If immediate surgical intervention is required in the ER with successful resuscitation, the patient is rushed to the OR by a dedicated trauma/ACS elevator which opens directly in front of the Acute Care Surgery operating rooms.
At our institution, every surgical case is staffed by an attending ACS surgeon assisting the surgical resident. Medical students are present for most cases and generally follow a patient from the time he/she arrives to the time of discharge. Our 24 state-of-the-art operating rooms run 24 hours a day, 7 days a week. At this level-1 center, all injuries are the domain of the ACS resident, and it is up to that person to request consultation from other surgical specialties. This provides for an extremely diverse operative experience for the ACS surgery resident, and is in fact a highlight of the ACS residency at LAC + USC..