Trauma surgery is a surgical specialty that utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting and normally focuses on the abdominal area along with any given 'Emergency' field they may be required to serve upon. Trauma surgeons generally complete residency training in General Surgery and often fellowship training in trauma or surgical critical care. The trauma surgeon is responsible for initially resuscitating and stabilizing and later evaluating and managing the patient. The attending trauma surgeon also leads the trauma team, which typically includes nurses and support staff as well as resident physicians in teaching hospitals.
Most United States (U.S.) trauma surgeons practice in larger centers and complete a 1-2 year trauma surgery fellowship, which often includes a surgical critical care fellowship. They may therefore sit for the American Board of Surgery (ABS) or the American Osteopathic Board of Surgery (AOBS) certifying examination in Surgical Critical Care.
National surgical boards usually supervise European training programs; they also certify for subspecialism as trauma surgery. An official European trauma surgical exam exists.
Training for trauma surgeons is sometimes difficult to obtain. In the United Kingdom, the Royal College of Surgeons of England is responsible for training consultants via the Definitive Surgical Trauma Skills course (DSTS) for Orthopaedics . It remains the only course of its kind in the United Kingdom. The course was originally designed to teach the military and now trains both military and civilian surgeons. In the US there is the Advanced Trauma Operative Management (ATOM) course and the Advanced Surgical Skills for Exposure in Trauma (ASSET) which provide operative trauma training to surgeons and surgeons in training. The Advanced Trauma Life Support course (ATLS) is a course that most US practitioners who take care of trauma patients are required to take (Emergency medicine, Surgery and Trauma attendings, and physician extenders as well as trainees).