General Surgery & Trauma
WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections.
1 Oct, 2021 | 10:24h | UTCRelated:
Doctor’s new first aid technique can stem blood loss after shark attack.
1 Oct, 2021 | 10:03h | UTCDoctor’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 | UTCEvaluating 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
A cost-effectiveness analysis of the pragmatic, randomized, multicenter PAMPer trial reveals thawed plasma administration for trauma patients in hemorrhagic shock during air medical transport is life-saving and cost-effective https://t.co/WDCoJctZox
— JAMA Surgery (@JAMASurgery) September 24, 2021
Review: Focused management of patients with severe acute brain injury and ARDS.
24 Sep, 2021 | 08:52h | UTCFocused Management of Patients with Severe Acute Brain Injury and ARDS – CHEST
WSES-AAST Guidelines: Anorectal Emergencies.
17 Sep, 2021 | 10:06h | UTCAnorectal 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 | UTCOriginal study: Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial – JAMA Pediatrics (link to abstract – $ for full-text)
Commentary on Twitter
The use of electronic screen time in the first 48 hours after sustaining a concussion is associated with a longer time to recovery, a single-center randomized-clinical trial reports https://t.co/PFAj5OoqNc
— JAMA Pediatrics (@JAMAPediatrics) September 7, 2021
Review: Management of severe traumatic brain injury in regions with limited resources.
9 Sep, 2021 | 08:56h | UTCManagement 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
Commentary on Twitter
Established/novel blood brain injury markers early predict good neuro-outcome/absence of pathological prognostic findings post CA
?NSE/S100B may prevent premature WLST
?NFL highest predictive capacity
Here visual abstract, full results #FOAMcc @yourICM https://t.co/3klcew33bD pic.twitter.com/1agsFCw6RF— Intens Care Med (@yourICM) September 4, 2021
Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.
3 Sep, 2021 | 09:55h | UTC
U.S. Study: Nearly half of surveyed female surgeons experienced major pregnancy complications.
18 Aug, 2021 | 08:42h | UTCNews 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
Challenges of pregnancy as a surgeon: Compared to male surgeons & their partners, female surgeons
•More likely to delay children & need assisted reproduction
•Have 1.7X ↑ risk pregnancy complications;long OR hrs ↑risk by 1.6x
•↑ risk postpart https://t.co/tJhz93newO— JAMA Surgery (@JAMASurgery) July 29, 2021
Review: Initial management of blunt and penetrating neck trauma.
17 Aug, 2021 | 08:40h | UTCInitial management of blunt and penetrating neck trauma – BJA Education
EM Cases: Testicular Torsion: A Diagnostic Pathway – “Time is Testes”.
17 Aug, 2021 | 08:41h | UTCEM Cases: Testicular Torsion: A Diagnostic Pathway – emDocs
Guideline: Acute abdomen in the immunocompromised patient.
16 Aug, 2021 | 01:00h | UTC
Review: Diagnosis of uncomplicated and complicated appendicitis in adults.
12 Aug, 2021 | 08:45h | UTCDiagnosis of Uncomplicated and Complicated Appendicitis in Adults – Scandinavian Journal of Surgery
Evidence-based approach to nailbed injuries: ED presentations, evaluation, and management.
10 Aug, 2021 | 08:47h | UTCEvidence-based Approach to Nailbed Injuries: ED Presentations, Evaluation, and management – emDocs
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.”
6 Aug, 2021 | 09:59h | UTCESPEN practical guideline: Clinical nutrition in surgery – Clinical Nutrition
Pre-post study: The implementation of a pathway and care bundle for the management of acute occlusive arterial mesenteric ischemia reduced mortality.
6 Aug, 2021 | 08:55h | UTC
Commentary on Twitter
Putting effort in the management of acute mesenteric ischemia seems worthwhile! How are these patients managed in your hospital? See our latest study. #EmergSurg #surgtwitter @villesallinen @JTraumAcuteSurg @me4_so @Me4Trauma https://t.co/iinp3HFBDw pic.twitter.com/njRQq3fpmp
— Matti Tolonen (@MattiTolon3n) August 4, 2021
Clinical practice guidelines for the management of colonic volvulus and acute colonic pseudo-obstruction.
2 Aug, 2021 | 00:13h | UTCNews release: American Society of Colon & Rectal Surgeons Publishes New Guidelines for Colonic Volvulus and Acute Colonic Pseudo-Obstruction
Observational study: Positive Fluid balance linked to worse outcomes in critically ill patients with traumatic brain injury.
1 Aug, 2021 | 23:57h | UTCFluid balance and outcome in critically ill patients with traumatic brain injury (CENTER-TBI and OzENTER-TBI): a prospective, multicentre, comparative effectiveness study – The Lancet Neurology (link to abstract – $ for full-text)
Commentary: Traumatic Brain Injury: Fluid Overload Tied to Higher Mortality in ICU Patients – Physician’s Weekly
Commentary on Twitter
Happy with our paper in @TheLancetNeuro on comparative effectiveness of fluid management strategies in TBI patients in the ICU. Successful example of treatment effect estimation in observational data. @CenterTBI @Menon_Cambridge @Dr_Cit @ESteyerberghttps://t.co/TMzhkd1SZz
— Hester Lingsma (@hesterlingsma) July 23, 2021
Research aims to stop fuzzy phrasing, medical errors in surgery.
29 Jul, 2021 | 11:09h | UTCResearch aims to stop fuzzy phrasing, medical errors in surgery – University of Kansas
Original study: Semantically Ambiguous Language in the Teaching Operating Room – Journal of Surgical Education (link to abstract – $ for full-text)
Another RCT evaluating the efficacy and quality of life of antibiotic-only treatment of acute uncomplicated appendicitis.
13 Jul, 2021 | 09:33h | UTCA Randomized Clinical Trial Evaluating the Efficacy and Quality of Life of Antibiotic-only Treatment of Acute Uncomplicated Appendicitis: Results of the COMMA Trial – Annals of Surgery (link to abstract – $ for full-text)
Related: A Randomized trial comparing antibiotics with appendectomy for appendicitis AND Antibiotics alone for uncomplicated appendicitis: Oral Moxifloxacin almost as good as intravenous Ertapenem + oral Levofloxacin AND Observational study: 67.1% success rate with nonoperative management of children with uncomplicated appendicitis AND Randomized Trial: Quality of Life and Patient Satisfaction at 7-Year Follow-up of Antibiotic Therapy vs. Appendectomy for Uncomplicated Acute Appendicitis AND Meta-Analysis: Antibiotic Treatment vs. Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children AND Nonoperative treatment for nonperforated appendicitis in children: a systematic review and meta-analysis – Pediatric Surgery International
Commentary on Twitter
The debate continues!
Another RCT comparing antibiotics to surgery for uncomplicated appendicitis – COMMA trial from ??
Recurrence within 1-year : 25% after AB
Superior quality of life at 3 and 12mo after surgery.https://t.co/Yv51qpxchb
— Ville Sallinen (@villesallinen) July 11, 2021
WSES position paper: Diagnosis and management of small bowel obstruction in virgin abdomen.
6 Jul, 2021 | 10:07h | UTC
M-A: Prehospital Tranexamic Acid reduces mortality among bleeding trauma patients without increasing the risk of venous thromboembolism.
6 Jun, 2021 | 23:34h | UTCThe 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 | UTCEffect 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
Among patients with moderate to severe traumatic brain injury, treatment with continuous infusion of 20% hypertonic saline compared with standard care did not result in a significantly better neurological status at 6 months https://t.co/zyPhO0Y2Yy
— JAMA (@JAMA_current) May 25, 2021
WSES-AAST guidelines: Management of inflammatory bowel disease in the emergency setting.
18 May, 2021 | 07:15h | UTC