Zeitschrift für Trauma und Behandlung

Neurosurgeons, Acute Care Surgeons or Moms: Who Should Care for the Head Injured?

Abstract

Thomas J. Esposito

Traumatic brain INJURY is a significant problem in American health care which taps a tremendous number of resources. Neurosurgeons are an integral part of head injury care along with the trauma surgeon, particularly in those cases involving multi system trauma. The intensely trained neurosurgical practitioner dedicated to the care of a broad range of neurologically based conditions, including trauma, is in short supply. Furthermore, like their general surgical colleagues, they are being taxed not only by the glut of head injuries but also by the attendant social, financial and perceived legal disincentives associated with their care. That is why, together, we must find a way to share and reduce the burden of head injury care for both practitioner types and keep both engaged in this vitally needed service to society.

It is toward that end that this admittedly provocative and “tongue-in-cheek” essay is offered. Its purpose is not to single out neurosurgeons for castigation, but rather, the intent is to stimulate spirited, yet collegial, honest and productive debate of fundamental issues. It is crucial that these issues be resolved expeditiously in order to move forward and provide much needed access to quality care that is rendered by well trained, committed practitioners who draw pride and satisfaction from their work.