Objective: To report the change in cricothyrotomy rate with emergency medicine (EM) residency development and to address the implications for training in this skill. I remember taking an elbow to the ribs from an anaesthetist in the UK as I endeavoured to manage a trauma airway! Being an emergency medicine resident, he often posts articles about life as an ER resident. The trauma doctor needs to complete a rapid assessment in order to prioritize the most serious injuries first. A Trauma Surgeon is a highly trained and specialized medical care professional who performs emergency surgeries on patients suffering from acute injuries and illnesses. Our team is comprised of twelve faculty members , each board certified by the American Board of Surgery in general surgery … If you haven't already done so, check out Panda Bear, MD's blog. The Fellow will be expected to follow his patient longitudinally through admission, ICU, step-down unit, ward to discharge. The ER vs Trauma surgery (and others) goes back to probably Egyptian times! Emergency medicine, with regards to trauma or critical patients, is the recognition of said critical condition, then appropriate stabilization and initiatil management of these issues. However, if you're more interested in trauma, then surgery might be a better route. The Section of Trauma Acute Care Surgery (TACS) provides comprehensive, around-the-clock care for trauma, surgical critical care and emergency general surgery patients. A general surgeon knows literally everything an emergency medicine doc knows about surgery. If surgery is needed, the trauma surgeon may also perform the surgery. Department of Trauma, Emergency Surgery & Surgical Critical Care, Massachusetts General Hospital, Harvard University, Boston, USA Correspondence Josefine S. Baekgaard, Department of Anesthesia, Section 4231, Rigshospitalet, Juliane Maries Vej 10, DK-2100 Copenhagen, Denmark. The physician will determine what diagnostic tests are needed and what other specialists may need to be involved in evaluating the patient. Plus, emergency medicine has a better lifestyle as residents generally work shifts. Emergency and elective surgery (12 months) Total: 24 months Critical Care is the long term management of these patients after they leave the ED. Trauma/critical care (9 months) - Resuscitative and post-op management of complex surgical diseases related to general surgery and trauma; Electives in trauma/critical care (3 months) - Management of complex critical illness such as pediatric surgical care, neurocritical care, burns, etc. Ultimately, in January of this year I was at the point of trying to come to a decision between applying into emergency medicine or anesthesia (and leaning more toward EM). 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