General Surgery & Trauma
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— Intens Care Med (@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
— Lewis J. Kaplan (@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— Intens Care Med (@yourICM) September 22, 2020
Randomized trial: Out-of-hospital tranexamic acid does not improve neurologic outcomes in patients with traumatic brain injury
9 Sep, 2020 | 09:20h | UTCEditorial: Out-of-Hospital Tranexamic Acid for Traumatic Brain Injury
Commentary on Twitter
In this phase II RCT prehospital tranexamic acid, which inhibits breakdown of fibrin clot, did not improve neurologic outcomes at 6 months vs placebo in patients with moderate to severe TBI https://t.co/PHK91YYxK3 @SusanRowellMD
— JAMA (@JAMA_current) September 8, 2020
Randomized trial: Negative-pressure wound therapy compared with standard dressings following surgical treatment of major trauma to the lower limb
6 Sep, 2020 | 21:33h | UTCSource: EvidenceAlerts
Commentaries on Twitter
Should we use “Negative Pressure Dressings” in high risk major trauma wounds?
Paper early 2020 in JAMA https://t.co/I3SZfy62K1
Blow-by-blow account today (all 114 pages!) https://t.co/V6UbWItCmN
Spoiler: No – no difference@BritOrthopaedic @OrthoFolks @bota_uk @JAMA_current pic.twitter.com/PUQoCwz4Zr
— Dan Perry (@MrDanPerry) August 24, 2020
New NIHR-funded research finds standard dressings better than negative-pressure wound therapy for patients having #surgery for major leg #trauma: https://t.co/npGSNhz4XE#NIHRJL#openaccess pic.twitter.com/GSsGtyjla6
— NIHR Evidence (@NIHRevidence) August 26, 2020
Consensus recommendations on the prehospital care of the injured athlete with a suspected catastrophic cervical spine injury
21 Aug, 2020 | 02:16h | UTC
ESGE Position Statement: Diagnosis and management of iatrogenic endoscopic perforations
14 Aug, 2020 | 01:00h | UTC
[Abstract Only] Randomized trial: Surgery vs. cast immobilization for adults with a bicortical fracture of the scaphoid waist
10 Aug, 2020 | 01:54h | UTC
Commentary on Twitter
Another high quality RCT from U.K. orthopaedic surgeons…in the Lancet.
What to do this fracture..?
The infographic reveals all…https://t.co/ArvSirJ6S4
Spoiler…put it in a cast.@NIHRresearch @TheLancet @BritOrthopaedic @bota_uk @YorkTrialsUnit pic.twitter.com/hZPwG7k6gL
— Dan Perry (@MrDanPerry) August 8, 2020
Guidelines for the management of severe traumatic brain injury: 2020 update of the decompressive craniectomy recommendations
10 Aug, 2020 | 01:46h | UTC
[Abstract Only] Meta-analysis: Point-of-care ultrasonography for the diagnosis of skin and soft tissue abscesses
3 Aug, 2020 | 01:18h | UTCPoint-of-Care Ultrasonography for the Diagnosis of Skin and Soft Tissue Abscesses: A Systematic Review and Meta-analysis – Annals of Emergency Medicine (link to abstract – $ for full-text)
Commentary: POCUS for Abscess – A Large Meta-Analysis – Journal Feed
Randomized trial: Robotic vs. laparoscopic ventral hernia repair
31 Jul, 2020 | 08:35h | UTCCommentary: #VisualAbstract: Robotic vs. laparoscopic ventral hernia repair – 2 Minute Medicine
Observational study: 67.1% success rate with nonoperative management of children with uncomplicated appendicitis
28 Jul, 2020 | 07:38h | UTCAssociation of Nonoperative Management Using Antibiotic Therapy vs Laparoscopic Appendectomy With Treatment Success and Disability Days in Children With Uncomplicated Appendicitis – JAMA (free for a limited period)
Editorial: Success of Antibiotic Therapy vs Laparoscopic Appendectomy for Uncomplicated Appendicitis in Children: A Matter of Perspective (free for a limited period)
Author Interview: Treating Pediatric Appendicitis Nonoperatively
Commentary: Antibiotics alone successfully treat uncomplicated appendicitis in children – Nationwide Children’s Hospital
[Abstract Only] Randomized trial: urgent endoscopic retrograde cholangiopancreatography with sphincterotomy vs. conservative treatment in predicted severe acute gallstone pancreatitis
20 Jul, 2020 | 07:44h | UTC
Related Commentary on Twitter
Routine or on-demand ERCP in pred severe biliary #pancreatitis? APEC trial today @TheLancet: major complications 38%/117 pts urgent ERCP incl sphincterotomy vs 44%/113 pts with ERCP on-demand. ERCP can be reserved for cholangitis/ persistent cholestasis. https://t.co/kz1jfTQIf8 pic.twitter.com/ZfkARKwvGv
— Marc Besselink (@MarcBesselink) July 17, 2020
Personal protective equipment and Covid-19: a review for surgeons
20 Jul, 2020 | 07:47h | UTCPersonal Protective Equipment and COVID-19: A Review for Surgeons – Annals of Surgery
Systematic review: International guidelines and recommendations for surgery during Covid-19 pandemic
17 Jul, 2020 | 08:34h | UTC
Review: SARS‐CoV‐2 infection risk during elective peri‐operative care
16 Jul, 2020 | 08:28h | UTC
How scientific societies are weathering the pandemic’s financial storm
15 Jul, 2020 | 08:20h | UTCHow scientific societies are weathering the pandemic’s financial storm – Nature
ACC Consensus on management of anticoagulant-related bleeding
15 Jul, 2020 | 08:12h | UTCKey Points: ACC Consensus on Management of Anticoagulant-Related Bleeding
Randomized Trial: Ambulatory Management of Primary Spontaneous Pneumothorax
6 Jul, 2020 | 08:29h | UTC
Selected Articles: COVID-19 in Surgical Patients
3 Jul, 2020 | 08:46h | UTCArticle 1: Managing COVID-19 in Surgical Systems – Annals of Surgery
Article 3: COVID-19 – Considerations and Implications for Surgical Learners – Annals of Surgery
Article 5: A Guide for Surgical and Procedural Recovery After the First Surge of Covid-19 – NEJM Catalyst