SCCM Resource Library-Year in Review: Surgery

Video Transcription

Video Summary

The 51st Critical Care Congress covered a range of topics in trauma and critical care surgery. One study examined the impact of COVID-19 infection on outcomes after injury, finding that COVID-positive patients had increased hospital death, complications, and pulmonary complications. Another study looked at the changes in traumatic mechanisms of injury in Southern California during the pandemic, revealing an increase in violence-related injuries. The American College of Surgeons formed an ISAVE group to address violence and its root causes, recommending trauma-informed care, integration of social care into trauma care, investment in at-risk communities, and advocacy. The survey of ACS members on firearm ownership found varying opinions on private citizen ownership, but broad support for policies to decrease firearm injuries and deaths. In blood resuscitation, studies looked at the use of plasma and packed red blood cells, never-frozen plasma, and whole blood. Findings showed improved outcomes with certain approaches, such as a lower mortality with packed red blood cells plus plasma resuscitation. Studies on traumatic brain injury found associations between rising D-dimer levels and progressive intracranial hemorrhage, suggesting a potential role for tranexamic acid treatment. In the field of emergency general surgery, studies showed the benefits of early surgical intervention for uncomplicated appendicitis and acute cholecystitis. Timing of procedures, antibiotic use, and the role of tracheostomy in different scenarios were also examined. Other topics covered included the management of bleeding in acute care surgery, the effects of COVID-19 on surgical patients, and the use of tracheostomy. Additionally, there were studies on predictors of outcomes, frailty assessment, and guidelines for improving surgical care. Overall, the Congress provided valuable insights into the current state of trauma and critical care surgery, highlighting the challenges and potential solutions in these fields.

Asset Subtitle

Quality and Patient Safety, Procedures, 2022

Asset Caption

This session will highlight the latest research, lessons learned, and changes taking place in critical care surgery practice during the past year.

Learning Objectives:
-Examine evidence-based literature on improving care of injured, emergency, general surgery, and surgical critical care patients
-Apply new knowledge to improve patient care by a multiprofessional team
-Review and integrate new knowledge into existing guidelines to optimize patient-centered care

Meta Tag

Content Type Presentation

Knowledge Area Quality and Patient Safety

Knowledge Area Procedures

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Evidence Based Medicine

Tag Surgery

Year 2022

Keywords

trauma

critical care surgery

COVID-19 infection

violence-related injuries

ISAVE group

packed red blood cells

traumatic brain injury

emergency general surgery

bleeding management

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.