Canadian journal of surgery. Journal canadien de chirurgie
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For decades, trauma registries have been the primary source of data for resource allocation, quality improvement efforts and hypothesis-generating research in trauma care. Surprisingly, the quality and completion of data in these registries has rarely been reported. In preparation for a research program on population-based epidemiology of severe trauma, we evaluated the Calgary component of the Alberta Trauma Registry (ATR). ⋯ The Calgary component of the ATR can be considered accurate and complete. Some of its inaccuracy is attributable to a change in the way time to operating room was recorded. Data from all other fields collected in a standard manner can continue to be used with confidence for administrative and research purposes.
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Hemorrhagic shock is a leading cause of death in trauma patients. Surgical control of bleeding and fluid resuscitation with both crystalloid and blood products remain the mainstay of therapy for injured patients with bleeding. However, there has been a recent re-evaluation of transfusion practice. ⋯ Avoiding overtransfusion is key, however, because transfusion is also associated with significant risks. This trend toward reducing allogenic blood exposure will likely continue. New technologies that have the potential of reducing blood loss and transfusion requirements in trauma patients with massive bleeding are being developed, and similar old technologies are being reapplied.
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Does supplemental perioperative oxygen reduce the risk of surgical wound infection after colorectal surgery? ⋯ Patients receiving supplemental oxygen have a significant reduction in risk of surgical site infection.