I was interested that I was asked to give a talk on education rather than training in emergency surgery. Training implies to make someone proficient at a particular task by practice or repetition whereas education means to become knowledgeable about a topic. Emergency surgery encompasses so many possible scenarios that I think we have to take a pragmatic view and aim to educate the trainees in ...

BACKGROUND Patients undergoing emergency surgery have a high risk for surgical complications and death. The Clavien-Dindo classification has been developed and validated in elective general surgical patients, but has not been validated in emergency surgical patients. The aim of the current study was to evaluate the Clavien-Dindo classification of surgical complications in emergency surgical pat...

OBJECTIVES To identify factors associated with mortality in older adults 30, 180, and 365 days after emergency major abdominal surgery. DESIGN A retrospective study linked to Medicare claims from 2000 to 2010. SETTING Health and Retirement Study (HRS). PARTICIPANTS Medicare beneficiaries aged 65.5 enrolled in the HRS from 2000 to 2010 with at least one urgent or emergency major abdominal ...

Novel oral anticoagulants (NOAs) which directly inhibit thrombin (dabigatran) or factor Xa (rivaroxaban and apixaban) have recently been developed. We report the first case of perioperative management of a patient treated with dabigatran requiring haemodialysis before emergency surgery. A 62-yr-old woman visited the emergency department for a left bi-malleolar ankle fracture; she had a past med...

On the one hand there are the emergency surgery departments that burden themselves with almost all of the surgical emergencies that come into the hospital (40% of interviewed surgeons) (excluding hyperspecialist environments) and on the other hand there are hospitals without an emergency surgery department in which surgical emergencies are subdivided among the various general and specialized su...

INTRODUCTION Emergency colorectal cancer (CRC) is a complex disease that requires multidisciplinary approaches for management. However, it is unclear whether acute care surgery (ACS) services can expedite the workup and treatment of complex surgical diseases such as emergency CRC. We sought to assess the impact of an Acute Care and Emergency Surgery Service (ACCESS) on wait-times for inpatient ...

BACKGROUND Self-expanding metallic stents (SEMS) insertion is an alternative to emergency surgery in malignant colonic obstruction. However, the long-term oncological outcome of stents as a bridge to surgery is limited and controversial. OBJECTIVES To determine the long-term oncological outcome of stents as a bridge to surgery. METHODS Data of patients who underwent emergency surgery and en...

conclusions administration of intravenous acetaminophen before ending appendectomy might be more effective than meperidine in postoperative pain management while having fewer complications. patients and methods in this randomized clinical trial study, forty patients with asa- class i or ii who were candidates for emergency appendectomy were randomly divided into two groups. induction and mainte...

BACKGROUND Traumatic hand injuries represent approximately 20% of emergency department visits; yet, access to emergency care remains inadequate. Recent surveys from several states report a wider availability of hand specialists providing elective care than emergency care. The authors aim to examine this phenomenon in the state of New Jersey and whether there is a national trend toward dispropor...

PURPOSE The role of surgery in the management of diverticular disease after an episode of acute diverticulitis (AD) managed in a conservative form is evolving. Age, number of episodes of AD, type of episode, and symptoms after the episodes are factors related to the need for elective surgery. The aim of this study is to evaluate the safety of conservative management and the risk factors for eme...