High-risk surgical procedures resulted in significant reductions in rapid eye movement and deep sleep through postoperative day 7, while intermediate-risk procedures caused milder, transient disruptions.

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Schools with mass school shootings were located farther from level I and II trauma centers, with increasing numbers of shootings and victims since the 1980s, indicating geographic gaps in emergency trauma access. bit.ly/4aElP1F

Level I and II trauma centers in the US operated above 80% occupancy for adult inpatient beds and demonstrated limited reserve, with a sustained daily influx of 241 patients saturating available trauma beds nationwide within 90 days. bit.ly/4rDbc65

High-risk surgical procedures resulted in significant reductions in rapid eye movement and deep sleep through postoperative day 7, while intermediate-risk procedures caused milder, transient disruptions. ja.ma/3ZcOndd

Following CMS performance reporting, low-performing organ procurement organizations recovered more organs and narrowed donation gaps, but rising discard rates highlight ongoing challenges with organ quality. ja.ma/4aaQG5A

Wearable TEAS wristbands outperformed metoclopramide for moderate to severe #PONV after anesthesia, achieving higher remission and lower relapse rates without device-related adverse events.

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Wearable TEAS wristbands outperformed metoclopramide for moderate to severe #PONV after anesthesia, achieving higher remission and lower relapse rates without device-related adverse events.

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Among African surgical trainees, women reported more mistreatment by coworkers and patients than men. Organizational support within PAACS was perceived as more equitable than other staff groups.

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In older patients with frailty and #GastricCancer, ≥2 weeks of supervised, home-based multimodal #Prehabilitation reduced postoperative complications and enhanced functional capacity vs ERAS alone. ja.ma/4qKwy16

The 2025 WSES #Appendicitis guidelines recommend risk stratification and imaging for diagnosis, outpatient antibiotics for uncomplicated cases, and laparoscopic surgery within 24 hours for surgical management.

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Wearable TEAS wristbands outperformed metoclopramide for moderate to severe #PONV after anesthesia, achieving higher remission and lower relapse rates without device-related adverse events.

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In older patients with frailty and #GastricCancer, ≥2 weeks of supervised, home-based multimodal #Prehabilitation reduced postoperative complications and enhanced functional capacity vs ERAS alone. ja.ma/4tlODob

Among VA patients undergoing lung resection, recent smokers had increased pulmonary complication rates but similar mortality after complications compared to non-smokers. ja.ma/462Gafm

From <a href="https://bsky.app/profile/did:plc:q5ogl3twkcqyhvz4zebonw3z" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky-mention">@jama.com: In adults receiving heart transplants after donor circulatory death, rapid recovery with extended ultraoxygenated preservation enabled safe use of hearts from older donors and with longer ischemic times.

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Following CMS performance reporting, low-performing organ procurement organizations recovered more organs and narrowed donation gaps, but rising discard rates highlight ongoing challenges with organ quality. ja.ma/49VK9vf

💬 Viewpoint: Robotic surgery has rapidly become the default platform in US surgical training, but widespread adoption may erode core laparoscopic skills essential for safe, adaptable care.

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Inpatient mortality after above-knee amputation has risen since 2016, likely driven by increasing comorbidity burden, while below-knee amputation mortality continues to decline. ja.ma/4pTh8q3

Among adults hospitalized with emergency general surgery (#EGS) conditions, those with high-risk diagnoses experienced lower rates of mortality and complications in hospitals using an EGS care model. ja.ma/4q0EHgR

Optimizing surgical preference cards via regression analysis of historical supply use resulted in notable cost savings and reduced unused items, particularly in colorectal surgery, which saw a 55.8% reduction in supply waste. ja.ma/4qErFqw

Standard esophagectomy after neoadjuvant chemoradiation may provide greater long-term survival and quality-of-life benefits than active surveillance for most patients with esophageal cancer.

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Neighborhood socioeconomic deprivation had a greater impact on firearm injury rates than protective effects seen with state firearm laws, according to analysis of more than 200 000 incidents nationwide.

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A national survey found that most US adults favor licensure for internationally trained surgeons amid physician shortages, yet have reservations about training equivalence and personal selection for care. ja.ma/4pMF4vd

Surgical procedures led to a 16% increase in financial hardship and an 8-fold rise in out-of-pocket spending for US working-age adults, especially the uninsured and those with private insurance. ja.ma/466aHJ7

Among adults hospitalized with emergency general surgery (#EGS) conditions, those with high-risk diagnoses experienced lower rates of mortality and complications in hospitals using an EGS care model. ja.ma/4pSVGSj

💬 Viewpoint: As surgical #AI evolves, transparency, ethical oversight, and open data standards are critical to protect patient safety and ensure innovations reflect professional values.

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