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General Surgery & Trauma

M-A: Prehospital Tranexamic Acid reduces mortality among bleeding trauma patients without increasing the risk of venous thromboembolism.

6 Jun, 2021 | 23:34h | UTC

The impact of prehospital TXA on mortality among bleeding trauma patients: A systematic review and meta-analysis – Journal of Trauma and Acute Care Surgery (link to abstract – $ for full-text)

Commentary: Prehospital TXA for Trauma – Meta-analysis – JournalFeed

 


RCT: Continuous infusion of 20% hypertonic saline does not improve neurological outcomes in patients with traumatic brain injury

26 May, 2021 | 08:22h | UTC

Effect of Continuous Infusion of Hypertonic Saline vs Standard Care on 6-Month Neurological Outcomes in Patients With Traumatic Brain Injury: The COBI Randomized Clinical Trial – JAMA (free for a limited period)

 

Commentary on Twitter

 


WSES-AAST guidelines: Management of inflammatory bowel disease in the emergency setting.

18 May, 2021 | 07:15h | UTC

WSES-AAST guidelines: management of inflammatory bowel disease in the emergency setting – World Journal of Emergency Surgery

 


ACG Clinical Guideline: Upper Gastrointestinal and Ulcer Bleeding – RBC transfusion at a threshold of 7 g/dL; Erythromycin infusion is suggested before endoscopy; and endoscopy is suggested within 24 hours after presentation.

3 May, 2021 | 05:27h | UTC

ACG Clinical Guideline: Upper Gastrointestinal and Ulcer Bleeding – The American Journal of Gastroenterology

 


American Academy of Orthopedic Surgeons Clinical Practice Guideline Summary for Limb Salvage or Early Amputation

28 Apr, 2021 | 08:14h | UTC

American Academy of Orthopaedic Surgeons Clinical Practice Guideline Summary for Limb Salvage or Early Amputation – Journal of the American Academy of Orthopaedic Surgeons

 


Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

13 Apr, 2021 | 05:21h | UTC

Postoperative In-Hospital Morbidity and Mortality of Patients With COVID-19 Infection Compared With Patients Without COVID-19 Infection – JAMA Network Open

Related: Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery AND Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

 


Consensus Document: Management of ureteric and bladder injury

12 Apr, 2021 | 00:29h | UTC

British Association of Urological Surgeons (BAUS) consensus document: Management of ureteric and bladder injury – BJU International

 


ERAS Guidelines for Perioperative Care for Emergency Laparotomy: Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization

1 Apr, 2021 | 03:35h | UTC

Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization – World Journal of Surgery

 


Consensus Document: Management of superficial and deep surgical site infection

1 Apr, 2021 | 03:33h | UTC

Management of superficial and deep surgical site infection: an international multidisciplinary consensus – Updates in Surgery

Related Guidelines: Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery AND Global guidelines on the prevention of surgical site infection – World Health Organization AND Surgical site infections: prevention and treatment – National Institute for Health and Care Excellence AND APSIC guidelines for the prevention of surgical site infections – Antimicrobial Resistance & Infection Control

 


Study shows unique diagnostic signatures of concussion in the saliva of Rugby players

31 Mar, 2021 | 03:08h | UTC

Unique diagnostic signatures of concussion in the saliva of male athletes: the Study of Concussion in Rugby Union through MicroRNAs (SCRUM) – British Journal of Sports Medicine

Commentaries: Concussion in sport: Saliva test is 94% accurate in rugby union trial – BBC AND Rugby study identifies new method to diagnose concussion using saliva – University of Birmingham AND Saliva test boosts efforts to detect concussions in rugby – Associated Press

 


RCT: A multi-modal analgesic strategy after trauma can reduce opioid exposure and achieve adequate acute pain control

30 Mar, 2021 | 02:57h | UTC

Multi-Modal Analgesic Strategy for Trauma: A Pragmatic Randomized Clinical Trial – Journal of the American College of Surgeons

Commentary: Pain-relief regimen used to treat trauma patients with fewer opioid drugs during and after surgery – American College of Surgeons

 

Commentary on Twitter

 


WSES Position Paper: The management of surgical patients in the emergency setting during COVID-19 pandemic

24 Mar, 2021 | 08:39h | UTC

The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper – World Journal of Emergency Surgery

 


RCT: Biologic mesh implantation is associated with serious abdominal wall complications in patients undergoing emergency abdominal surgery

7 Mar, 2021 | 19:07h | UTC

Biologic mesh implantation is associated with serious abdominal wall complications in patients undergoing emergency abdominal surgery: A randomized-controlled clinical trial – Trauma & Acute Care Surgery (link to abstract – $ for full-text)

 


Consensus Document: Venous thromboembolism prophylaxis in the trauma intensive care unit

2 Mar, 2021 | 01:52h | UTC

Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document – Trauma Surgery & Acute Care Open

 


Diverticulitis: Observational study in outpatients suggests amoxicillin-clavulanate is a safe and effective option compared with metronidazole-fluoroquinolone

24 Feb, 2021 | 02:16h | UTC

Comparative Effectiveness and Harms of Antibiotics for Outpatient Diverticulitis: Two Nationwide Cohort Studies – Annals of Internal Medicine

Commentaries: Amoxicillin-clavulanate safe and effective compared with metronidazole-with-fluoroquinolone for diverticulitis – American College of Physicians AND Study supports fluoroquinolone-sparing treatment for diverticulitis – CIDRAP

 


Deep learning algorithm detects universal trauma on pelvic radiographs

24 Feb, 2021 | 02:03h | UTC

A scalable physician-level deep learning algorithm detects universal trauma on pelvic radiographs – Nature Communications

Commentary: AI algorithm accurately detects trauma on pelvic radiographs – AuntMinnie

 

Commentary on Twitter

 


Cohort study: Tomographic radiation in patients who underwent appendectomy linked to increased risk of hematologic malignant neoplasms

22 Jan, 2021 | 08:25h | UTC

Risk of Hematologic Malignant Neoplasms From Abdominopelvic Computed Tomographic Radiation in Patients Who Underwent Appendectomy – JAMA Surgery (free for a limited period)

Commentary: Optimizing the Gold Standard—Low-Dose Computed Tomography Modalities as a Part of Clinical Practice in Acute Appendicitis Imaging – JAMA Surgery (free for a limited period)

Author Interview: Risk of Hematologic Malignant Neoplasms From Abdominopelvic CT Radiation

 


Meta-analysis: Comparison of the loop technique with incision and drainage for skin and soft tissue abscesses

20 Jan, 2021 | 01:22h | UTC

Comparison of the Loop Technique With Incision and Drainage for Skin and Soft Tissue Abscesses: A Systematic Review and Meta‐analysis – Academic Emergency Medicine

 

Commentary on Twitter

 


Postdischarge virtual visits for low-risk surgeries: A randomized noninferiority clinical trial

17 Jan, 2021 | 21:57h | UTC

Postdischarge Virtual Visits for Low-risk Surgeries: A Randomized Noninferiority Clinical Trial – JAMA Surgery (free for a limited period)

Commentary: Surgical Centers Warm Up to Video Chats, Texts for Patient Follow-Up – MedPage Today (free registration required)

 


Antibiotics alone for uncomplicated appendicitis: Oral Moxifloxacin almost as good as intravenous Ertapenem + oral Levofloxacin

14 Jan, 2021 | 01:57h | UTC

Effect of Oral Moxifloxacin vs Intravenous Ertapenem Plus Oral Levofloxacin for Treatment of Uncomplicated Acute Appendicitis: The APPAC II Randomized Clinical Trial – JAMA

Editorial: Evolving Issues in the Use of Antibiotics for the Treatment of Uncomplicated Appendicitis

Commentary: More Support for Single-Drug Antibiotics for Uncomplicated Appendicitis – Physician’s Weekly

 

Commentary on Twitter

 


Meta-analysis of mortality risk in octogenarians undergoing emergency general surgery operations

14 Jan, 2021 | 01:36h | UTC

Meta-analysis of mortality risk in octogenarians undergoing emergency general surgery operations – Surgery (link to abstract – $ for full-text)

 


Observational study: Surgical decompression within 24 h of acute spinal cord injury is associated with improved sensorimotor recovery

13 Jan, 2021 | 01:49h | UTC

The influence of timing of surgical decompression for acute spinal cord injury: a pooled analysis of individual patient data – The Lancet Neurology (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Multiple trauma management in mountain environments – a scoping review

12 Jan, 2021 | 01:25h | UTC

Multiple trauma management in mountain environments – a scoping review – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

 


Randomized trial: Ultra-early tranexamic acid does not improve outcomes after subarachnoid hemorrhage

10 Jan, 2021 | 21:02h | UTC

Ultra-early tranexamic acid after subarachnoid haemorrhage (ULTRA): a randomised controlled trial – The Lancet (link to abstract – $ for full-text)

 

 


Randomized trial: Laparoscopic lavage vs. primary resection for perforated purulent diverticulitis; similar long-term results, but recurrence was more common after laparoscopic lavage

10 Jan, 2021 | 20:25h | UTC

Laparoscopic Lavage vs Primary Resection for Acute Perforated Diverticulitis: Long-term Outcomes From the Scandinavian Diverticulitis (SCANDIV) Randomized Clinical Trial – JAMA Surgery (link to abstract – $ for full-text)

Commentary: Laparoscopic Lavage a Safe Option in Perforated Diverticulitis — No difference versus resection in long-term severe complications, but recurrence more common – MedPage Today (free registration required)

 


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