Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera
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To define the minimally necessary preoperative evaluation and preparation of an emergency patient of a surgical ward. ⋯ The management of any emergency case is demanding and needs experienced physicians. A schematic procedure adapted to the local possibilities and facilities is helpful for an effective and often life-saving team work between the resuscitation team and surgeons.
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The Swiss Society of Anaesthesia and Resuscitation describes anesthesia as an activity of physicians, and a continuous presence of a medical anaesthesist is required. In small regional hospitals in the alpine region it is impossible to compete with big hospitals in the central area of Switzerland and there is no possibility to afford an anaesthesist for 365 days a year and 24 hours a day. ⋯ The education and the control of this person has to be performed by a medical anaesthesist. This is the only way in keeping the high quality of medical support in the peripheral region specially in the alpine part of our country.