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Al-Ayoubi, Fawzi
Publications (3 of 3) Show all publications
Al-Ayoubi, F., Eriksson, H., Myrelid, P., Wallon, C. & Andersson, P. (2012). Uneven distribution of emergency operations and lack of trauma: a call for reorganization of acute surgical care?. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20
Open this publication in new window or tab >>Uneven distribution of emergency operations and lack of trauma: a call for reorganization of acute surgical care?
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2012 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 20Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Subspecialisation within general surgery has today reached further than ever. However, on-call time, an unchanged need for broad surgical skills are required to meet the demands of acute surgical disease and trauma. The introduction of a new subspecialty in North America that deals solely with acute care surgery and trauma is an attempt to offer properly trained surgeons also during on-call time. To find out whether such a subspecialty could be helpful in Sweden we analyzed our workload for emergency surgery and trauma. METHODS: Linkoping University Hospital serves a population of 257 000. Data from 2010 for all patients, diagnoses, times and types of operations, surgeons involved, duration of stay, types of injury and deaths regarding emergency procedures were extracted from a prospectively-collected database and analyzed. RESULTS: There were 2362 admissions, 1559 emergency interventions; 835 were mainly abdominal operations, and 724 diagnostic or therapeutic endoscopies. Of the 1559 emergency interventions, 641 (41.1%) were made outside office hours, and of 453 minor or intermediate procedures (including appendicectomy, cholecystectomy, or proctological procedures) 276 (60.9%) were done during the evenings or at night. Two hundred and fifty-four patients were admitted with trauma and 29 (11.4%) required operation, of whom general surgeons operated on eight (3.1%). Thirteen consultants and 11 senior registrars were involved in 138 bowel resections and 164 cholecystectomies chosen as index operations for standard emergency surgery. The median (range) number of such operations done by each consultant was 6 (3--17) and 6 (1--22). Corresponding figures for senior registrars were 7 (0--11) and 8 (1--39). CONCLUSION: There was an uneven distribution of exposure to acute surgical problems and trauma among general surgeons. Some were exposed to only a few standard emergency interventions and most surgeons did not operate on a single patient with trauma. Further centralization of trauma care, long-term positions at units for emergency surgery and trauma, and subspecialisation in the fields of emergency surgery and trauma, might be options to solve problems of low volumes.

Place, publisher, year, edition, pages
BioMed Central, 2012
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-87677 (URN)10.1186/1757-7241-20-66 (DOI)22985447 (PubMedID)
Available from: 2013-01-22 Created: 2013-01-21 Last updated: 2017-12-06
Backstrom, D., Al-Ayoubi, F., Steinvall, I., Fredrikson, M. & Sjöberg, F. (2010). Letter: Outcome of trauma patients [Letter to the editor]. Acta Anaesthesiologica Scandinavica, 54(7), 902-903
Open this publication in new window or tab >>Letter: Outcome of trauma patients
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2010 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 54, no 7, p. 902-903Article in journal, Letter (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2010
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-58248 (URN)10.1111/j.1399-6576.2010.02237.x (DOI)000279534100023 ()
Available from: 2010-08-10 Created: 2010-08-09 Last updated: 2017-12-12Bibliographically approved
Abu-Zidan, F., Siosteen, A., Wang, J., Al-Ayoubi, F. & Lennquist, S. (2004). Establishment of a teaching animal model for sonographic diagnosis of trauma. Journal of Trauma, 56(1), 99-104
Open this publication in new window or tab >>Establishment of a teaching animal model for sonographic diagnosis of trauma
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2004 (English)In: Journal of Trauma, ISSN 0022-5282, E-ISSN 1529-8809, Vol. 56, no 1, p. 99-104Article in journal (Refereed) Published
Abstract [en]

Background: Ultrasound is widely accepted as a valuable diagnostic tool for detecting intra-abdominal and intrathoracic bleeding in trauma patients. Nevertheless, many doctors are reluctant to use it because they do not have sufficient training. This study aimed to define intraabdominal and intrathoracic fluid volumes that can be detected by sonography and their relation to fluid width in pigs to establish a clinically relevant animal model for teaching and training. Methods: Different volumes of normal saline were infused into the abdomen (50-2,000 mL) and chest (25-250 mL) in five anesthetized pigs. The maximum width of fluid as detected by ultrasound was recorded. The right upper quadrant, left upper quadrant, pelvis, and right paracolic section of the abdomen and right pleural cavity were studied. An experienced radiologist performed the studies. The effects on respiratory and cardiovascular functions were evaluated. Results: The sonographic findings in the pig were similar to those in humans. Up to 50 mL of intra-abdominal fluid and up to 25 mL of intrathoracic fluid could be detected by ultrasound. There was a significant correlation between the volume infused and the fluid width detected. The respiratory and cardiovascular monitoring of the animals showed that the infused intrathoracic volumes mimicked a survivable hemothorax. Conclusion: The pig may serve as an excellent clinically relevant model with which to teach surgeons detection of different volumes of intra-abdominal and intrathoracic fluids. The value of this model as an educational tool has yet to be tested.

Keywords
ultrasound, multiple trauma, teaching, training, animal model, pig
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-46286 (URN)
Note

DOI does not work: 10.1097/01.TA.000038546.82954.3D

Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2018-03-12
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