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General Surgery & Trauma

RCT | Operative vs. nonoperative treatment of acute unstable chest wall injuries.

22 Sep, 2022 | 13:13h | UTC

Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries: A Randomized Clinical Trial – JAMA Surgery (free for a limited period)

Invited commentary: Operative Treatment of Acute Unstable Chest Wall Injuries—Let Us All Take a Deep Breath – JAMA Surgery (free for a limited period)

Author Interview: Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries – JAMA

Related:

Surgical management of rib fractures after blunt trauma: a systematic review and meta-analysis of randomised controlled trials – Annals of The Royal College of Surgeons of England

RCT | Rib fixation is not beneficial for non–ventilator-dependent chest wall injuries.

 

Commentary on Twitter

 


Pediatric battery-related emergency department visits in the US: 2010–2019.

21 Sep, 2022 | 13:13h | UTC

Pediatric Battery-Related Emergency Department Visits in the United States: 2010–2019 – Pediatrics

News Release: New study finds battery-related injuries in children more than doubled in recent decade – Nationwide Children’s Hospital

Commentary: Young Children are Ingesting Dangerous Batteries at an Alarming Rate – Science-Based Medicine

Related:

Vascular Complications in Children Following Button Battery Ingestions: A Systematic Review – Pediatrics

Position Paper: Diagnosis, management, and prevention of button battery ingestion in childhood.

Airway Complications Resulting From Pediatric Esophageal Button Battery Impaction: A Systematic Review – JAMA Otolaryngology-Head & Neck Surgery (link to abstract – $ for full-text)

Research: Honey May Reduce Injury and Improve Outcomes After Accidental Button Battery Ingestion

 


Systematic Reviews | Vascular complications in children following button battery ingestions.

21 Sep, 2022 | 13:12h | UTC

Vascular Complications in Children Following Button Battery Ingestions: A Systematic Review – Pediatrics

Related:

Pediatric Battery-Related Emergency Department Visits in the United States: 2010–2019 – Pediatrics

Position Paper: Diagnosis, management, and prevention of button battery ingestion in childhood.

Airway Complications Resulting From Pediatric Esophageal Button Battery Impaction: A Systematic Review – JAMA Otolaryngology-Head & Neck Surgery (link to abstract – $ for full-text)

Research: Honey May Reduce Injury and Improve Outcomes After Accidental Button Battery Ingestion

 


AAP Policy Statement | Helmet use in preventing head injuries in bicycling, snow sports, and other recreational activities and sports.

19 Sep, 2022 | 12:43h | UTC

Helmet Use in Preventing Head Injuries in Bicycling, Snow Sports, and Other Recreational Activities and Sports – Pediatrics

Technical Report: Helmet Use in Preventing Head Injuries in Bicycling, Snow Sports, and Other Recreational Activities and Sports – Pediatrics

Commentary: Multifaceted Approach Urged for Promoting Helmet Use for Children – HealthDay

 


Systematic Review | The effects of water compared with other solutions for wound cleansing – not enough evidence to guide recommendations.

16 Sep, 2022 | 12:52h | UTC

Water for wound cleansing – Cochrane Library

Summary: The effects of water compared with other solutions for wound cleansing – Cochrane Library

 


Traumatic cardiac arrest: scoping review of utilization of resuscitative endovascular balloon occlusion of the aorta.

15 Sep, 2022 | 12:57h | UTC

Traumatic Cardiac Arrest: Scoping Review of Utilization of Resuscitative Endovascular Balloon Occlusion of the Aorta – Frontiers in Medicine

 


Opinion | Tranexamic acid for safer surgery: the time is now.

7 Sep, 2022 | 12:37h | UTC

Tranexamic acid for safer surgery: the time is now – British Journal of Surgery

Related:

#ACC22 – RCT: Tranexamic acid reduces the risk of bleeding in patients undergoing noncardiac surgery.

Update on applications and limitations of perioperative tranexamic acid.

RCT | Effect of high- vs. low-dose tranexamic acid infusion on need for red blood cell transfusion and adverse events in patients undergoing cardiac surgery.

Safety of tranexamic acid in hip and knee arthroplasty in high-risk patients – this large observational study did not show an increased risk for venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or transient ischemic attacks, irrespective of patient high-risk status at baseline

M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality

 


Review | Point-of-care ultrasound for the trauma anesthesiologist.

6 Sep, 2022 | 14:18h | UTC

Point-of-Care Ultrasound for the Trauma Anesthesiologist – Current Anesthesiology Reports

 


Review | The use of whole blood transfusion in trauma.

6 Sep, 2022 | 14:15h | UTC

The Use of Whole Blood Transfusion in Trauma – Current Anesthesiology Reports

 


Review | The multiple casualty scenario: role of the anesthesiologist.

6 Sep, 2022 | 14:14h | UTC

The Multiple Casualty Scenario: Role of the Anesthesiologist – Current Anesthesiology Reports

 


Multicenter, international retrospective audit of lower extremity open fractures.

1 Sep, 2022 | 11:48h | UTC

International Lower Limb Collaborative (INTELLECT) study: a multicentre, international retrospective audit of lower extremity open fractures – British Journal of Surgery

 


RCT | Rib fixation is not beneficial for non–ventilator-dependent chest wall injuries.

24 Aug, 2022 | 14:03h | UTC

Rib fixation in non–ventilator-dependent chest wall injuries: A prospective randomized trial – Journal of Trauma and Acute Care Surgery (link to abstract – $ for full-text)

Related: Operative fixation of rib fractures after blunt trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma

 

Commentary on Twitter

 


Study Commentary | Non-sterile gloves for suturing traumatic lacerations?

23 Aug, 2022 | 13:29h | UTC

Non-Sterile Gloves for Suturing Traumatic Lacerations? – RebelEM

Original Study: Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial – Emergency Medicine Journal (link to abstract – $ for full-text)

 


Trauma care in older people: charting a path from outlier to excellence.

11 Aug, 2022 | 12:16h | UTC

Trauma care in older people: charting a path from outlier to excellence – Age and Ageing

 


Review | Developments in procedural sedation for adults.

10 Aug, 2022 | 12:14h | UTC

Developments in procedural sedation for adults – BJA Education

 


RCT | Antiseptic skin agents to prevent surgical site infection after incisional surgery.

8 Aug, 2022 | 11:54h | UTC

Antiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link to abstract – $ for full-text)

Related:

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

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

 


Position Paper | Resuscitative endovascular balloon occlusion of the aorta.

8 Aug, 2022 | 11:43h | UTC

Resuscitative endovascular balloon occlusion of the aorta in Canada: a context-specific position paper from the Canadian Collaborative for Urgent Care Surgery (CANUCS) – Canadian Journal of Surgery

 


Systematic Review | Evaluating the diagnostic pathway for acute anterior cruciate ligament injuries in trauma centers.

8 Aug, 2022 | 11:40h | UTC

Evaluating the diagnostic pathway for acute ACL injuries in trauma centres: a systematic review – BMC Musculoskeletal Disorders

 


M-A | Nonoperative vs. operative management of uncomplicated acute appendicitis.

28 Jul, 2022 | 13:30h | UTC

Nonoperative vs Operative Management of Uncomplicated Acute Appendicitis: A Systematic Review and Meta-Analysis – JAMA Surgery (free for a limited period)

Related:

Efficacy and Safety of Non-Operative Management of Uncomplicated Acute Appendicitis Compared to Appendectomy: An Umbrella Review of Systematic Reviews and Meta-Analyses – World Journal of Surgery

Cohort Study: Patient factors associated with appendectomy within 30 days of initiating antibiotic treatment for appendicitis – the presence of an appendicolith was associated with a nearly 2-fold increased risk of undergoing appendectomy within 30 days.

Review: Diagnosis of uncomplicated and complicated appendicitis in adults.

Another RCT evaluating the efficacy and quality of life of antibiotic-only treatment of acute uncomplicated appendicitis.

A Randomized trial comparing antibiotics with appendectomy for appendicitis

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

Observational study: 67.1% success rate with nonoperative management of children with uncomplicated appendicitis

Randomized Trial: Quality of Life and Patient Satisfaction at 7-Year Follow-up of Antibiotic Therapy vs. Appendectomy for Uncomplicated Acute Appendicitis

Meta-Analysis: Antibiotic Treatment vs. Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children

Nonoperative treatment for nonperforated appendicitis in children: a systematic review and meta-analysis – Pediatric Surgery International

 

Commentary on Twitter

 


Cohort Study | Excluding hollow viscus injury for abdominal seat belt sign using computed tomography.

26 Jul, 2022 | 12:27h | UTC

Excluding Hollow Viscus Injury for Abdominal Seat Belt Sign Using Computed Tomography – JAMA Surgery (link to abstract – $ for full-text)

Commentary: Negative CT May Prompt Discharge of Patients With Abdominal Seat Belt Sign – Presence of free fluid may serve as the most effective binary classifier for presence of hollow viscus injury – HealthDay

 

Commentary on Twitter

 


Do we need repeated CT imaging in uncomplicated blunt renal injuries? Experiences of a high-volume urological trauma center.

12 Jul, 2022 | 11:46h | UTC

Do we need repeated CT imaging in uncomplicated blunt renal injuries? Experiences of a high-volume urological trauma centre – World Journal of Emergency Surgery

 


Hypertensive disorders in pregnancy complicated by liver rupture or hematoma: a systematic review of 391 reported cases.

12 Jul, 2022 | 11:48h | UTC

Hypertensive disorders in pregnancy complicated by liver rupture or hematoma: a systematic review of 391 reported cases – World Journal of Emergency Surgery

 


Coagulation and transfusion updates from 2021.

7 Jul, 2022 | 12:36h | UTC

Coagulation and Transfusion Updates from 2021 – Journal of Cardiothoracic and Vascular Anesthesia

 


Cohort Study | Half of non-hospitalized patients with minor head injury experience incomplete recovery after 3 months.

6 Jul, 2022 | 11:25h | UTC

Incomplete recovery in patients with minor head injury directly discharged home from the emergency department: a prospective cohort follow-up study – BMJ Open


The Lancet Series | Road Safety 2022

5 Jul, 2022 | 12:13h | UTC

Homepage: Road Safety 2022 (free registration required for all articles)

Editorial: Road safety: more than reducing injuries

The political and social contexts of global road safety: challenges for the next decade

Saving lives through road safety risk factor interventions: global and national estimates

Improvement in trauma care for road traffic injuries: an assessment of the effect on mortality in low-income and middle-income countries

Commentaries:

The Lancet: Improving road safety measures could save half a million lives every year worldwide – Institute for Health Metrics and Evaluation

New research: Up to 540,000 lives could be saved worldwide by targeting speed and other main areas – George Washington University

Improving trauma care for road traffic injuries could save many lives in lower income countries – Weill Cornell Medical College


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