EMS and Trauma Centers

EMS I’ve lectured and written in some venues about my concerns about some of the structure of EMS in the United States. The wide disparity of experience and training among EMS providers even in the same county can make it extremely difficult to have low variability high quality care. However EMS providers as a whole…

How much work is too much for an ACS surgeon?

I recently had dinner with a good friend and former resident who runs a busy ACS program. He asked me “how many hours a week do you think an ACS surgeon should work?” I didn’t have an immediate answer other than “it depends”. It depends on how busy each service is, how much the surgeon…

What is Optimal Trauma Care?

Optimal trauma care is the best care you can provide to that injured patient in front of you at that moment in time. Some of use want it to be perfect, and most of us know it never can be. However, we can strive to make it better, and better each time, so that mistakes…