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General Surgery & Trauma

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


EM Cases | The 7 Ts of massive hemorrhage protocols.

5 Jul, 2022 | 11:35h | UTC

EM Cases: The 7 Ts of Massive Hemorrhage Protocols – emDocs


RCT | Immobilization of torus fractures of the wrist in children.

4 Jul, 2022 | 12:46h | UTC

Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK – The Lancet

 

Commentary from the author on Twitter (thread – click for more)


Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019.

30 Jun, 2022 | 11:28h | UTC

Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019 – The Lancet Public Health

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

 

Commentaries on Twitter

(Thread – click for more)

(Thread – click for more)

 


RCT: Diagnostic imaging vs. observation in early equivocal appendicitis.

28 Jun, 2022 | 10:46h | UTC

DIAgnostic iMaging or Observation in early equivocal appeNDicitis (DIAMOND): open-label, randomized clinical trial – British Journal of Surgery

 


A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision.

23 Jun, 2022 | 10:19h | UTC

A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

 


Review: Advanced interventions in the pre-hospital resuscitation of patients with non-compressible hemorrhage after penetrating injuries.

22 Jun, 2022 | 11:21h | UTC

Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries – Critical Care

 


RCT: Routine use of intraoperative urinary catheters does not reduce the risk of postoperative urinary retention after laparoscopic inguinal hernia repair.

17 Jun, 2022 | 11:47h | UTC

Effect of Intraoperative Urinary Catheter Use on Postoperative Urinary Retention After Laparoscopic Inguinal Hernia Repair: A Randomized Clinical Trial – JAMA Surgery (free for a limited period)

Commentaries: Urinary Catheters for Inguinal Hernia Repair—The Challenges of Deimplementation of Routine Procedures – JAMA Surgery (free for a limited period)

Intraoperative Catheter Disappoints for Urinary Retention After Hernia Repair – MedPage Today (free registration required)

Author interview: Intraoperative Urinary Catheter Use and Urinary Retention After Laparoscopic Inguinal Hernia Repair – JAMA

 

Commentary on Twitter

 


Review | Body packers, stuffers, and pushers: time bombs in our Eds.

14 Jun, 2022 | 10:50h | UTC

Body Packers, Stuffers, and Pushers: Time Bombs in Our Eds – emDocs

 


Podcast: Gallbladder disease pearls.

14 Jun, 2022 | 10:46h | UTC

#340 Gallbladder Disease – The Curbsiders

 


M-A: Trampoline center injuries in children and adolescents.

14 Jun, 2022 | 10:41h | UTC

Trampoline centre injuries in children and adolescents: a systematic review and meta-analysis – Injury Prevention

News Release: Serious injuries more likely for kids using trampoline centers than home trampolines – British Medical Journal

 


BSH guideline for the hematological management of major hemorrhage.

13 Jun, 2022 | 10:53h | UTC

A guideline for the haematological management of major haemorrhage: a British Society for Haematology Guideline – British Journal of Haematology

 


Long-term follow-up of RCT: Decompressive craniectomy vs. standard medical care in patients with traumatic intracranial hypertension.

10 Jun, 2022 | 12:45h | UTC

Evaluation of Outcomes Among Patients With Traumatic Intracranial Hypertension Treated With Decompressive Craniectomy vs Standard Medical Care at 24 Months: A Secondary Analysis of the RESCUEicp Randomized Clinical Trial – JAMA Neurology (free for a limited period)

Original Study: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension – New England Journal of Medicine

Related:

Partial removal of skull (decompressive craniectomy) to lower treatment-resistant high pressure in the skull and brain after traumatic brain injury – Cochrane Library

Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury – Acta Neurochirurgica

The Current Status of Decompressive Craniectomy in Traumatic Brain Injury – Current Trauma Reports

 

Commentary on Twitter

 


Study Commentary: Traumatic hemothorax: pigtail vs. chest tube.

10 Jun, 2022 | 10:57h | UTC

Traumatic Hemothorax: Pigtail vs Chest Tube – RebelEM

Original Study: 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)

 


The application of the WSES classification system for open pelvic fractures—validation and supplement from a nationwide data bank.

1 Jun, 2022 | 10:49h | UTC

The application of the WSES classification system for open pelvic fractures—validation and supplement from a nationwide data bank – World Journal of Emergency Surgery

Related Guideline: Pelvic trauma: WSES classification and guidelines – World Journal of Emergency Surgery

 


Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomized controlled trials.

31 May, 2022 | 11:50h | UTC

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

Related Study: Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet AND Commentary: Expensive antiseptics and sutures do not reduce the risk of surgical infections – National Institute for Health and Care Research

 

Commentary from one of the authors on Twitter (thread – click for more)

 


Systematic Review: Risk factors associated with quadbike crashes.

31 May, 2022 | 11:21h | UTC

Risk factors associated with quadbike crashes: a systematic review – World Journal of Emergency Surgery

 


M-A: Clinical efficacy of laparoscopic appendectomy in the treatment of acute appendicitis.

31 May, 2022 | 11:20h | UTC

Meta-analysis of the clinical efficacy of laparoscopic appendectomy in the treatment of acute appendicitis – World Journal of Emergency Surgery

 


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