Dr. Gene Moore’s highlights for the August 2014 issue include Dr. Stephen Gale and colleagues from East Texas Medical Center in Tyler regarding public health burden of adult emergency general surgery; Dr. James Davis and associates from Jackson Memorial Hospital in Miami and the study objective to identify potentially survivable prehospital deaths in a large urban setting; Procedure and Technique review of laparoscopy for emergency procedures by Dr. Salomone DI Saverio from Bologna, Italy; and last is a review by Dr. Kelly Vogt and Dr. Heidi Frankel from the LA County/USC discussing the management of the inter-related issues of pain, sedation, and mobility in the surgical intensive care unit.