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General Surgery & Trauma

Position Statement: Prehospital surgical airway management.

11 Jan, 2022 | 02:39h | UTC

Prehospital Surgical Airway Management: An NAEMSP Position Statement and Resource Document – Prehospital Emergency Care

 

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

7 Dec, 2021 | 10:23h | UTC

The Risk of Postoperative Complications following Major Elective Surgery in Active or Resolved COVID-19 in the United States – Annals of Surgery

Related:

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

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

 

RCT: Small caliber 14-Fr percutaneous catheters (pigtail) were as effective as 28- to 32-Fr chest tubes in their ability to drain traumatic hemothorax with no difference in complications.

30 Nov, 2021 | 10:11h | UTC

The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial – Trauma and Acute Care Surgery (link to abstract – $ for full-text)

 

Review: The value of systematic reviews and meta-analyses in surgery.

25 Nov, 2021 | 10:11h | UTC

The Value of Systematic Reviews and Meta-Analyses in Surgery – European Surgical Research

 

Bowel Perforation: ED presentations, evaluation, and management.

23 Nov, 2021 | 08:19h | UTC

Bowel Perforation: ED presentations, evaluation, and management – emDocs

 

Global, regional, and national causes of under-5 mortality in 2000–19: an updated systematic analysis with implications for the Sustainable Development Goals.

19 Nov, 2021 | 10:40h | UTC

Global, regional, and national causes of under-5 mortality in 2000–19: an updated systematic analysis with implications for the Sustainable Development Goals – The Lancet Child & Adolescent Health

 

Commentary on Twitter

 

Cohort study suggests low-dose vs. standard radiation dose CT have similar diagnostic accuracy in suspected acute appendicitis.

14 Nov, 2021 | 19:37h | UTC

News release: Doctors can use CT scans with less radiation to diagnose appendicitis – Oxford University

Original study: Diagnostic accuracy using low-dose versus standard radiation dose CT in suspected acute appendicitis: prospective cohort study – British Journal of Surgery (link to abstract – $ for full-text)

 

Global, regional, and national mortality among young people aged 10–24 years, 1950–2019: a systematic analysis for the Global Burden of Disease Study 2019.

14 Nov, 2021 | 19:45h | UTC

Global, regional, and national mortality among young people aged 10–24 years, 1950–2019: a systematic analysis for the Global Burden of Disease Study 2019 – The Lancet

Commentary: Nearly two-thirds of those who died young in 2019 were male, research finds – The Guardian

 

Commentary on Twitter (thread – click for more)

 

Pragmatic randomized trial found similar rates of surgical site infectious with 2% alcoholic chlorhexidine skin preparation compared with povidone–iodine, or with triclosan-coated sutures compared with non-coated sutures.

26 Oct, 2021 | 01:52h | UTC

Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet

Commentaries:

Prevention of surgical site infection in low-resource settings – The Lancet

Urgent changes needed to global guidelines designed to stop surgical infection – University of Birmingham

 

Commentary on Twitter

 

Management of patients with cervical spine trauma in the emergency department: a systematic critical appraisal of guidelines with a view to developing standardized strategies for clinical practice.

26 Oct, 2021 | 01:17h | UTC

Management of patients with cervical spine trauma in the emergency department: a systematic critical appraisal of guidelines with a view to developing standardized strategies for clinical practice – Internal and Emergency Medicine

 

Urolithiasis: ED presentations, evaluation, management, and disposition.

19 Oct, 2021 | 08:53h | UTC

Urolithiasis: ED Presentations, Evaluation, Management, and Disposition – emDocs

 

Serious injury risk higher for horse riding than for football, motor racing, or skiing – “Chest most common site of injury, but head and neck injuries most lethal”.

17 Oct, 2021 | 21:08h | UTC

News release: Serious injury risk higher for horse riding than for football, motor racing, or skiing – BMJ

Original study: Hearing hoofbeats? Think head and neck trauma: a 10-year NTDB analysis of equestrian-related trauma in the USA – Trauma Surgery & Acute Care Open

Commentary: Horse Riding More Dangerous Than Skiis And Motorcycles, Injury Data Reveal – Science Alert

 

RCT: Early treatment with mild aerobic exercise safely speeds recovery from sport-related concussion in adolescents.

11 Oct, 2021 | 23:58h | UTC

Early targeted heart rate aerobic exercise versus placebo stretching for sport-related concussion in adolescents: a randomised controlled trial – The Lancet Child & Adolescent Health

News release: Aerobic exercise after a sport-related concussion speeds recovery in adolescent athletes – University at Buffalo

Related:

Randomized Trial: Early Aerobic Exercise for Sport-Related Concussion

RCT: Limiting screen time for young adults after concussion results in shorter duration of symptoms.

Selected issues in sport-related concussion for the team physician: a consensus statement – “Current evidence suggests strict rest after SRC slows recovery and increases the probability of prolonged symptoms”.

RCT: Prescribed light exercise vs. standard management for emergency department patients with acute mild traumatic brain injury

 

Commentaries on Twitter

 

WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections.

1 Oct, 2021 | 10:24h | UTC

WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections – World Journal of Emergency Surgery

Related:

The Surgical Infection Society Revised Guidelines on the Management of Intra-Abdominal Infection – Surgical Infections

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections – World Journal of Emergency Surgery

 

Doctor’s new first aid technique can stem blood loss after shark attack.

1 Oct, 2021 | 10:03h | UTC

Doctor’s ‘brilliant’ new first aid technique can stem blood loss after shark attack – The Guardian

 

Evaluating the Cost-effectiveness of Prehospital Plasma Transfusion in Unstable Trauma Patients: A Secondary Analysis of the PAMPer Trial.

26 Sep, 2021 | 21:54h | UTC

Evaluating the Cost-effectiveness of Prehospital Plasma Transfusion in Unstable Trauma Patients: A Secondary Analysis of the PAMPer Trial – JAMA Surgery (free for a limited period)

Commentaries:

CHEERS to You on a Well-done Cost-effectiveness Analysis of Prehospital Plasma for Helicopter Resuscitation of Patients With Traumatic Shock – JAMA Surgery (free for a limited period)

Prehospital Plasma: A Cheap, Effective Way to Save Trauma Patients’ Lives? – BreakingMed

 

Commentary on Twitter

 

Review: Focused management of patients with severe acute brain injury and ARDS.

24 Sep, 2021 | 08:52h | UTC

Focused Management of Patients with Severe Acute Brain Injury and ARDS – CHEST

 

WSES-AAST Guidelines: Anorectal Emergencies.

17 Sep, 2021 | 10:06h | UTC

Anorectal emergencies: WSES-AAST guidelines – World Journal of Emergency Surgery

 

RCT: Limiting screen time for young adults after concussion results in shorter duration of symptoms.

12 Sep, 2021 | 21:38h | UTC

News release: Limiting screen time for young adults after concussion results in shorter duration of symptoms – University of Massachusetts Medical School

Original study: Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial – JAMA Pediatrics (link to abstract – $ for full-text)

 

Commentary on Twitter

 

Review: Management of severe traumatic brain injury in regions with limited resources.

9 Sep, 2021 | 08:56h | UTC

Management of severe traumatic brain injury in regions with limited resources – Brain Injury

 

Cohort study: Serum markers of brain injury can predict good neurological outcome after out-of-hospital cardiac arrest.

7 Sep, 2021 | 10:41h | UTC

Serum markers of brain injury can predict good neurological outcome after out-of-hospital cardiac arrest – Intensive Care Medicine

 

Commentary on Twitter

 

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

3 Sep, 2021 | 09:55h | UTC

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children – Anesthesia & Analgesia

Related: ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

 

U.S. Study: Nearly half of surveyed female surgeons experienced major pregnancy complications.

18 Aug, 2021 | 08:42h | UTC

News release: Nearly half of surveyed female surgeons experienced major pregnancy complications – Brigham and Women’s Hospital

Original study: Incidence of Infertility and Pregnancy Complications in US Female Surgeons – JAMA Surgery

 

Commentary on Twitter

 

Review: Initial management of blunt and penetrating neck trauma.

17 Aug, 2021 | 08:40h | UTC

Initial management of blunt and penetrating neck trauma – BJA Education

 

EM Cases: Testicular Torsion: A Diagnostic Pathway – “Time is Testes”.

17 Aug, 2021 | 08:41h | UTC

EM Cases: Testicular Torsion: A Diagnostic Pathway – emDocs

 

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