Journal of the American College of Surgeons • August 2020

Fibrinolysis Shutdown Correlation with Thromboembolic Events in Severe COVID-19 Infection

Franklin L Wright, MD, FACS, Thomas O Vogler, PhD, Ernest E Moore, MD, FACS, Hunter B Moore, MD, PhD, Max V Wohlauer, MD, Shane Urban, BSN, RN, Trevor L Nydam, MD, FACS, Peter K Moore, MD, Robert C McIntyre Jr, MD, FACS

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Invited Commentary: Fibrinolysis Shutdown and Thrombosis in Severe COVID-19

Jansen N Seheult, Anupamaa Seshadri, Matthew D Neal

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Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic

Mark B Slidell, MD, MPH, FACS, Jessica J Kandel, MD, FACS, Vivek Prachand, MD, FACS, Fuad M Baroody, MD, Mohan S Gundeti, MD, Russell R Reid, MD, Peter Angelos, MD, FACS, Jeffrey B Matthews, MD, FACS, Grace Z Mak, MD, FACS

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Implementation Guide for Rapid Integration of an Outpatient Telemedicine Program During the COVID-19 Pandemic

Whitney R Smith, MD, Anthony J Atala, MD, FACS, Ryan P Terlecki, MD, FACS, Erin E Kelly, MSN, ANP-BC, Catherine A Matthews, MD, FACS, FACOG

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Patient Engagement in a Technology-Enhanced, Stepped-Care Intervention to Address the Mental Health Needs of Trauma Center Patients

Kenneth J Ruggiero, PhD, Tatiana M Davidson, PhD, Margaret T Anton, PhD, Brian Bunnell, PhD, Jennifer Winkelmann, MS, Leigh E Ridings, PhD, Olivia Bravoco, BS, Bruce Crookes, MD, FACS, James McElligott, MD, Samir M Fakhry, MD, FACS

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Reduction in Post-Discharge Return to Acute Care in Hepatopancreatobiliary Surgery: Results of a Quality Improvement Initiative

Brendan P Lovasik, MD, Catherine M Blair, PA-C, Lori A Little, PA-C, Marty Sellers, MD, MPH, FACS, John F Sweeney, MD, FACS, Juan M Sarmiento, MD, FACS

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Surgeon as Double Agent: Perception of Conflicting Expectations of Patient Care and Stewardship of Resources

Piroska K Kopar, MD, Felix Y Lui, MD, FACS

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Reconceptualizing Ethics Through Morbidity and Mortality Rounds

Ryan Snelgrove, MD, FRCSC, Stella L Ng, PhD, Karen Devon, MDCM, FRCSC, FACS, MSc

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Clinical Decision Support Intervention for Rib Fracture Treatment

Chad Macheel, CNP, Patty Reicks, RN, Cori Sybrant, RN, Cory Evans, MD, Joseph Farhat, MD, FACS, Michaela A West, MD, PhD, FACS, Christopher J Tignanelli, MD, FACS

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Virtual Colorectal Cancer Surveillance: Bringing Scope Rate to Target

Gretchen C Edwards, MD, MPH, Kristy K Broman, MD, MPH, Richard L Martin, MD, MPH, Walter E Smalley, MD, MPH, LeaAnne Smith, MSN, RN, FNP-BC, Rebecca A Snyder, MD, MPH, FACS, Carmen C Solo´rzano, MD, FACS, Robert S Dittus, MD, MPH, Christianne L Roumie, MD, MPH

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Invited Commentary: Quality Improvement in Multidisciplinary CaredRaise Your Hand if You Were Responsible for That

Vivi W Chen, MD, Nader N Massarweh, MD, MPH, FACS

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Collaborative Multidisciplinary Incident Command at Seattle Children’s Hospital for Rapid Preparatory Pediatric Surgery Countermeasures to the COVID-19 Pandemic

Sanjay R Parikh, MD, FACS, Jeffrey R Avansino, MD, MBA, FACS, Andre AS Dick, MD, MPH, FACS, Brianna K Enriquez, MD, Jeremy M Geiduschek, MD, Lynn D Martin, MD, Ruth A McDonald, MD, Suzanne M Yandow, MD, FACS, Danielle M Zerr, MD, MPH, Jeffrey G Ojemann, MD

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Institution of a Novel Process for N95 Respirator Disinfection with Vaporized Hydrogen Peroxide in the Setting of the COVID-19 Pandemic at a Large Academic Medical Center

Julie Grossman, MD, Andrew Pierce, MHSA, Jessica Mody, MHA, Jason Gagne, TS, Carol Sykora, CIC, FAPIC, Sena Sayood, MD, Susan Cook, PhD, Nirah Shomer, DVM, PhD, Stephen Y Liang, MD, MPHS, Shaina R Eckhouse, MD, FACS

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Medically Necessary, Time-Sensitive Procedures: Scoring System to Ethically and Efficiently Manage Resource Scarcity and Provider Risk During the COVID-19 Pandemic

Vivek N Prachand, MD, FACS, Ross Milner, MD, FACS, Peter Angelos, MD, FACS, Mitchell C Posner, MD, FACS, John J Fung, MD, FACS, Nishant Agrawal, MD, FACS, Valluvan Jeevanandam, MD, FACS, Jeffrey B Matthews, MD, FACS

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Invited Commentary: Validation of an Intellectual Framework for Prioritizing Time-Sensitive Surgical Procedures During the COVID-19 Pandemic

Richard I Whyte, MD, MBA, FACS

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Pandemic and the Role of the Program Director as Gatekeeper

John R Potts III, MD, FACS

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International Female Surgeon Pioneers: Paving the Way for Generations to Come

Erica Kristen Ludi, MD, Monica Vera Zalles, MD, Laurenss Fabiola Villazon Antenzana, MD, Mamta Swaroop, MD, FACS, J Esteban Foianini Gutierrez, MD, FACS

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Minimizing Healthcare Worker Contamination Risk During Tracheostomy

Luca D’Ascanio, MD, Manlio Pandolfini, MD, Maria Capalbo, MD, Michele Tempesta, MD

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Postural Ergonomics and Micro-Neurosurgery: Microscope Has an Edge Over Loupes

Andreas K Demetriades, FRCSEd, FEBNS, Torstein R Meling, MD, DPhil, FEBNS, Florian A Ringel, MD, Karl Schaller, MD

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Challenges and Ethical Considerations for Trainees and Attending Physicians During the COVID-19 Pandemic

Shaikh Hai, MD, FACS, Amanda Baroutjian, BS, Adel Elkbuli, MD, MPH

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Ethics in the Time of Coronavirus: Engaging the Conversation: In Reply to Hai and Colleagues

Jessica B Kramer, MD, Douglas E Brown, PhD, Piroska K Kopar, MD

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Beware of Time Delay and Differential Diagnosis when Screening for Symptoms of COVID-19 in Surgical Cancer Patients

Abdelilah Ghannam, MD, Amine Souadka, MD

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Gun Violence and Lawful Self-Defense

Mark J Kulbaski, MD, FACS

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Enhanced Draping for Airway Procedures During the COVID-19 Pandemic

Nikolaus E Wolter, MD, MSc, FRCSC, FACS, Clyde T Matava, MBCHB, MMed, MHSC, Blake C Papsin, MD, MSc, FRCSC, FACS, Alice Oloya, RN, Marie-Eve Mercier, RN, Eloisa Salonga, RN, Evan J Propst, MD, MSc, FRCSC

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Assessing Incidence and Risk Factors of Delirium after Emergency General Surgery in Geriatric Patients

Yi Cheng, MD, Fu-Shan Xue, MD, Shao-Hua Liu, MD

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