MASSIVE SPLENIC INFARCTION FROM HYPOPERFUSION
Nancy Panko, MD, Seeyuen Lee, MD, Melissa Boyle, MD, Phillip Leggett, MD. Houston Northwest Medical CenterIntroduction: Massive splenic infarction (MSI) due to hypoperfusion is rare, with only one source documenting MSI from hypoperfusion in a patient with septic shock. We report a case of MSI managed with laparoscopic splenectomy three weeks after an exploratory laparotomy… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
OBESITY IN COMBAT-WOUNDED AMPUTEES
Kelli Ishihara, MD, Grant Sizemore, MD, Scott Nguyen, MD, Freeman Condon, MD, Bridgette Colgan, MD, John Mayo, Erik Criman, Dylan Russell, Mike Lustik, MS, Robert Lim, MD. Tripler Army Medical CenterIntroduction: The Joint Theater Trauma Registry (JTTR) has recorded 1239 individuals in the United States Armed Forces who sustained a combat-related amputation during the Global… Continue Reading
Nationwide Blunt Cerebrovascular Injury Outcomes in the Pediatric Population: Big Problems in Little Patients
Christoper W Marenco, MD1, Woo Do, MD1, Daniel Lammers, MD1, Matthew Eckert, MD1, Carly Eckert, MD1, Denis Bensard, MD2, Matthew J Martin, MD1. 1Madigan Army Medical Center, 2Children's Hospital ColoradoObjectives: Blunt cerebrovascular injury (BCVI) is an uncommon but potentially devastating injury with consequences including stroke and death. The epidemiology, outcomes, and screening criteria are well described… Continue Reading
Military Experience in the Management of Pelvic Fractures from OIF/OEF
William J Parker, MD, Robert Despain, MD, Jeffrey Bailey, MD, Eric Elster, MD, Carlos Rodriguez, MD, MBA, Matthew Bradley, MD. Walter Reed National Military Medical CenterIntroduction: Pelvic fractures are a common occurrence in combat trauma. However, the fracture pattern and management within the most recent conflicts has yet to be described, especially in the context… Continue Reading
Military Experience with Trauma Induced ARDS on the Battlefield
Sarah Thomas, MD1, Ryan Rhie, MPH1, Lydia Piper, MD1, James Aden, PhD1, Phillip Mason, MD1, Jennifer Gurney, MD2, James Lantry, MD3, Terry Lonergan, MD3, Brendan Beely, RRT4, Daniel Wendorff4, Andriy Batchinsky, MD4, Valerie Sams, MD1. 1SAMMC, 2ISR, 3Baltimore CSTARS, 4Geneva FoundationOBJECTIVES: Combat injury patterns in Operations Iraqi and Enduring Freedom have changed as a result… Continue Reading
Left Ventricular Partial Thickness Injury from Ballistic Injury to the Chest: Case Report
Colin D Brown, MD, MS1, Jonathan Nguyen2. 1Dwight D. Eisenhower Army Medical Center, 2Grady Memorial HospitalBackground: Penetrating cardiac injury has increased in frequency in recent years and is well defined both in its repair and prognosis. However, there is little data to guide the treatment and prognosis of a large partial thickness injury to the… Continue Reading
DELAY IN EMERGENCY HERNIA SURGERY IS ASSOCIATED WITH WORSE OUTCOMES
Ira L Leeds, MD, MBA, ScM, Christian D Jones, MD, MS, Elliott R Haut, MD, PhD, Joseph V Sakran, MD, MPA, MPH, Sandra R Dibrito, MD, PhD, Ryan Fransman, MD, Alistair J Kent, MD, MPH. Johns Hopkins University School of MedicineIntroduction: The purpose of this study was to determine if variation in the practice of deferring… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Retroperitoneal duodenal foreign body perforation – A novel laparoscopic approach
Nicholette Goh, MBBS, Sunder Balasubramaniam, Wee Ming Tay, Mui Heng Goh. Tan Tock Seng HospitalInstroduction: Gastrointestinal perforation from foreign bodies can lead to life threatening sepsis, and pose a significant challenge given the need to drain the septic source as well as safely extract the offending object. Case Description: A 71-year-old Chinese lady presented with abdominal pain… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
PERFORATED APPENDICITIS WASH OR DRY ABDOMINAL CAVITY: MYTH OR REALITY
Carlos A Rosero, MDFACS, Andres G Moreno, MDFACS. Hospital Carlos Andrade Marín, Quito, EcuadorIntroduction: Seeking the best treatment of the peritoneal cavity in case of secondary peritonitis is a surgeons’ permanent concern and it is essential for the adequate management of the patient. Objective: To compare the results of thoroughly washing the peritoneal cavity vs… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Guidelines for Acute Care Surgery Implementation are Necessary
Holly B Cunningham, Joshua J Weis, Luis R Taveras, Steven Boll, Tarik D Madni, Jonathan B Imran, Meaghan Colletti, Maryanne L Pickett, Joseph P Minei, Michael W Cripps. University of Texas SouthwesternIntroduction: The creation of an acute care surgery (ACS) service has been associated with improved hospital efficiency and clinical outcomes; however, specific guidelines for… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
The great imitator: Acute gangrenous Cholecystitis
Allyne Topaz, MD, Lauren Poliakin, MD, Luca Milone, MD. The Brooklyn Hospital CenterAcute gangrenous cholecystitis mimicking acute cardiovascular diseases may lead to a delay in surgical management of cholecystitis. Common symptoms associated with ischemic heart disease, such as chest pain and shortness of breath, may also be associated with noncardiac conditions, like cholecystitis. Acute cholecystitis… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Small bowel obstructions following the use of barbed sutures: a systematic review.
Benjamin Clapp, MD, Loyd Christensen, BS, Robert Jones, Carlos Lodeiro, BS, Ellen Wicker, DO, William Klingsporn, MD, Alan Tyroch, MD. Texas Tech HSC Paul Foster School of MedicineIntroduction: Barbed sutures were introduced in 2004. Their adoption and use has been widespread across all surgical specialties. One of the infrequent complications seen with the use of… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Use of Departmental Morbidity and Mortality Conference as a Real Time Barometer of Outcomes and Quality in Pediatric Appendectomy
Julie A Disano, MD, Mary C Santos, MD, Vamsi V Alli, MD, Morgan K Moroi, BS, Robert E Cilley, MD. Penn State Hershey Medical CenterIntroduction: Weekly morbidity and mortality conferences (M&M) are educational staples, playing an important role in quality improvement. After noticing an increased frequency of pediatric appendectomy complications during M&M, we explored the accuracy… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
SOLITARY ILEAL LYMPHANGIOMA, A RARE CAUSE OF OBSCURE INTESTINAL BLEEDING REQUIRING TRANSFUSION SUCCESSFULLY TREATED WITH LAPAROSCOPIC RESECTION
Justin D Sargent, DO1, Hassan Masoudpoor, MD1, Jeffrey J Kraft, MD2, John Davis, MD1. 1Hackensack Meridian Health Palisades, 2Hackensack University Medical CenterINTRODUCTION: Small bowel lymphangioma is a rare benign vascular system tumor that mostly presents in children as head, neck or axillary region masses. Generally they are asymptomatic and don’t require treatment, unless complications arise,… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
WEEKDAY OR WEEKEND HOSPITAL ADMISSION: DOES IT MATTER FOR ACUTE CARE SURGERY?
Ibrahim Albabtain1, Roaa Alsuhaibani1, Sami Almalki1, Nada Alhassan2, Hassan Arishi1, Hatim Alsulaim1. 1King Abdulaziz Medical City, 2King Saud bin Abdulaziz University for Health ScincesIntroduction: During weekends, hospitals usually reduce their staffing levels and services. This might result in decreased quality of healthcare or so-called the weekend effect. In this study, we aimed to determine the impact… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery