It is clear from the TACS study and from other available guidelines [14] that iTTS is MGCD0103 nmr a matter of consensus among care providers based on clinical data. iTTS needs further scrutinizing in regard to each and every surgical emergency and further investigation
on the impact of actual time to surgery (aTTS) on outcomes. The goal is to establish evidence-based and feasible Pritelivir supplier triage criteria for appropriate timing of operation in surgical emergencies. Recommendations: 1. We recommend adopting a color-triage system for acute surgical emergencies. 2. We suggest that each medical institution should examine its aTTS and compare it to the iTTS proposed in this paper. This will facilitate the conduct and comparison of international research, and will ease adoption of triage protocols for surgical emergencies. 3. We recommend using the aTTS/iTTS ratio as a quality improvement tool and as an international index for comparison in future research. 4. We recommend that further studies on appropriate timing of emergency surgeries be initiated, and that the findings be implemented in more refined triage systems. Conclusions
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