Next one 2028 South Africa. Africa show them we can stand together and have even a greater numerical and scientific impact on global surgery #isw2028capetown

What does emergency thoracotomy look like with two junior doctors, one nurse, no blood bank, and no ICU? Dr Katya Evans from South Africa on ED Thoracotomies in resource-limited settings. Watch the full talk: YouTube: youtu.be/WeLQeMb2e-A?si=FSlp…

Most patients receiving a PEG return to oral intake at discharge, and many are done for hospital disposition. With a high complication rate requiring re-intervention, delaying placement may reduce morbidity. @AnnaTatakis;@pbatesmurphy; #MCWSurgery journals.lww.com/jtrauma/abs…

Among all patients with splenic trauma, SAE increases mortality risk by 41%. In adults this is likely offset by a reduction in odds of NOM failure, a benefit not seen in elderly patients. SAE should be cautiously used in the elderly due to lack of protection against NOM failure. journals.lww.com/jtrauma/abs…

Your chance in Mexico City: build your scientific writing skills at ISW 2026 24 hours left - registration deadline: Wednesday, 15 April. Register here: buff.ly/moyvpgS #ISW2026Mexico #isssic #SurgicalResearch #GlobalSurgery #MexicoCity2026 #WorldJournalOfSurgery

Mexico City is calling At ISW 2026, the Early Career Writers’ Workshop offers practical support for new authors who want to strengthen their scientific writing and publication strategy. Registration deadline: Wednesday, 15 April. buff.ly/moyvpgS #ISW2026Mexico #isssic

#Airway So sad to hear the news of Dr Seshagiri Rao Mallampati ! An airway legend from Telugu states in 🇮🇳 well known internationally for airway #mallampati classification!! 🕉️🙏🕉️ @ASALifeline @AoraIndia @Siva6faces @Ropivacaine @BrighamWomens @ISANHQ @kajal_pgi

Ketawin!

American Association for the Surgery of Trauma and the World Society of Emergency Surgery recommendations for the diagnosis and management of thoracic vascular injuries (TVI). @UCSDTrauma journals.lww.com/jtrauma/ful…

Wishing colleagues and friends around the world a happy, healthy, and inspiring new year. Looking ahead to #ISW2026Mexico, 19–23 April 2026 in Mexico City. Where our global surgical community will come together again. Not yet part of ISS/SIC? This is the perfect time to join.

IO access is an excellent way of establishing vascular access in urgent cases (trauma, burn, shock, resuscitation) when intravenous access fails or would take too long. See the technique for proximal tibia and humerus. #orthopaedics #trauma #IOneedle #orthotwitter #orthoX #meded

Here is the actual document of the new Dietary Guidelines: cdn.realfood.gov/DGA.pdf

Multicenter study of pigtail catheters vs chest tubes for pediatric traumatic hemothorax finds no differences in failure rate or outcomes. Pigtail catheters are an effective treatment for stable pediatric trauma patients with hemothorax. @drlgoodperson @alicemartinomd @jnahmias1 #chocchildrens #JoTACS #TraumaSurg #SurgTwitter #SoMe4Surgery #MedTwitter #MedEd #EmergencyMedicine journals.lww.com/jtrauma/ful…

🔥Latest review on saturated fat out in a prestigious journal. Does it contradict @SecKennedy's latest pledge--just days ago--to "end the 40-year war on saturated fats"? I don't think so. This paper reviewed 17 clinical trials Top finding for most people: "For persons at low cardiovascular risk, reducing or modifying saturated fat intake has little or no benefit over a period of 5 years." --> This means the current cap on saturated fats in the Dietary Guidelines for ALL Americans over the age of 2 is not warranted. Guidelines are for ALL Americans. Esp. children need more healthy proteins (including regular meat and dairy), and they should not be given a diet designed for middle-aged ppl at high risk for heart disease. An editorial accompanying the paper makes this same point: The findings "align with the current emerging recognition that [sat fats] are unlikely deleterious for cardiometabolic health for general population." BUT, for people with high cardiovascular risk, the paper said "low-to moderate-certainty evidence was found for important reductions in mortality and major cardiovascular events, particularly for MI, with respect to replacing saturated fat with polyunsaturated fat." --> However, all these findings were NOT--technically-- statistically significant, bc the confidence intervals for all relative risks include the number 1 (you can Grok that). The risk intervals tend to show more risk than not, but still, not statistically significant. (h/t @zoeharcombe) Bottom line: this paper supports nixing the 10% cap on saturated fat in the Dietary Guidelines, as @SecKennedy and @FDACommissioner have repeatedly said they would. @HHSGov @USDA @SecRollins Super important point to remember: there is no way to feed children more eggs, meat, regular cheese in school without eliminating this 10% number. You just can't. The math doesn't work. The 10% cap, for which there was never any data (as editorial acknowledges) has to go. Links: Paper: acpjournals.org/doi/10.7326/… Editorial: acpjournals.org/doi/10.7326/…

Reading a medical chart. Same errors repeated over and over again by people relying on copy/paste. Yes it's fast and yes it's easy. But it's lazy, obvious, and it makes for a shitty note. Please stop doing this. I said what I said.

The latest paper from the @GOALTrauma Study has now been published in @GlobalHealthBMJ 📖 This study unpicks how trauma care develops and is run globally, and its stages of development 🌍🌎🌏 Read the full article here gh.bmj.com/content/10/11/e02… Summary 🧵 below:

World Trauma Day reminds us of the impact of timely, skilled trauma management. To every clinician who responds when seconds count — your work saves lives. #worldtraumaday #traumacare #emergencymedicine #criticalcare #infomed

#WorldTraumaDay Every Second Matters

World Trauma Day 2025. Let all of us working in prevention, engineering, safety and EMS work together with trauma teams and rehab specialists to return our patients to productive members of society with dignity. May law enforcement and social services see the NB role they have.