MChProgramme – Trauma Surgery and Critical Care

Trauma Surgery and Critical Care(TSCC) in superspeciality, started in 2018 in All India Institute of Medical Sciences Rishikesh, Trauma Surgery and Critical Care is new growing branch in Medical stream for taking care of Trauma patients. Main aim is to care of the trauma patient in totto, right from emergency care to definitive care. Mostly trauma Emergencies are lethal and time dependent. according to the trimodal death in trauma – most of the severe trauma patient died in few seconds to minutes The broad scope of their surgical critical care training enables the trauma surgeon to address most injuries to the neck, chest, abdomen, and extremities. In large parts of Europe trauma surgeons treat most of the musculoskeletal trauma, whereas injuries to the central nervous system are generally treated by neurosurgeons. In the US and Britain skeletal injuries are treated by trauma orthopaedic surgeons. Facial injuries are often treated by maxillofacial surgeons. There is significant variation across hospitals in the degree to which other specialists, such as cardiothoracic surgeons, plastic surgeons, vascular surgeons, and interventional radiologists are involved in treating trauma patients.
Trauma surgeons must be familiar with a large variety of general surgical, thoracic, and vascular procedures and must be able to make complex decisions, often with little time and incomplete information. Proficiency in all aspects of intensive care medicine/critical care is required. Hours are irregular and there is a considerable amount of night, weekend, and holiday work. Salaries for trauma surgeons are comparable to that of general surgeons.
Most patients presenting to trauma center have multiple injuries involving different organ systems, and so the care of such patients often requires a significant number of diagnostic studies and operative procedures. The trauma surgeon is responsible for prioritizing such procedures and for designing the overall treatment plan. This process starts as soon as the patient arrives in the emergency department and continues to the operating room, intensive care unit, and hospital floor. In most settings, patients are evaluated according to a set of predetermined protocols designed to detect and treat life-threatening conditions as soon as possible. After such conditions have been addressed (or ruled out), non-life-threatening injuries are addressed.