Appendix, Gallbladder and Surgical Emergencies · 23 April 2024

Association Between Substance Abuse and Firearm-Related Injuries in US Emergency Departments

Study investigates the correlation between substance abuse and gun violence in US emergency departments. Among 25.2 million patients with substance use disorder, 0.14% had firearm-related diagnoses. Those with both substance abuse and firearm injuries were younger, primarily male, of lower income, and had higher mortality rates, longer hospital stays, and increased healthcare costs. Urgent need for improved screening and treatment identified.

Journal Article by Tennakoon L, Ko A (…) Knowlton LM et 4 al. in J Surg Res

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JAMA Surg12 Nov 2026

Diagnosis and Management of Acute Cholangitis

Early biliary drainage and same-admission cholecystectomy remain the core of care for acute cholangitis, but the timing of drainage is still debated.

J Am Coll Surg5 Nov 2026

Waiting after pulmonary embolism cuts complications

Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.

J Am Coll Surg5 Nov 2026

Waiting 60 days after pulmonary embolism before emergency surgery is linked to fewer complications.

Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).

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