Robotic surgery shows better outcomes in select emergency colorectal cases, poised for wider use
Editor's Note Robotic-assisted surgery is proving to be a strong option for emergency colorectal procedures, offering lower complication rates, shorter hospital stays, and fewer conversions to open surgery than conventional approaches. According to a July 23 article from the Journal of the American College of Surgeons, this approach—long established in…
Emergency preparedness: Identifying essential supplies for unplanned surgical events
While most emergency surgical procedures are carried out uneventfully and safely, the OR is also a place where potentially life-threatening and least-expected instances can arise. Emergencies such as malignant hyperthermia, intraoperative cardiac arrest, and anaphylaxis can catch OR leaders and staff off guard. Perioperative teams need proper and adequate preparation…
New collaboration links National Trauma Awareness Month, Stop the Bleed Month
Editor's Note America’s Blood Centers (ABC) and the American College of Surgeons (ACS) Stop the Bleed program have launched a national collaboration to strengthen trauma response and emergency preparedness, according to a May 30 announcement. The initiative connects public education in bleeding control with efforts to maintain a stable national…
Study: COVID-19 boosts risk of postoperative complications, longer hospital stays for emergency surgery patients
Editor's Note A recent study conducted at a tertiary care hospital in India showed concurrent COVID-19 infection on patients undergoing emergency surgery resulted in notably longer hospital stays and higher rates of postoperative complications. Published September 8 in Cureus, the retrospective cohort study analyzed data from 48 COVID-19-positive patients and…
Bleeding risk should dictate strategy for managing patients on direct oral anticoagulants
Editor's Note Clinicians managing surgical patients on direct oral anticoagulants (DOACs) should adopt a different approach depending on the procedure, according to research published August 12 in JAMA Network. Used to treat patients with atrial fibrillation and venous thromboembolism, DOACs must be managed effectively to minimize risks of bleeding, researchers…
Lack of primary care physicians tied to emergency surgeries
Editor's Note Research shows that Americans who live in areas with a limited number of primary care doctors and nurse practitioners are at a greater risk for emergency surgeries and complications. The findings were published March 4 in the journal Health Affairs. For the study, researchers looked at Medicare patient…
Researchers test alternative approach to ranking US heart transplant candidates
Editor's Note The current method for identifying heart transplant candidates with the most urgent need might not be the best one. In a study published February 13 in Jama Network, a candidate risk score incorporating the latest clinical, laboratory, and hemodynamic data out-performed the current treatment-based categorical allocation system. …
Shift to outpatient, emergency services keeps rural hospitals afloat
Editor's Note More CEOs are considering rural emergency hospital (REH) designation, according to a February 12 article in Becker’s Hospital CFO Report. In January 2023, REH was established as a new Medicare provider type to enable struggling rural hospitals to continue operating with outpatient and emergency services only, instead of…
Robot could clear stroke-related blockage faster than traditional methods
Editor's Note A magnetically operated robot developed by the Multi-Scale Robotics Lab in Zurich along with several hospitals in Switzerland could be used to treat people in the critical moments following a stroke to remove blockage and resume blood flow. The findings were published February 14 in the journal Science…
Follow-up primary care visits reduce readmission rates for EGS patients
Editor's Note A recent study of Medicare beneficiaries found that patients hospitalized for an emergency general surgery (EGS) condition who had primary care follow-up within 30 days of discharge had much lower readmission rates. The investigative findings were published on September 27 in JAMA Surgery. Some highlights include: Patients who…
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