Coagulopathy Trauma TEG
A discussion regarding causes of coagulopathy in trauma and the use of TEG in its diagnosis and management.
Dec 28, 2012•20 min
Traumacast
Audio interviews addressing upcoming research and its application to the injured, critically ill or emergency general surgery patient, education efforts related to the clinical practice of acute care surgery, novel methods in the management of these patients and topics affecting providers and clinical care within the field.
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Episodes
Helicopter Transport and Mortality after Trauma
A discussion regarding Dr. Haider's study which showed the transportation by helicopter following trauma improves survival.
Aug 30, 2012•27 min
Adult Concussions
A discussion with Dr. Robert Barraco regarding the diagnosis and treatment of concussion in adults.This podcast is eligible for AMA PRA Category 1 Credit TM self-assessment credits toward Part 2 of the ABS MOC Program. Visit the EAST Education Center for details.
Aug 29, 2012•21 min
Pediatric Concussions
A discussion with Dr. Michael Nance on diagnosis and treatment of concussion in children, including a proposal for determining when kids can return to contact sports. This Traumacast is eligible for AMA PRA Category 1 Credit TM self-assessment credits toward Part 2 of the ABS MOC Program. Visit the EAST Education Center for details.
Aug 28, 2012•24 min
Screening for DVT following Trauma
A discussion with Dr. Elliott Haut regarding the pros and cons of screening for DVT in asymptomatic patients following trauma.
Aug 27, 2012•23 min
Topical Hemostatics
A discussion with Dr. Martin Schreiber on the various types of topical hemostatic agents that can be used either pre- or intra-operatively - their mechanisms of action, uses, and limitations. This Traumacast is eligible for AMA PRA Category 1 Credit TM self-assessment credits toward Part 2 of the ABS MOC Program. Visit the EAST Education Center for details.
Aug 26, 2012•24 min
Training in Trauma Surgery
A discussion comparing the ATLS, ASSET, and ATOM courses and the future role of simulation in trauma surgery training
Aug 25, 2012•28 min
Mortality in Minority Hospitals
A discussion with Dr. Adil Haider regarding reasons for increased mortality noted in hospitals that treat mostly minority patients following injury.
Aug 24, 2012•26 min
Getting a Trauma Fellowship and Job
Discussion with Dr. Joe Sakran on getting into a trauma fellowship and securing a job
Jul 21, 2012•38 min
Beta Blocker Therapy For Traumatic Brain Injury
A discussion of the role of beta-blocker therapy following TBI. We discuss Dr. Cotton and others' studies suggesting a mortality benefit, possible mechanisms underlying this finding, and how/when to go about instituting beta-blockade in this population.
Jan 14, 2012•27 min
Trauma Scoring Systems Dr Champion
Dr. Champion helped establish EAST and describe the ISS/AIS and TRISS scoring systems. We discussion of various commonly used trauma scoring systems and their shortcomings. We also discuss how to go about assessing and creating a scoring system.
Jan 13, 2012•41 min
Rib Fractures and Mortality Dr Luchette
A discussion with Dr. Fred Luchette regarding factors associated with mortality following rib fractures. We discuss who requires evaluation at a trauma center, how requires ICU admission, pain control, and the role of rib plate fixation and tracheostomy in these patients.
Jan 12, 2012•20 min
Screening For Blunt Cerebrovascular Injury
A discussion with Dr. Martin Croce regarding the use of CTA versus angiography to screen for blunt cerebrovascular injury.
Jan 11, 2012•23 min
ICU Management of the TBI Patient
A discussion of techniques to minimize secondary brain injury, including measurement of cerebral pressures and oxygen tension and interventions such as the role of steroids, transfusion, hypothermia for brain injury.
Oct 26, 2011•36 min
Measuring Outcomes in Trauma
A discussion of measuring and comparing outcomes between trauma centers. Discussion involves use of this information by trauma directors and verifying bodies.
Oct 25, 2011•28 min
Damage Control Surgery
Dr. Bill Schwab discusses the evolution of damage control surgery, tracing its origins from early packing techniques to the three-phase approach used today. The conversation covers key physiological indicators for its use, specific considerations for managing arterial bleeding with shunts, and its application in elderly or cirrhotic patients. It also delves into damage control for general surgical patients dealing with sepsis and contamination, and how to establish it as a standard of care, highlighting its expanded influence beyond abdominal surgery.
Oct 24, 2011•25 min
Hypothermia in Trauma
The current role of hypothermia in trauma care and future directions for use of this modality in the care of the injured patient
Sep 16, 2011•44 min
Trauma Exsanguination Protocols in Trauma
Dr. Brian Cotton explores the critical need for massive transfusion protocols (MTPs) in trauma care, emphasizing challenges in implementation, resistance from blood banks, and the importance of real-time patient identification using tools like the ABC score. The discussion also covers the impact of MTPs on mortality and complications, addressing concepts like survival bias and the unique physiological benefits of plasma. The episode concludes by introducing the PROMPT trial and the potential for a new "substantial bleeding" definition to better guide future resuscitation strategies.
Sep 15, 2011•45 min
Thromboelastography (TEG) in Trauma Care
This episode explores the critical role of Thromboelastography (TEG) in diagnosing and managing coagulopathy in trauma patients, contrasting it with traditional lab tests. Dr. Kashuk discusses TEG's ability to identify both hypo- and hypercoagulable states, guide targeted blood product transfusions, and define the use of antifibrinolytic therapy. The discussion also covers the nuances between trauma-induced coagulopathy and DIC, and TEG's potential in managing hypercoagulable states.
Sep 15, 2011•46 min
Acute Care Surgery and Training Tomorrow's Trauma Surgeon
A discussion of the current status of the acute care surgery training program, why it is needed, and how to attract future surgeons to this field. Dr. Britt also discusses some the skill sets that the ACS surgeon will need/have, board certification for this field, and integration of this new subspecialty into the surgical community.
Sep 15, 2011•23 min
The CONTROL trial: Factor VIIa in Trauma
A discussion of the CONTROL trial, it's design, findings, and ramifications regarding the role of Factor VIIa in trauma patients.
Sep 14, 2011•36 min
Brain Tissue Oxygen Monitoring Following TBI
An interview with Dr. Peter LeRoux regarding brain tissue oxygen monitoring and the BOOST II trial, a randomized prospective multicenter trial evaluating the feasibility of this technology for TBI.
Sep 04, 2011•51 min
Hepatic Necrosis Following Angioembolization
Interview with Dr. Tom Scalea regarding the treatment of hepatic necrosis following angioembolization for severe injury
Aug 24, 2011•27 min
Clinical Practice Guidelines in Trauma Care
Dr. Michael Rhodes reflects on the evolution of clinical practice guidelines in trauma, from his early experiences with inconsistent care and strict Shock Trauma protocols to the modern emphasis on evidence-based approaches. He discusses challenges in implementation, the importance of expert consensus, and navigating surgeon pushback, advocating for research-backed improvements. The conversation also explores the future role of information technology in measuring guideline compliance and outcomes, and how different generations and surgical specialties embrace these evolving standards.
Aug 19, 2011•37 min
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