PS104 - Should They Stay or Should They Go? Managing Complex Cases in Rural to Urban Transfers

Panel session will focus on the management of complex surgical emergencies in rural settings. Topics will include post-bariatric complications, catastrophic abdominal wall issues, head trauma management when transfers are unavailable, and how to manage necrotizing fasciitis in resource limited operating environments. Participants will discuss practical strategies, resource adaptation, and decision making frameworks when transfers are not an option or are delayed due to unstable patient, inclement weather or no bed availability.