauma EGS verification program. 15 Second, although preoperative optimization is not feasible in EGS patients requiring an emergent operation, several intraoperative and postoperative items from the Enhanced Recovery After Surgery (ERAS) protocol should be considered for EGS patients. The feasibility of ERAS in EGS has been demonstrated in several studies.…”

“…Continuous quality improvement and performance improvement processes, common in trauma programs, are not frequently developed in EGS services outside the traditional department of surgery morbidity and mortality conference. This practice will soon change with the launch of the American College of Surgeons–American Association for the Surgery of Trauma EGS verification program 15 . Second, although preoperative optimization is not feasible in EGS patients requiring an emergent operation, several intraoperative and postoperative items from the Enhanced Recovery After Surgery (ERAS) protocol should be considered for EGS patients.…”

Disparities in advance care planning rates persist among emergency general surgery patients: Current state and recommendations for improvement

“…Hospital-based variables were determined in concordance with the American College of Surgeons Emergency General Surgery NSQIP Operations Manual. 15 For patients who underwent an operation, postoperative diagnosis was determined by the International Classification of Diseases (ICD)-10 recorded diagnoses. They were categorized into the common EGS categories outlined for ICD-9 codes and mapped onto ICD-10 codes.…”