title: Trauma surgery: discipline in crisis.
abstract: Throughout the past quarter century, there have been slow but dramatic changes in the nature and practice of trauma surgery, and this field increasingly faces potent economic, logistic, political, and workforce challenges. Patients and emergency physicians have much to lose by this budding crisis in our partner discipline. This article reviews the specific issues confronting trauma surgery, their historical context, and the potential directions available to this discipline. Implications of these issues for emergency physicians and for trauma care overall are discussed.
authors.affiliation: Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA 92354, USA. steve@viridissimo.com
authors.forename: Steven M
authors.initials: SM
authors.lastname: Green
mesh_terms: D002170:Canada; D002321:Career Choice; D003661:Decision Support Techniques; D004635:Emergency Medicine / Q000193:education; D005060:Europe; D006801:Humans; D008020:Life Support Care; D012680:Sensitivity and Specificity; D014194:Traumatology / Q000193:education / Q000706:statistics & numerical data* / Q000639:trends; D014481:United States