Quick bites of trauma: spend a half hour or less with trauma surgeons from around the world, discussing interesting cases, pearls of wisdom, lessons learned, whether or not a hot dog is a sandwich and whether brushing one's teeth in the shower is economy of motion or a waste of water.
Dr. DuBose talks with Mss. Eaton, Lidard and Miller about nurse practitioners, their place in trauma care, and how, together with attendings and residents, NPs and advanced practice providers in general can form cohesive and effective teams. The subject is too often neglected, and we as surgeons end up working alongside and depending upon professionals whose journey and expertise we don't really understand. Hopefully, this episode will help rectify that.
DuBose and Dr. Ravi Rajani, Chief of Vascular and Endovascular Surgery at Atlanta's Grady Memorial Hospital and Associate Professor at Emory University, discuss the approach to the patient with extremity injury and how to pick up on indications of vascular injury. Talking points include why there is no such thing as a Doppler pulse, and how we tend to ignore the first word in the name "pulse oximeter." Ravi finishes up by being correctly indignant that we are expected to wash dishes before putting them into a dishwasher. It doesn't make any sense, people.
In this episode, Dr. DuBose talks about facial trauma and how the trauma surgeon can be a good friend and partner to the plastic surgeon taking care of injured patients bearing bony and soft trauma. After a rousing and collegial talk, the three plan to launch a class action lawsuit against Stephen King on behalf of clown-lovers everywhere, and Dr. Liang reveals that she would be entirely lost if she had only a compass and a map.
For a single organ, the esophagus lends a disproportionate degree of complexity to management of the injured patient. Dr. DuBose finds clarity in a discussion with Dr. Feliciano, speaking from an undisclosed second location. Feliciano finishes by revealing that Harrison Ford is one of his favorite actors, which is unsurprising given how much they resemble each other.
Dr. DuBose interviews current Shock Trauma surgical critical care fellow, Navy veteran and pediatric surgeon Dr. Howard Pryor. The relatively unaccomplished Dr. Pryor discusses the basics of trauma in the child, which is both qualitatively and quantitatively different from trauma care in the adult. They conclude with a discussion about Caps Lock, which both mistakenly believe is unnecessary.
The eye, as we all know, is a squishy bag filled with magic. I discuss ophthalmic injuries with ocular expert Dr. Bennie Jeng and eventually finds the tables turned when Jeng asks me if cereal is a soup. Fortunately, I am always prepared for this question.
In this episode, Dr. DuBose talks about the occasionally fraught, always essential relationship between the trauma surgeon and the trauma nurse from both perspectives.
Dr. DuBose interviews your humble servant (me) about DVT, PE and IVC filters in the trauma patient. This is, to nobody's surprise, the best episode yet. We finish by talking about my cats and Kacey Musgraves.
Dr. DuBose explores rectal injuries with Dr. Carlos V. R. Brown of UT-Austin's Dell Seton Medical Center. Not once does the phrase "damn near killed 'em" come up, but they do close out with the revelation that Dr. Brown has eaten only sandwiches for lunch. Like, if it's lunch, he's eating a sandwich or nothing at all.
Dr. DuBose discusses blunt thoracic aortic injury with Dr. Pedro Texeira, a trauma and vascular surgeon on faculty at UT-Austin's Dell Seton Medical Center. After covering the detection, management and repair of aortic injury, Dr. Texeira adamantly picks dinosaurs over dragons.
Podcast celebrity and emergency medicine physician Scott Weingart (EMCrit, Chief of Emergency Critical Care, SUNY Stonybrook) and EM critical care fellow William Teeter join Dr. DuBose and discuss the relationship between our specialties, why we should be the best of friends and why we often aren't. Finally, the question of the creepiness of clowns is definitively settled.
The tables turn as I, your humble servant, interview Col. Joseph DuBose on the subject of chest tubes, a topic that, like the Mandelbrot set, grows increasingly complex as one examines it more closely. Also, barbecue, Django Reinhardt and Post Malone, if you can believe it.
Dr. Scalea returns with an oral history of a topic near and dear to the hearts of Dr. DuBose and my own good self: endovascular trauma surgery. Also included are a surprising revelation about The Boss's favorite movie. Truly, you won't have seen his answer coming at all.
Dr. DuBose discusses splenic injury with Dr. Ben Zarzaur of the University of Wisconsin and the challenge of both operative and nonoperative management. Finishing the episode, Joe allows Dr. Zarzaur to vent his spleen on the subject of spelling.
Dr. Feliciano discusses fasciotomy, a procedure whose technical simplicity belies the complexity of the associated pathophysiology and indications. Closing out the discussion, Dr. DuBose grills the titan of the field on why the 'Reply All' button should be abolished.
Dr. DuBose speaks with yet another giant in the field, Demetrios Demetriades of Keck USC School of Medicine, discussing the management of colonic injuries before ending with the Πνύκα, the ἐκκλησία and what you're missing if you just go to the ἀκρόπολις.
Coronavirus isn't the only medical issue in the world, but it's become the context for everything else, including trauma. Dr. DuBose talks with Sheldon Teperman of Jacobi Medical Center in New York and Matt Martin of Scripps Mercy Hospital, who volunteered to go to New York. Topics include why Sheldon thinks Matt should be played onscreen by Zsa Zsa Gabor, Ms. Gabor's posthumous condition notwithstanding.
Dr. Feliciano is back to discuss management of complex vascular trauma and his real love, powerboating.
The Boss himself discusses the management of liver trauma, including the value of a big, curved needle, the MARS system, and the problem of naked, homeless testudines. Interview conducted by Dr. John Maddox, current fellow at Shock Trauma.
Dr. Jonny Morrison discusses the advent of endovascular trauma surgery, what's worn under a kilt, and what "bawbag" means in Glasgow.
Dr. David Feliciano discusses the management of duodenal trauma, explains why drains aren't as necessary as you might think, and reveals his love for The Village People and I'm not kidding even a little bit about that last one.
Dr. David Feliciano discusses the management of pancreatic trauma and powerboating.