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Article
August 1991

Why I Prefer Not to Treat Trauma Patients

Author Affiliations

Cheswick, Pa

Arch Surg. 1991;126(8):1042. doi:10.1001/archsurg.1991.01410320132021
Abstract

To the Editor.—I would like to respond to the invited editorial comment by Trunkey1 in the March 1991 issue of the Archives on the article by Esposito et al2: "Why Surgeons Prefer Not to Care for Trauma Patients." I am a surgeon who prefers not to care for trauma patients and would like to explain the rationale behind my decision. I am board certified and a graduate of a 6-year medical school-affiliated surgical residency that included rotations in an inner-city trauma hospital. I practice general and vascular surgery in a community where the hospital is one of the major employers. The hospital has a well-equipped, combined intensive care unit and coronary care unit of 12 beds and a large, monitored, step-down unit. Twenty-four–hour computed tomographic scanning and laboratory services are daily realities. I can provide competent diagnostic and operative surgical care to patients suffering major trauma.

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