Higher trauma mortality rates are observed in elderly patients due to physiological changes and frailty. Evidence-based guidelines emphasize knowledge of aging physiology, focused triage, frailty assessment, and early trauma protocol activation to improve outcomes. Recommendations include multimodal pain management, selective antibiotic prophylaxis, thromboembolism prophylaxis, and palliative care involvement for end-of-life discussions in a multidisciplinary approach. […]

Shock index (SI) and modified shock index (MSI) are valuable tools for predicting mortality and blood transfusion needs in trauma patients involved in traffic collisions. An SI threshold of 1.11 indicates increased mortality risk, while an SI of 0.84 predicts the need for blood transfusion. Both SI and MSI show high predictive power for mortality […]

Study reveals fat embolism in trauma patients associated with higher mortality, complications, and costs. Fat embolism linked to younger age, higher healthcare resource utilization. Trends show rising mortality and hospitalization costs over time in fat embolism group. Early identification crucial to improve outcomes and resource allocation for trauma patients. Journal Article by Ali K, Cho […]

Study finds that socioeconomic vulnerability is independently associated with increased in-hospital mortality, perioperative complications, longer hospital stays, higher costs, non-home discharge, and readmission rates after emergency general surgery. Results highlight the need for new interventions to address healthcare disparities and improve outcomes for vulnerable patient populations. Journal Article by Sakowitz S, Bakhtiyar SS (…) Benharash […]

A nomogram model was developed to predict gallstone recurrence after gallbladder-preserving surgery based on identified risk factors. Factors such as gallstone duration, symptoms, number of stones, cholecystitis history, and diet were significant predictors. The nomogram showed good predictive value (c-index = 0.692). Clinicians can utilize this model to strategize treatment for gallstone patients, suggesting caution […]

Acute traumatic coagulopathy is prevalent in patients with battlefield injuries, with one-third exhibiting coagulopathy upon arrival at medical facilities. Laboratory evidence showed low platelet counts, elevated INR levels, or both in 36% of patients. Early diagnosis and intervention are essential for improved outcomes, highlighting the need for advanced diagnostic tools and timely administration of blood […]

Prehospital emergency medical services are crucial for reducing mortality in low- and middle-income countries. However, challenges in transportation and equipment availability hinder timely care delivery. Many areas rely on inadequate transportation methods, leading to delays in reaching healthcare facilities. Developing tier-1 and tier-2 emergency medical services, utilizing existing transportation infrastructure and sustainable local supply chains, […]

Frailty significantly increases the risk of postoperative complications and mortality after major emergency abdominal surgery. Patients with higher Clinical Frailty Scale scores experienced more complications, including pneumonia, delirium, and atrial fibrillation. Severe frailty was linked to increased surgical complications and 30-day mortality. The study emphasizes the importance of considering frailty in all patients undergoing emergency […]

Ultrasonography and non-contrast computed tomography show high accuracy in diagnosing acute appendicitis, reducing negative laparotomy rates without increased risks. Computed tomography is superior to ultrasonography. The study compared sensitivity, specificity, and accuracy of both methods, indicating CT as a valuable second-line tool. With proper utilization of these imaging techniques, clinicians can effectively diagnose appendicitis and […]