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This book had its genesis in the emergence of a newly defined discipline within general surgery. Acute care surgery integrates the long-established field of trauma surgery with the management of general surgical emergencies. Traditionally, management of nontraumatic emergency conditions requiring surgery has been entrusted to both general surgeons and surgical subspecialists, depending on the supply and availability of these surgeons in each hospital. As surgical subspecialties have multiplied and matured, there has been a peculiar decline in the availability of surgeons who will provide emergency care, particularly during off hours. This phenomenon seems to be related to the reluctance of
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