Treating surgical emergency non- traumatized patients involves the same principles used in the management of the traumatized. Team availability

and preparedness, prompt effort at diagnosis and early initiation of management protocols are the hallmarks of the acute care surgery approach for the most severely ill. Immediate availability of resources is essential. Triage concepts and color coding should therefore be adopted in the management of surgical emergencies as well. In a busy Emergency Department with an CHIR98014 influx of patients in need for early intervention, assigning patients to surgery in a “timely manner” is mastery. Triage selleck chemical criteria based on data and knowledge of disease processes need to be set forward for non- traumatic surgical emergencies. Setting proper time frames will promote the establishment of international standards, the initiation of worldwide research and the development of acute care services by national authorities and hospital management administrations. Triage criteria for acute surgical diseases

should include simple hemodynamic and Trichostatin A clinical data. These criteria would direct the acute surgical teams to properly tag each patient to the timing of surgery. While committing to the time frame set forward for managing patients with surgical emergencies, appropriate steps should be undertaken for optimizing patient physiological status alongside antibiotics administration and pain control during the wait for surgery. Acute Care Surgeons must decide on a proper time frame for the management of their patients, and to commit the medical system to such time frame. This commitment Pembrolizumab concentration is essential especially in busy medical centers where the Emergency Department is crowded with patients in need of surgery, yet lacking availability of operating theaters. Classification system Considering the above (TACS study and current literature), the following categories could be incorporated into a triage system

of acute care surgery cases as follows: Immediate – implies an extreme or markedly decompensated physiological state, usually resulting from bleeding. This is rare in non- traumatic surgical emergencies, and for most bleeding patients initial resuscitative measures will enable further evaluation, diagnosis and even non-operative treatment. Active intra peritoneal bleeding due to a ruptured visceral aneurysm, a ruptured spleen due to hematological disorder with bleeding are examples of a condition that requires immediate surgery. In this category, life or tissue loss is imminent. Within an hour from diagnosis- implies signs and symptoms of vascular compromise: incarcerated hernia with bowel entrapment, mesenteric vascular occlusion, or limb ischemia.