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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In this episode, we have a lively discussion about the papers reviewed by Dr. Niels Martin in the February EAST literature review. We were also very fortunate to have Dr. Bob Martindale, who was one of the lead authors for the 2016 ASPEN/SCCM ICU nutrition guidelines, join us to discuss the key issues of importance to Trauma/ICU providers. We also discuss the effect of age of stored red blood cells with Dr. Martin Schreiber. Also joining in this discussion were EAST members Dr. Kevin Schuster an...
In this podcast we discuss the process of professional peer review, and how this process can be used or mis-used for a variety of reasons. Our guest is Dr. Larry Huntoon, who has become a recognized national expert in the area of “sham peer review”, and who was written and lectured extensively about common themes in techniques and tactics that are used in these proceedings. He gives some great advice about recognizing, reacting to, and even preventing this type of adverse professional action for...
In this podcast we discuss small bowel obstruction – a common problem that can be challenging to treat appropriately – with Dr. Martin Zielinski, Associate Professor of Surgery at Mayo Clinic in Rochester, MN. Dr. Zielinski discusses several aspects of small bowel obstruction: which patients need an operation? Which will resolve with time? How long should nonoperative management be attempted before taking a patient to surgery? We also discuss how to utilize the Gastrografin® challenge into the c...
This podcast is from the second EAST Town Hall Debate session, where two panels of experts discuss and compare the Hartford Consensus Conference guidelines and the Emergency Tactical Casualty Care recommendations and program for improving outcomes from active shooter and other intentional mass casualty events. The debate is moderated by Dr. Andrew Bernard.Pro Hartford Consensus ConferenceAlexander Eastman, MDEric Campion, MDPro Tactical Emergency Casualty CareBabak Sarani, MDE. Reed Smith, MDGen...
This podcast is the recording of the first inaugural EAST Town Hall Debate session, on the topic of treating patients with an “Antibiotics-only” approach for acute appendicitis versus the standard treatment of surgical appendectomy. This has become a particularly controversial topic recently following publication of the APPAC Trial in JAMA (link to article below). The program started with two teams in a standard debate format, followed by additional expert commentary from two invited guest speak...
Highlights from the 2015 Western Trauma Association Meeting - Podcast #49 - EPThis is the first in our series of podcasts from some of the key trauma and ACS annual meetings. The 2015 Western Trauma Association was held in Telluride, Colorado, and we were there to record the highlights and interviews with many of the attendees and presenters. See below for a listing of the interviews and supplemental materials including a copy of the meeting program book. Next, we look forward to a Traumacast fr...
Pediatric abusive injuries and non-accidental trauma (NAT) are unfortunately common and widespread, and can frequently go unrecognized with disastrous outcomes. In this podcast we discuss pediatric NAT with Dr. Tony Escobar and Dr. Elizabeth Pohlson from Mary Bridge Children’s Hospital. Dr. Escobar and Dr. Pohlson are recognized local and national experts on this topic, and have implemented a hugely successful evidence-based and multi-disciplinary screening and evaluation process at their center...
Management of the patient with large or complicated abdominal wall defects requires a broad and deep understanding of anatomy, physiology, and surgical techniques that go well beyond the standard ventral hernia repair. Today we spoke with two experts in the modern management of the complex or multiply recurrent hernia, Dr. Robert Martindale and Dr. Sean Orenstein. We discussed the scope of the problem, the workup of these patients, optimal techniques including the retrorectus repair and the post...
Medical malpractice claims and other litigation have unfortunately become a common occurrence in all fields of surgery. Although each case has unique and specific aspects, there are common patterns, themes, and risk factors that all practicing physicians should be aware of in order to minimize or even completely avoid these situations. In addition, there is a great deal of misunderstanding about how published guidelines such as the EAST Practice Managemenet Guidelines may be used for or against ...
In this Traumacast, Drs. Levi Procter and Andrew Bernard interview Dr. Joshua Levine, Chief of Neurocritical Care and the University of Pennsylvania regarding the critical care management of traumatic brain injury. Dr. Levine is a nationally recognized expert in Neurocritical care. Recently, the ACS COT updated their guidelines on the management of severe traumatic brain injury. We discuss the new-tiered therapies, the pros and cons and how to apply this in your practice. Supplementary Materials...
Rib fracture plating has gained popularity in recent years as more and more Trauma providers have adopted this procedure into their treatment armamentarium. In this episode of Traumacast Dave Morris and Matt Martin discuss rib fracture plating with Dr. Bill Long, who has extensive experience in treating injuries of the chest wall and was instrumental in the development of one of the commercially available rib plating systems, and Dr. Babak Sarani who has adopted the procedure within the last 5 y...
An interview with Dr. Alexander Eastman, the Trauma Medical Director at Parkland Memorial Hospital and a current law enforcement officer with the Dallas Police Department, and Dr. Imad Haque, an active duty Army surgeon and the Director of Simulation Training at Madigan Army Medical Center. These two nationally recognized experts discuss what to expect in active shooter scenarios, how to respond, and most importantly how to prepare yourself and your facility through the use of realistic and well...
An interview with Dr. Matthew Martin, the Trauma Medical Director at Madigan Army Medical Center and one of their core faculty on the Bariatric Surgery Service. Dr. Martin is an active member of the American Society for Metabolic and Bariatric Surgery, and serves as an Associate Editor with Surgery for Obesity and Related Diseases. This session is moderated by Dr. Levi Procter, and special guest moderator Dr. Andrew Bernard, who discuss the increasingly common issue of urgent and emergent compli...
An interview with Dr. Ernest "Gene" Moore, a giant in the field of trauma and former Editor in Chief of the Journal of Trauma and Acute Care Surgery. Dr. Moore takes us behind the scenes of a major academic journal, and provides advice and insights on starting an academic career and producing high quality and publishable research. He then discusses how to become more active with scientific journals by serving as a peer-reviewer and what it takes to join the Editorial Board. The interview conclud...
An interview with Dr. Donald Jenkins, one of the leading figures behind the National Trauma Institute (NTI) and the newly created Coalition for National Trauma Research (CNTR). Dr. Jenkins discusses the history, formation, mission, and future of these two organizations and how they are positively impacting the ability to perform high-quality clinical trauma research and fostering a national trauma research agenda.Supplementary MaterialsThe National Trauma Institute information brochureCoalition ...
An interview with Dr. Richard Falcone and Dr. Denis Bensard about an exciting new program they have developed to enhance pediatric trauma care in the U.S. They discuss how their Level 1 Pediatric Trauma Center has partnered with multiple adult Level 2 centers to enhance their ability to provide high quality pediatric trauma care, and to successfully obtain ACS verification as pediatric trauma centers.Supplementary materials: download a presentation with additional information and resources relat...
Listen to us discuss the surgical management of clostridium difficile colitis with Dr. Paula Ferrada. We tackle surgical and medical therapy based on the best available evidence. See EAST's Online Education session on this topic too.
Listen to Dr. Matthew Martin discuss the great advances in civilian trauma care as a result of 10 years of conflict. He tackles great topics such as tourniquets, hemostatic dressings, tension pneumothorax and what's ahead. See EAST's Online Education session on this topic too.
Dr. Carrie Sims discusses her research into vasopressin deficiency following hemorrhagic shock, sparked by a bedside experience with a trauma patient. She outlines the evidence from animal and human studies confirming this deficiency and details her ongoing clinical trial design. The conversation also delves into differentiating trauma from septic shock regarding vasopressin use, the broader endocrine response to hemorrhage, and the potential need for an "endocrine cocktail" for resuscitation.
A brief discussion of political and financial issues faced when The Trauma Center at Penn opened in 1988. Many of the same issues are still faced by trauma directors in new trauma centers.
Dr. Mike Rotondo, a pioneer in damage control, explains how the concept evolved from surgery to resuscitation, driven by the need to reduce morbidity. He outlines the "no volume, low volume, slow volume" approach, including permissive hypotension and component therapy. The discussion covers its application in blunt trauma, head injury, elderly patients, septic shock, and the potential for medical ICU use, highlighting future research needs and the importance of goal-directed resuscitation.
Emergency Preservation and Resuscitation Trial evaluating deep hypothermia for cardiac arrest following penetrating trauma. Discussion with Dr Sam Tisherman, the PI for the study.
