Podcasts about acute care surgery

In this 3rd part of the team's discussion of adult trauma care with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals, the continuation of trauma center designation criteria continues. On-scene times and the use of ground and air transport methods are discussed which leads into a discussion of what will “kill” a trauma patient?

Ray, Caleb and Dr. Hill continue with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals.  The discussion of having a defined Level 4 Trauma Center designation starts this episode and then the group discussion the changes in prehospital trauma care based .. i.e. tourniquets, lactated ringers and cervical collars that has been based on data collection.

We got the gang together (minus John, who is on mission).  Today, we are talking about diverticulitis with super expert Scott Steele.  Scott walks Jason, Patrick, and Kevin through the nuances of modern-day management of diverticulitis.   We cover laparoscopic lavage, review decision making for surgical resection after drainage, and discuss the evolving role of antibiotics in uncomplicated cases. Surgical techniques, including resection boundaries and the consideration of diverting ostomies in emergent situations, are also reviewed.  DOMINATE THE COLON! Hosts Scott Steele, MD: @ScottRSteeleMD Scott is the Rupert B. Turnbull MD Endowed Chair in Colorectal Surgery and Chairman of Colorectal Surgery at Cleveland Clinic in Cleveland, OH. A graduate of the United States Military Academy at West Point, he was an active duty Army officer for over 20 years, serving as the Chief of Colorectal Surgery at Madigan Army Medical Center. He also received his MBA from Case Western University Weatherhead School of Business and Management. Patrick Georgoff, MD: @georgoff Patrick Georgoff is an Acute Care Surgeon at Duke University.  He went to medical school at the University of Pennsylvania, completed General Surgery residency and Surgical Critical Care fellowship at the University of Michigan, and a Trauma Surgery fellowship at the University of Texas in Houston.  His clinical practice includes the full spectrum of Acute Care Surgery in addition to elective hernia surgery.  Patrick is the Associate Program of the General Surgery Residency and associate Trauma Medical Director at Duke. Kevin Kniery, MD: @Kniery_Bird Kevin is a vascular surgeon at Brooke Army Medical Center. He completed his undergraduate degree at the United States Military Academy in West Point, medical school at Tulane University, general surgery residency at Madigan Army Medical Center, and vascular fellowship at Cornell and Columbia. Jason Bingham, MD: @BinghamMd Jason is a general and bariatric surgeon at Madigan Army Medical Center. He also serves as the Director of Research and Associate Program Director for the general surgery residency program. He received his undergraduate degree from New York University and medical degree at the Uniformed Services University of Health Sciences. He is a medical officer in the US Army with several combat deployments under his belt. Jason's research efforts focus on the management of hemorrhagic shock, trauma induced coagulopathy, and ischemia-reperfusion injury. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Ray Pace takes the lead this month as the crew talks adult trauma topics with, Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals.  In this first episode of the series, Dr. Tinkoff reflects on how he came to find Trauma Surgery as a specialty including his early life as a first responder. The group discusses the varied capabilities of trauma center levels and the Golden Hour.

In this episode, we are joined by Dr. Tanya Zakrison, MD, PhD, Professor of Trauma and Acute Care Surgery and Director of Critical Trauma Research at the University of Chicago Medical Center. Her work focuses on the connection between interpersonal trauma, critical race theory and racial capitalism. In this podcast, Dr. Zakrison shares how her personal experiences in young adulthood helped her make connections between violence experienced in the United States and global patterns of violence resulting from capitalism and colonial histories. She describes how structural, cultural and social violence causes the trauma-based violence we experience locally, nationally and globally. She describes the incessant gun violence in the U.S., especially affecting schoolchildren, as a critical problem that requires attention beyond making arrests and treating the physical wounds of the victims. Dr. Zakrison points out how we have normalized abnormality in the U.S. through the culture of individualism and social violence. She introduces the concept of “hate” as a public health disease and discusses the importance of deep understanding of history as a means to disrupt cycles of hate. In this broad-ranging discussion, we also explore the importance of medical-legal partnerships and their role in supporting victims of violence, framing them as one methodology for violence prevention as well.In discussing her work on firearm violence, Dr. Zakrison shared a poignant experience of being told as a scientist in the United States that she was not allowed to ask a particular question, highlighting the contrast between legislation such as the Dickey Amendment and our national ideals of freedom. She recommended building bridges of solidarity, joy, love and communal support systems to counteract the effects of discrimination, exclusion, and hate. At personal level, she encouraged us to use our power to help people develop their human potential so that we can all benefit from the genius that everyone holds inside themselves.Some of Dr. Zakrison's work can be found here:https://pubmed.ncbi.nlm.nih.gov/28922206https://pubmed.ncbi.nlm.nih.gov/30484899/https://pubmed.ncbi.nlm.nih.gov/35300858/Link to Practical Radicals: https://thenewpress.com/books/practical-radicals

Join Patrick Georgoff to learn more about how YOU can make amazing digital education content. At Behind the Knife we are often asked how to create digital education content. Thanks to the democratization of technology and rise of the creator economy, all of the tools are at your fingertips. Would you like to enhance your next lecture, grant application, manuscript submission, or patient educational material? You can, even if you are part luddite! You don't need a publisher, advanced computer skills, or tons of money. Don't believe us? Listen to this short podcast for tipsand tricks on how you can make great content.  Patrick Georgoff (@georgoff) is an Acute Care Surgeon at Duke University. He went to medical school at the University of Pennsylvania, completed General Surgery residency and Surgical Critical Care fellowship at the University of Michigan, and a Trauma Surgery fellowship at the University of Texas in Houston. His clinical practice includes the full spectrum of Acute Care Surgery in addition to elective hernia surgery. Patrick is deeply involved in surgical education and the is the Associate Program of the General Surgery Residency at Duke and Co-Director of Behind the Knife. He is passionate about trauma system performance and holds the position of associate Trauma Medical Director at Duke.  ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

In this episode by the Emergency General Surgery team, we explore the inevitable in acute care surgery- complications. Once a taboo subject, we are now beginning to understand how surgeons and care teams are affected when things don't go as planned. The team discusses two articles that explore the impact of surgical complications on surgeons, both in the short and long term, as well as ways to rehabilitate and support surgeons when they face a challenging complication. Drawing on the article, as well as personal experience, this episode works towards the ongoing shift in surgical culture around outcomes and supports improved surgeon wellness.  Hosts Dr. Ashlie Nadler Dr. Jordan Nantais,  Dr. Graham Skelhorne-Gross Dr. Marika Sevigny References Zhu A, Deng S, Greene B, Tsang M, Palter VN, Jayaraman S. Helping the Surgeon Recover: Peer-to-Peer Coaching after Bile Duct Injury. J Am Coll Surg. 2021 Aug;233(2):213-222.e1. doi: 10.1016/j.jamcollsurg.2021.05.011. Epub 2021 Jun 7. PMID: 34111530. https://pubmed.ncbi.nlm.nih.gov/34111530/ Han K, Bohnen JD, Peponis T, Martinez M, Nandan A, Yeh DD, Lee J, Demoya M, Velmahos G, Kaafarani HMA. The Surgeon as the Second Victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) Study. J Am Coll Surg. 2017 Jun;224(6):1048-1056. doi: 10.1016/j.jamcollsurg.2016.12.039. Epub 2017 Jan 16. PMID: 28093300. https://pubmed.ncbi.nlm.nih.gov/28093300/ Learning objectives Understand the psychological impact of surgical complications on the care provider Explore the role of peer-to-peer mentoring in support and rehabilitation of surgeons Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

This episode of VHHA's Patients Come First podcast features Dr. Paula Ferrada, a board-certified surgeon, mentor, and educator who serves as the Division Chief of Trauma and Acute Care Surgery at Inova. She joins us for a conversation about how family influence attracted her to medicine, her early days as a beauty pageant winner and television host in her native Columbia, her path to the U.S. to pursue her medical career, her views on the importance of mentorship, and more. Send questions, comments, feedback, or guest suggestions to pcfpodcast@vhha.com or contact on X (Twitter) or Instagram using the #PatientsComeFirst hashtag.

In this episode, Scott Becker interviews Dr. Nathaniel McQuay, Chief of Acute Care Surgery at University Hospitals Cleveland Medical Center. Dr. McQuay discusses his career journey, the critical role of technology and artificial intelligence in modern healthcare, and the importance of leadership and communication in improving patient outcomes and access to care.

LISTENER DISCRETION IS ADVISED References: Band RA, Salhi RA, Holena DN, Powell E, Branas CC, Carr BG. Severity-adjusted mortality in trauma patients transported by police. Ann Emerg Med. 2014 May;63(5):608-614.e3. doi: 10.1016/j.annemergmed.2013.11.008. Epub 2014 Jan 2. PMID: 24387925; PMCID: PMC5912155. Inaba K, Jurkovich GJ. Police Transport for Penetrating Trauma-Lessons From Patients in Philadelphia. JAMA Netw Open. 2021 Jan 4;4(1):e2035122. doi: 10.1001/jamanetworkopen.2020.35122. PMID: 3349Time 2370. Maher, et. Al. (2021). Police transport of Firearm-Injured patients- more often and more injured. Journal of Acute Care Surgery. PMID 34108420 Winter, et al. (2021). Association of Police Transport with Survival Among Patients With Penetrating Trauma in Philadelphia, Pennsylvania. JAMA Open Network. PMID 33492375 Winter E, Byrne JP, Hynes AM, Geng Z, Seamon MJ, Holena DN, Malhotra NR, Cannon JW. Coming 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.

So You Wanna Be .... AAST Acute Care Surgery Fellow.In this episode, Dr. Stephanie Savage discusses the field of Acute Care Surgery and the advantages of pursuing a career in this field. She describes Acute Care Surgery as the special forces of general surgery, dealing with the  sickest patients. She also explains the difference between the traditional path and the AAST fellowship for aspiring acute care surgeons. The AAST fellowship offers a two-year program with a focus on operative techniques and advanced surgical problems. Dr. Savage highlights the special features and programming of the fellowship, including mentorship, academic content, and international rotations. She provides advice for applicants and junior residents interested in acute care surgery.

It's that time of year (again!)- when medical students- both US and International- are preparing their residency applications. In this episode, we will focus on the special challenges International Medical Graduates face when applying to US surgical residency positions and discuss tips and tricks for making IMG residency applicants standout to program directors in the US.  Guests: David Hughes, MD- Clinical Associate Professor of Endocrine Surgery and General Surgery Residency Program Director- University of Michigan Krishnan Raghavendran, MBBS- Professor of Acute Care Surgery and Critical Care- University of Michigan Link to video:  You can watch Dr. Hughes's full presentation here: https://youtu.be/iQ0CzH7xHwE Previous DOMINATE the Match Episodes:  Episode 2- “Choose Me” (Personal Statements and Letters of Recommendations) https://behindtheknife.org/podcast/dominate-the-match-episode-2-choose-me/ Episode 3- “The Interview” https://behindtheknife.org/podcast/dominate-the-match-episode-3-the-interview/ Episode 4- “Rank and Match” https://behindtheknife.org/podcast/dominate-the-match-episode-4-rank-and-match/ Residency Program Lists:  - FREIDA Residency and Fellowship Database: https://freida.ama-assn.org/ - Doximity: https://www.doximity.com/residency/?utm_campaign=marketing_resnav_competitor_broad_20210520&utm_source=google&utm_medium=cpc&gclid=CjwKCAjwt52mBhB5EiwA05YKo1J47BLAtTPtsJBmVvXGP2pDXLLqgDIwM0pgkSYjoBhFUOO1ktXDYRoC2bkQAvD_BwE Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

The Fellowship of the Snow kept it interesting this year…both on and off the slopes!  On this episode, Patrick Georgoff discusses the Western Trauma Association's updated resuscitative thoracotomy algorithm with Ron Tesoriero, the results of a WTA multicenter trial exploring chest tube irrigation for the prevention of retained hemothorax with Thomas Carver, and prehospital blood administration with Juan Duchesne.   ** Algorithms and papers are pending final review and are therefore not available to link to this episode.   Ron Tesoriero, MD: Associate Professor of Surgery, Director of the Acute Care Surgery Fellowship, and Co-Director of the SICU at UCSF. Thomas Carver, MD: Associate Professor of Surgery, Director of the Acute Care Surgery Fellowship, and Senior Medical Director of Critical Care Services at the Medical College of Wisconsin.   Juan Duchesne, MD: Professor of Surgery and Chief of Trauma and Acute Care Surgery at Tulane university.    Resuscitative Thoracotomy: The Who (Episode 475): https://app.behindtheknife.org/podcast/big-t-trauma-series-ep-14-ed-thoracotomy-the-who  Resuscitative Thoracotomy: The How (Episode 476): https://app.behindtheknife.org/podcast/big-t-trauma-series-ep-15-ed-thoracotomy-the-how Innovation Lifeflow (Episode 642): https://app.behindtheknife.org/podcast/innovations-in-surgery-lifeflow We now have over 725 episodes!  The easiest way to find specific topics or episodes is on our website https://app.behindtheknife.org/home or on our new Apple/Android app.  You can search or browse by topic, podcast series, etc., making it much easier to navigate than podcast players.   iOS: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android: https://play.google.com/store/apps/details?id=com.btk.app PREMIUM BUNDLE: https://app.behindtheknife.org/bundle/95 Please email hello@behindtheknife.org to learn more about our premium bundle and institutional discounts.  Premium Bundle Includes: General Surgery Oral Board Audio Review Trauma Surgery Video Atlas Colorectal Surgery Oral Board Audio Review Surgical Oncology Surgery Oral Board Audio Review Vascular Surgery Surgery Oral Board Audio Review Cardiothoracic Surgery Surgery Oral Board Audio Review

Join Drs. Kaitlin Ritter, Shyam Murali, Mike Radomski, and Jeremy Levin as they talk with Dr. Chris Tignanelli of University of Minnesota about his work in artificial intelligence, its implementation in trauma care, and how it is definitely NOT about robots taking over the world.

Dr. Miglietta is the Chief of Trauma & Critical Care at the new Wynn Hospital in New York. He is currently the Program Director of the General Surgery Residency Program, Chairman and Professor of Surgery, and Associate Dean at Touro College of Osteopathic Medicine. He is the former Chief of Acute Care Surgery at the New York-Presbyterian Hospital. Prior to that role, at Columbia, Dr. Miglietta served as Chief of the Division of Trauma & Critical Care at New York University School of Medicine and Director of Trauma and Co-Director of the Surgical Intensive Care Unit at the renowned and historic Bellevue Hospital Trauma Center in New York City.Dr. Miglietta founded and serves as Director of the Homeland Security Mobile Trauma Unit. This unit provided medical care to dignitaries and federal agents in conjunction with the United States Secret Service and Department of State - Diplomatic Security Service for over 10 years. He is an Honorary Police Surgeon providing expert trauma consultation for the New York City Police Department. From 2004 to 2014, he served as the Physician Advisor to the United States Secret Service. Dr. Miglietta is a Special Deputy U.S. Marshal assigned to the NY/NJ Fugitive Task Force.Dr. Miglietta spearheaded medical education in northern New Jersey by creating 11 residency programs. He is actively involved in educating medical students and residents and served as the Director of Medical Education and Program Director for the Hackensack Meridian General Surgery Residency Program. He has authored and co-authored more than thirty peer-reviewed publications and is dual board certified in Surgery and Critical Care. As a leader in the profession, Dr. Miglietta practices Robotic & Laparoscopic General Surgery as well as Critical Care. He performed the first robotic general surgery procedures at various Hospitals.Find Dr. Maurizio Migliettahttp://www.mobiletraumaunit.org/Find The Suffering PodcastThe Suffering Podcast InstagramKevin Donaldson InstagramMike Failace InstagramBuzzsproutApple PodcastSpotifyFacebookTikTokYouTubeThe Suffering Podcast FamilyDented Development ProjectToyota of HackensackBetterHelp Discount Code SufferingBella Dama CigarsSupport the showThe Suffering Podcast Instagram Kevin Donaldson Instagram TikTok YouTube

At least 18 people are dead, and 13 others are injured following mass shootings at a bowling alley and a restaurant in Maine on Wednesday night. Dr. Sharven Taghavi, the director of Acute Care Surgery at Tulane University School of Medicine, reflects on the tragedy. He also discusses research that links structural racism and mass shootings. Plus, Dr. Brian Williams, a trauma surgeon, talks with Rose about his latest book, "The Bodies Keep Coming," that aims to confront gun violence, health inequities and systemic racism.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In the first episode of a two-part series on trauma, host Rick Greene, MD, FACS, talks with three trauma surgeons about a variety of topics, including a milestone that led to a significant decrease in motor vehicle mortality, quality assessment of trauma centers, trauma care for geriatric patients, and specific areas of injury prevention such as firearm injury prevention and violence prevention. His guests are Jeffrey D. Kerby, MD, PhD, FACS, director of the Division of Trauma & Acute Care Surgery at the University of Alabama at Birmingham (UAB) and Chair of the ACS Committee on Trauma; Sabrina Goddard, MD, assistant professor of surgery and assistant trauma medical director at UAB; and M. Zain Hashmi, MD, assistant professor of surgery at UAB. Learn more about Selected Readings in General Surgery, an American College of Surgeons publication that highlights highly relevant and practice-changing information from the world's most prominent medical journals. #SurgicalReadings #SRGS

Welcome to FractureLine: the official weekly news feed from the Chest Wall Injury Society, where we will listen to all the bottom-line CWIS updates, shout-outs, fun facts, and weekly banter! This week, we chat with Dr. Babak Sarani, MD, FACS, FCCM (George Washington University Hospital, Washington, DC), the Director of Trauma and Acute Care Surgery for GWUH as he is the incoming President of CWIS. Dr. Sarani has been present since the beginning so this episode holds lots of little-known facts about the Society. Do you know what CWIS's original name was?! Well, that answer lies within! We know you are gonna love this one!

The EAST Oriens Award is a resident and fellow essay competition celebrating the passions that drive us to choose a career in Trauma and Acute Care Surgery.  In this podcast, Dr. Hassan Mashbari talks with the 2023 Oriens Award Recipients, Dr. Julia R. Coleman (Fellow recipient) and Dr. Colin Whitmore (Resident recipient), as they share their  essays and discuss what has led them to a career in Trauma and Acute Care Surgery.Supplemental MaterialEAST Oriens Award information and past award recipients and essays.

Joining us on Well Said is Dr. Jose Prince and Dr. Chethan Sathya. Dr. Prince is the Vice Chair of Surgery and the System Chief of Pediatric Surgery and Acute Care Surgery for Northwell Health, Surgeon in Chief at Cohen Children's Medical Center and a professor of Surgery and Pediatrics at the Zucker School of Medicine at Hofstra/Northwell. Dr. Sathya is a Pediatric General and Thoracic Surgeon, Associate Medical Director for Trauma and the Surgical Director for Pediatric Critical Care at Cohen Children's Medical Center, assistant professor of Surgery and Pediatrics at the Zucker School of Medicine at Hofstra/Northwell and director of the Northwell Health Gun Violence Prevention Center. They will be discussing how gun violence causes physical injury to its victims, increases strain on our health systems, and reshapes entire communities.

Calling all surgeons! It's time to take back common bile duct stones! Join our surgical education fellow, Shanaz Hossain, as she talks about laparoscopic common bile duct exploration (LCBDE) with Drs. Maggie Bosley, Lucas Neff, and Byron Fernando Santos. Dr. Bosley is a graduating chief resident at Wake Forest and incoming MIS fellow at Washington University in St. Louis. Dr. Neff is an assistant professor of pediatric surgery with Wake Forest Baptist Health and Brenner's Children's Hospital. Dr. Santos is an assistant professor of surgery at Dartmouth-Hitchcock Medical Center. As a research resident at Northwestern University, he co-invented a LCBDE simulator that is used to train surgeons in these techniques. He is also a member of the SAGES Safe Cholecystectomy Task Force and has led numerous LCBDE courses.  Join us for a discussion on LCBDE indications, implementation, techniques, and tips for incorporation into patient care. If you're interested in learning more, check out the instructional video from these surgeons as well as some of their work on LCBDE: Instructional Video: https://behindtheknife.org/video-playlists/laparoscopic-common-bile-duct-tutorial-series/ Research Articles ·      Anterograde Balloon Sphincteroplasty as an Adjunct to Laparoscopic Common Bile Duct Exploration for the Acute Care Surgery: https://journals.lww.com/jtrauma/Citation/2022/03000/Antegrade_balloon_sphincteroplasty_as_an_adjunct.22.aspx ·      Choledocholithiasis – A New Clinical Pathway: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343507/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. 

The Peer Review Committee at your hospital or institution is continually monitoring the performance of all its physicians as part of its quality and safety initiative.  This episode focuses on what to know about the peer review process if you happen to get the attention of the peer review committee: how to use the experience to improve yourself, and how to protect yourself and your career from sham peer review.  Dr. Charlie Harris interviews Dr. Andrew Bernard, Chief of the Division of Trauma and Acute Care Surgery at the University of Kentucky College of Medicine.  For more on the topic of sham peer review, please see the 2016 EAST town hall moderated by Drs. Bernard and Matt Martin here

The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/GOK3uN   Dr Addison May is Chief of Acute Care Surgery for the Atrium Health system and Carolinas Medical Center in Charlotte, North Carolina. Prior to assuming this role in 2018, he held the Ingram Chair in Surgical Sciences and was Professor of Surgery and Anaesthesiology at Vanderbilt University Medical Center where he served as the Director of Surgical Critical Care and the Program Director of Vanderbilt's Surgical Critical Care and Acute Care Surgery Fellowship for 17 years. Dr May is a past President of the Surgical Infection Society, past Chair of the Surgical Section of the Society of Critical Care Medicine, a fellow of the American College of Critical Care Medicine and the American College of Surgery, and a recipient of the Barry A. Shapiro Memorial Award for Excellence in Critical Care awarded by the American College of Critical Care Medicine. He has published greater than 230 peer reviewed manuscripts, book chapters, and editorials predominately in the areas of surgical infections, critical illness, and trauma.   Today's Episode is brought to you by Doc2Doc Lending. Doc2Doc provides Match Day loans of up to $25,000 to fourth-year medical students and current residents. These loans are designed to help students cover personal expenses, such as moving costs, housing down payments, and living expenses before and during residency. With fixed interest rates, flexible repayment terms, and no prepayment penalties, Doc2Doc Match Day loans provide financial flexibility and allow students to focus on their exciting journey towards becoming a physician. Doc2Doc was founded for doctors, by doctors. They understand the challenges and hard work involved in becoming a doctor, and they support doctors throughout their careers. Using their in-house lending platform, Doc2Doc considers the unique financial considerations of doctors that are not typically considered by traditional financial institutions. So, Don't let financial stress hold you back from achieving your goals - Doc2Doc lending has you covered. Visit www.doc2doclending.com/mdcoaches to Learn more.       Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe   Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- Show notes at https://rxforsuccesspodcast.com/148 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com    

In this episode we discuss trauma airway management with Doc Godfrey (CricEm if you got ‘em). Doc sits down with us as we look at a paper from The Journal of Trauma and Acute Care Surgery which discusses prehospital definitive airway not being associated with improved survival in trauma patients. Trauma airway management is complicated, but it doesn't necessarily need to be… We talk about how to best utilize your clinical skills and assessment along with BLS and basic airway adjuncts as well as medical direction's role and the effectiveness of appropriate training. Great chat and as always, we appreciate Doc CricEm (Godfrey) for coming on to talk with us to provide everyone with some quality evidence-based guidelines for airway management. As always, thanks for listening and we hope this series provides just one more tool to help you better yourself and the patients we see daily.  Follow us on Instagram and Twitter. References Journal of Trauma and Acute Care Surgery 89(2S):p S237-S241, August 2020. | DOI: 10.1097/TA.0000000000002722 The American Surgeon 87(1);159-161 January 2020 DOI:10.1177/0003134820945228

Dr Sandy Widder is a Trauma Surgeon, Intensivist and overall amazing human being. She works as an associate professor in the departments of critical care and surgery at the University of Alberta, and is the Assistant Zone Director on Integrated Quality Management for the Edmonton zone in Alberta, Canada. She is passionate about Quality Improvement/Patient Safety and somehow finds time for Health administration in her busy schedule. We were lucky to get her on our podcast! Join us as she talks about what the general intensivist needs to know about the trauma patient. Further reading: ABC assessment: Early prediction of massive transfusion in trauma: simple as ABC (assessment of blood consumption)? Nunez TC, Voskresensky IV, Dossett LA, Dutton WD, Cotton BA. J. Trauma. 2009. Feb 66 (2): 346-52. TXA: Effects of transexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant hemorrhage (CRASH-2): a randomized, placebo-controlled trial. Lancet. 2010. 376: 23-32. Fibrinogen: Reversal of trauma-induced coagulopathy using first-line coagulation factor concentrates or fresh frozen plasma (RETIC): a single-centre, parallel-group, open label, randomized trial. Innerhofer P, Fries D, Mittermayer M, Innerhofer N, von Langen D, Hell T et al. Lancet Haematology. 2017. 4 (6): 258-271. Stop the bleed: www.stopthebleed.org VTE Prophylaxis: Updated guidelines to reduce venous thromboembolism in trauma patients: a Western Trauma Association critical decisions algorithm. Let EJ, Brown C, Moore E, et al. The Journal of Trauma and Acute Care Surgery. 2020. 89 (5): 971-981. Geriatric trauma: ACS TQIP Geriatric Trauma Management Guidelines. HTTPS:www.facs.org/media/314or1oq/geriatric_guidelines.pdf Rib fractures: Western Trauma Association Critical Decisions in Trauma: Management of rib fractures. Brasel KJ, Moore E, Albrecht RA et al. 2017. Journal of Trauma and Acute Care Surgery. 82 (1): 200 - 203.

In this “journal club” edition of the podcast, we are joined by the thoughtful trauma guru Dr. Hameed to talk about his paper in the Canadian Journal of Surgery (CJS). This paper, authored by Drs. Ball, Lee, Kaminsky, and Hameed gets at the “heart” of both the decision-making and technical aspects of treating penetrating cardiac injuries. YouTube version: https://youtu.be/_g6Nu66Q3AM YouTube channel: https://www.youtube.com/@coldsteelsurgery Links: 1. Technical considerations in the management of penetrating cardiac injury: https://www.canjsurg.ca/content/65/5/E580 2. Sternotomy or drainage for a hemopericardium after penetrating trauma: a randomized controlled trial. https://pubmed.ncbi.nlm.nih.gov/23604058/ 3. A caveat to the Performance of Pericardial Ultrasound in Patients with penetrating Cardiac Wounds. https://pubmed.ncbi.nlm.nih.gov/19901678/ Morad Hameed Bio: Dr. Morad Hameed is a trauma surgeon and intensivist at the Vancouver General Hospital (VGH) and an Assistant Professor of Surgery at the University of British Columbia (UBC). He completed medical school and surgical residency at the University of Alberta, graduate studies in public health at Harvard University, and fellowships in Trauma Surgery and Surgical Critical Care at the University of Miami. He spent 3 years on the surgical faculty at the University of Calgary, before moving to Vancouver. He is the Head of the UBC and VGH Division of General Surgery and is a Service Chief for Acute Care Surgery at VGH. He also chairs the Research Committee of the Trauma Association of Canada, and is the immediate past chair of the Canadian Association of General Surgeons Committee on Acute Care Surgery. His research focuses on systems of trauma care and acute care surgery. Dr. Hameed's research teams have received grants from the Canadian Institutes for Health Research, the Michael Smith Foundation for Health Research, and other funding agencies for their work on disparities in injury risk and access to trauma systems in Canada. The development of promising partnerships with trauma investigators at the University of Cape Town has recently extended this work to South Africa.

In a continuing series focused on vascular surgery, host Rick Greene, MD, FACS, talks to vascular surgeon Marie L. Crandall MD, MPH, FACS, about venous thromboembolism. Dr. Crandall is Professor and Associate Chair, Research; Chief, Division of Acute Care Surgery; Program Director, General Surgery Residency, Department of Surgery, University of Florida Jacksonville. *Addendum from Dr. Crandall: “The timing of VTE prophylaxis after neurosurgical intervention for TBI can be challenging.  However, this JAMA Surg retrospective cohort study demonstrated that prophylaxis before 72hrs was associated with greater risk of reintervention and mortality and after 72 hours was associated with greater risk of VTE but not mortality.  This suggests that perhaps 3 days would be safest balance for most patients after neurosurgical intervention for TBI.”  Learn more about Selected Readings in General Surgery, an American College of Surgeons publication that highlights highly relevant and practice-changing information from the world's most prominent medical journals.  #SurgicalReadings

In this episode we sit down with the Chief of Trauma, Surgical Critical Care, Burns,  & Acute Care Surgery at the University of Arizona, Dr. Bellal Joseph, who share with us his thoughts and research findings on hot topics including frailty, geriatric trauma, leadership, and more.Timestamps:00:12  Introductions01:30  What is frailty? Your physiologic NOT chronologic body.06:58  Injured elderly trauma patients can have good outcomes07:30  Trauma specific frailty index10:48  Failure to rescue13:57  Geriatricians and the trauma surgeons 15:08  4Ms-What Matters, Mobility, Mentation, Medication16:48  Geriatric cohorting/wards22:24  ACS geriatric centers of excellence 29:35  Brain Injury Guidelines (BIG)38:17  The importance of teamwork & servant leadership40:28  Imposter syndrome43:19  Leadership considerations45:25  Final thoughtsReferences:Joseph B, Friese RS, Sadoun M, Aziz H, Kulvatunyou N, Pandit V, Wynne J, Tang A, O'Keeffe T, Rhee P. The BIG (brain injury guidelines) project: defining the management of traumatic brain injury by acute care surgeons. J Trauma Acute Care Surg. 2014 Apr;76(4):965-9. doi: 10.1097/TA.0000000000000161. PMID: 24662858.Joseph B, Obaid O, Dultz L, Black G, Campbell M, Berndtson AE, Costantini T, Kerwin A, Skarupa D, Burruss S, Delgado L, Gomez M, Mederos DR, Winfield R, Cullinane D; AAST BIG Multi-institutional Study Group. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554. Epub 2022 Mar 28. PMID: 35343931.vJoseph B, Pandit V, Haider AA, Kulvatunyou N, Zangbar B, Tang A, Aziz H, Vercruysse G, O'Keeffe T, Freise RS, Rhee P. Improving Hospital Quality and Costs in Nonoperative Traumatic Brain Injury: The Role of Acute Care Surgeons. JAMA Surg. 2015 Sep;150(9):866-72. doi: 10.1001/jamasurg.2015.1134. PMID: 26107247.Joseph B, Pandit V, Sadoun M, Zangbar B, Fain MJ, Friese RS, Rhee P. Frailty in surgery. J Trauma Acute Care Surg. 2014 Apr;76(4):1151-6. doi: 10.1097/TA.0000000000000103. PMID: 24662884.Orouji Jokar T, Ibraheem K, Rhee P, Kulavatunyou N, Haider A, Phelan HA, Fain M, Mohler MJ, Joseph B. Emergency general surgery specific frailty index: A validation study. J Trauma Acute Care Surg. 2016 Aug;81(2):254-60. doi: 10.1097/TA.0000000000001120. PMID: 27257694.Support the show

How do you know when it's time to make a move? What factors do you have to consider when looking for the next opportunity? This episode focuses on finding new career challenges, and the personal challenges that might come along with it. Are you running away from something you don't like or running towards something new?  Dr. Stephanie Streit interviews Dr. Martin Zielinski, the Chief of the Division of Trauma and Acute Care Surgery at the Baylor College of Medicine. 

New paper will be coming out discussing new thoughts on MASCAL incorpoarting new ideas on Time and Triage to be published in the Journal of Trauma and Acute Care Surgery. Also look for our upcoming discussion on the PFC podcast with Dennis. THAT OTHERS MAY LIVE 

This week, the topic of discussion was: Emergency Surgery Acute Care Surgery Laparoscopic Surgery Incarcerated Hernia Strangulated Hernia Infection Mesh Damage Control Elective Surgery Medical Optimization Diabetes Obesity Smoking Tobacco Use Chronic Cough Hernia Recurrence Surgical Outcome Adhesions Small Bowel Intestinal ObstructionWelcome to HerniaTalk LIVE, a Q&A hosted by Dr. Shirin Towfigh, hernia and laparoscopic surgery specialist who practices at the Beverly Hills Hernia Center. This is the only Q&A of its kind, aimed at educating and empowering patients about all things related to hernias and hernia-related complications. For a personal consultation with Dr. Towfigh: +1-310-358-5020, info@beverlyhillsherniacenter.com.If you find this content informative, please LIKE, SHARE, and SUBSCRIBE to the HerniaTalk Live channel and visit us on www.HerniaTalk.com.Follow Dr. Towfigh on the following platforms:Youtube | Facebook | Instagram | Twitter

This week on the podcast we spoke with Dr. Paul Engels, a trauma surgeon from McMaster University in Hamilton, Ontario. We got into some pretty detailed discussions around trauma training specifically, but more broadly about how we define what a resident should be able to perform at the end of training. Links: 1. The current state of resident trauma training: Are we losing a generation? https://pubmed.ncbi.nlm.nih.gov/29806811/ 2. Canadian Collaborative on Urgent Care Surgery (CANUCS): https://canucs.ca/ 3. Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre. https://journalhosting.ucalgary.ca/index.php/cmej/article/view/69323/54233 4. Toward an all-inclusive trauma system in Central South Ontario: development of the Trauma-System Performance Improvement and Knowledge Exchange (T-SPIKE) project. https://pubmed.ncbi.nlm.nih.gov/33720676/ 5. ASSET course: https://www.facs.org/quality-programs/trauma/education/asset/ 6. Treatment of Ongoing Hemorrhage: The Art and Craft of Stopping Severe Bleeding. https://www.amazon.ca/Treatment-Ongoing-Hemorrhage-Stopping-Bleeding/dp/3319634941. 7. Simulated Trauma and Resuscitation Team Training (S.T.A.R.T.T) course: https://caep.ca/cpd-courses/simulated-trauma-and-resuscitation-team-training-s-t-a-r-t-t/ 8. Definitive Surgical Trauma Care (DSTC™) Courses. https://iatsic.org/DSTC/ 9. Advanced Trauma Operative Management (ATOM) course. https://atomcourse.com/#:~:text=The%20Advanced%20Trauma%20Operative%20Management,post%2Dcourse%20exams%20and%20evaluations. 10. BEST - Basic Endovascular Skills for Trauma. https://medschool.ucsd.edu/som/surgery/divisions/trauma-burn/training/courses/Pages/REBOA-Course.aspx. Bio: Paul Engels is a Trauma/General Surgeon and Intensivist at McMaster University in Hamilton, Ontario. He completed his residency in General Surgery and fellowship in Critical Care at the University of Alberta. He completed a fellowship in Trauma & Acute Care Surgery at Sunnybrook Health Sciences Centre in Toronto. He is a Fellow of the Royal College of Surgeons of Canada and the American College of Surgeons, as well as a member of the Eastern Association for the Surgery of Trauma and the American Association for the Surgery of Trauma.

Videos: 1. Matt Taibbi – Shouldn't Hillary Clinton Be Banned From Twitter Now? (Read) 2. Parents Talking To The School Board, About Filth in Schoolbooks (4:55) 3. Journalist Dr Udo Ulfkotte was paid to spread propaganda and push for war with Russia! (13:22) 4. Eugenics and America's Campaign to Create a Master Race: War Against the Weak (2003) (Start at 3:00, Play For 15 mins) 5. World Economic Forum – Hackable Humans – Yuval Noah Harari, 6. Bill Gates – ” We didn't understand that it's a fairly low fatality rate” Vitamin D may restore the body's natural barrier against ovarian cancer Nagoya University (Japan) Ovarian cancer has one of the highest death rates of all cancers. One reason for this is that the cancer turns the body's defenses against itself. However, new research from Nagoya University published in Matrix Biology suggests that vitamin D can effectively prevent one of the key pathways used by this cancer. Ovarian cancer often undergoes a process called peritoneal metastasis. In this process, its cells detach from their primary site in the ovary and travel to a secondary implantation site, such as the peritoneal wall or diaphragm. The peritoneum defends against this process using a barrier consisting of mesothelial cells, which prevent the adhesion of cancer cells and limit their spread. However, ovarian cancer gets around this defense by transforming the protective mesothelial cells into cancer-associated mesothelial cells. This creates an environment that helps metastasis, assisting the spread of cancer around the body. (Next) Herbal supplement shows promise against lung cancer University of Technology at Sydney Berberine, a natural compound found in plants such as barberry and goldenseal, suppresses the proliferation of lung cancer cells in the lab, new research shows. It also reduces airway inflammation and damage to healthy lung cells exposed to chemicals from cigarette smoke. The evaluation of berberine's effect on non-small cell lung cancer has just been published in the journal Pharmaceutics. It shows that berberine exhibits potent anticancer activity, suppressing cancer cell growth in vitro. The study follows research recently published in Antioxidants, also led by Dr. Dua, showing berberine can inhibit oxidative stress, and reduce inflammation and cellular senescence induced by cigarette smoke extract in lab-grown human healthy lung cells. (Next) N-acetylcysteine could improve concussion recovery Midwestern University (Arizona) A study reported on April 8, 2022, in The Journal of Trauma and Acute Care Surgery revealed improvement in symptoms of concussion among older men and women with mild traumatic brain injury (TBI) who received supplements containing the antioxidant amino acid N-acetylcysteine (NAC). Free radicals produced following brain injury react with lipids to create toxic molecules within the first hours following a traumatic brain injury. Dr McPherson and his associates suggested that the damage caused by these molecules could be responsible for the symptoms that occur after a concussion and that the use of compounds such as NAC could help mitigate some of these symptoms. The study included 65 traumatic brain injury patients of an average age of 76 years who were within three hours of trauma surgery service evaluation. Thirty-four patients received standard treatments for TBI plus 4 grams NAC within three hours of injury, followed by a 3-day period during which 2 grams NAC was administered twice per day and an additional 3 days during which 1.5 grams NAC was provided twice daily. The remainder of the participants received standard treatment alone. Questionnaires that evaluated post-concussion symptoms were administered at the beginning of the study and at 7 and 30 days. Questionnaire scores were significantly better in the NAC group on days 7 and 30. (Next) Ozone antiseptic shows potential for treating severe gum infections Research SEA (Japan) A powerful new antiseptic agent, called ozone nanobubble water, holds promise for the treatment of periodontitis, or severe gum infections, according to research published in the journal Science and Technology of Advanced Materials. The study, by Professor Shinichi Arakawa and colleagues, evaluated the bactericidal activities of ozone nano-bubble water — also known as NBW3 — against the two main bacterial agents that cause periodontitis. It also assessed NBW3's toxicity to human oral tissue cells. Their results showed that NBW3 can kill periodontal pathogens within 30 seconds of exposure, yet has only a minor impact on the viability of oral tissue cells after 24 hours of exposure. Based on their in vitro results, the researchers conclude that NBW3 could become a valuable tool for treating periodontitis. (Next) Eating a Mediterranean diet could cut womb cancer risk Institute of Pharmacological Research (Italy) Women who eat a Mediterranean diet could cut their risk of womb cancer by more than half (57 per cent), according to a study published in the British Journal of Cancer*. The Italian researchers looked at the diets of over 5,000 Italian women to see how closely they stuck to a Mediterranean diet and whether they went on to develop womb cancer**. The team broke the Mediterranean diet down into nine different components and measured how closely women stuck to them. The diet includes eating lots of vegetables, fruits and nuts, pulses, cereals and potatoes, fish, monounsaturated fats but little meat, milk and other dairy products and moderate alcohol intake. Researchers found that women who adhered to the Mediterranean diet most closely by eating between seven and nine of the beneficial food groups lowered their risk of womb cancer by more than half (57 per cent). Those who stuck to six elements of the diet's components reduced their risk of womb cancer by 46 per cent and those who stuck to five reduced their risk by a third (34 per cent). But those women whose diet included fewer than five of the components did not lower their risk of womb cancer significantly.

Mattox Vegas TCCACS 2022: Ep. 2  The Trauma, Critical Care, and Acute Care Surgery conference (aka the MATTOX conference, named after trauma surgery legend Kenneth L Mattox) is the longest running show in Las Vegas at 55 consecutive years.  The MATTOX conference is unique in its focus on clinical topics.  Every talk, every panel, and every case discussion is relevant and practical.  Join Behind the Knife as we use case-based discussions to hammer home key points from lectures given by some of the biggest names in trauma, critical care, and acute care surgery.  This is episode 2 of 2.   The lineup:   Hasan Alam, MD (@DrHasanAlam)  Scott Steele, MD (@ScottRSteeleMD)  Joseph Dubose, MD (check out his exceptional podcast here: https://www.tiger-country.org/)  Mathew Martin, MD (@docmartin22)  Red Hoffman, MD (@redMDND, check out her amazing podcast here: https://thesurgicalpalliativecarepodcast.buzzsprout.com/)  Bellal Joseph, MD (@TopKnife_B)  Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

The Trauma, Critical Care, and Acute Care Surgery conference (aka the MATTOX conference, named after trauma surgery legend Kenneth L Mattox) is the longest running show in Las Vegas at 55 consecutive years.  The MATTOX conference is unique in its focus on clinical topics.  Every talk, every panel, and every case discussion is relevant and practical.  Join Behind the Knife as we use case-based discussions to hammer home key points from lectures given by some of the biggest names in trauma, critical care, and acute care surgery.  This is episode 1 of 2.   The lineup:   Dennis Kim, MD (@traumaicurounds, check out his amazing podcast here: https://www.traumaicurounds.ca/)  Ali Salim, MD (@alisalimMD)  Jason Smith, MD (@DrJTrauma)  Meghan Lewis, MD   Demetrios Demetriades, MD  Alexander Eastman, MD (@PMHTrauma_ALE)  Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

Today, Dr. Priya Prakash, Dr. Vanessa Buie, and Dr. Anthony Douglas. Our conversation with these 3 acute care surgeons began with an exploration of acute care surgery — an evolving specialty consisting primarily of trauma, critical care, and emergency surgery — which turned toward to topics and places that surprised each of us.You'll hear not only about acute care surgery but also how doctors and healthcare institutions can earn the trust of the communities they serve. Alongside physician interactions with patients, we explore implicit bias, patient advocacy, as well as the value and necessity of having representative leadership and mentors who look like you in the work of patient care.Dr. Priya Prakash is an Assistant Professor of Surgery at UChicago Medicine specializing in trauma, critical care and emergency surgery. She has received several awards for her work and also serves as an ad hoc reviewer for the European Journal of Trauma and Emergency Surgery and the Journal of American College of Surgeons.Dr. Vanessa Buie is the general surgery Chief Resident at UChicago Medicine. She received her MBA from the University of Chicago Booth School of Business. In a previous life, Dr. Buie's work ranged from diabetes education to biomedical engineering and even serving as a cheerleader for the Minnesota Vikings, Dr. Anthony Douglas is a first year general surgery resident at UChicago Medicine. He is a graduate of Wabash College and the Indiana University School of Medicine. Dr. Douglas is excited to be a part of a generation of doctors changing the face of medicine.“Deep Cuts: Exploring Equity in Surgery” comes to you from the Department of Surgery at UChicago Medicine. Our host is Dr. Jen Vigneswaran. Our senior producer is Tony Liu. Our podcast cover art comes to you from Pombie Silverman, episode art from Sam Higgins, and music from Sen Morimoto off of Sooper Records. A special thanks this week to Julian Owens and Jan Spicer. Find more about our work at surgery.uchicago.edu.

March 24, 2022 ~ In this edition of "Michigan Answers" the Professor Emeritus of Acute Care Surgery at the University of Michigan Medical School talks to Paul about the Frankel Organ Bank.

When we think about regionalization of care, particularly in the setting of trauma, we often think about triage being done from a lower to a higher tier center. Today on the show we are joined by Dr. Maria Baimas-George to hear about the benefits of doing things the other way round. Dr. Baimas-George is currently a PGY 4 categorical general surgery resident at Carolinas Medical Center Atrium Health in Charlotte, North Carolina. She has been very active from a research and publication standpoint, and her recent paper, ‘Emergency general surgery transfer to lower acuity facility: The role of right-sizing care in EGS regionalization' was selected as the best of EGS paper for the JTACS 2022 January edition. In this paper, Dr. Baimas-George evaluates a 16-month experience of a five-surgeon team triaging EGS patients at Carolinas Medical Center, a tertiary care, Level I trauma center to an affiliated community hospital 1.3 miles away. In this episode, we hear about how this practice evolved at CMC and the role COVID played as well as the benefits it has yielded in terms of expedited patient care, resource capacity, and more. Key Points From This Episode: An intro to Dr. Baimas-George, her education, residency, and research contributions. How Dr. Baimas-George came up with her triage program and the role COVID played. Why Dr. Baimas-George's transfer program was a good use of resources. The short transfer times that have been achieved and how this was accomplished. Criteria used to triage patients from the ER in virtual consultations. Determining whether performing Surgery will be faster at CMC or Mercy. Whether there were issues of inappropriate transfer or under/over-triaging. Other key outcomes measured such as cost, operative minutes, and bed day savings. Opening up space for more complex surgeries at the main hospital by shuttling less acute cases to the community hospital. Other benefits such as solving care discontinuity, faster disposition, and more.

Joining us today is Dr. Marc de Moya, Professor and Chief of the Division of Trauma and Acute Care Surgery with the Depart- ment of Surgery at the Medical College of Wisconsin. Marc completed his general surgery resi- dency at St. Barnabas Medical Center in Livingston, New Jersey, followed by a fellowship in trauma and critical care surgery at the University of Miami Jackson Memorial Ryder Trauma Center. He also performed a K30 Career Research Development Grant through the Clinical Sci- entist Training Program and holds numerous local, regional, as well as national leadership and administrative positions on all of our key surgical societies. Marc is a great mentor, colleague, and leader in surgery who contributes regularly to the scientific literature, as evidenced by his publication record, which boasts well over 220 peer-reviewed articles, one of which is the topic of today's conversation: ‘Evaluation and management of traumatic pneumothorax: A Western Trauma Association critical decisions algorithm'. Tuning in, you'll learn the 35-millimeter rule for measuring pneumothoraces, the role of pre-procedural antibiotics in preventing infection, and some rules of thumbs to help you define physiologic instability, as as well as insight into hemothoraces, the use of ketamine, the safety of post-pull pneumo chest x-rays, and more! Make sure not to miss today's insightful conversation with Dr. Marc de Moya!   Key Points From This Episode: Find out how Dr. de Moya first became interested in this topic and went on to develop an al- gorithm with the Western Trauma Association (WTA). Learn more about what he calls the 35-millimeter rule for measuring pneumothoraces. Some insight into Dr. de Moya's approach when it comes to chest tube drainage. Dr. de Moya reflects on the failure rate of the 35-millimeter rule: between 5 and 10 percent. Blunt versus penetrating trauma and how they relate to the location of the bronchial injury. How to make pneumothorax measurements in a chest X-ray or CT scan. Why Dr. de Moya believes that pre-procedural antibiotics are key to preventing infection. Defining physiologic instability and what rules of thumb you can apply in your practice. Nuances to this algorithm, including when to follow-up on pneumothoraces. Dr. de Moya shares his view on the evolving role of ultrasound to quantify pneumothoraces. Autotransfusions and hemothoraces, ketamine, post-pull pneumo chest x-rays, and more!    

More than 200 000 individuals in the US develop acute cholecystitis annually. The majority of these cases are caused by gallstones blocking the cystic duct. However, about 5% to 10% of people with acute cholecystitis have acalculous cholecystitis. JAMA Associate Editor Kristin Walter, MD, MS, discusses the recent JAMA article “Acute Cholecystitis: A Review” with one of the authors, JAMA Associate Editor Anthony Charles, MD, MPH, who is Chief of the Division of Trauma, Critical Care and Acute Care Surgery, Director of the ECMO program, and Director of Global Surgery at University of North Carolina in Chapel Hill. Related Content: Acute Cholecystitis

Dr. Jeanine Cook-Garard learns about a local hospital system and their efforts to prevent serious injuries involving gun violence. My guest today is Dr. Jose M. Prince, one of the leaders of the Northwell Health Center for Gun Violence Protection. Dr. Prince is the Vice Chair of Surgery, as well as the VP & System Chief of Pediatric Surgery and Acute Care Surgery at Northwell. He is also Surgeon In Chief at Cohen Children's Medical Center, and a Professor of Surgery and Pediatrics at the Zucker School of Medicine at Hofstra-Northwell.

In this episode, Dr. Raul Coimbra shares with us his vision for the the Journal of Trauma & Acute Care Surgery.

Date: December 28th, 2021 Reference: Kulvatunyou et al. The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial. J Trauma and Acute Care Surgery. November 2021. Guest Skeptic: Dr. Chris Root is a second-year resident physician in the Department of Emergency Medicine at the University […]

Megan Iseman is a Physician Assistant at Prisma Health- Richland; a Level I Trauma Center here in Columbia, SC. Megan has been in practice with the Acute Care Surgery and Trauma team for the past 6 years and finds extreme fulfillment in practicing critical care medicine and helping those impacted by life-changing events. What Megan enjoys most about trauma is being able to see patients through their full hospitalization – from injury to recovery. The demonstration of resilience and growth are amazing reminders to her and her teammates daily. When not working extreme hours, this Floridan native enjoys any activity that can get her outside or close to water. Hallmarks of her life are her faith, friendships, and family time. Also, recently engaged to Dr. Tom, Megan has been planning their wedding and pursuing a deeper interest in holistic and functional medicine.

We have a great show for you, which will provide all of the answers you have come to expect from The Word on Medicine. We will spend the hour talking about the 414LIFE program developed in our Division of Trauma and Acute Care Surgery. 414LIFE focuses on reducing the burden that gun violence places on individuals and families in Milwaukee County by treating gun violence as a disease. A key element to the success of the 414LIFE program is engaging community members as “violence interrupters” in neighborhoods across Milwaukee County and in the hospital setting– we will explain what this amazing program is and show you how it is making a difference in our city and beyond. We have the experts, the information and most importantly, real-life experiences – which sets us apart from all other medical programming. You do not want to miss this one-of-a kind program – and only here in Milwaukee! Please join Drs. Terri deRoon-Cassini, Connie Kostelac, David Milia, Andrew Schramm, and Reggie Moore, Sarah Kohlbeck, Derrick Rogers, Ray Mendoza and Tonia Liddell for this very important discussion.

Welcome to FractureLine: the official weekly news feed from the Chest Wall Injury Society; where we will listen to all the bottom line CWIS updates, shout outs, fun facts and weekly banter! We (Tom, Sarah, Adam and I) are looking forward to connecting to all our CWIS members! If you have questions you need addressed, issues you want to bring forth, or just wanna say hi and chat- please let us know, we'd love to address them or even host you on a weekly episode... This week we are honored to have on Dr. David A. Spain, Professor, Chief of Acute Care Surgery, and General Surgery Residency Program Director at Stanford as well as the current President of the American Association for the Surgery of Trauma, Councilor of the American Board of Surgery and Director of the Surgical Critical Care board.

Dr. Jen Vigneswaran is a surgery resident at The University of Chicago Department of Surgery and the host of Deep Cuts, a show that brings conversations shared in and outside the operating room to you — why diversity, equity, and inclusion matter in surgery and how these topics impact the patients and community served on the South Side of Chicago.In this season preview, you'll hear more about this podcast and what you can expect from the first season, as Jen speaks with Dr. Jeffrey Matthews, a Professor of Surgery and the Department of Surgery Chair, as well as Dr. Brian Williams, a Professor of Trauma and Acute Care Surgery, both at the University of Chicago Department of Surgery.

We pre-recorded today's conversation as part of our monthly Community Health Partnership with Valley Health to learn about the Level II Trauma Center located at Winchester Medical Center. Joining me for the conversation: Terral Goode, MD, surgeon and medical director, Trauma and Acute Care Surgery; Autumn Davis, MSN, RN, CCRN, CFRN, Trauma Program Manager; and, Jennifer Rohrbaugh, FNP-C, Valley Health Surgical Partners. Winchester Medical Center is one of 19 state-designated trauma centers in VA - 1 of 6 Level II centers. We talked about why this is an important resource for our community and the types of trauma that can occur. Dr. Goode explained the difference between "trauma" and "emergency" though sometimes the two are related. We also talked about the two most important factors for trauma care: time and prevention.

On this episode of Leadership Lessons in Health-System Pharmacy you will hear from Lisa Mostafavifar, PharmD, BCPS, BCNSP, as we discuss how pharmacy leaders navigate a multi-generational workplace. Dr. Mostafavifar is currently a Specialty Practice Pharmacist at The Ohio State University Wexner Medical Center, providing services to the Acute Care Surgery and Trauma patient population since 2011. She has completed and published numerous research projects in areas such as nutrition support, surgery/trauma, and opioid stewardship. In 2016, she acquired an additional role as the PGY1 Residency Program Director which fueled her passion for leadership. She recently enrolled in Ohio State's working professionals' program in Health system pharmacy administration and leadership. Her recent graduate seminar, "Navigating the Multi-Generational Workplace" stemmed from her interest in this topic as she works with 5 generations of workers, and is involved in recruiting and training the Gen-Z generation of pharmacy graduates as the residency program director.

Dr. Heena P. Santry and Dr. Adrian Diaz are interviewed on the JOGS article titled "Re-examining “Never Letting the Sun Rise or Set on a Bowel Obstruction” in the Era of Acute Care Surgery" which was published in JOGS Volume 25, pages 512–522 (2021).