Accidental hypothermia in recreational activities in the mountains: a narrative review - Procter E, Brugger H, Burtscher M.
The popularity of recreational activities in the mountains worldwide has led to an increase in total number of persons exposed to cold and extreme environments through recreation. There is little conclusive evidence about the risk of hypothermia for specif... (Source: SafetyLit)
Source: SafetyLit - September 13, 2018 Category: International Medicine & Public Health Tags: Environmental Issues, Climate, Geophysics Source Type: news

Hypothermia: A Sign of Sepsis in Young Infants in the Emergency Department?
This retrospective analysis concludes that the prevalence of serious infection in hypothermic young infants in the ED is low. Serious infection is unlikely in infants with isolated hypothermia. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 7, 2018 Category: Consumer Health News Source Type: news

Attune ’s Oversubscribed Round Shows It Resonates with Investors
Attune Medical is really hitting it off with investors. The Chicago-based company, which was once known as Advanced Cooling Therapy, said it has raised about $15.5 million in an over-subscribed series C round. “This last close of the Series C really occurred because of oversubscription and investor interest in the market,” Keith Warner, Attune Medical’s CEO told MD+DI. The company has really been able to take advantage of that to raise more than it originally targeted.” The EnsoETM (formerly Esophageal Cooling Device or ECD) is designed to modulate and...
Source: MDDI - September 5, 2018 Category: Medical Devices Authors: Omar Ford Tags: Business Source Type: news

Hypothermia as an outcome predictor tool in pediatric trauma: a propensity-matched analysis - McCarty TR, Abramo TJ, Maxson RT, Albert G, Rettiganti MR, Saylors ME, Orsborn JW, Hollingsworth AI.
This study sought... (Source: SafetyLit)
Source: SafetyLit - August 16, 2018 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

Presenting characteristics associated with outcome in children with severe traumatic brain injury: a secondary analysis from a randomized, controlled trial of therapeutic hypothermia - Rosario BL, Horvat CM, Wisniewski SR, Bell MJ, Panigrahy A, Zuccoli G, Narayanan S, Balasubramani GK, Beers SR, Adelson PD.
OBJECTIVES: To identify injury patterns and characteristics associated with severe traumatic brain injury course and outcome, within a well-characterized cohort, which may help guide new research and treatment initiatives. DESIGN: A secondary analy... (Source: SafetyLit)
Source: SafetyLit - August 3, 2018 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

Bundles of Care as a Formula for Resuscitation Success
This article focuses on the critical role of first responders and advanced cardiac life support personnel in the treatment of out-of-hospital cardiac arrest. It will illustrate how the Take Heart America bundle of care approach has helped to transform the landscape of care for sudden cardiac arrest across the country. Ten years after Ben was successfully resuscitated, the bundle of care has continued to develop. Its implementation contributes to the fact that Minnesota has the best resuscitation outcomes of any state in the nation. A Moving Target For decades, we’ve essentially prescribed to a moving target of guide...
Source: JEMS Patient Care - August 2, 2018 Category: Emergency Medicine Authors: J. Harold Logan, BS, EMT-P – I/C Tags: Cardiac & Resuscitation Source Type: news

Finding work a struggle in the heat? Scientists discover why
Researchers at Harvard T.H. Chan School say heatwaves can affect people's ability to think similarly to the freezing temperatures which cause hypothermia. (Source: the Mail online | Health)
Source: the Mail online | Health - July 11, 2018 Category: Consumer Health News Source Type: news

NIH researchers develop “hibernation in a dish” to study how animals adapt to the cold
Findings may help expand window for storing organs before transplantation, therapeutic hypothermia. (Source: National Institutes of Health (NIH) News Releases)
Source: National Institutes of Health (NIH) News Releases - May 3, 2018 Category: American Health Source Type: news

4 Climbers Die in Swiss Alps After Unexpected Storm
GENEVA (AP) — An unexpected snowstorm coupled with high winds killed four climbers in the Swiss Alps and left five others in critical condition early Monday after they became trapped overnight and couldn't reach shelter, officials said. A total of 14 hikers from France, Germany and Italy were left stranded in the Pigne d'Arolla region, police in southwestern Valais canton said. Authorities deployed seven helicopters as part of rescue efforts. The climbers were caught off-guard by high winds, snow and bitter cold, and were forced to spend the night outdoors, Valais police spokesman Markus Rieder said. Several of those...
Source: JEMS: Journal of Emergency Medical Services News - April 30, 2018 Category: Emergency Medicine Authors: Jamey Keaten, Associated Press Tags: News Operations Source Type: news

4 Climbers Die in Swiss Alps After Unexpected Storm
GENEVA (AP) — An unexpected snowstorm coupled with high winds killed four climbers in the Swiss Alps and left five others in critical condition early Monday after they became trapped overnight and couldn't reach shelter, officials said. A total of 14 hikers from France, Germany and Italy were left stranded in the Pigne d'Arolla region, police in southwestern Valais canton said. Authorities deployed seven helicopters as part of rescue efforts. The climbers were caught off-guard by high winds, snow and bitter cold, and were forced to spend the night outdoors, Valais police spokesman Markus Rieder said. Several of those...
Source: JEMS Operations - April 30, 2018 Category: Emergency Medicine Authors: Jamey Keaten, Associated Press Tags: News Operations Source Type: news

4 Climbers Die in Swiss Alps After Unexpected Storm
GENEVA (AP) — An unexpected snowstorm coupled with high winds killed four climbers in the Swiss Alps and left five others in critical condition early Monday after they became trapped overnight and couldn't reach shelter, officials said. A total of 14 hikers from France, Germany and Italy were left stranded in the Pigne d'Arolla region, police in southwestern Valais canton said. Authorities deployed seven helicopters as part of rescue efforts. The climbers were caught off-guard by high winds, snow and bitter cold, and were forced to spend the night outdoors, Valais police spokesman Markus Rieder said. Several of those...
Source: JEMS: Journal of Emergency Medical Services News - April 30, 2018 Category: Emergency Medicine Authors: Jamey Keaten, Associated Press Tags: News Operations Source Type: news

4 Climbers Die in Swiss Alps After Unexpected Storm
GENEVA (AP) — An unexpected snowstorm coupled with high winds killed four climbers in the Swiss Alps and left five others in critical condition early Monday after they became trapped overnight and couldn't reach shelter, officials said. A total of 14 hikers from France, Germany and Italy were left stranded in the Pigne d'Arolla region, police in southwestern Valais canton said. Authorities deployed seven helicopters as part of rescue efforts. The climbers were caught off-guard by high winds, snow and bitter cold, and were forced to spend the night outdoors, Valais police spokesman Markus Rieder said. Several of those...
Source: JEMS Operations - April 30, 2018 Category: Emergency Medicine Authors: Jamey Keaten, Associated Press Tags: News Operations Source Type: news

Special traumatized populations : burns and hypothermia - Mehrotra S, Misir A.
It is important for physicians treating children to be aware of unique presentation that require expertise and knowledge. Two areas of importance when caring for traumatized children are Thermal Burn Injuries, and Hypothermia. Burns commonly result in morb... (Source: SafetyLit)
Source: SafetyLit - April 16, 2018 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

Author's Reply: Progesterone with or without hypothermia in patients with acute severe traumatic brain injury - Sinha S.
[Abstract unavailable] Language: en... (Source: SafetyLit)
Source: SafetyLit - March 19, 2018 Category: International Medicine & Public Health Tags: TBI Source Type: news

Toddler swaddled in blankets due to 'spontaneous hypothermia'
Georgia-May, 3, of Dublin, Ireland has 'spontaneous hypothermia': a condition with only 50 other sufferers worldwide, which causes her temperature to suddenly drop without warning (Source: the Mail online | Health)
Source: the Mail online | Health - March 9, 2018 Category: Consumer Health News Source Type: news

Recognize the Subtle Signs of Hypothermia
Decreasing body temperature often presents subtly As you arrive at the homeless shelter, a volunteer meets you and your partner and directs you to the alley behind the building. You enter the alley and see a body lying to the side of a dumpster. Moving closer, you see it’s a male in his 20s or 30s. He’s wrapped in blankets and is wearing several layers of clothes and you can’t see much more than the condensation coming from his mouth with each one of his breaths. The shelter volunteer tells you the man’s name is Jeff, that he’s a frequent guest at the shelter. Last night he didn’t show u...
Source: JEMS Patient Care - March 1, 2018 Category: Emergency Medicine Authors: Dennis Edgerly, EMT-P Tags: Patient Care Columns Source Type: news

UK weather warning: ‘Beast from the East’ could trigger symptoms of dangerous condition
WEATHER in the UK next week will see temperatures fall below freezing and a high chance of snow. Nicknamed ‘Beast from the East’, the wintery weather could trigger symptoms of potentially dangerous condition hypothermia. (Source: Daily Express - Health)
Source: Daily Express - Health - February 22, 2018 Category: Consumer Health News Source Type: news

Paragonix Tech wins CE Mark for heart transport devices
Paragonix Technologies said today it won CE Mark approval in the European Union for its SherpaPak and SherpaPerfusion cardiac transport systems. The SherpaPak system consists of a single-use, disposable device designed for the hypothermic static preservation and transportation of the donor hearts, while the SherpaPerfusion system is a single-use, disposable device designed for hypothermic oxygenated perfusion preservation and transport of donor hearts. “Having followed the extensive research and product development activities at Paragonix Technologies over the past few years, I am impressed by the intuitive designs o...
Source: Mass Device - February 21, 2018 Category: Medical Devices Authors: Fink Densford Tags: Cardiovascular Regulatory/Compliance Surgical Transplants Paragonix Technologies Source Type: news

Why People Are Swimming in Freezing Water
Forget dipping your toe in the deep end. In countries around the world, intrepid swimmers of all ages plunge into ice-cold waters for a thrill that can feel as sharp as daggers–and bragging rights that last all winter. Welcome to the fun and frigid world of cold-water swimming. The hobby is nothing new. It’s been around for centuries in chilly climes such as Russia and Finland, and people have been crossing the notoriously frosty, 21-mile-long English Channel without wet suits since at least the 1800s. The Coney Island Polar Bear Club hosted its first U.S. ocean dip in 1903. And while polar plunges have become ...
Source: TIME: Health - February 15, 2018 Category: Consumer Health News Authors: Jamie Ducharme Tags: Uncategorized cold water swimming healthytime Longevity Source Type: news

Health Tip: Prevent Hypothermia Among Seniors
-- Seniors are at heightened risk of hypothermia, the medical term for low body temperature. Older adults lose body heat faster than when they were younger, the U.S. National Institute on Aging says. Hypothermia occurs when a person's body... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - January 30, 2018 Category: General Medicine Source Type: news

Health Tip: Prevent Hypothermia Among Seniors
Title: Health Tip: Prevent Hypothermia Among SeniorsCategory: Health NewsCreated: 1/30/2018 12:00:00 AMLast Editorial Review: 1/30/2018 12:00:00 AM (Source: MedicineNet Senior Health General)
Source: MedicineNet Senior Health General - January 30, 2018 Category: Geriatrics Source Type: news

Regarding "Lethal hypothermia - a sometimes elusive diagnosis" - Zivkovi ć V, Nikolic S.
[Abstract unavailable] Language: en... (Source: SafetyLit)
Source: SafetyLit - January 29, 2018 Category: International Medicine & Public Health Tags: Environmental Issues, Climate, Geophysics Source Type: news

Initiating nutritional support before 72 hours is associated with favorable outcome after severe traumatic brain injury in children: a secondary analysis of a randomized, controlled trial of therapeutic hypothermia - Meinert E, Bell MJ, Buttram S, Kochanek PM, Balasubramani GK, Wisniewski SR, Adelson PD.
OBJECTIVES: To understand the relationship between the timing of initiation of nutritional support in children with severe traumatic brain injury and outcomes. DESIGN: Secondary analysis of a randomized, controlled trial of therapeutic hypothermia ... (Source: SafetyLit)
Source: SafetyLit - January 29, 2018 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Winter Temps Raise Health Risks for Seniors
SUNDAY, Jan. 21, 2018 -- Older adults are at increased risk for hypothermia, a dangerous drop in body temperature, the U.S. National Institute on Aging warns. This can be due to chronic health conditions or the use of certain medicines, including... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - January 21, 2018 Category: General Medicine Source Type: news

Accidental hypothermia as an independent risk factor of poor neurological outcome in older multiply injured patients with severe traumatic brain injury: a matched pair analysis - Winkelmann M, Soechtig W, Macke C, Schroeter C, Clausen JD, Zeckey C, Krettek C, Mommsen P.
PURPOSE: Patients with multiple injuries are particularly susceptible to accidental hypothermia which is correlated with an increased risk of post-traumatic complications and mortality; however, its impact on neurological outcome in cases where there is co... (Source: SafetyLit)
Source: SafetyLit - January 15, 2018 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Hypothermia
From the desk of Katie Parker, CPNP          Let it Snow! Let it Snow! Let it Snow!Some of the best winter memories created during childhood involve outdoor activities such as sledding, building snowmen and forts, and making snow angels. Before grabbing your sled and heading to the nearest sled hill, review these safety tips to help prevent frostbite and hypothermia. Bundle up! Wear a warm winter coat, insulated boots, gloves or mittens, and a hat. Help keep children dry and warm by dressing in several thin layers.  Take frequent indoor breaks from the c...
Source: Pediatric Health Associates - January 12, 2018 Category: Pediatrics Tags: Healthy Habits Source Type: news

Arctic blast leads to warnings about hypothermia, frostbite
People in vast swaths of U.S. hit by record-setting cold urged to look out for each other, especially the elderly and homeless (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - December 29, 2017 Category: Consumer Health News Source Type: news

Deputy Recalls Rescuing 8-Year-Old Boy From Frozen Pond
NEW HARMONY, Utah (AP) — A Utah sheriff's deputy said Tuesday he was desperate and numb from the cold as he punched and stomped his way into a frozen pond on Christmas Day to pull out an 8-year-old boy who had fallen through the ice while chasing his dog. With cuts on his forearms, Washington County sheriff's Sgt. Aaron Thompson said at a news conference that rescuers believe the child was in the 37-degree water for about 30 minutes until the deputy rescued him. "I couldn't feel anything. I didn't notice anything when I was doing it," Thompson said. "I knew that time was of the essence. I had a very sh...
Source: JEMS: Journal of Emergency Medical Services News - December 26, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Operations Source Type: news

Deputy Recalls Rescuing 8-Year-Old Boy From Frozen Pond
NEW HARMONY, Utah (AP) — A Utah sheriff's deputy said Tuesday he was desperate and numb from the cold as he punched and stomped his way into a frozen pond on Christmas Day to pull out an 8-year-old boy who had fallen through the ice while chasing his dog. With cuts on his forearms, Washington County sheriff's Sgt. Aaron Thompson said at a news conference that rescuers believe the child was in the 37-degree water for about 30 minutes until the deputy rescued him. "I couldn't feel anything. I didn't notice anything when I was doing it," Thompson said. "I knew that time was of the essence. I had a very sh...
Source: JEMS Operations - December 26, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Operations Source Type: news

Health Tip: Recognize Warning Signs of Hypothermia
-- Hypothermia -- abnormally low body temperature -- is an ever-present danger during winter. It occurs when the body loses heat faster than it can be produced. The U.S. National Weather Service says warning signs of the dangerous condition... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - December 12, 2017 Category: General Medicine Source Type: news

A Tried and True Approach to Escaping from Sinking Vehicles —And The Guy Behind the Testing
He’s affectionately called “Dr. Popsicle,” a label that stuck from a magazine article about this modern-day Houdini who can escape unscathed from frigid water and sunken vehicles, although he doesn't go down into the cold depths shackled in chains. It’s his job, his interest, and something the media likes to cover because it’s “sexy,” which means his research doesn’t have to clamor for attention. He’s been featured in several big-name magazines and television channels, including a feature article in Outside, which, in 2003, described him resolutely skiing into frigid wa...
Source: JEMS Patient Care - December 5, 2017 Category: Emergency Medicine Authors: Audrey Frazier Tags: Major Incidents Patient Care Cardiac & Resuscitation Source Type: news

A Tried and True Approach to Escaping from Sinking Vehicles —And The Guy Behind the Testing
He’s affectionately called “Dr. Popsicle,” a label that stuck from a magazine article about this modern-day Houdini who can escape unscathed from frigid water and sunken vehicles, although he doesn't go down into the cold depths shackled in chains. It’s his job, his interest, and something the media likes to cover because it’s “sexy,” which means his research doesn’t have to clamor for attention. He’s been featured in several big-name magazines and television channels, including a feature article in Outside, which, in 2003, described him resolutely skiing into frigid wa...
Source: JEMS Operations - December 4, 2017 Category: Emergency Medicine Authors: Audrey Frazier Tags: Training Rescue & Vehicle Extrication Operations Source Type: news

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Congratulations Dr. Timothy Wall on the 30th anniversary of the founding of Pediatric Health Associates!   ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~From the desk of Rebecca Smeraglinolo, MD    Rebecca Smeraglinolo, MD         WINTERISCOMINGThat statement may evoke any number of feelings or reactions in us – excitement for holidays or snow sports; dread of the cold, dark days; peacefulness or hope of renewal with the coming of a New Year.For a parent, it also means it ’s time to stock up on Kleenex and clean the humidifier; keep track of matc...
Source: Pediatric Health Associates - November 28, 2017 Category: Pediatrics Tags: Healthy Habits Safety Source Type: news

Congratulations Dr. Timothy Wall on the 30th anniversary of the founding of Pediatric Health Associates!
 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~From the desk of Rebecca Smeraglinolo, MD    Rebecca Smeraglinolo, MD         WINTERISCOMINGThat statement may evoke any number of feelings or reactions in us – excitement for holidays or snow sports; dread of the cold, dark days; peacefulness or hope of renewal with the coming of a New Year.For a parent, it also means it ’s time to stock up on Kleenex and clean the humidifier; keep track of matching mittens and boots (I think they’re in on the drive-us-crazy conspiracy to go rogue like the infamous matc...
Source: Pediatric Health Associates - November 28, 2017 Category: Pediatrics Tags: Healthy Habits Safety Source Type: news

Hypothermia therapy after traumatic brain injury: a systematic review and meta-analysis - Leng L.
The purpose of this article was mainly focus on in patients with TBI, does or not hypothermia improved mortality and/or chance of good neurologic outcome compared with standard of care alone. We performed a comprehensive search strategy. Articles were elim... (Source: SafetyLit)
Source: SafetyLit - November 27, 2017 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Rescue Efforts Continue in Athens Outskirts after Massive Flash Flooding
ATHENS, Greece (AP) — Flash floods turned roads into raging torrents of mud and debris on the fringes of Greece's capital Wednesday, killing at least 14 people, inundating homes and businesses and knocking out a section of a major highway. There were fears the death toll could rise further as rescue crews searched for potentially missing people in flooded homes and streets on the western outskirts of Athens. The flooding came after a severe overnight storm brought driving rain to the area. Roads turned into muddy rivers that carried away vehicles, tossing them into piles on roadsides and against fences and buildings....
Source: JEMS: Journal of Emergency Medical Services News - November 15, 2017 Category: Emergency Medicine Authors: Elena Becatoros, Associated Press Tags: Rescue & Vehicle Extrication News Source Type: news

Rescue Efforts Continue in Athens Outskirts after Massive Flash Flooding
ATHENS, Greece (AP) — Flash floods turned roads into raging torrents of mud and debris on the fringes of Greece's capital Wednesday, killing at least 14 people, inundating homes and businesses and knocking out a section of a major highway. There were fears the death toll could rise further as rescue crews searched for potentially missing people in flooded homes and streets on the western outskirts of Athens. The flooding came after a severe overnight storm brought driving rain to the area. Roads turned into muddy rivers that carried away vehicles, tossing them into piles on roadsides and against fences and buildings....
Source: JEMS Operations - November 15, 2017 Category: Emergency Medicine Authors: Elena Becatoros, Associated Press Tags: Rescue & Vehicle Extrication News Source Type: news

Identifying and Managing Accidental Hypothermia
Understanding, identifying & treating accidental hypothermia Learning Objectives Explain the four different ways a body can lose heat. Define the four stages of hypothermia and understand the assesment considerations. Understand the treatment strategies for accidental hypothermia. Key Terms Conduction: Transfer of heat to a solid object or a liquid by direct contact. Convection: Mechanism by which body heat is picked up and carried away by moving fluid currents. Core body temperature: The temperature in the part of the body comprising the heart, lungs, brain and abdominal viscera. Evapo...
Source: JEMS Patient Care - November 2, 2017 Category: Emergency Medicine Authors: Daniel Du Pont, BA, EMT Tags: Patient Care Source Type: news

Identifying and Managing Accidental Hypothermia
Free CE Offer! (limited time only) To receive 0.5 hours of continuing education from JEMS CE Powered by Medic-CE, visit www.jems.com/novemberCE. Learning Objectives Explain the four different ways a body can lose heat. Define the four stages of hypothermia and understand the assesment considerations. Understand the treatment strategies for accidental hypothermia. Key Terms Conduction: Transfer of heat to a solid object or a liquid by direct contact. Convection: Mechanism by which body heat is picked up and carried away by moving fluid currents. Core body temperature: The temperature in the...
Source: JEMS Patient Care - November 2, 2017 Category: Emergency Medicine Authors: Daniel Du Pont, BA, EMT Tags: Patient Care Source Type: news

The impact of operative time and hypothermia in acute burn surgery
This study evaluated associations between hypothermia and operative time on post-operative complications in acute burn surgery (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 1, 2017 Category: Consumer Health News Source Type: news

Severe burns in a patient after out-of-hospital CPR - Biterman N, Kerner A, Aronson D, BarLavie Y, Ullmann Y, Kapeliovich M.
We present a case of a patient after prolonged cardio-pulmonary resuscitation on hot asphalt, who suffered from first and second degree burns which worsened during hospitalization. The patient was treated with therapeutic hypothermia. Possible effect of th... (Source: SafetyLit)
Source: SafetyLit - October 30, 2017 Category: International Medicine & Public Health Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news

A guideline-based policy to decrease intensive care unit admission rates for accidental hypothermia - Sequeira HR, Mohamed HE, Hakimi N, Wakefield DB, Fine J.
RATIONALE: Despite guidelines advising passive rewarming for mild accidental hypothermia (AH), patients are frequently admitted to intensive care unit (ICU) for active rewarming using a forced-air warming device. We implemented a new policy at our institut... (Source: SafetyLit)
Source: SafetyLit - September 30, 2017 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Protection against cold - a survey of available equipment in Swedish pre-hospital services - Henriksson O, Bj örnstig U, Saveman BI, Lundgren PJ.
BACKGROUND: The aim of this study was to survey the current equipment used for prevention, treatment and monitoring of accidental hypothermia in Swedish pre-hospital services. METHODS: A questionnaire was sent to all road ambulance services (AS), t... (Source: SafetyLit)
Source: SafetyLit - September 30, 2017 Category: International Medicine & Public Health Tags: Environmental Issues, Climate, Geophysics Source Type: news

A Novel Thermal Compression Device for Perioperative Warming A Novel Thermal Compression Device for Perioperative Warming
The authors tested a prototype device providing heat to the popliteal fossa and soles of the feet for prevention of inadvertent perioperative hypothermia. Is it more effective than standard methods?BMC Anesthesiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 27, 2017 Category: Consumer Health News Tags: General Surgery Journal Article Source Type: news