Publications by authors named "G A Bass"

Purpose: Our study explores the utilization of objective tools for preoperative assessment of elderly patients by Emergency General Surgeons (EGS).

Methods: A descriptive cross-sectional survey was conducted via the European Society for Trauma and Emergency Surgery (ESTES) Research Committee. EGS were invited through the ESTES members' mailing list and social media platforms.

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Objectives: To provide a narrative review of disordered lymphatic dynamics and its impact on critical care relevant condition management.

Data Sources: Detailed search strategy using PubMed and Ovid Medline for English language articles (2013-2023) describing congenital or acquired lymphatic abnormalities including lymphatic duct absence, injury, leak, or obstruction and their associated clinical conditions that might be managed by a critical care medicine practitioner.

Study Selection: Studies that specifically addressed abnormalities of lymphatic flow and their management were selected.

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Article Synopsis
  • Disorders of Consciousness (DoC) from severe brain injuries may lead to discussions about withdrawing life-sustaining treatment (WLST), but new guidelines recommend waiting 28 days before determining a poor prognosis, allowing time for potential recovery.
  • Delayed WLST (D-WLST) could be a viable option post-discharge, but clinicians often struggle to define this process and properly inform surrogate decision makers about it.
  • The decision-making around D-WLST involves understanding post-acute care facilities, timing for implementation, and overcoming psychosocial issues, like regret from surrogates when patients don't meet recovery goals.
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Background: Trauma remains a leading cause of death, both for individuals under 40 in North America, and globally, where it contributes to ~10% of deaths annually. Thoughtful, timely, balanced resuscitation, especially in the peri-operative period for unstable injured surgical patients, is vital for optimizing outcomes. The advanced trauma life support protocol plays a pivotal role in early evaluation and management, emphasizing hemorrhage control and resuscitation strategies.

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