Physical impairment and mental health symptoms are prevalent in trauma survivors who spent significant time in the ICU. ICU patients had higher rates of new ADL limitations, worse SF-12 mental and physical scores, with factors like age, gender, race, education level, polytrauma, ventilator use, psychiatric illnesses, and delirium during ICU stay contributing to poor outcomes. […]

Surgeons in training in East Denmark lack knowledge and utilization of clinical decision rules for diagnosing appendicitis. 48% knew one rule, but 72% never used them. While most found appendicitis diagnosis challenging, they primarily relied on symptoms, physical exams, and c-reactive protein. Surgeons were divided on the necessity of implementing clinical decision rules and stressed […]

A clinical model was developed to predict postsurgical intra-abdominal infection in blunt abdominal trauma patients based on a retrospective analysis of 553 patients from 7 medical centers. Independent risk factors were identified, including age, prehospital time, c-reactive protein, injury severity score, operation duration, intestinal injury, neutrophils, and antibiotic use. The nomogram showed good predictive performance […]

In cholecystectomy patients with small common bile duct stones (≤5 mm) identified by intraoperative ultrasound, a short-term expectant management approach, avoiding immediate duct clearance, proved safe. Among 51 patients, 46 underwent expectant management, with 89.1% not requiring postoperative interventions. Over 3 years, none presented with residual stones, and hospital length of stay was significantly reduced. […]

Surge in Electric Bicycle Injuries: US Cases Soar 30-Fold from 2017 to 2022, with Head Trauma Incidence Surging 49 Times. Hospitalizations reach 5462, a 43-fold increase, with injuries in children rising to 13%. Head injuries rise sharply, while helmet use declines by 5.6% annually, worn by only 44% of injured e-bicyclists. Odds of head injury […]

Resuscitative endovascular balloon occlusion of the aorta (REBOA) was used in five cases of severe gastrointestinal bleeding, providing temporary hemorrhage control and enabling additional hemostatic maneuvers. Systolic blood pressure increased post-REBOA placement, and three patients survived beyond 24 hours. Although all patients ultimately succumbed to hemorrhagic shock, REBOA proved effective as a bridging tool for […]

Vacuum external fixation showed superior therapeutic efficacy compared to chest strap in polytrauma patients with multiple rib fractures. Patients with vacuum external fixation had significantly lower pain scores, reduced pleural drainage, lower risk of complications, improved lung function, and shorter hospital stays. Overall, vacuum external fixation demonstrated benefits in reducing complications and improving clinical outcomes […]

Among patients under 40 undergoing cholecystectomy, 1.9% exhibited symptoms suggestive of low phospholipid associated cholelithiasis (lpac). Family and obstetric history may aid in its diagnosis, as none of the lpac cases were initially recognized by clinicians. This study highlights the importance of considering lpac in cases of post-cholecystectomy pain, as timely treatment can prevent long-term […]