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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The 32nd EAST Annual Scientific Assembly took place January 15-19, 2019 in Austin, TX. The assembly boasted a wide array of educational, scientific, career development, and social programs. EAST Traumacast was there to cover it all and bring you highlights, interviews, and summaries from this great meeting. This Traumacast starts out with an interview with EAST President (2018), Dr. Andrew Bernard, then covers the highlights from the entire meeting, and closes with an interview with EAST Preside...
Join us for an intimate conversation with Dr. Joe Sakran, EAST Injury Control and Violence Prevention Committee Chair as he updates us on the #ThisIsOurLane movement and Dr. Eileen Burger, Chair of the American College of Surgeons-Committee on Trauma, to preview the importance of the upcoming summit. Freedom with Responsibility: A Consensus Strategy for Preventing Injury, Death, and Disability from Firearm Violence. JACS 2018
Is the era of damage control surgery over? Moderators Dr. Dave Morris and Dr. Carrie Valdez talk with Drs. John Harvin and John Holcomb about the role for DCS in the era of hemostatic resuscitation. Perhaps it is time to shift our paradigm back to definitive surgery as the default plan now that that we are inducing less edema and coagulopathy with huge doses of crystalloid.Articles/Protocols referenced:The effect of damage control laparotomy on major abdominal comlications : A matched analysis. ...
Dr. Ted Pappas, Professor and Chief of the Division of Advanced Oncologic and GI Surgery in the Department of Surgery at Duke Medicine and Vice Dean for Medical Affairs joins us for an overview of surgical emergencies due to peptic ulcer disease. Do you patch perforations and get out? When is an antiulcer procedure necessary?How do you manage the perforated giant duodenal ulcer? Do you leave a drain? Is a postoperative imaging study needed? When do you operate on a patient with a bleeding duoden...
Join our panel of trauma surgeons to discuss @ThisIsOurLane, why surgeons are so enraged and what solutions are possible. @carrievaldezmd @saranimd @scrubbedin #bloodyscrubs #ThisIsOurLane.Supplemental materials: ACP position statementNRA position statementNational Network of Hospital Based Violence Intervention ProgramsOct 2017 ACS Bulletin Views and opinions expressed in this Traumacast are those of the individuals and not EAST.
The Traumacast you've been waiting for! Join your moderators and Dr. Dan Holena as we dive into how to set up research projects and what the stats really mean. Plus Dan explains why you should watch The Blob and what exactly is a statophile?!
Drs. Jason Sperry and Mark Yazer delve into the PAMPer trial, a landmark study demonstrating improved survival rates in trauma patients receiving pre-hospital plasma via air medical transport. They discuss the trial's methodology, the nuanced benefits of plasma over crystalloids or even red blood cells, and the critical need to address trauma-induced coagulopathy early. The conversation also covers logistical challenges with current plasma products, the promise of freeze-dried plasma and whole blood, and the complex journey of conducting such a multi-center,
Acute mesenteric ischemia of all types is still associated with high mortality rates, despite advances in diagnostic modalities and supportive care, largely due to delay to initiate the appropriate therapy. Dr. Michael Sise joins us to discuss this relatively uncommon but challenging problem confronting the acute care surgeon. This is a comprehensive review you don’t want to miss.
Dr. Jim O'Connor guides listeners through the critical aspects of damage control thoracic surgery, from immediate trauma bay interventions for severe blunt trauma to detailed surgical techniques for hilar and esophageal injuries. The discussion extends to crucial decision-making regarding pneumonectomy, meticulous chest packing and closure, and post-operative ICU management, including ventilator settings. The episode also highlights expected complications and the importance of physiological assessment in these complex cases.
Drs. Don Jenkins and Michelle Price from the National Trauma Institute introduce the National Trauma Research Repository (NTRR) an exciting new undertaking that aims to combine data from previous and future trauma research sources, such as PROPPR, PROMMTT, the Glue Grant, DOD, etc. They also discuss how researchers can access these data and contribute their own data to the ever-growing repository. Got a project idea for a large national database? Check out NTRR to see if this could work for you....
What is it like to travel to a foreign country on a surgical mission? We take an in depth look at the experiences of the surgeons, nurses, students, mission leaders, and anesthetists. Join your moderator, Dr. Carrie Valdez, as she interviews members of the ISHI surgical mission team led by EAST member, Dr. Ziad Sifri. Supplemental material: www.ishiglobal.orgRutgers Global Surgery Fellowship
Can we help reduce the risk of addiction while also improving pain management in the acute setting? How does a pain management team improve patient care and satisfaction? Is your practice on the cutting edge of pain management? Join Drs. Paul Dangerfield, Tom Scott and Babak Sarani with your moderator, Dr. Carrie Valdez, as we explore these questions, and more!
Esophageal perforation is a critical and potentially life-threatening event with considerable morbidity and mortality. The management tends to be controversial and it requires a thoughtful and individualized approach. Dr. J. David Richardson and Dr. Roxie Albrecht join us for an in depth discussion of challenging esophageal injuries including areas of debate such as the management of injuries recognized late, the preferred methods of surgical repair and buttress as well as the role of exclusion ...
With the recognition of the Opioid Overdose Epidemic, greater scrutiny is being paid to provider prescribing practices. Trauma patients represent a unique population due to higher rates of substance abuse, multiple sources of acute pain, and the emergency nature of the care provided. In this episode, Drs. Andrew Bernard and Douglas Oyler join moderators Drs. Dave Morris and Carrie Valdez to discuss strategies for opioid prescribing for trauma patients.Supplemental Materials:Opioid Overdose | Dru...
Join your moderators Dr. Carrie Valdez and Dr. Dave Morris as they interview Dr. Deb Stein, Chief of Trauma and Director of Neurotrauma at the R Adams Cowley Shock Trauma Center. Dr. Steinreviews current management of TBI patients in a bedside rounds manner. A great review!Supplemental MaterialsThe BIG (Brain Injury Guidelines) Project: Defining the Management of Traumatic Brain Injury by Acute Care Surgeons
As stated on the website for the Endovascular Trauma and Resuscitation Management (EVTM) Society, “EVTM aims to provide a truly Open Access platform for the dissemination of knowledge and peer-reviewed research in the field of endovascular and hybrid hemorrhage control. Besides this we work to spread this new paradigm within trauma management through workshops, symposia and social media.” This society and their associated journal and international meetings are led by Tal Hörer, MD, PhD and his t...
At the 2018 annual meeting of the Western Trauma Association, the US military Joint Trauma System (JTS) held a an educational session called "Case Records of the Joint Trauma System". This is a planned series of presentations where an expert panel is presented with interesting and challenging battlefield trauma cases drawn from the Department of Defense Trauma Registry. This registry has captured data on all wounded patients treated at forward military medical treatment facilities during combat ...
Ultrasound (U/S) has been described as the "stethoscope of the 21st century." Guests Charity Evans, MD and Benjie Christie, MD, discuss how they have incorprorated U/S in their management of critical patients -- including evaluation of the pleural space, cardiac ultrasound, and indwelling TEE probes to provide instantaneous feedback on the effectiveness of interventions. We also discuss credentialing for U/S privileges, curricula for trainees, and the utilization of U/S in the trauma PI process....
The 31st EAST Annual Scientific Assembly took place January 9-13, 2018 in Lake Buena Vista, Florida. The assembly boasted a wide array of educational, scientific, career development, and social programs. The EAST Traumacast was there to cover it all and bring you highlights, interviews, and summaries from this great meeting. This traumacast starts out with an interview with the 31st EAST President, Dr. Bruce Crookes, then covers the highlights from the entire meeting, and closes with an intervie...
Join us for an in-depth discussion of acute anorectal emergencies Dr. Scott Steele, Professor and Chairman of the Department of Colorectal Surgery at the Cleveland Clinic (and co-moderator of the Behind the Knife podcast). We cover anorectal abscess, anal fissure, hemorrhoidal crises, rectal prolapse, rectal trauma and rectal foreign bodies. Moderated by Drs. Firas Madbak and Carrie Valdez Supplemental materials:Clinical Practice Guidelines from the American Society of Colon and Rectal Surgeons
An important but under-recognized disease in our communities, intimate partner violence represents a significant threat to the health and well-being of the people we serve. Guests Catherine Otway, RN, SANE-A, SANE-P and Bellal Joseph, MD discuss the scope of the problem, how it relates to trauma care, and how we as trauma providers can influence those within our care for the better.Resources Mentioned in the TraumacastCDC Resources on Intimate Partner ViolenceStrangulation InstituteDr. Joseph's ...
At the 2017 annual meeting of the Military Health System Research Symposium, the US military Joint Trauma System (JTS) held a session of the newly created educational program called "Case Records of the Joint Trauma System". This is a planned series of presentations where an expert panel is presented with interesting and challenging battlefield trauma cases drawn from the Department of Defense Trauma Registry. This registry has captured data on all wounded patients treated at forward military me...
At the 2017 annual meeting of the Military Health System Research Symposium, the US military Joint Trauma System (JTS) held a session of the newly created educational program called "Case Records of the Joint Trauma System". This is a planned series of presentations where an expert panel is presented with interesting and challenging battlefield trauma cases drawn from the Department of Defense Trauma Registry. This registry has captured data on all wounded patients treated at forward military me...
Part 3 of 3Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST Annual Meeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery. There were so many great interviews captured, we split the Traumacast into a three part series.This Traumacast includes interviews with Drs. Coimbra, Arbabi, Benjamin, Bruns, Delano, Jenkins, & Mehta.
Part 2 of 3Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST AnnualMeeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery. There were so many great interviews captured, we split the Traumacast into a three part series.This Traumacast includes interviews with Drs. Eastman, Hall, Hall, Napolitano, Pieracci, and Rotondo.Supplemental MaterialsSTB 2016 Final Parkland Implementation...
Part 1 of 3Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST Annual Meeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery. There were so many great interviews captured, we split the Traumacast into a three part series.Interviews with Drs. Coimbra, Arbabi, Benjamin, Bruns, Delano, Jenkins, & Mehta.
In this episode of the EAST Traumacast, we discuss the paper "Temporary arterial shunts in damage control: Experience and outcomes" with authors Dr. Sarah Matthew and Dr. Mark Seamon, and EAST reviewer Dr. Tareq Kheirbek. Have you used an arterial shunt lately? The authors discuss this infrequent intervention and complications that may occur. Supplemental MaterialsTemporary arterial shunts in damage control: Experience and OutcomesJ Trauma Acute Care Surg. 2017 Mar;82(3):512-517. doi: 10.1097/TA...
Robotics in acute care surgery? "Fire up the robot at 3am? It's not a pipe dream. We talk to two acute care surgeons who have incorporated robotics in their daily practice. Drs. Ruby Skinner and Andrea Pakula have successfully navigated the robotic space and share their tips and tricks on implementation at your institution. They also share their vision for robotics for acute care surgeons. Dr. Kevin Pei serves as moderator.
Learn the story behind one of the most successful medical education efforts in history. In this episode, moderator Dr. Dave Morris speaks with Randy Styner, son of Dr. James Styner, and survivor of the plane crash that started the whole ATLS movement. Also joining the discussion are Dr. Ronald Craig, one of the co-founders of the ATLS course, and Heather Talbott, Trauma Program Manager at Bryan Health (formerly Lincoln General in Nebraska, where Drs. Styner and Craig practiced). Hear the story y...
"Have we changed the PS 50 (probability of survival) for the elderly trauma patient?" Dr. Robert Barraco quotes one of his mentors, Dr. Carl Valenziano, in this episode about the topic of elderly falls prevention. Joining Dr. Barraco in this episode is Dr. Marie Crandall, lead author of the EAST EBR "Prevention of fall-related injuries in the elderly." Traumacast moderators Drs. Kevin Pei and David Morris discuss many aspects of elderly falls prevention and the larger topic of geriatric medicine...
