J Acute Care Surg.  2025 Mar;15(1):13-19. 10.17479/jacs.2025.15.1.13.

Impact of Resident Shortage on Trauma Care During the 2024 Medical Conflict: A Single Regional Emergency Medical Center Experience and Recommendations

• Kim JH
• Lee S
• Park K
• Lee KY
• Jang JY

• KMID: 2565853
• DOI: http://doi.org/10.17479/jacs.2025.15.1.13

Abstract

Purpose
In 2024, the South Korean government proposed an essential medical care package, including the expansion of medical college admissions, which faced strong opposition from the medical community. Consequently, residents resigned, increasing the workload of the remaining staff and putting public health at risk. This study analyzed changes in the hospitalization patterns of trauma patients during this political conflict period using single-center data from the National Health Insurance Service Ilsan Hospital.
Methods
Data from the entire year 2023 and from March to August 2024 were used for analysis, excluding January and February 2024 when the conflict escalated. The selection criteria included patients with trauma who visited the emergency room, and comparisons were made between the periods before and during the medical conflict.
Results
In 2023, the total number of patients with trauma were 1,182 (an average of 98.5 per month). From March to August 2024, the number dropped to 204 (34.2 per month), reflecting a significant reduction in the monthly average number of patients with trauma. Despite the overall decline, the number of severe trauma cases remained relatively stable, indicating a shift toward more critical patient care. Emergency department length of stay decreased significantly from 295 min in 2023 to 187 min in 2024.
Conclusion
The ongoing strain on emergency and support department risks leads to an irreversible collapse if critical points are reached. To address this, localized trauma centers are needed to relieve the burden on larger medical institutions and improve the efficiency of trauma care systems during crises.

Keyword

trauma; health policy; emergency medical services