Coordinator

Estela Membrilla-Fernández

Associate Surgeons

Ana María González-Castillo, Amalia Pelegrina-Manzano, Simone Cremona, Elena Manzo, Alberto Picazo García

Medical-Surgical Assistants

Juan Guzmán Ahumada

Operating Room Nursing Team

Miriam Redondo Grande, Pablo José Ruiz Hipólito, Rosendo Sánchez Suárez

Anesthesia Team

Juan Carlos Álvarez García

• Attention from the moment of arrival at the emergency department for every patient with abdominal pain without diarrhea.
• Attention from the moment of arrival at the emergency department for every polytraumatized patient:
• Priorities 0 and 1 (Alongside Intensive Care Medicine, acting as Intensive Care Medicine's leader)
• Priorities 2 and 3 (Exclusively General Surgery as the leader)
• Care for patients with contusions and/or incised wounds on the trunk and head, including pediatric incised wounds.
• Care for patients with cranioencephalic trauma less than 24 hours old.
• Attention from the outset upon arrival at the emergency department for patients with proctologic pathology.
• Assessment of patient severity upon arrival and therefore prioritization of their visit.
• Early detection of complications in patients in immediate postoperative care.
• Diagnosis through "point of care" of abdominal pain.
• Diagnosis and conservative treatment of acute diverticulitis.
• Diagnosis and conservative treatment of subocclusions and intestinal obstructions.
• Initial care for patients in Otolaryngology, Maxillofacial Surgery, Plastic Surgery, and Thoracic Surgery specialties.
• Placement of chest drains and central lines.
• Detection and coordination of definitive treatment for soft tissue infections.
• Early detection of patients at risk of intestinal ischemia and activation and coordination of rapid response team.
• Emergency definitive airway management in extreme situations.
• Emergency thoracotomy in extreme situations.
• Responsibility as a Unit for patients admitted to the General Surgery Conventional Unit post-appendectomy, soft tissue infections, and closed open abdomen, admitted as polytraumatized with or without surgery performed, and for all patients awaiting urgent surgery.
• Resuscitation care for patients with intervened soft tissue infections, open abdomen, and any urgent consultation occurring from 08:00 to 15:00.
• Direct discharges from ZARPA of patients operated on for appendectomy, cholecystectomy, and scheduled hernioplasties, operated on by the Emergency team.
• Handling urgent consultations from other service patients.
• Emergency surgical interventions, 274 surgeries performed annually between 08:00 and 15:00.
• Acute appendicitis: Laparoscopic appendectomy and McBurney's approach.
• Acute cholecystitis: Laparoscopic cholecystectomy and right subcostal approach.
• Meckel's diverticulum (Laparoscopic resection).
• Exploratory laparoscopy.
• Emergency laparotomy for closed trauma: Packing, emergency splenectomy.
• Laparoscopic closure of the diaphragm in polytraumatized patients.
• Open abdomen, urgent hernia pathology (non-reducible) with intestinal resection and without intestinal resection.
• Perforated ulcer, laparoscopic closure.
• Surgical treatment of intestinal obstructions due to adhesions.
• Surgical treatment of intestinal obstructions due to neoplasia.
• Colectomies.
• Surgical debridement of severe soft tissue infections.

• Surgical Approach in Trauma Patients
• Surgical Approach in Critically Ill Surgical Patients
• National Coordination and Continuous Updates in Open Abdomen Techniques
• Application of Negative Pressure Therapies with New Indications and Improvements
• Weekly Literature Update Sessions
• Maintenance of Bibliographic Activity within the Team
• Implementation of Clinical Simulation Foundations and Knowledge
• Performing Ultrasound for Emergency Patients as Needed

Research Involvement of the Emergency Team

• Multiple participations in national and international conferences. 21 oral presentations this year.
• Analysis of the registry of emergency patients treated, emergency surgeries performed, and reoperations by the General Surgery Service, focusing on complications necessitating readmission, reoperation, or serious complications.
• Participation in various national and international multicenter registries.
• Leadership in several multicenter studies.
• Publications: 35 in the last 5 years.