Editorial Board Members’ Collection Series: Trauma and Emergency Surgery

Dear Colleagues,

In the last three decades we have seen a Copernican revolution in the decision making and management of trauma. In emergency surgery, the first milestone was the Treatise on Emergency Surgery, published by Felix Lejars at the turn of the 19th century, which was the best educational book on the topic throughout the early years of the twentieth century. About half a century later, Henri Mondor published his treatise on emergency abdominal surgery, which became the new milestone for emergency surgery. The old paradigms were progressively abandoned, and new landmarks were proposed; during this “new age”, Feliciano, Moore, and Mattox published their textbook on trauma. The reasons for this change are based on the common use of new technologies in radiology, such as ultrasound and contrast-enhanced computed tomography, that reduce the rate of unnecessary exploratory operations and support the common use of non-operative management (NOM). Despite the progress of medical science, today there are still many clinical controversies associated with a low evidence level; in situations where there is a lack of quality, expert opinion is still the guide that supports surgeons’ choices. In fact, systematic reviews on the treatment of abdominal trauma commonly reported a lack of controlled clinical trials. Bias is still associated with the impossibility to obtain any meaningful conclusions, and for this reason key expert opinion remains the highest level of evidence. The aim of this Special Issue is to encourage every trauma service to submit evidence of high quality; this policy is still the only way to improve the level of evidence more than 110 years after Lejars’ hallmark effort.

Dr. Roberto Cirocchi
Guest Editor

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• trauma
• prehospital emergency service
• emergency department