Invited Commentary  May 10, 2023 Surgical Palliative Care—Who, When, and Why? Jason Michael Johanning, Ana Berlin, Pringl Miller JAMA Surg. 2023;158(7):755. doi:10.1001/jamasurg.2023.1406 Palliative care services for patients with inoperable cancer and end-stage chronic medical conditions have been shown to improve quality of life, reduce consumption of medical services, and overall increase long-term survival.1 In surgical populations, palliative...

Original Investigation  August 2, 2023 Outcomes for High-Risk Surgical Procedures Across High- and Low-Competition Hospital Markets Sherri R. Thumma, Shukri H. A. Dualeh, Nicholas J. Kunnath, et al JAMA Surg. Published online August 2, 2023. doi:10.1001/jamasurg.2023.3221 Key Points Question  What is the association between hospital market competition and patient outcomes after high-risk surgery...

Original Investigation  May 3, 2023 Diagnostic Accuracy of Unenhanced Computed Tomography for Evaluation of Acute Abdominal Pain in the Emergency Department Hiram Shaish, Justin Ream, Chenchan Huang, et al JAMA Surg. 2023;158(7):e231112. doi:10.1001/jamasurg.2023.1112 Key Points Question  What is the diagnostic accuracy of unenhanced computed tomography (CT) in patients admitted to an emergency department with abdominal pain? Findings&n...

ICU Management & Practice, Volume 23 - Issue 1, 2023 From the Other Side: Humanising Critical Medicine Support in intensive care has undergone unprecedented development, with proven technology and protocols, but at the same time, it constitutes an environment that often makes empathy and humanisation difficult. This article reviews current concepts of care for critically ill patients from the point of view of health providers who were also patients in some ...

Invited Commentary  August 7, 2023 There Is No 1-Size-Fits-All to Blood Pressure Measurement—Cuff Size Matters Mathias Lalika, Stephen P. Juraschek, LaPrincess C. Brewer JAMA Intern Med. Published online August 7, 2023. doi:10.1001/jamainternmed.2023.3277 In this issue of JAMA Internal Medicine, Ishigami and colleagues1 reported a randomized crossover trial quantifying the effect of miscuffing on blood pressure (BP) measurement when...

Original Investigation  May 10, 2023 Effects of Specialist Palliative Care for Patients Undergoing Major Abdominal Surgery for Cancer: A Randomized Clinical Trial Myrick C. Shinall Jr, Sara F. Martin, Mohana Karlekar, et al JAMA Surg. 2023;158(7):747-755. doi:10.1001/jamasurg.2023.1396 Key Points Question  Should patients undergoing nonpalliative surgery for cancer receive early specialist palliative care? Findings  In this ra...

#ISICEM23: Time to Get Strategic About ICU Burnout In an interesting session at #ISICEM23, Michelle Chew, Professor of Anesthesiology, Intensive care, and Acute Medicine Care at Linköping University Hospital, Sweden, talked about stress, anxiety, and burnout. Prof Chew discussed a study conducted by her group on perceived and physiological stress, anxiety, and burnout among ICU staff in an area with two million inhabitants. The study focused on staff in two majo...

Original Investigation  May 17, 2023 Association of Trauma With Long-Term Risk of Death and Immune-Mediated or Cancer Disease in Same-Sex Twins Trine O. Eskesen, Martin Sillesen, Jacob Krabbe Pedersen, et al JAMA Surg. 2023;158(7):738-745. doi:10.1001/jamasurg.2023.1560 Key Points Question  Is moderate to severe trauma associated with long-term increased risk of death or immune-mediated or cancer disease? Findings  In this nat...

Editorials Antenatal corticosteroids and longer term outcomes Jessica Kimpton, Audrienne Sammut, David J Cox BMJ 2023; 382 doi: https://doi.org/10.1136/bmj.p1722 (Published 02 August 2023)Cite this as: BMJ 2023;382:p1722 New evidence to consider before prescribing antenatal corticosteroids Antenatal corticosteroids are considered one of the most important interventions available to improve outcomes for preterm infants. They are recommended for women at risk...

Original Investigation  April 26, 2023 Association of Trauma Molecular Endotypes With Differential Response to Transfusion Resuscitation Strategies Matthew R. Thau, Ted Liu, Neha A. Sathe, et al JAMA Surg. 2023;158(7):728-736. doi:10.1001/jamasurg.2023.0819 Key Points Question  Are trauma molecular endotypes associated with clinical outcomes and differential response to transfusion resuscitation strategies? Findings  In this s...