Surgery News - November 2007 - (Page 11) NOVEMBER 2007 • SURGERY NEWS NEWS B Y R I C H A R D J. FA N T U S , M . D. , FA C S FROM THE COLLEGE Five Surgeons Join Ranks Of Honorary Fellows NTDB Tracks Pedestrian Injuries nyone working in a busy urban trauma center knows that it is very common to treat pedestrians for injuries sustained from a collision with a motor vehicle. According to the National Highway Transportation and Safety Administration’s Traffic Safety Facts 2003, there were 70,000 pedestrians injured in traffic crashes that year. That number translates to one injury every 8 minutes, resulting in one fatality every 111 minutes. Most of the fatalities occurred in urban areas (72%), at non-intersection portions of the roadway (79%), in normal weather conditions (89%), and at night (65%). More than two-thirds of the injured persons were male (69%), and one-third (34%) of the fatalities had a blood alcohol level over the legal limit established for driving (www.nrd.nhtsa.dot. gov/pdf/nrd-30/NCSA/ TSF2003/809769.pdf ). Pedestrian To examine the occurrence of pedestrians injured None detected by motor vehicles in the National Trauma Data Bank (NTDB) Dataset 6.2, I used the International Classification of Diseases, Ninth Revision, Clinical Modification cause of injury code E 64.8% 814.7, motor vehicle collision with pedestrian where the pedestrian was the injured person. There were 50,617 records with dis- charge status recorded in the dataset with this E code. Of these individuals, 38,369 were discharged to home, 7,320 to acute care/rehab, and 842 to nursing homes. A total of 4,086 persons died. Among these records, 65% of victims were male and on average 34.2 years of age; there was an average length of hospital stay of 7.1 days and an average injury severity score of 12.6. Among those tested for alcohol, 35% tested positive. When walking, there are a few simple steps that you can take to increase your chances of making it safely to your destination. Look both ways when crossing the street, cross the street at the intersection, do not walk out between parked cars, and do not walk around the front of a stopped bus. Last, but not least, if you have consumed alcohol to the point where you are unable to walk the line, take a cab so you do not end up as one of the walking wounded. The full NTDB Annual Report Version 6.0 is available on Alcohol Level the ACS Web site as a PDF and a PowerPoint presentaAlcohol present tion at www.ntdb.org. If you are interested in submitting data from your own trauma center, please contact Melanie L. Neal, 35.2% Manager, NTDB, at mneal@facs.org. ■ DR. FANTUS is chair of the ad hoc Trauma Registry Advisory Committee of the Committee on Trauma, Chicago. H onorary Fellowships in the ACS were awarded to the following five prominent surgeons from Argentina, Germany, Poland, Italy, and Austria during Convocation ceremonies at this year’s Clinical Congress: Juan M. Acosta, M.D., Ph.D., FACS, former professor and chairman in the department of surgery, School of Medical Sciences, at Rosario National University, Rosario, Argentina, and former professor of clinical surgery in the department of surgery at Keck School of Medicine, University of Southern California, Los Angeles. Hans G. Beger, M.D., FACS, professor of surgery in the department of general surgery at University of Ulm, Ulm, Germany. Adam Dziki, M.D., Ph.D., professor and chairman of the department of general and colorectal surgery at Medical University of Lodz in Lodz, Poland. Nicola Scopinaro, M.D., head of the surgical unit at San Martino University Hospital and director of residency in the school of general surgery, University of Genoa Medical School, in Genoa, Italy. Heinz R. Stammberger, M.D., FRCSEd (Hon), professor and head, department of general ENT, head and neck surgery, at University Ear, Nose and Throat Hospital, in Graz, Austria. Presenting the Honorary Fellowships on behalf of the College were the following: Carlos A. Pellegrini, M.D., FACS, Seattle; Andrew L. Warshaw, M.D., FACS, Boston; John W. Harmon, M.D., FACS, Baltimore; J. Patrick O’Leary, M.D., FACS, Miami; and David W. Kennedy, M.D., FACS, Philadelphia. This year, 1,290 surgeons from around the world were admitted into Fellowship. Since 1913, when Sir Rickman Godlee was awarded the first Honorary Fellowship, 407 surgeons have been named Honorary Fellows. ■ Dr. Hoyt Receives 2007 Distinguished Service Award he 2007 Distinguished Service Award—the College’s highest honor—was awarded to David B. Hoyt, M.D., FACS, of Orange, Calif., during the 93rd annual Clinical Congress in New Orleans. The award, presented by the Board of Regents, honors Dr. Hoyt for his devoted service as chair of the College’s trauma registry, National Trauma Data Bank (NTDB), and Committee on Trauma (COT), and as medical director of the ACS Trauma Programs. The award also recognizes Dr. Hoyt’s distinctive scientific contributions in shock physiology, trauma resuscitation, immunomodulation, and trauma systems. As president of the American Association for the Surgery of Trauma (AAST), president of the Shock Society, and an architect and sustaining force of the San Diego Trauma System, Dr. Hoyt possesses the kind of leadership, integrity, vision, and service that have made him a role model to surgeons everywhere. Currently chairman of the department of surgery at the University of California–Irvine (UCI) Medical Center, Dr. Hoyt oversees all surgical services and training provided through the department of surgery, which en- T compasses 10 surgical divisions and the 1989); director, ICU critical care team (1985-present); director, intermediate highly acclaimed UCI Regional Burn care unit (1985-2006); director, surgical Center and Beckman Laser Institute. ICU (1988-2006); chief, division of trauHe also serves as the John E. Connolly Professor of Surgery at the UCI School ma, burns, surgical critical care (19892006); director, acute surgical service, of Medicine. Dr. Hoyt received his medical degree White General Surgery Service (1989from Case Western Reserve University 2006); and medical director, life-sharing tissue services (2001-2006). in Cleveland in 1976. He At UCSD School of Medistudied as a surgical intern cine, Dr. Hoyt served as as(1976-1977) and completed sistant professor of surgery his residency in general (1984-1989); associate professurgery (1977-1984) at the sor of surgery (1989-1995); University of California professor of surgery (1995San Diego (UCSD) School 2006); clinical professor of of Medicine, where he pediatrics (1996-2002); the served as senior and chief Monroe E. Trout Professor resident from 1982 to 1984. of Surgery (1996-2006); viceFrom 1979 to 1982, Dr. DAVID B. chairman, department of Hoyt served as a research HOYT, M.D., FACS surgery (1997-2006); and infellow in the department of terim chairman, department of surgery and the department of imsurgery (2003-2006). In 2006, he was munopathology at UCSD School of appointed to his current position as Medicine and Scripps Clinic and Rechair of the department of surgery at search Foundation, respectively. After completing postgraduate train- UCI. Since becoming an ACS Fellow in ing, Dr. Hoyt began his tenure at 1987, he has made outstanding contriUCSD School of Medicine and UCSD Medical Center, where he was director butions. From 2002 to 2006, he was medical director of Trauma Programs of the general surgical intensive care in the Division of Research and Optiunit (ICU) (1984-1988); associate direcmal Patient Care. tor, regional trauma center (1984- Dr. Hoyt has distinguished himself as an advocate for the care of the injured patient through his work on the COT, having served as chair from 1998 to 2002 and as a member of the Executive Committee from 1994 to the present; chair, Trauma Registry Subcommittee, National TRACS, and NTDB from 1994 to 1997; chair (1989-1992) and member (1985 to present) of the COT, San Diego/Imperial County; member of the Program Committee of the ACS Western States COT (1994 to present); member of the ACS COT and AAST Health and Finance Committee (1993-1997); National Quality Improvement Subcommittee (19901995); Verification Program-Senior Reviewers (1993 to present); Advanced Trauma Life Support (ATLS) National Faculty (1992 to present); region chief, COT Region IX (1992-1998); judge, ACS COT Resident Paper Competition (1992 and 1994); and coordinator, instructor, and director of training, ATLS Course (1980 to present). He has served as president (20022003) and president-elect (2000-2002) of the AAST, president (2003-2004) and president-elect (2002) of the Shock Society, and associate examiner of the American Board of Surgery. ■ http://www.ntdb.org
Table of Contents Feed for the Digital Edition of Surgery News - November 2007 Surgery News - November 2007 Contents Black Patients Fare Worse Than Whites After Liver Surgery Survey Suggests Need For Acute Care Surgery New Law Bolsters FDA Funding, Authority Working Together Oncology: Marginal Evidence? Trauma: Screening Scrutinized News From the College: Healy Takes Helm Surgery News - November 2007 Surgery News - November 2007 - New Law Bolsters FDA Funding, Authority (Page 1) Surgery News - November 2007 - New Law Bolsters FDA Funding, Authority (Page 2) Surgery News - November 2007 - New Law Bolsters FDA Funding, Authority (Page 3) Surgery News - November 2007 - New Law Bolsters FDA Funding, Authority (Page 4) Surgery News - November 2007 - Working Together (Page 5) Surgery News - November 2007 - Working Together (Page 6) Surgery News - November 2007 - Working Together (Page 7) Surgery News - November 2007 - Oncology: Marginal Evidence? (Page 8) Surgery News - November 2007 - Trauma: Screening Scrutinized (Page 9) Surgery News - November 2007 - News From the College: Healy Takes Helm (Page 10) Surgery News - November 2007 - News From the College: Healy Takes Helm (Page 11) Surgery News - November 2007 - News From the College: Healy Takes Helm (Page 12) Surgery News - November 2007 - News From the College: Healy Takes Helm (Page 13) Surgery News - November 2007 - News From the College: Healy Takes Helm (Page 14) Surgery News - November 2007 - News From the College: Healy Takes Helm (Page 15) Surgery News - November 2007 - News From the College: Healy Takes Helm (Page 16)
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