Publications by authors named "A B Peitzman"
Background: Emergency general surgery (EGS) often demands timely interventions, yet data for triage and timing are limited. This study explores the relationship between hospital arrival-to-operation time and mortality in EGS patients.
Study Design: We performed a retrospective cohort study using an EGS registry at four hospitals, enrolling adults who underwent operative intervention for a primary American Association for the Surgery of Trauma-defined EGS diagnosis between 2021 and 2023.
Article Synopsis
- The study aimed to assess how whole blood (WB) transfusions influence mortality rates in trauma patients when used alongside blood components.
- Key findings showed that using WB was linked to significantly lower mortality within 4 hours, 24 hours, and 30 days after trauma compared to transfusing only blood components.
- Additionally, higher ratios of WB to total transfusion volume (WB:TTV) and balanced blood component transfusions combined with WB were also associated with reduced mortality rates in critically injured patients.
This review discusses the grading of cholecystitis, the optimal timing of cholecystectomy, adopting a culture of safe cholecystectomy, understanding the common error traps that can lead to intraoperative complications, and how to avoid them. 1-28 The Tokyo Guidelines, American Association for the Surgery of Trauma, Nassar, and Parkland scoring systems are discussed. The patient factors, physiologic status, and operative findings that predict a difficult cholecystectomy or conversion from laparoscopic to open cholecystectomy are reviewed.
View Article and Find Full Text PDFBackground: Transfer of severely injured patients to trauma centers, either directly from the field or after evaluation at non-trauma centers, reduces preventable morbidity and mortality. Failure to transfer these patients appropriately (i.e.
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