Traumacast

Join Dr. Tatiana Cardenas, and Dr. Samantha Tarras as they speak with guests Dr. Taryn Travis and Dr. Mack Drake.  They will discuss the physiology of burn shock, the intricacies of burn resuscitation and the challenges of burn care.  Topics include markers of resuscitation, use of pressors, inhalation injury, infection, discussions with family and more!

Join Dr. Tatiana Cardenas and Dr. Mohammed Bawazeer as they talk with guests Dr. Matt Martin and Dr. Andrea Pakula and discuss the role of robotic surgery in the management of hernias by the acute care surgeon.  The discussion covers training in robotics, the role of robotics in emergent and urgent hernia surgery, and various case scenarios involving hernias encountered by acute care surgeons.

Join Drs. Liz Dauer, Tatiana Cardenas, Samantha Tarras, Mohammed Bawazeer, and Melissa Warta as they interview speakers from the 37th EAST Annual Scientific Assembly including incoming EAST President Dr. Ben Zarzaur, in addition to Drs. Amy Goldberg, Jennifer Brewer, Simin Golestani, Nicole Tapia, Marcelo Robiero, Tara van Veen, Kendra Black, and Melike Harfouche.  Also included are medical students Rachel Cary and Cox-Templeton Award winner Grace Keegan. Supplemental Material:  EAST Awards and Scholarship Opportunities

Join Drs. Liz Dauer, Tatiana Cardenas, Samantha Tarras, Mohammed Bawazeer, and Melissa Warta as they interview speakers from the 37th EAST Annual Scientific Assembly including outgoing EAST President Dr. Jason Smith, in addition to Drs. TJ Schaid, Amanda Witte, Lauren Gallagher, Sneha Bhat, Caleb Butts, Rachel Choron, Julia Coleman, Bishwajit Bhattacharya, George Kasotakis, Susan Kartiko, and Melissa Boltz.  Also hear from Annika Kay PA-C and Colleen Trevino NP. Supplemental Material:  EAST Awards and Scholarship Opportunities

Join Drs. Prerna Ladha, Hassan Mashbari and Lauren Dudas and learn about Global Surgery from Drs. Mike Mallah, Chris Dodgion, Katie Iverson and the EAST Global Surgery Ad Hoc Task Force.  What does Global Surgery  even mean? How can you get involved, who is out there practicing internationally or can you practice Global Surgery domestically?   Supplemental Material: ♦https://www.mcw.edu/departments/surgery/education/global-surgical-programs♦https://medicine.musc.edu/departments/surgery/global-surgery-program♦https://www.panamtrauma.org/♦Incision (International Student Surgical Network) - https://incisionetwork.org/♦GSSA (Global Surgery Student Alliance) -  https://www.globalsurgerystudents.org/♦American College of Surgeons Resident and Associate Society Global Surgery Workgroup (https://www.facs.org/for-medical-professionals/membership-community/resident-and-associate-society/leadership/) form to self nominate♦AAGS (Association of Academic Global Surgery) - https://www.academicglobalsurgery.org/ - opportunities for faculty, resident and student involvement in committees.

Join Drs. Tatiana Cardenas, Zaffer Qasim and Jacob Edwards as they talk with guests Drs. Marissa Mery and Jeremy Cannon.  They discuss trauma resuscitation through the continuum of the trauma bay to OR with perspectives of emergency medicine, surgery and anesthesia providers.  Topics include permissive hypotension, use of pressors, massive transfusion practices, cell saver usage, additional anesthesia trauma training and more!

Join new moderator Dr. Mohammed Bawazeer and Dr. Lauren Dudas discuss the planning and implementation of a robotic ACS program with Drs. Bruce Crookes and Heather Evans.  They talk about the benefits for both patients and the institution and how it has transformed their practices.  The episodes finishes with a game of surgery truth or dare: Lap, Open or Robotic.

Join Drs. Tatiana Cardenas, Liz Dauer and Zaffer Qasim chat with Drs. Paula Ferrada and Sharven Taghavi about ED vs OR intubation in patients with hemorrhagic shock.  They address  ABC vs CAB, the physiology of intubation of patients in shock and reconsidering the dogma.   Supplemental Material:  Ferrada P, Dissanaike S. Circulation First for the Rapidly Bleeding Trauma Patient-It Is Time to Reconsider the ABCs of Trauma Care. JAMA Surg. 2023 May 17. doi: 10.1001/jamasurg.2022.8436. Epub ahead of print. PMID: 37195675.

Join Jeremy Levin, Shyam Murali, Mike Radomski, and Andrea Tsoris as they talk to Dr. Ken Wilson about how the trauma center at the University of Chicago was developed and the challenges they faced along the way.

Join Dr. Tatiana Cardenas host Drs. Leah Tatebe and Rochelle Dicker to discuss trauma informed care.  Learn about what it is, how it affects patients, curriculum you can soon bring to your institution and why it is so important it will be part of ATLS 11! Supplemental Material:Dicker RA, Thomas A, Bulger EM, Stewart RM, Bonne S, Dechert TA, Smith R, Love-Craighead A, Dreier F, Kotagal M, Kozyckyj T, Michaels H; ISAVE Workgroup; Members of the ISAVE Workgroup. Strategies for Trauma Centers to Address the Root Causes of Violence: Recommendations from the Improving Social Determinants to Attenuate Violence (ISAVE) Workgroup of the American College of Surgeons Committee on Trauma. J Am Coll Surg. 2021 Sep;233(3):471-478.e1. doi: 10.1016/j.jamcollsurg.2021.06.016. Epub 2021 Jul 30. PMID: 34339811.  Sakran JV, Bornstein SS, Dicker R, Rivara FP, Campbell BT, Cunningham RM, Betz M, Hargarten S, Williams A, Horwitz JM, Nehra D, Burstin H, Sheehan K, Dreier FL, James T, Sathya C, Armstrong JH, Rowhani-Rahbar A, Charles S, Goldberg A, Lee LK, Stewart RM, Kerby JD, Turner PL, Bulger EM. Proceedings from the Second Medical Summit on Firearm Injury Prevention, 2022: Creating a Sustainable Healthcare Coalition to Advance a Multidisciplinary Public Health Approach. J Am Coll Surg. 2023 Jun 1;236(6):1242-1260. doi: 10.1097/XCS.0000000000000662. Epub 2023 Mar 6. PMID: 36877809.

Join Drs. Jeremy Levin, Shyam Murali, and Mike Radomski as they talk with Dr. Irma Fleming of the University of Utah Burn Center about how Dr. Fleming provides burn care in the rural setting through an innovative telehealth platform!

Join Drs. Shyam Murali, Mike Radomski, and Jeremy Levin as they talk with Dr. Patrick Murphy about the full time equivalent for trauma and acute care surgeons and how to create a more sustainable and healthy specialty.  The discussion is the opinion of the Drs. Murali, Radomski, Levin and Murphy. EAST DOES NOT RECOMMEND OR ENDORSE, AND DISCLAIMS ALL LIABILITY RELATING TO, any particular products, procedures, opinions or other information presented or referred to on or through this podcast (including but not limited to the content of any advertisement), except for any statements specifically identified as expressing a policy or position officially approved by EAST.

Join Dr. Lauren Dudas with guest moderator Dr. Hillary Prince of the EAST Injury Control and Violence Prevention Committee discuss ICVP programs with national leaders.  Listen to Injury prevention coordinators Courtney Edwards, DNP, MPH and Mary R. Lauby as well as Jill Braselton, RN, BSN with ThinkFirst National Injury Prevention Foundation discuss their role in violence and injury prevention, creating community partnerships, advocacy and education.  We discuss the importance of a comprehensive prevention plan, trauma surgeon involvement and navigating all this with sparse financial resources.

Join Drs. Shyam Murali, Mike Radomski, and Jeremy Levin as they talk with Dr. Elinore Kaufman of UPenn Trauma about how they handle police drop-offs for timely and efficient care of penetrating trauma patients.Supplemental MaterialComing in hot: Police transport and prehospital time after firearm injury J Trauma Acute Care Surg 2022 Nov 1;93(5):656-663. doi: 10.1097/TA.0000000000003689. Epub 2022 May 20.PMID:  36282621, DOI: 10.1097/TA.0000000000003689

Join Drs. Lauren Dudas, Jeremy Levin and Samantha Tarras interview speakers from the 36th EAST Annual Scientific Assembly including outgoing and incoming EAST Presidents Dr. Deborah Stein and Dr. Jason Smith, in addition to Drs. Avi Bhavaraju, Milad Behbahaninia, Maggie Bosley, Anthony Douglas, Irma Fleming, Gabrielle Hatton, Lea Hoefer, Sami Kishawi, Jeremy Levin, William “Aaron” Marshall, Ashley Meagher, Ronnie Mubang, Marshall Wallace and Cox-Templeton Winner Dr. Ashley Williams. Supplemental Material:EAST Awards and Scholarship OpportunitiesLaparoscopic Common Bile Duct Exploration information from Wake Forest Study

Join Shyam Murali, Mike Radomski, and Jeremy Levin as they talk with Dr. Chance Spalding of Grant Medical Center about their journey in implementing REBOA at their institution and how they have improved over the years.

Join Drs. Jeremy Levine, Michal Radomski and Lauren Dudas discuss the results of the EAST MCT with PI Rachel Choron.  Hear about management options of duodenal injuries, why they can be so clinically challenging and a bit about spearheading an EAST multicenter trial.  Abstract was presented at the 36th EAST Annual Scientific Assembly.  Look for the publication soon! – “Outcomes Among Trauma Patients with Duodenal Leak Following Primary vs. Complex Repair of Duodenal Injuries: An EAST Multicenter Trial” Supplemental Material: Check out the abstract from the 36th EAST Annual Scientific AssemblyInterested in getting involved in an EAST MCT? - EAST Multicenter Trials - The Eastern Association for the Surgery of Trauma  

Episode 3 of ITA! Join Shyam Murali, Mike Radomski, and Jeremy Levin as they talk with Dr. Ashley Meagher of Indiana University Health Trauma about the significance of palliative care, the role of the surgeon, and the power of quilts.

Join Drs. Cardenas and Dudas discuss the history, role, potential benefits and implementation of FFP resuscitation as a strategy in burn patients with burn specialists Drs. Robel Beyene, Colonel Jennifer Gurney and Tina Palmieri.  What other options are being studied and what is on the horizon?  Don't miss this information packed discussion!Supplemental Material: Fellowships - The Eastern Association for the Surgery of Trauma

Episode 2 of ITA! Join Shyam Murali, Mike Radomski, and Jeremy Levin as they talk with Dr. Lourdes Swentek of UC Irvine Trauma and learn about the awesome, sometimes ridiculous, and (relatively) unknown world of medical device making. From genius uses of the foley, to questionable applications of lasers on babies, and the engineers you need to both encourage and temper, get ready to be excited about making stuff!

Join Drs. Shyam Murali, Mike Radomski, and Jeremy Levin as they talk with Dr. Jill Streams of Vanderbilt Trauma about what her center's views are on resuscitation, why they do things the way they do, and how she gets patients to and through the CAT scanner fast, efficient, and without all the death.

Join Dr. Lauren Dudas as she interviews some of 2022 EAST award & scholarship cipients: the John M Templeton, Jr., MD Injury Prevention Research Scholarship - Dr. Elinore Kaufman, the EAST MCT Junior Investigator Award – Dr. Asanthi Ratnasekera, the Trauma Research Scholarship – Dr. Stephanie Polites.  Hear their EAST stories, what they are using their award money to work on and insight into being surgical scientists.  Supplemental Material: Scholarships & Awards - The Eastern Association for the Surgery of Trauma

Join Dr. Carrie Valdez as she discusses the EAST MCT on Outcomes after Emergency General Surgery and Trauma Care in Incarcerated Individuals with authors Drs. MK Bryant, Liz Dreesen, Sara Scarlet and Rebecca Maine.  Learn about outcomes, working with your IRB, and what you can do to increase ethical and compassionate care. Supplemental MaterialOutcomes after emergency general surgery and trauma care in incarcerated individuals: An EAST multicenter study. Bryant MK, Tatebe LC, Rajaram S, Udekwu PO, Wurzelmann M, Crandall ML, Zuniga YD, Tran V, Santos A, Krause C, et al. J Trauma Acute Care Surg. 2022 Jul 1;93(1):75-83.

Join Drs. Shyam Murali and Lauren Dudas with guest host Dr. Megan Quintana discuss pelvic hemorrhage control with experts Drs. Tatiana Cardenas and Joe DuBose.  Hear about the different options for hemorrhage control in patients with pelvic fractures so you can maximize patient management at your institution.  They also discuss pitfalls, complications and special populations.  Supplemental Material:DuBose JJ, Burlew CC, Joseph B, Keville M, Harfouche M, Morrison J, Fox CJ, Mooney J, O'Toole R, Slobogean G, Marchand LS, Demetriades D, Werner NL, Benjamin E, Costantini T. Pelvic fracture-related hypotension: A review of contemporary adjuncts for hemorrhage control.Journal of Trauma and Acute Care Surgery: October 2021 - Volume 91 - Issue 4 - p e93-e103doi: 10.1097/TA.0000000000003331. PMID: 34238857.

Join Drs. Brandon Parker, Megan Quintana and Lauren Dudas chat with Jonny Morrison and Jim Manning about SAAP: selective aortic arch perfusion.  What is it, how is it superior to existing resuscitation methods, who would benefit, how close is it to utilization and more!

Join Dr. Nick Namias and Dr. Caroline Park as they discuss the ongoing IV Contrast Shortage with Dr. Lucy Ruangvoravat and Dr. Carrie Valdez. Supplemental Material:  Cavallo J, Pahade J. Practice Management Strategies for Imaging Facilities Facing an Acute Iodinated Contrast Media Shortage. AJR Am J Roentgenol. 2022 May 13. doi: 10.2214/AJR.22.27969

Created in coordination with the EAST Rural Trauma Committee. Drs. Lauren Dudas and Michal Radomski discuss Emergency General Surgery (EGS) with rural providers Dr. Nicholas Bandy, Dr. Kristin Colling & Dr. Keelin Roche.  Listen to hear about rural practice models, procedures important to become comfortable with as rural providers, a bit about organizing an EGS service, and considerations for pursuing a career in rural surgery.

Dr. Jeremy Levin and Dr. Megan Quintana discuss Resuscitative Thoracotomy (RT) with Dr. Ronnie Mubang and Dr. Adam Nelson.  They dive into patient selection, application of ultrasound, different institutions' criteria, the clamshell, and some less tangible benefits of RT besides survival.  Additionally, hear their opinion about select patient scenarios and special populations.  And ALWAYS wear your PPE! Supplemental material: Joseph B, Khan M, Jehan F, Latifi R, Rhee P. Improving survival after an emergency resuscitative thoracotomy: a 5-year review of the Trauma Quality Improvement Program.Trauma Surg Acute Care Open. 2018 Oct 9;3(1):e000201. doi: 10.1136/tsaco-2018-000201. PMID: 30402559; PMCID: PMC6203136. 

Join hosts Drs. Tatiana Cardenas, Lauren Dudas, Megan Quintana, Samantha Tarras, and Carrie Valdez as they interview speakers from the 35th EAST Annual Scientific Assembly held in Austin, Texas. in Austin, Texas.  Guests: Drs. Laszlo Kiraly, Taylor Wallen, Amanda Hambrecht, Majid Chammas, Jessica Schucht, Abid Khan, Aaron Hudnall, Ander Dorken Gallastegi, Leah Tatebe, Gillian Hoshal, Maxwell Braverman, and EAST President Deborah Stein.

Join hosts Drs. Tatiana Cardenas, Lauren Dudas, Megan Quintana, Samantha Tarras, and Carrie Valdez as they interview speakers from the 35th EAST Annual Scientific Assembly held in Austin, Texas.  Guests: Drs. Jeffrey Claridge, Sharmila Dissanaike, Sneha Bhat, Mary Bryant, Kaushik Mukherjee, Chad Hall, Caroline Ricard, Megan Quintana, Michael Pasquale, James Bardes, Victoria Miles and Yousef Shaban.

Who is hacking our hospital systems and why?  What can you do about it?Listen in as we interview Menny Barzilay, partner at Cytactic – Cyber Crisis Management, and Matan Scharf. Both guests are internationally known cyber security experts, formerly in the intelligence services of the Israeli Defense Forces and currently working at Tel Aviv University. Join Drs. Carrie Valdez and Lauren Dudas for a fascinating discussion on Cybersecurity.   Additional resources and links to more talks with our guests are listed below.  Supplemental Material:Menny Barzilay website, great resources, newsletter and blog - https://www.mennyb.com/blog Cyber attack suspected in German woman's death, NYT article: https://www.nytimes.com/2020/09/18/world/europe/cyber-attack-germany-ransomeware-death.html Death by Cyber, YouTube talk by Menny Barzilay - https://www.youtube.com/watch?v=N_5Pv9sd40A&ab_channel=GlobalCloudComputingCommunity Autoimmune Deficiency, Hospital Cyber Defense, YouTube talk by Matan Scharf - https://youtu.be/y1r3xuwWnjY Securing the World: Cybersecurity in the Age of IoT, YouTube talk by Matan Scharf - https://youtu.be/SJVVrr-cmF4

Celebrating 10 Years of EAST Traumacast! Dive into conversation as Dr. Michal Radomski and @ldel302 interview @carrievaldezmd Dr. Dave Morris, @docmartin22 @saranimdDrs. Michal Radomski and Lauren Dudas interview previous EAST Traumacast moderators Drs. Carrie Valdez, Dave Morris, Matt Martin and Babak Sarani.  Share laughs with the originators as you hear how it all started and how the program got where it is today!  A special thank you to Christine Eme, EAST Staff, for all of her production support and the many others who dedicated their time over the past 10 years.  Also check out the new introduction, created by EAST member Dr. Shyam Murali.  Here's to the next decade of EAST Traumacast listening!

Drs. Tatiana Cardenas and Lauren Dudas discuss pilonidal disease with Drs. Patrick McGonagill and Joga Ivatury.  Listen to hear about how to plan your acute intervention without being detrimental to definitive options, different excisional techniques and patient selection.  You'll hear – pilonidal disease is about so much more than just “rearranging butt cracks!”

Drs. Jeremy Levin, Michal Radomski and Carrie Valdez discuss with Dr. Brad Dennis and Dr. Steven Weisbord contrast associated acute kidney injury – from the renal medulla to “renalism,” a discussion of clinical consequences, and much in between.  Should I adjust imaging order based on existing AKI?  Should risk of AKI alter imaging acquisition decision making in the trauma bay?  Are there strategies to mitigate the impact of contrast?  Listen to find out! Supplemental Material: Guidelines – KDIGO Weisbord SD, Gallagher M, Kaufman J, Cass A, Parikh CR, Chertow GM, Shunk KA, McCullough PA, Fine MJ, Mor MK, Lew RA, Huang GD, Conner TA, Brophy MT, Lee J, Soliva S, Palevsky PM. Prevention of contrast-induced AKI: a review of published trials and the design of the prevention of serious adverse events following angiography (PRESERVE) trial. Clin J Am Soc Nephrol. 2013 Sep;8(9):1618-31. doi: 10.2215/CJN.11161012. Epub 2013 May 9. PMID: 23660180; PMCID: PMC3805082. Inker LA, Eneanya ND, Coresh J, Tighiouart H, Wang D, Sang Y, Crews DC, Doria A, Estrella MM, Froissart M, Grams ME, Greene T, Grubb A, Gudnason V, Gutiérrez OM, Kalil R, Karger AB, Mauer M, Navis G, Nelson RG, Poggio ED, Rodby R, Rossing P, Rule AD, Selvin E, Seegmiller JC, Shlipak MG, Torres VE, Yang W, Ballew SH, Couture SJ, Powe NR, Levey AS; Chronic Kidney Disease Epidemiology Collaboration. New Creatinine- and Cystatin C-Based Equations to Estimate GFR without Race. N Engl J Med. 2021 Sep 23. doi: 10.1056/NEJMoa2102953. Weisbord SD, Gallagher M, Jneid H, Garcia S, Cass A, Thwin SS, Conner TA, Chertow GM, Bhatt DL, Shunk K, Parikh CR, McFalls EO, Brophy M, Ferguson R, Wu H, Androsenko M, Myles J, Kaufman J, Palevsky PM; PRESERVE Trial Group. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. N Engl J Med. 2018 Feb 15;378(7):603-614. doi: 10.1056/NEJMoa1710933.

Drs. Shyam Murali, Rita Brintzenhoff and Lauren Dudas discuss POCUS with Drs. Sarah Murthi and Paula Ferrada.  Why is it so great? What are some tips for challenging image acquisition?  How can I get a program started?  Can my images get validated? And what is on the horizon?  Hear the answers to these questions and more with this animated group! Supplemental Material:Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients by Grace Rozycki et al.Cold Steel: Canadian Journal of Surgery Podcast with Grace RozyckiSurgical Critical Care Program Directors Society Ultrasound CurriculumQuantifying systemic congestion with Point-Of-Care ultrasound: development of the venous excess ultrasound grading system by William Beaubien-Souligny et al. (original VEXUS Scan publication)

In this second installment of a three part series, Drs. Lauren Dudas and Lucy Ruangvoravat interview Drs. Carrie Valdez, JR Taylor and Erich Schafer, surgeons at designated level II-IV trauma centers.  Listen as they discuss their trauma system, schedules and their perspectives as rural trauma surgeons.  If you missed part one in the series, check out Traumacast #140!

Drs. Patrick McGonagill, Lauren Dudas and Carrie Valdez approach the challenge of managing necrotizing pancreatitis in a multidisciplinary discussion with acute care surgeon Dr. Jose Diaz, hepatobiliary and pancreatic surgeon Dr. Clancy Clark and advanced gastroenterologist Dr. Shyam Thakkar.  What are some of the intervention options? How might I approach it at my center? What are the long term complications to look out for?  Hear about it all!

Guest moderator Dr. Brandon Parker joins Dr. Lauren Dudas to discuss strategies to prevent prehospital death – from the Florida program “Survive the Ride” to the Australia prehospital triage algorithm and some physiology in-between!  Guest speakers: Patricia Byers, MD, Kelsey Ensor, MD, Ben Meadley, PhD and Paul Pepe, MD.Supplemental Material: Survive The Ride Essenstial ECG – Gordon Center (miami.edu)

Listen to the first author of the EAST PMG, Dr. Kodadek and pharmacist Jen Beavers discuss alcohol dependence – from identifying at risk patients to a review of treatment options.  Hosted by new guest moderators Drs. Jeremy Levin, Sam Tarras and Patrick McGonagill as well as Lauren Dudas.  Supplemental Information:Kodadek, Lisa M., Jennifer J. Freeman, Devesh Tiwary, Mack Dillon Drake, M. Elizabeth Schroeder, Linda Dultz, Cassandra White, et al. 2020. “Alcohol-Related Trauma Reinjury Prevention with Hospital-Based Screening in Adult Populations: An Eastern Association for the Surgery of Trauma Evidence-Based Systematic Review.” Journal of Trauma and Acute Care Surgery 88 (1): 106–12. https://doi.org/10.1097/TA.0000000000002501. Alvanzo, Anika, Kurt Kleinschmidt, Julie A Kmiec, George Kolodner, Gerald E Marti, William F Murphy, Carlos F Tirado, et al. 2020. “The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management.” http://links.lww.com/JAM/A192. Ammar, Mahmoud A., Abdalla A. Ammar, Jordan Rosen, Hagar S. Kassab, and Robert D. Becher. 2021. “Phenobarbital Monotherapy for the Management of Alcohol Withdrawal Syndrome in Surgical-Trauma Patients.” Annals of Pharmacotherapy 55 (3): 294–302. https://doi.org/10.1177/1060028020949137.

Dr. Simon Fitzgerald, Dr. Lauren Dudas and Dr. Carrie Valdez discuss how things work on “the hill” with Dr. Joseph Sakran.  Hear an overview of how to transform an idea into policy or just how to get more involved.  Additionally, Dr. Sakran briefly reviews his year as a 2019-2020 RWJ Foundation Health Policy Fellow and how he lives his life to fulfill “purpose over position.” Supplemental Information:Robert Wood Johnson Foundation Health Policy Fellows

Join Drs. Simon Fitzgerald, Lauren Dudas and Carrie Valdez as they discuss the Mayo Clinic practice management guideline with Dr. Martin Zielinski and Dr. Henry Schiller.  We review their trauma group's practice pattern and how their management has continued to progress since their paper was published.  Supplemental Information:Nickerson TP, Zielinski MD, Jenkins DH, Schiller HJ. The Mayo Clinic experience with Morel-Lavallée lesions: establishment of a practice management guideline. J Trauma Acute Care Surg. 2014 Feb;76(2):493-7. doi: 10.1097/TA.0000000000000111. PMID: 24458056.

Drs. Carrie Valdez and Lauren Dudas discuss the details about a geriatric trauma program with Dr. Ben Gayed and Kathy Smith.  What does it entail? What are the benefits? How can you get a program started at your institution?  The content of this podcast reflects the opinions of those involved not the institutions by which they are employed.Supplemental Information:American College of Surgeons – Trauma Quality Improvement Program: Geriatric Trauma Management GuidelineBeers Criteria

Dr. Carrie Valdez hosts Drs. Alexandra Briggs, Avi Bhavaraju  and Ashley Meagher on our first Traumacast in our series on Rural Trauma.  Dr. Briggs is the chair of the Rural Trauma Ad Hoc Task Force for EAST.   For this Traumacast, the group focuses on the Level 1 trauma experience supporting our rural trauma centers- what are we doing well and what can we do better?

Welcome guest moderator Dr. Simon Fitzgerald as he and Dr. Carrie Valdez discuss "What have we learned about COVID-19?" with Drs. Matthew Martin, Kari Jerge, Bellal Joseph and Haytham Kaafrani. This episode was recorded as a vaccine was introduced in the shadow of our third national surge of COVID cases. We focus on updates in COVID management, future research and who should get the vaccine. 

Welcome Dr. Lauren Dudas, our next guest moderator, as she interviews Dr. Don Jenkins and Dr. Dan Grabo on whole blood.  Is it better than component transfusion? What would it take to start a program at your institution? What does the future hold for your transplant, ruptured AAA and OB patients?

Welcome back Dr. David Skarupa to the EAST Traumacast. Drs. Carrie Valdez, Aditi Kapil and Lucy Ruangvoravat dig deeper into complex vascular cases. David addresses additional considerations in the ICU and answers questions raised after his last appearance on Traumacast! 

Welcome Dr. David Skarupa to an EAST Traumacast on Vascular Trauma!  Dr. Carrie Valdez, Dr. Red Hoffman, and Dr. Firas Madbak pick Dr. Skarupa's brain on upper and lower extremity trauma, how to find the aorta and IVC - and can you REALLY ligate them?! - and what do we do for anticoagulation or antiplatelet therapy! 

Join moderator Dr. Red Hoffman as she speaks with Drs. Callie Thompson and Lyndsay Deeter as well as veteran burn nurse Leslyn Wiese about the management of the burn patient.  They discuss how to work up the traumatically injured burn patient, things not to miss in electrical injuries, how to best deal with facial burns secondary to smoking on home oxygen and the challenges of dealing with deep second-degree burns.  They also offer some tips and tricks about how to care for burns at your own institution (if you are not at a burn center).   ResourcesUniversity of Washington Burn Educational Videos on YouTube:  https://bit.ly/3bo8KcY 

Join moderators Drs. Carrie Valdez and Red Hoffman as they speak with Drs. Matt Martin, Haj Reddy and Eddie Chao in New York City.  Recorded on April 14, 2020, this episode offers the latest updates on the care of the critically ill COVID patient.   We "round" with our three guests and discuss the management of each organ system.   References and ResourcesEAST COVID-19 Resources and Information is available here: https://www.east.org/education/covid-19-resources-and-information.  This is meant to be a clearinghouse of information and protocols from various societies and institutions throughout the world.   The proning protocol currently in use at NYC Health + Hospitals can be found here - Proning Protocol The burrito technique for proning is also demonstrated at:  https://bit.ly/2K6csM7 

Join Drs. Valdez and Hoffman to discuss Palliative Care in the era of the COVID pandemic.  Dr. Hoffman lends her expertise and provides great resources linked below, including her podcast series on Surgical Palliative Care.   References and ResourcesSurgical Palliative Care podcast hosted by Dr. Red Hoffman - https://thesurgicalpalliativecarepodcast.buzzsprout.com/ National POLST (Physician Orders for Life Sustaining Treatment) - https://polst.org/programs-in-your-state/?pro=1 Vital Talk - https://www.vitaltalk.org/  Center to Advance Palliative Care (CAPC) - https://www.capc.org/

Join moderators Drs. Matt Martin, Carrie Valdez and Red Hoffman as they speak with Drs. Nick Mark, Sheldon Teperman and Alex Guerrero about the management of the critically ill patient during the COVID-19 Pandemic.  Nick shares his experience in Seattle and Sheldon and Alex share what is currently going on in New York City, the current epicenter of the pandemic.  They discuss the management of hypoxemia (including high flow nasal cannula, ventilator strategies and proning- including a discussion of the "burrito" technique), clinical pearls regarding extubation and the role of CPR in these critically ill patients.   Our experts also discuss the importance of establishing communication channels both within your hospital and within your region and the importance of caring for and protecting both ourselves and all those we work with while "leading from the front."  This is a longer episode, but definitely worth a listen, filled with real life clinical pearls that will assist you and your hospital in preparing for and caring for COVID patients. This episode is dedicated to neurosurgeon Dr. James Goodrich, who died on Monday, March 30, 2020 from complications of the Coronavirus.  Resources discussed within this episode: -EAST COVID-19 Resources and Information is available here: https://www.east.org/education/covid-19-resources-and-information.  This is meant to be a clearinghouse of information and protocols from various societies and institutions throughout the world.   -Dr. Nick Mark's OnePager guide to the care of critically ill patients with COVID can be found here: https://www.onepagericu.com/.   -Fair allocation of scarce medical resources in the time of COVID-19 (NEJM March 23, 2020) can be found at:  https://www.nejm.org/doi/pdf/10.1056/NEJMsb2005114?articleTools=true -A framework for rationing ventilators and critical care beds during the COVID-19 pandemic (JAMA March 27, 2020) can be found  at:  https://jamanetwork.com/journals/jama/fullarticle/2763953 -The COVID Ready Communication Playbook by Vital Talk can be found at: https://www.vitaltalk.org/guides/covid-19-communication-skills/ -The proning protocol currently in use at NYC Health + Hospitals can be found here - Proning Protocol -The burrito technique for proning is also demonstrated at:  https://www.youtube.com/watch?v=qx2z26IL6g8&feature=youtu.be -A reminder that "There are no emergencies in a pandemic."