Kidney organ injury scaling: 2025 update.

The American Association for the Surgery of Trauma initially published the organ injury scaling for the kidney in 1989, which was subsequently updated in 2018. This current American Association for the Surgery of Trauma kidney organ injury scaling update incorporates the latest evidence in diagnosis and management of renal trauma and is based upon a multidisciplinary consensus. These changes reflect the near universal use of computed tomography for renal trauma evaluation and the widespread adoption of conservative management across all grades of renal trauma.

Use of a Nutritional Risk Assessment Tool to Guide Early Enteral Nutrition among Mechanically Ventilated Trauma Patients.

Background: The Modified Nutritional Risk in Critically Ill (mNUTRIC) score has been proposed as a tool to identify hospitalized patients at risk for malnutrition who may benefit from early enteral nutrition (EN) therapy.

Objective: Our goal was to determine if mNUTRIC scores could predict, at time of intensive care unit admission, which mechanically ventilated trauma patients were at risk for malnutrition and might benefit from early EN, as indicated by reduced mortality.

Methods: We conducted a retrospective chart review of all adult trauma patients requiring mechanical ventilation for at least 48 hours between 01/21/2012 and 12/31/2016, reviewing inpatient medical records, demographic data, disease markers, injury severity, and comorbidities.

Predictors of Mortality for Upper Extremity Penetrating Vascular Injuries.

Background: Our objective was to determine risk factors and operative outcomes for patients with upper extremity penetrating vascular injuries (UEPVIs).

Methods: A retrospective review was performed of all adult UEPVI patients presenting to a level I trauma center between 1986 and 2019. Statistical analyses were performed to determine the independent predictors of mortality and hospital length of stay (LOS) among patients who underwent operative repair.

The path ahead: Navigating the changing diversity, equity, and inclusion landscape.

The Supreme Court's ruling against the use of race as a consideration for higher education admissions programs has had a profound impact on diversity, equity, and inclusion efforts at many of our academic institutions. Many of us who understand the value of diversity in business and health care and who value equity are now confronted with a changing political landscape. Given these challenges and changes with respect to diversity, equity, and inclusion policies, it will be important for the surgical community to better codify the aspects of diversity that are beneficial and not specific to race, such as ability to overcome adversity, or the richness of the lived experience.