General Surgery & Trauma | Page 8 of 25 | Links Medicus Content Curation & Alerts in Medicine

Happy TRALIdays: An overview of trauma resuscitation and transfusion complications.

17 Mar, 2022 | 08:08h | UTC

Happy TRALIdays: An Overview of Trauma Resuscitation and Transfusion Complications – emDocs

Observational Study: Comparison of intracranial pressure measurements before and after hypertonic saline or mannitol treatment in children with severe traumatic brain injury.

14 Mar, 2022 | 00:51h | UTC

Comparison of Intracranial Pressure Measurements Before and After Hypertonic Saline or Mannitol Treatment in Children With Severe Traumatic Brain Injury – JAMA Network Open

Invited Commentary: ADAPTing to a New Era of Comparative Effectiveness Research in Traumatic Brain Injury—Generating Evidence From Observational Data – JAMA Network Open

Commentary on Twitter

For children with severe TBI, hypertonic saline is recommended in published guidelines. However, mannitol is in wide-spread clinical use. In this comparative effectiveness, hypertonic saline was associated with improved ICP compared to mannitol. https://t.co/7JW224Dbio

— JAMA Network Open (@JAMANetworkOpen) March 10, 2022

Efficacy and safety of non-operative management of uncomplicated acute appendicitis compared to appendectomy: an umbrella review of systematic reviews and meta-analyses.

11 Mar, 2022 | 09:49h | UTC

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

Review: Acute cholecystitis.

11 Mar, 2022 | 09:40h | UTC

Acute Cholecystitis: A Review – JAMA (free for a limited period)

Author Interview: Acute Cholecystitis

ACS Best Practice Guidelines: Spine injury.

9 Mar, 2022 | 10:00h | UTC

Spine Injury – American College of Surgeons

News Release: New guidelines will help trauma centers treat spinal injury patients

RCT: In patients with trauma-related hemorrhagic shock receiving prehospital care, there was no benefit from resuscitation with blood products compared to 0.9% sodium chloride.

9 Mar, 2022 | 09:55h | UTC

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial – The Lancet Haematology

Invited commentary: Prehospital blood transfusion: who benefits? – The Lancet Haematology

Commentary on Twitter

NEW research—resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care: results of #RePHILL, a randomised, controlled, phase 3 trial #openaccess #EmergencyMedicine ??https://t.co/Ci0lMMCryX pic.twitter.com/iWEtV12N1r

— The Lancet Haematology (@TheLancetHaem) March 8, 2022

WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment.

7 Mar, 2022 | 00:11h | UTC

WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment – World Journal of Emergency Surgery

National, regional, and global causes of mortality in 5–19-year-olds from 2000 to 2019: a systematic analysis.

3 Mar, 2022 | 08:51h | UTC

National, regional, and global causes of mortality in 5–19-year-olds from 2000 to 2019: a systematic analysis – The Lancet Global Health

Invited commentary: Child and adolescent deaths: a call for strengthening mortality surveillance systems – The Lancet Global Health

M-A: Association of tranexamic acid administration with mortality and thromboembolic events in patients with traumatic injury.

3 Mar, 2022 | 07:57h | UTC

Association of Tranexamic Acid Administration With Mortality and Thromboembolic Events in Patients With Traumatic Injury: A Systematic Review and Meta-analysis – JAMA Network Open

M-A: Prehospital Tranexamic Acid reduces mortality among bleeding trauma patients without increasing the risk of venous thromboembolism.

Tranexamic acid after traumatic brain injury: Exploratory analysis combining data from CRASH-2 and CRASH-3 trials suggests reduced mortality

Meta-analysis: Efficacy and safety of tranexamic acid in acute traumatic brain injury

Randomized trial: Tranexamic acid during prehospital transport in patients at risk for hemorrhage after injury

Randomized trial: Out-of-hospital tranexamic acid does not improve neurologic outcomes in patients with traumatic brain injury

Editorial: Is Tranexamic Acid Going to CRASH the Management of Traumatic Brain Injury?

Practice-Changing: Tranexamic Acid Reduces the Risk of Head Injury-related Death in Patients with Mild-to-moderate Head Injury

Major burns: Part 1. Epidemiology, pathophysiology and initial management.

25 Feb, 2022 | 11:04h | UTC

Major burns: Part 1. Epidemiology, pathophysiology and initial management – BJA Education

Surgery students ‘losing dexterity to stitch patients’.

21 Feb, 2022 | 09:24h | UTC

Surgery students ‘losing dexterity to stitch patients’ – BBC

RCT: Sub dissociative dose of ketamine with haloperidol vs. fentanyl on pain reduction in patients with acute pain in the emergency department.

21 Feb, 2022 | 08:37h | UTC

Sub dissociative dose of ketamine with haloperidol versus fentanyl on pain reduction in patients with acute pain in the emergency department; a randomized clinical trial – The American Journal of Emergency Medicine (link to abstract – $ for full-text)

WSES Position Paper: Robotic surgery in emergency setting.

21 Feb, 2022 | 08:29h | UTC

Robotic surgery in emergency setting: 2021 WSES position paper – World Journal of Emergency Surgery

AAST Consensus: Rhabdomyolysis.

13 Feb, 2022 | 22:21h | UTC

Rhabdomyolysis: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document – Trauma Surgery & Acute Care Open

Systematic Review: Magnetic resonance imaging for diagnosis of acute appendicitis.

9 Feb, 2022 | 08:32h | UTC

Magnetic resonance imaging (MRI) for diagnosis of acute appendicitis – Cochrane Library

Summary: Magnetic resonance imaging (MRI) for diagnosis of acute appendicitis – Cochrane Library

Commentary on Twitter

#Appendicitis is a common condition that is usually treated w emergency surgery, but can be difficult to diagnose. Can Tools MRI can help diagnose quickly & early? https://t.co/hsolsjB3A8 New systematic review looks at evidence from 58 studies. @mrnigeldsouza

— The Cochrane Library (@CochraneLibrary) December 22, 2021

Review | Prehospital plasma transfusion: what does the literature show?

9 Feb, 2022 | 08:22h | UTC

Prehospital Plasma Transfusion: What Does the Literature Show? – Transfusion Medicine and Hemotherapy

Review | Emergency blood transfusion for trauma and perioperative resuscitation.

9 Feb, 2022 | 08:22h | UTC

Emergency Blood Transfusion for Trauma and Perioperative Resuscitation: Standard of Care – Transfusion Medicine and Hemotherapy

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

4 Feb, 2022 | 09:58h | UTC

Does my hospitalized patient need an NPO-after-midnight order preoperatively? – Cleveland Clinic Journal of Medicine

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

M-A: Timing of tracheostomy in acute traumatic spinal cord injury.

3 Feb, 2022 | 08:44h | UTC

Timing of tracheostomy in acute traumatic spinal cord injury: A systematic review and meta-analysis – Journal of Trauma and Acute Care Surgery

Evaluation and management of traumatic pneumothorax: A Western Trauma Association critical decisions algorithm.

3 Feb, 2022 | 08:46h | UTC

Evaluation and management of traumatic pneumothorax: A Western Trauma Association critical decisions algorithm – Journal of Trauma and Acute Care Surgery

Concussion management is changing as more research suggests exercise is the best approach.

1 Feb, 2022 | 08:27h | UTC

Concussion management is changing as more research suggests exercise is best approach – The Conversation

Guideline: Nonpharmacological treatment of persistent postconcussion symptoms in adults.

RCT: Early treatment with mild aerobic exercise safely speeds recovery from sport-related concussion in adolescents.

Randomized Trial: Early Aerobic Exercise for Sport-Related Concussion

RCT: Limiting screen time for young adults after concussion results in shorter duration of symptoms.

Selected issues in sport-related concussion for the team physician: a consensus statement – “Current evidence suggests strict rest after SRC slows recovery and increases the probability of prolonged symptoms”.

RCT: Prescribed light exercise vs. standard management for emergency department patients with acute mild traumatic brain injury

Systematic Review: Cephalomedullary nails vs. extramedullary implants for extracapsular hip fractures in older adults.

30 Jan, 2022 | 13:44h | UTC

Cephalomedullary nails versus extramedullary implants for extracapsular hip fractures in older adults – Cochrane Library

Summary: Metal implants used to fix broken bones near the hip joint in older adults – Cochrane Library

Commentary on Twitter

In older adults with a hip fracture near the hip joint, how do different surgical treatments compare?

The latest Cochrane evidence from @CochraneBJMT looks at how cephalomedullary nails compare with extramedullary implants.

Full details ? https://t.co/C7dsON0tdy pic.twitter.com/0TBAZAM9Om

— Cochrane UK (@CochraneUK) January 29, 2022