Determinants of Prosthetic Referral and Functional Mobility for Vascular Patients after Major Lower Extremity Amputation.

Background: The incidence of major lower extremity amputation (MLA) is related to increasing rates of diabetes mellitus and peripheral arterial disease. Factors which influence functional mobility following MLA are less known. We aimed to investigate determinants of improved prosthetic fitting rate and greater functional mobility following MLA in patients with vascular disease.

Interrupted pledgeted proximal anastomosis for open abdominal aortic aneurysm repair.

The proximal anastomosis is a crucial step during open repair of an abdominal aortic aneurysm. A technically sound anastomosis decreases intraoperative blood loss, as well as the operative time needed for suture line repair. Traditionally, a continuous running suture is used for the construction of this anastomosis.

Factors associated with discharge to home after traumatic rib fractures.

Background: Chest wall injury is common among trauma patients. Generally, patients with more medical problems tend to have worse outcomes with rib fractures. Our aim was to determine if surgical stabilization of rib fractures (SSRF) increases the likelihood of discharge to home.

A Management Algorithm for High-Grade Acute Cholecystitis in High-Risk Patients.

Background: Acute cholecystitis (AC) is among the most frequently encountered surgical problems. Current management typically includes laparoscopic cholecystectomy (LC). Suboptimal outcomes of LC can include bile duct injury, open conversion (OC), and/or subtotal cholecystectomy (SC).

Stop the Bleed® in medical schools: Early advocacy and promising results.

Objective: We hypothesized that medical students would be empowered by hemorrhage-control training and would support efforts to include Stop the Bleed® (STB) in medical education.

Design: This is a multi-institution survey study. Surveys were administered immediately following and 6 months after the course.

Robotic-Assisted Repair of a Ureterosciatic Hernia with Combined Ureteral Stenting.

Pelvic floor hernias represent a rare type of hernia and a rare etiology of pelvic symptoms. The rarest type of pelvic floor hernias are sciatic hernias, which present with a variety of symptoms depending on the hernia contents and location. Many different treatment approaches are described in the literature.

Post-Operative Ischemia and Surgical Technique Affect Late Mortality of Femoral Artery Pseudoaneurysms Following Injection Drug Use.

Background: Surgical management of infected common femoral artery (CFA) pseudoaneurysms arising from intravenous drug use (IVDU) is clinically challenging with excellent perioperative outcomes reported for a number of techniques. Long-term outcomes after arterial ligation versus revascularization are not known. We report both short- and long-term comparison of lower extremity perfusion and outcomes for 25 patients that underwent simple or more extensive ligation or revascularization treatment.

Identifying Patients at Greatest Risk of Mortality due to COVID-19: A New England Perspective.

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly since December 2019, resulting in a pandemic that has, as of May 24, 2020, yielded over 5.3 million confirmed cases and over 340,000 deaths. As businesses move to safely reopen and frontline healthcare workers (HCW) continue to face this crisis, it is essential that health officials know who in the population is at the greatest risk of mortality if hospitalized and, therefore, has the greatest need to protect themselves from being infected.

Establishing the first Hartford consensus-compliant medical school in the United States.

Background: Following the Hartford Consensus meetings, the Stop the Bleed Campaign was created to reduce the prevalence of death from exsanguination in the case of traumatic hemorrhage. The campaign revolves around providing hemorrhage control training to members of the public and increasing public access to hemorrhage control equipment. To our knowledge, no medical school has established a self-sustaining Stop the Bleed program to train their students and faculty as well as made hemorrhage control equipment available for use in an emergency.