SCCM Resource Library-Year in Review: Surgery

Video Transcription

Video Summary

Thank you all for attending the Year in Review for Surgery. The presentations covered a range of topics in emergency general surgery, trauma, surgical critical care, and more. Some key highlights include a study on hemorrhage and resuscitation, which showed that pre-hospital administration of TXA did not demonstrate any mortality difference or increase in venous thromboembolism. Another study looked at coagulopathy and platelet inhibition in TBI patients and found that platelet transfusions did not show any benefit on mortality or the need for surgical intervention. In terms of trauma, a study evaluated the use of rib plating compared to traditional per-peritoneal pelvic packing and found that rib plating alone had higher survival rates, faster time to laparotomy, and fewer blood transfusions. In the realm of burns, a study looked at the use of enzymatic debridement using bromelain and found that it led to faster turnaround times, reduced blood loss, and improved cosmetic appearance of scars. When it comes to vascular injuries, there were studies on the use of RBOA in different indications, including pediatric patients and comparing it to pre-peritoneal pelvic packing. The studies found that RBOA had better outcomes in terms of survival, time to laparotomy, and blood transfusions. Other topics covered include head injury, spinal cord injury, obstetrical injuries, and the use of ARCP in biliary disease. The presentations also highlighted the importance of nutritional status, prevention of inter-abdominal abscesses, and the impact of COVID-19 on surgical management, specifically in appendicitis cases. Overall, the Year in Review for Surgery provided a comprehensive overview of the latest research and advancements in surgical care, highlighting key findings and areas for future research.

Asset Subtitle

Procedures, Trauma, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Discuss updates in emergency general surgery
Discuss updates in trauma surgery
Discuss updates in surgical critical care

Emergency General Surgery
Salman Ahmad

Surgical Critical Care
Douglas F. Naylor

Trauma Surgery
Susan L. Evans

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Trauma

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Surgery

Tag Hemorrhage

Year 2021

Keywords

Year in Review

Surgery

Emergency General Surgery

Trauma

Hemorrhage

Resuscitation

Coagulopathy

Platelet Transfusions

Rib Plating

Burns

Vascular Injuries

COVID-19

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