General Surgery & Trauma
EM Cases | The 7 Ts of massive hemorrhage protocols.
5 Jul, 2022 | 11:35h | UTCEM 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
Commentary from the author on Twitter (thread – click for more)
The FORCE study is in @TheLancet – https://t.co/oyYvMMxjln has awesome stuff to implement result – ED pathway, animations & patient info leaflets (multiple languages).
Thanks to @PERUKItweep and everyone who made it possible. https://t.co/Wq67MgcQhB pic.twitter.com/mrA03tGzCs
— Dan Perry (@MrDanPerry) July 1, 2022
Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019.
30 Jun, 2022 | 11:28h | UTC
Commentaries on Twitter
(Thread – click for more)
NEW—#GBDstudy Improving road safety measures (helmets, seatbelts, obeying speed limits, and avoiding drunk driving) could save half a million lives every year WORLDWIDE. @TheLancet @LancetPH #RoadSafety#InvestInYouthhttps://t.co/E2RdjazHDF
— Institute for Health Metrics and Evaluation (IHME) (@IHME_UW) June 30, 2022
(Thread – click for more)
Our new research published in @TheLancetPH “highlights the neglect and chronic underinvestment by the global health community to prevent injury-related harms in adolescents.” @UNSW @UNSWMedicine @CforAH @MCRI_for_kids @IHME_UW @georgeinstitute https://t.co/gjbndubxGE
— Dr Amy Peden (@amyepeden) June 29, 2022
RCT: Diagnostic imaging vs. observation in early equivocal appendicitis.
28 Jun, 2022 | 10:46h | UTC
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
Review: Advanced interventions in the pre-hospital resuscitation of patients with non-compressible hemorrhage after penetrating injuries.
22 Jun, 2022 | 11:21h | UTC
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 | UTCEffect 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
In this study, intraoperative urinary catheters did not reduce the risk of postoperative urinary retention after laparoscopic inguinal hernia repair. https://t.co/6M06HxR51f
— JAMA Surgery (@JAMASurgery) June 15, 2022
Review | Body packers, stuffers, and pushers: time bombs in our Eds.
14 Jun, 2022 | 10:50h | UTCBody 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 | UTCNews 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
Long-term follow-up of RCT: Decompressive craniectomy vs. standard medical care in patients with traumatic intracranial hypertension.
10 Jun, 2022 | 12:45h | UTCEvaluation 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:
The Current Status of Decompressive Craniectomy in Traumatic Brain Injury – Current Trauma Reports
Commentary on Twitter
In this study, at 24 months, patients with posttraumatic refractory intracranial hypertension managed with a decompressive craniectomy had a sustained mortality reduction and higher rates of vegetative state, severe disability, and moderate disability. https://t.co/I8GqG885jh
— JAMA Neurology (@JAMANeuro) June 9, 2022
Study Commentary: Traumatic hemothorax: pigtail vs. chest tube.
10 Jun, 2022 | 10:57h | UTCTraumatic 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 | UTCRelated 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 | UTCRelated 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)
1. Today: our @TheLancetInfDis meta-analysis based on @FalconRct – triclosan sutures and alcoholic skin prep to reduce surgical site infection.
Link to open access PDF:https://t.co/cj7yFdbNpB pic.twitter.com/VkKRaxCAtm
— Aneel Bhangu (@aneelbhangu) May 27, 2022
Systematic Review: Risk factors associated with quadbike crashes.
31 May, 2022 | 11:21h | UTC
M-A: Clinical efficacy of laparoscopic appendectomy in the treatment of acute appendicitis.
31 May, 2022 | 11:20h | UTC
Guidelines for clothing in the operating theatre.
30 May, 2022 | 11:52h | UTCGuidelines for clothing in the operating theatre, 2021 – Anaesthesia Critical Care & Pain Medicine
Systematic Review: Airway complications resulting from pediatric esophageal button battery impaction.
27 May, 2022 | 11:49h | UTCAirway Complications Resulting From Pediatric Esophageal Button Battery Impaction: A Systematic Review – JAMA Otolaryngology-Head & Neck Surgery (free for a limited period)
Invited Commentary: Pediatric Button Battery Injuries—Current State and What’s Next? – JAMA Otolaryngology-Head & Neck Surgery
Study Commentary: Expensive antiseptics and sutures do not reduce the risk of surgical infections.
26 May, 2022 | 10:05h | UTC
Commentary on Twitter
Routine use of expensive products during #Surgery of the abdomen does not reduce the risk of infections.
New research in low- and middle-income countries found infections were no more likely when cheaper alternatives were used: https://t.co/k1HqZzPGUg@aneelbhangu @NIHR_GSU pic.twitter.com/zydtqbs3GD
— NIHR Evidence (@NIHRevidence) May 16, 2022
Cross-sectional study: assessment of perioperative outcomes among surgeons who operated the night before.
24 May, 2022 | 08:17h | UTCAssessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before – JAMA Internal Medicine (free for a limited period)
Invited Commentary: Are Surgeons Really More Resilient Than Athletes? The Trade-off Between Surgeon Outcomes and Surgeon Well-being – JAMA Internal Medicine (free for a limited period)
Author Interview: Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before
Commentary on Twitter
This cross-sectional study found that operating overnight does not appear to be associated with worse outcomes when the attending surgeon continues to operate the next day. https://t.co/ahLoKav6HT
— JAMA Internal Medicine (@JAMAInternalMed) May 23, 2022
Management of moderate to severe traumatic brain injury: an update for the intensivist.
23 May, 2022 | 01:42h | UTC
Commentary on Twitter
Management of moderate to severe TBI
⏳ first hours: initial #resuscitation targets
🩸💧 in #ICU, ⬇️ secondary insults after trauma: ICP, CPP, hemodynamics
👁 multimodality monitoring targets & management
🫁 extracranial complications
🧠 long‐term outcomehttps://t.co/do6a3Fe5vs pic.twitter.com/uGxxfI5hOZ— Intensive Care Medicine (@yourICM) May 21, 2022
Review: Management of refractory variceal bleed in cirrhosis.
20 May, 2022 | 10:36h | UTC
The false dichotomy of surgical futility in the emergency laparotomy setting: scoping review.
19 May, 2022 | 10:17h | UTC
Commentary from the author on Twitter
ICYMI: How do we define futility in emergency #laparotomy?#videoabstract#some4surgery #emgensurg @asgbi @SEIQuirurgica @ASiTofficial https://t.co/PP9HOnr3lD pic.twitter.com/6wm7Dm8a0s
— BJS Open (@BjsOpen) April 26, 2022
RCT: Extended-course antibiotic prophylaxis in lower limb amputation.
17 May, 2022 | 10:50h | UTCExtended-course antibiotic prophylaxis in lower limb amputation: randomized clinical trial – British Journal of Surgery (link to abstract – $ for full-text)
Commentary on Twitter
In the May issue of BJS: Extended-course antibiotic prophylaxis in lower limb amputation: randomized clinical trial https://t.co/2H0TthufvZ @AmyLightnerMD @bplwijn @des_winter @ksoreide @MalinASund @evanscolorectal @nfmkok @robhinchliffe1 @young_bjs pic.twitter.com/taSa4Caibn
— BJS (@BJSurgery) April 30, 2022