There was no clinically significant contamination of the peritoneal cavity from the gastroscope after transgastric endoscopic instrumentation in humans. Transgastric instrumentation does contaminate the abdominal cavity but, the pathogens do not mount a clinically significant response in terms of either the species or the bacterial load.
Trauma admissions conform to a sine-wave pattern with a 3.5-fold increase in admissions between morning and evening hours. This has significant implications for manpower and resource allocation with additional resources needed in the hours around 7:00 pm and later. Educational and administrative activities are best scheduled during low-volume morning hours. Nighttime admissions are higher risk and thus more likely to need senior-level expertise and consume hospital resources. Trauma centers should use these findings to improve outcomes by developing optimal staffing patterns and matching resource allocation to need as a function of time.
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