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Articles by Michael W. Wandling
Improving Quality Through the Emergency General Surgery Verification Program
Improving Quality Through the Emergency General Surgery Verification Program Key Points Question Does the American College of Surgeons Emergency General Surgery (EGS) Verification Program improve patient outcomes? Findings In this cohort study, EGS verification was associated with improvement in 3 key outcome metrics, including a 19.7% decrease in length of stay, a 29% decline in acute kidney injury, and a 28.8% decrease in mortality.
Ketamine for Acute Pain After Trauma: The KAPT Randomized Controlled Trial
BACKGROUND: Evidence for effective pain management and opioid minimization of intravenous ketamine in elective surgery has been extrapolated to acutely injured patients, despite limited supporting evidence in this population. This trial seeks to determine the effectiveness of the addition of sub-dissociative ketamine to a pill-based, opioid-minimizing multi-modal pain regimen (MMPR) for post traumatic pain.
How Should the SPLASH Trial Inform the Care of Patients With Blunt Splenic Trauma?
Invited Commentary September 16, 2020 JAMA Surg. 2020;155(12):1111-1112.
Dangers of Private Vehicle Transportation vs Emergency Medical Services Transportation-Reply
In Reply We thank the authors for their letters responding to our study.1 We agree on the importance of identifying driving forces behind the survival benefit for private vehicle transportation over ground emergency medical services transportation in patients with penetrating trauma in urban settings. Previous work2,3 has shown that some prehospital interventions, such as fluid administration and spine immobilization, are associated with adverse outcomes in penetrating trauma.
Association of Prehospital Mode of Transport With Mortality in Penetrating Trauma
Key Points Question Does ground emergency medical services transport confer a survival advantage vs private vehicle transport for patients with penetrating injuries? Findings In this cohort study of 103 029 patients included in the National Trauma Data Bank, individuals transported by private vehicle were significantly less likely to die than similarly injured patients transported by ground emergency medical services, even when controlling for injury severity.
Nationwide Assessment of Trends in Choledocholithiasis Management
Key Points Question Has the use of common bile duct exploration (CBDE) for choledocholithiasis been increasing or decreasing over time? Findings In this cohort study, the percentage of patients with choledocholithiasis undergoing CBDE decreased from 39.8% in 1998 to 8.5% in 2013. This trend held true for both open CBDE (30.6% vs 5.5%) and laparoscopic CBDE (9.2% vs 3.0%).
Development of a Conceptual Model for Surgical Quality Improvement Collaboratives: Facilitating the Implementation and Evaluation of Collaborative Quality Improvement
Participation in quality improvement (QI) collaboratives has helped hospitals improve outcomes and decrease costs.1,2 As such, state-level surgical QI collaboratives have become increasingly common. However, the optimal design of an effective collaborative and its key drivers of success remain unclear.
Nationwide Assessment of Trends in Choledocholithiasis Management in the United States From 1998 to 2013
Importance There are currently 2 widely accepted treatment strategies for patients presenting to the hospital with choledocholithiasis. However, the rate of use for each strategy in the United States has not been evaluated, and their trends over time have not been described. Furthermore, an optimal management strategy for choledocholithiasis has yet to be defined.
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