The study identified independent predictors of failure in non-operative treatment for patients with diverticular abscesses, highlighting the significant role of Hinchey classification, tobacco smoking, and abscess characteristics. Percutaneous drainage did not impact treatment success in larger abscesses. This underscores the need for targeted interventions in diverticular disease management, particularly for high-risk patient groups. Journal Article […]
Category: Appendix, Gallbladder and Surgical Emergencies
Three-Year Outcomes of Oral Antibiotics vs Intravenous and Oral Antibiotics for Uncomplicated Acute Appendicitis
Current short-term evidence suggests that oral antibiotics alone can successfully treat uncomplicated acute appendicitis. A study comparing oral antibiotic monotherapy with combined IV and oral antibiotics over a longer-term follow-up found no significant difference in treatment success rate at year 3. While a slightly higher appendectomy rate was observed with oral antibiotic monotherapy, noninferiority could […]
Effectiveness of Outpatient Follow-Up in Reducing Emergency Department Use and Readmission after Trauma
After traumatic injury, a study found that outpatient follow-up did not significantly decrease emergency department visits or readmission rates. Factors associated with increased emergency department use included non-white race, depression, anxiety, substance use disorder, discharge disposition, and being discharged with lines or drains. Future research should focus on supporting trauma patients with mental health comorbidities […]
High Rate of Emergency Surgery for Sigmoid Diverticulitis in France
This study from 41 French hospitals reveals a 33% rate of emergency surgery for sigmoid diverticulitis, significantly associated with patient age, BMI
Addressing Gaps in Prehospital Emergency Training in LMICs
Prehospital first responders in low- and middle-income countries lack adequate training and education, hindering emergency medical services. Programs vary widely in content and evaluation methods, lacking international consensus. The training of trainers model and modular curricula offer potential solutions for adapting training to local contexts and improving program effectiveness. Opportunities exist for further development in […]
Enhancing Emergency Response in LMICs through Dispatch Technologies
Addressing communication challenges, this study emphasizes the importance of standardized Emergency Medical Dispatch (EMD) systems in coordinating emergency response in low and middle-income countries (LMICs). While relying on layperson first responders (LFRs) equipped with mobile phones, EMD implementation becomes crucial to ensure timely prehospital intervention, especially in regions lacking formal Emergency Medical Services (EMS). The […]
Need for Trauma Intervention and Cribari Indices for Triage in Injured Patients
Study compares the performance of Need for Trauma Intervention (NFTI) and Cribari Methods (CM) for triaging injured patients. Results show NFTI has higher sensitivity, specificity, PPV, and NPV compared to CM. However, both methods have poor sensitivity in identifying severely injured trauma patients. Under-triage increases with patient age. Further research is needed to enhance triage […]
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 […]
Higher Rates of Late ERCP Post-Cholecystectomy Associated with Adverse Outcomes
Despite an increase in non-invasive biliary imaging, the rate of late-ERCP post-cholecystectomy has significantly risen, with high rates of adverse events including pancreatitis, hospitalization, and new chronic opioid use. Factors linked to late-ERCP included gut-brain interaction disorders, liver disease, and use of specific medications. Late-ERCPs are associated with disproportionately worse outcomes, suggesting the need for […]
Hemodynamic Deterioration During Trauma Patient Transfer
Among trauma patients transferred between hospitals, 10.1% experience hemodynamic deterioration (HDD), associated with moderate-severe injuries and mechanisms like motor vehicle collisions or gunshot wounds. HDD patients are more likely to require intensive care, surgery, or interventional radiology. Their mortality rate is higher (4.9%) compared to stable patients (2.1%). This underscores the importance of meticulous patient […]