title: The emergency surgical team - the way forward in emergency care?
abstract: BACKGROUND
  With reduced working hours and shift patterns, surgical training and continuity of patient care is being put at risk. We have devised a system for managing the emergency surgical patients in an effort to counteract these perceived problems. This study describes the emergency surgical team and audits its activity.
  
  
  METHODS
  The emergency surgery team concept is described in detail. Over a 2-week period, general surgical referral data, patient management and operative activity were audited.
  
  
  RESULTS
  A total of 229 patients were referred to the emergency surgical team with 159 treated conservatively, 45 underwent operative intervention and 25 were discharged without admission. Of the emergency surgical team referrals, 58% had gallstone pathology, appendicitis or constipation/non-specific abdominal pain. Average daily number of patients under the care of the emergency surgical team was 26 (range, 10-40).
  
  
  CONCLUSIONS
  The consultant-led emergency surgical team look after many of the acutely sick surgical patients. Our system not only provides good teaching opportunities but ensures optimal continuity of patient care in a busy district general hospital. Such an approach to emergency surgical care has been successfully developed to optimise training opportunities and improve patient care in a setting of reduced working hours and shift systems in our hospital.
authors.affiliation: Department of Colorectal Surgery, Frimley Park Hospital, Frimley, Surrey, UK.
authors.forename: Laura
authors.initials: L
authors.lastname: Tincknell
authors.forename: Sarah
authors.initials: S
authors.lastname: Burton
authors.forename: Claire
authors.initials: C
authors.lastname: Cooke
authors.forename: Stephen
authors.initials: S
authors.lastname: Black
authors.forename: Stefano
authors.initials: S
authors.lastname: Andreani
authors.forename: Iain
authors.initials: I
authors.lastname: Jourdan
authors.forename: Mark
authors.initials: M
authors.lastname: Gudgeon
mesh_terms: D004632:Emergency Medical Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D004739:England; D006801:Humans; D008485:Medical Audit; D010348:Patient Care Team / Q000458:organization & administration* / Q000706:statistics & numerical data; D011446:Prospective Studies; D012017:Referral and Consultation / Q000706:statistics & numerical data; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data*