❇️Best of SCC ❇️. Watch an overview of "Should we redefine the age of geriatric trauma? An insight from American College of Surgeons Trauma Quality Improvement Program database 30-day mortality risk".

❇️Best of SCC ❇️. Our study analyzed the mortality increase at different changepoints in older adults from all-trauma & ground level fall trauma mechanism. We found that the changepoint for mortality is 72 years of age, while in GLF it is 65 years of age.

A collaborative multidisciplinary trauma program improvement team improves VTE chemoprophylaxis guideline compliance in non-operative stable TBI

❇️ Best of EGS❇️. Watch an overview of "Safety of Early Diverting Loop Ileostomy Reversal after Sigmoid Colectomy and Primary Anastomosis for Perforated Diverticulitis".

❇️ Best of EGS❇️.An analysis of patient status post urgent/emergent sigmoidectomy & diverting loop ileostomy for perforated diverticulitis who later underwent elective ileostomy reversal. Early reversal was safer/cost effective compared to later reversal.

❇️Best of Basic and Translational Research ❇️. Watch an overview of "Plasma Resuscitation Restores Glomerular Hyaluronic Acid and Mitigates Hemorrhage-Induced Glomerular Dysfunction".

❇️Best of Basic❇️. Shedding of hyaluronic acid from the glomerular glycocalyx after hemorrhagic shock and resuscitation resulted in abnormal glomerular protein handling. Read more with the link below!.

20 years ago in JTACS - North American Survey of anticoagulation reversal in trauma. A discussion that's become much more complex with DOACs and other novel agents and reversal strategies

10 years ago in JTACS - evaluation of Injury Severity Score vs NISS (new ISS) in penetrating trauma. Is either ideal for penetrating trauma?

Eastern Association for the Surgery of Trauma system wellness white paper: An evaluation of wellness from a systems perspective

20 years ago in JTACS - marked variability in injury-related mortality between states. Has this improved with more developed state and national trauma systems?

10 years ago in JTACS - A surgeon survey on futility in acute care surgery. Are we approaching futility different a decade later?

On-arrival blocks provide excellent pain relief, decrease waiting time to surgery and are associated with lower incidence of persistent postsurgical pain.

1-Trusted colleagues are called for complex EGS cases to confirm plan/influence next steps. 2-Junior surgeon/nighttime surgery were not high-risk for mortality. Could building relationships & creating infrastructures to support surgeons improve outcomes?.

Among patients with operative pelvic ring injuries, early surgical intervention was associated with a decreased risk of overall systemic complications including sepsis, deep venous thrombosis, acute kidney injury, myocardial infarction, and pneumonia.

Pregnant patients presenting with adhesive small bowel obstruction were often managed operatively. Late operation was associated with increased odds of maternal and perinatal complications. Surgeons should be involved early in determining management.

DCO does not improve survival and increases complications in severely injured patients with femur fractures compared to Early Total Care. #DCO #FemurFracture #Polytrauma. @RaulCoimbraMD.

This study identifies IL2RA as a crucial biomarker for predicting acute kidney & lung injuries. It reveals a potential link between high-energy rib fractures and immune responses, underscoring the potential of cytokine profiles in enhancing patient care.

Among injured patients meeting selected triage criteria, a time-savings of 15-20 minutes for air over ground transport was associated with a survival benefit. #HEMS @PittSurgery @pittTTMRC @PittEMSDocs @stat_medevac @AAMS @ETHOSDatabase.

In this trial, we found that 1/3 of admitted trauma patients had symptoms of depression & 40% of these patients kept a firearm in the home. This demonstrates that depression, suicide, & firearm access screening is feasible for admitted US trauma patients.