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1 General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia 1, 56100, Pisa, Italy. federico.coccolini@gmail.com.
2 General and Emergency Surgery, Macerata Hospital, Macerata, Italy.
3 Division of General Surgery, Rambam Health Care Campus, Haifa, Israel.
4 Emergency Surgery, Emergency Surgery of the Research Institute of Emergency Medicine Named After I.I. Dzhanelidze, St. Petersburg, Russia.
5 Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
6 General Surgery, Ethiopian Air Force Hospital, Bishoftu, Oromia, Ethiopia.
7 General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery Foothills Medical Centre, Calgary, AB, Canada.
8 Department of General Surgery, Hôpital Principal de Dakar Military Teaching Hospital, Dakar, Sénégal.
9 Ernest E. Moore Shock Trauma Center at Denver Health, Denver, CO, USA.
10 Trauma Surgery Department, Scripps Memorial Hospital, La Jolla, CA, USA.
11 Department of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital, Kaliningrad, Russia.
12 Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
13 ICU Department, Maggiore Hospital, Parma, Italy.
14 Unit of General Surgery, CARE Department Henri Mondor University Hospital (AP-HP), Faculty of Medicine, University of Paris Est, UPEC, Créteil, France.
15 College of Osteopathic Medicine, Rocky Vista University, Parker, CO, 80134, USA.
16 General Surgery, Pavia University Hospital, Pavia, Italy.
17 Emergency Medicine Department, Radboud Universitair Medisch Centrum, Nijmegen, The Netherlands.
18 Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, UAE.
19 General Surgery Department, Monza University Hospital, Monza, Italy.
20 Department of General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany.
21 Emergency and Trauma Surgery, Niguarda Hospital, Milan, Italy.
22 Emergency and Trauma Surgery, Gemelli University Hospital, Rome, Italy.
23 General Surgery Department, Mozyr Hospital, Mozyr, Belarus.
24 ASUR Marche, AV5, Hospital of San Benedetto del Tronto, San Benedetto del Tronto, Italy.
25 Dipartimento Di Chirurgia Generale E Specialistica "Paride Stefanini", La Sapienza University of Rome, Rome, Italy.
26 General Surgery Department, Plovdiv University Hospital, Plovdiv, Bulgaria.
27 General Surgery Department, Insubria University, Varese, Italy.
28 General Surgery Department, Campinas University, Campinas, Brazil.
29 Department of Minimal Access and General Surgery, Government Gousia Hospital, Srinagar, Jammu and Kashmir, India.
30 Surgery Department, Radboud University Medical Center, Nijmegen, The Netherlands.
31 General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia 1, 56100, Pisa, Italy.
32 Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.
33 Trauma Department, University of California, Davis, Sacramento, CA, USA.
34 Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
35 Department of Traumatology and Critical Care Medicine, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
36 Visceral and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint Germain en Laye, Saint Germain en Laye, France.
37 Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW, Australia.
38 HPB Surgery, Tan Tock Seng Hospital, Tan Tock Seng, Singapore.
39 General Surgery, Hospital, National and Kapodistrian University of Athens (NKUA), Athens, Greece.
40 Department of Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy.
41 General Surgery, San Donato Hospital, Milan, Italy.
42 Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
43 Department of Trauma, Hand-, and Reconstructive Surgery, University Hospital Frankfurt, Goethe-University, Frankfurt am Main, Germany.
44 Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
45 University of Portsmouth UK & Portsmouth Hospitals University NHS Trust UK, Portsmouth, UK.
46 Department of Surgery, University of Washington School of Medicine, Harborview Medical Center, Seattle, USA.
47 Department of Surgery, Nelson R. Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.
48 Trauma and Burns Service, Inkosi Albert Luthuli Central Hospital, Department of Health, KwaZulu-Natal, Mayville, Durban, South Africa.
49 Division of General Surgery, School of Medicine, Istanbul Medeniyet University, Kadıkoy/Istambul, Turkey.
50 Department of Surgical Science, University of Cagliari, Cagliari, Italy.
52 Department of General Surgery, Anadolu Medical Center, Kocaeli, Turkey.
53 Trauma Center, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
54 General Surgery, Tbilisi State Medical University, Tbilisi, Georgia.
55 Emergency Surgery Department, Parma University Hospital, Parma, Italy.
56 Department of Morphology, Surgery and Experimental Medicine, University Hospital of Ferrara and University of Ferrara, Ferrara, Italy.
57 General Surgery, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
58 Department of General Surgery, Royal Perth Hospital, Division of Surgery, School of Medicine, The University of Western Australia, Perth, Australia.
59 Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy.
1 General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia 1, 56100, Pisa, Italy. federico.coccolini@gmail.com.
2 General and Emergency Surgery, Macerata Hospital, Macerata, Italy.
3 Division of General Surgery, Rambam Health Care Campus, Haifa, Israel.
4 Emergency Surgery, Emergency Surgery of the Research Institute of Emergency Medicine Named After I.I. Dzhanelidze, St. Petersburg, Russia.
5 Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
6 General Surgery, Ethiopian Air Force Hospital, Bishoftu, Oromia, Ethiopia.
7 General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery Foothills Medical Centre, Calgary, AB, Canada.
8 Department of General Surgery, Hôpital Principal de Dakar Military Teaching Hospital, Dakar, Sénégal.
9 Ernest E. Moore Shock Trauma Center at Denver Health, Denver, CO, USA.
10 Trauma Surgery Department, Scripps Memorial Hospital, La Jolla, CA, USA.
11 Department of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital, Kaliningrad, Russia.
12 Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
13 ICU Department, Maggiore Hospital, Parma, Italy.
14 Unit of General Surgery, CARE Department Henri Mondor University Hospital (AP-HP), Faculty of Medicine, University of Paris Est, UPEC, Créteil, France.
15 College of Osteopathic Medicine, Rocky Vista University, Parker, CO, 80134, USA.
16 General Surgery, Pavia University Hospital, Pavia, Italy.
17 Emergency Medicine Department, Radboud Universitair Medisch Centrum, Nijmegen, The Netherlands.
18 Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, UAE.
19 General Surgery Department, Monza University Hospital, Monza, Italy.
20 Department of General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany.
21 Emergency and Trauma Surgery, Niguarda Hospital, Milan, Italy.
22 Emergency and Trauma Surgery, Gemelli University Hospital, Rome, Italy.
23 General Surgery Department, Mozyr Hospital, Mozyr, Belarus.
24 ASUR Marche, AV5, Hospital of San Benedetto del Tronto, San Benedetto del Tronto, Italy.
25 Dipartimento Di Chirurgia Generale E Specialistica "Paride Stefanini", La Sapienza University of Rome, Rome, Italy.
26 General Surgery Department, Plovdiv University Hospital, Plovdiv, Bulgaria.
27 General Surgery Department, Insubria University, Varese, Italy.
28 General Surgery Department, Campinas University, Campinas, Brazil.
29 Department of Minimal Access and General Surgery, Government Gousia Hospital, Srinagar, Jammu and Kashmir, India.
30 Surgery Department, Radboud University Medical Center, Nijmegen, The Netherlands.
31 General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia 1, 56100, Pisa, Italy.
32 Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.
33 Trauma Department, University of California, Davis, Sacramento, CA, USA.
34 Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
35 Department of Traumatology and Critical Care Medicine, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
36 Visceral and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint Germain en Laye, Saint Germain en Laye, France.
37 Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW, Australia.
38 HPB Surgery, Tan Tock Seng Hospital, Tan Tock Seng, Singapore.
39 General Surgery, Hospital, National and Kapodistrian University of Athens (NKUA), Athens, Greece.
40 Department of Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy.
41 General Surgery, San Donato Hospital, Milan, Italy.
42 Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
43 Department of Trauma, Hand-, and Reconstructive Surgery, University Hospital Frankfurt, Goethe-University, Frankfurt am Main, Germany.
44 Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
45 University of Portsmouth UK & Portsmouth Hospitals University NHS Trust UK, Portsmouth, UK.
46 Department of Surgery, University of Washington School of Medicine, Harborview Medical Center, Seattle, USA.
47 Department of Surgery, Nelson R. Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.
48 Trauma and Burns Service, Inkosi Albert Luthuli Central Hospital, Department of Health, KwaZulu-Natal, Mayville, Durban, South Africa.
49 Division of General Surgery, School of Medicine, Istanbul Medeniyet University, Kadıkoy/Istambul, Turkey.
50 Department of Surgical Science, University of Cagliari, Cagliari, Italy.
52 Department of General Surgery, Anadolu Medical Center, Kocaeli, Turkey.
53 Trauma Center, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
54 General Surgery, Tbilisi State Medical University, Tbilisi, Georgia.
55 Emergency Surgery Department, Parma University Hospital, Parma, Italy.
56 Department of Morphology, Surgery and Experimental Medicine, University Hospital of Ferrara and University of Ferrara, Ferrara, Italy.
57 General Surgery, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
58 Department of General Surgery, Royal Perth Hospital, Division of Surgery, School of Medicine, The University of Western Australia, Perth, Australia.
59 Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy.
Emergency General Surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions during the same admission in the hospital by general emergency surgeons and other specialists. It is the most diffused surgical discipline in the world. To live and grow strong EGS necessitates three fundamental parts: emergency and elective continuous surgical practice, evidence generation through clinical registries and data accrual, and indications and guidelines production: the LIFE TRIAD.
Keywords:
Data; Effectiveness; Emergency General Surgery; Formation; Learning; Outcomes; Planning.
Catena F, Biffl W, De Simone B, Sartelli M, Di Saverio S, Kluger Y, et al. Emergency general surgeons: the special forces of general surgery (the "navy seals paradigm") World J Emerg Surg. 2020;15(1):11. doi: 10.1186/s13017-020-0293-7.
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Havens JM, Peetz AB, Do WS, et al. The excess morbidity and mortality of Emergency General Surgery. J Trauma Acute Care Surg. 2015;78:306–311. doi: 10.1097/TA.0000000000000517.
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Kassin MT, Owen RM, Perez SD, et al. Risk factors for 30-day hospital readmission among general surgery patients. J Am Coll Surg. 2012;215:322–330. doi: 10.1016/j.jamcollsurg.2012.05.024.
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Coccolini F, Lazzareschi D. Isn't it time to start speaking about "European surgeons"? World J Emerg Surg. 2009;4:27. doi: 10.1186/1749-7922-4-27.
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Coccolini F, Kluger Y, Ansaloni L, Moore EE, Coimbra R, Fraga GP, et al. WSES worldwide Emergency General Surgery formation and evaluation project. World J Emerg Surg. 2018;13:13. doi: 10.1186/s13017-018-0174-5.
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