Appendix, Gallbladder and Surgical Emergencies ·
A systematic review highlights the urgent need for reliable parameters that indicate futile resuscitation among severely bleeding trauma patients. By examining existing literature, researchers propose a clear roadmap to guide clinicians in recognizing when massive transfusions may be ineffective. This approach aims to enhance blood product stewardship amid ongoing challenges in maintaining blood supply, ensuring timely and effective care for urban trauma cases during surges.
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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.
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).
After major emergency abdominal surgery, patients who develop lung complications face much higher death risk, most sharply in the first days.
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