• K Bielecki.
• Dept. of General Surgery, Medical Center for Postgraduate Education, Warsaw, Poland.
• Prz. Lek. 2000 Jan 1;57 Suppl 5:127-8.

AbstractTrauma is a third killer of modern european and world societies. Everywhere in Europe there is the great necessity of having an efficient emergency prehospital and hospital trauma care organization which will reduce mortality and invalidity of the trauma critical patients. Three objectives are the most important: 1) defining of the lines guide (e.g. ALTS) 2) continuous education and training of education the medical and paramedical operators (doctors, nurses, technicians, paramedics) 3) applying the method on organization and structural base. According to statements of Council of Europe, European College of Surgeons, E.A.E.S., it has been affirmed "In addition to General Surgery training for the surgeons should require a complementary training in Emergency Surgery either" concurrently or consecutively. As a first suggestion; the idea is to create centers of excellence fully equipped with all modern facilities and well trained medical staff. Those centers should be spread over the Europe and available round tho clock. Those centers should be supervised by a trained Emergency Surgeons with the indispensable aids and cooperation of anesthesiologist. The other very important factor is optimalization of patients transport towards the suitable trauma care center. Emergency Surgical Training should be established on three levels namely; 1) within the undergraduate medical curriculum 2) complementary training in emergency surgery during the general surgery specialization 3) additional theoretical and practical training for emergency nurses. There are many cultural and organizational differences among the "old and new" European Countries. The most important and special objective is the evolution of a correct and equal education in training care in order to improve our situation.

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