Acute Care Surgery: The Evolution of a Modern Specialty
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Emergency Medicine".
Deadline for manuscript submissions: 31 March 2026
Special Issue Editor
Special Issue Information
Dear Colleagues,
Acute care surgery (ACS) represents one of the most dynamic and resource-intensive domains of modern medicine. Despite advances in surgical technique, perioperative care, and systems-based delivery, substantial global disparities persist in timely access, quality of care, and patient outcomes. ACS challenges are multifactorial, ranging from infrastructure deficits and workforce shortages to diagnostic uncertainty and variability in clinical decision-making. Compounding these difficulties are the rising burden of trauma, aging populations, antimicrobial resistance, and increasingly complex comorbidities. In both high-income and low-resource settings, surgeons are often required to make high-stakes decisions under time pressure, with limited data and evolving protocols. Moreover, the lack of robust evidence guiding operative versus non-operative management in emergent scenarios further complicates care. This Special Issue brings together interdisciplinary research to examine the current landscape of ACS and propose data-driven solutions. By foregrounding equity, innovation, and implementation science, we aim to chart a forward-looking agenda that addresses both immediate clinical challenges and long-term systemic reform.
Prof. Dr. Mayur Narayan
Guest Editor
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Keywords
- acute care surgery
- emergency surgery
- health equity
- global surgery
- trauma care
- surgical workforce
- surgical in-novation
- decision-making
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