General Surgery & Trauma
Deep learning algorithm detects universal trauma on pelvic radiographs
24 Feb, 2021 | 02:03h | UTCCommentary: AI algorithm accurately detects trauma on pelvic radiographs – AuntMinnie
Commentary on Twitter
#artificialintelligence #radiology #orthopaedics
Researchers from Taiwan and US have now developed
an AI model which can detect pelvic and femur injuries on pelvic XRays on a comparable performance with radiologists and orthopaedic surgeons: https://t.co/Ce2WUAuOvq— Sandeep Reddy (@docsunny100) February 22, 2021
Cohort study: Tomographic radiation in patients who underwent appendectomy linked to increased risk of hematologic malignant neoplasms
22 Jan, 2021 | 08:25h | UTCRisk 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
Commentary on Twitter
Loop drainage technique (LDT) vs conventional I&D (CID) for cutaneous abscess
8 studies (n=910)
CID failed in 69/487 pts (14%)
LDT failed in 35/423 pts (8%)
OR 2.02 (95% CI 1.29 to 3.18) https://t.co/JVRZWFfyUe@MGottliebMD @GillianMD1 @AcademicEmerMed @SAEMonline #AEM pic.twitter.com/HJfnou4NYc— Gary D Peksa 💊 🌱 (@garyDpeksa) October 15, 2020
Postdischarge virtual visits for low-risk surgeries: A randomized noninferiority clinical trial
17 Jan, 2021 | 21:57h | UTCPostdischarge 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 | UTCEditorial: 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
In this RCT comparing 7d oral moxifloxacin vs 2d IV ertapenam 5d oral levofloxacin metronidazole for adults w uncomplicated #appendicitis, Tx success was >65% for both, but oral #antibiotics did not meet noninferiority criteria vs IV PO https://t.co/SwcopsGZTm #VisualAbstract
— JAMA (@JAMA_current) January 12, 2021
Meta-analysis of mortality risk in octogenarians undergoing emergency general surgery operations
14 Jan, 2021 | 01:36h | UTCMeta-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 | UTCThe 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
.@TheLancetNeuro Surgical decompression within one day of acute #spinalcordinjury is linked with improved sensorimotor recovery. The first 24-36 hours following injury seem to represent a crucial time frame to reach optimal #neurological recovery. @UofT https://t.co/Fi53K2YKBk pic.twitter.com/RDESblOgoM
— Neurology Today (@NeurologyToday) December 28, 2020
Multiple trauma management in mountain environments – a scoping review
12 Jan, 2021 | 01:25h | UTC
Randomized trial: Ultra-early tranexamic acid does not improve outcomes after subarachnoid hemorrhage
10 Jan, 2021 | 21:02h | UTCUltra-early tranexamic acid after subarachnoid haemorrhage (ULTRA): a randomised controlled trial – The Lancet (link to abstract – $ for full-text)
Tranexamic acid treatment in spontaneous subarachnoid haemorrhage, started immediately after CT diagnosis and continued until start of the aneurysm treatment as early as possible, does not improve clinical outcome, finds new randomised controlled trial: https://t.co/R0AhtszaY5 pic.twitter.com/Bnft9XgBA9
— The Lancet (@TheLancet) December 22, 2020
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 | UTCLaparoscopic 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)
Randomized trial: In surgical patients at moderate or high risk of venous thromboembolism, pharmaco-thromboprophylaxis alone is as good as the combination of pharmaco-thromboprophylaxis and graduated compression stockings
16 Dec, 2020 | 10:00h | UTC
Review: Perioperative venous thromboembolism prophylaxis
3 Dec, 2020 | 08:28h | UTCPerioperative Venous Thromboembolism Prophylaxis – Mayo Clinic Proceedings
Podcast on Wilderness Medicine: Pearls on altitude sickness, frostbite, animal bites, thermoregulation, and wound care
17 Nov, 2020 | 09:32h | UTC#242 Wilderness Medicine: Prepare for Disaster – The Curbsiders Internal Medicine Podcast
Tranexamic acid after traumatic brain injury: Exploratory analysis combining data from CRASH-2 and CRASH-3 trials suggests reduced mortality
13 Nov, 2020 | 09:21h | UTC
Commentary on Twitter
📊🔍 IPD meta-analysis of #CRASH2 and #CRASH3 trials show rapid #TXA (<3 hrs) reduces early deaths by >20% in both studies
Highly consistent results that #TXA reduces trauma deaths regardless of the location of the #bleeding 🩸
READ @Crit_Care 👉https://t.co/s3vkm6c6Tf pic.twitter.com/og9jYi5tqo
— Clinical Trials Unit – Global Health Trials Group (@CTU_LSHTM) November 11, 2020
Safe surgery: A cluster randomized trial showed that the implementation of control charts with feedback on indicators to surgical teams was associated with concomitant reductions in major adverse events in patients
9 Nov, 2020 | 01:23h | UTC
NICE Guideline: Human and animal bites. Assessment, indications for antibiotic prophylaxis in uninfected bites, and choice of antibiotic are reviewed
5 Nov, 2020 | 09:02h | UTC
Review: Management of common postoperative complications
4 Nov, 2020 | 09:26h | UTCManagement of Common Postoperative Complications – Mayo Clinic Proceedings
Updated guidelines to reduce venous thromboembolism in trauma patients
3 Nov, 2020 | 03:08h | UTC
Guideline: Airway management in adult trauma patients
27 Oct, 2020 | 09:30h | UTC
Commentary on Twitter
New WTA Algorithm on Airway Management – both prehospital and in-hospital algorithms. Now published and free open access in @TSACO_AAST ! Download full paper: https://t.co/MFxaWJzfdS pic.twitter.com/eZCdEC5Ys1
— WesternTrauma (@WesternTrauma) October 9, 2020
Study: Low risk of SARS-CoV-2 transmission among coworkers in a surgical environment
23 Oct, 2020 | 09:05h | UTCRisk of SARS-CoV-2 Transmission Among Coworkers in a Surgical Environment – Mayo Clinic Proceedings
Meta-analysis: Efficacy and safety of tranexamic acid in acute traumatic brain injury
22 Oct, 2020 | 09:31h | UTC
Commentary on Twitter
Tranexamic acid in acute TBI
➡️ 9 RCTs/14,747 pts
➡️ probably NO effect on mortality or disability
➡️ may decrease hematoma expansion on subsequent imaging (likely of minor importance to pts)
➡️ probably NO increased risk of adverse events#FOAMcc @yourICM https://t.co/sqn80NfNv4 pic.twitter.com/dMf8rYowC2— Intensive Care Medicine (@yourICM) October 21, 2020
Randomized trial: Tranexamic acid during prehospital transport in patients at risk for hemorrhage after injury
7 Oct, 2020 | 09:04h | UTCCommentaries: Prehospital Tranexamic Acid: STAAMP of Approval or Return to Sender? – JAMA Surgery AND Trial examines prehospital administration of blood-clotting agent in severely injured trauma patients – News Medical
Commentary on Twitter
TXA as an adjunct to prehospital #injury management seems to improve #outcome but only in specific subgroups. A nicely done multicenter trial that raises more questions to be answered. @SCCM @JAMASurgery https://t.co/rTQz8qJO0o
— Lauren R. Sorce, PhD, RN, CPNP-AC/PC, FAAN, FCCM (@SCCMPresident) October 5, 2020
[Abstract Only] A Randomized trial comparing antibiotics with appendectomy for appendicitis
6 Oct, 2020 | 00:44h | UTCA Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: Benefits, risks seen with antibiotics-first for appendicitis – University of Washington School of Medicine
Infographic: Deciding Between Antibiotics & Surgery for Appendicitis: Findings from the CODA Study
Commentary on Twitter
For the treatment of appendicitis, antibiotics noninferior to appendectomy on the basis of results of a standard health-status measure. In the antibiotics group, nearly 3 in 10 participants had undergone appendectomy by 90 days. #ACSCC20
— NEJM (@NEJM) October 5, 2020
Global Burden of Injury: IHME special series of 13 research articles for the Global Burden of Disease Study
4 Oct, 2020 | 23:09h | UTCTable of Contents: Global Burden of Injuries
Commentary on Twitter
Check out our new @IHME_UW special series of 13 research articles on global injury burden in @IP_BMJ lead by our @SpencerJamesMD. We hope that our findings will be used to make the world a safer place in the years to come. pic.twitter.com/UFP1OkytoD
— Ali H. Mokdad (@AliHMokdad) October 2, 2020
Understanding necrotizing soft tissue infections in the intensive care unit
25 Sep, 2020 | 02:31h | UTC
Commentary on Twitter
Necrotizing soft tissue infections in #ICU, focus on optimizing interventions most likely to impact outcome:
➡️ keep high index of suspicion vs misdiagnosis/delays in starting treatment
➡️ coordinate urgent approach: early debridement + broad-spectrum ABThttps://t.co/NpkxYFHbGl pic.twitter.com/8LDQuOGobI— Intensive Care Medicine (@yourICM) September 22, 2020


