Podcasts about karim brohi

Here is Part 1 in our podcast series focussing on the recently published ESVS Vascular Trauma Guidelines, the first of its kind. Join us today for a personal Q&A session with the chairs of the writing committee, Professors Carl Wahlgren and Karim Brohi, themselves for an in depth look at section 2 of the guidelines: General considerations in vascular trauma. We discuss who should perform vascular trauma, what is the role of endovascular trauma, and how does the new ESVS vascular trauma classification system work, and much more.Enjoy!

REBOA is one spicy meatball!   On this episode, Drs. Nina Clark and Patrick Georgoff discuss the landmark UK-REBOA trial with Dr. Karim Brohi.  This is the first randomized controlled trial studying REBOA and provides invaluable information about its potential indications.    Dr. Karim Brohi is a trauma and vascular surgeon at the Royal London Major Trauma Centre and director of the London Major Trauma System, which is the largest integrated urban trauma system in the world and manages over 33,000 injuries a year.  He studied at University College of London where he obtained degrees in both computer science and medicine.  Dr. Brohi went on to train in general surgery, vascular surgery, and anesthesia/critical care in the UK and trauma surgery in Cape Town and San Francisco.  He is a prolific researcher and has led multiple large clinical trials.  Link to UK-REBOA paper: https://jamanetwork.com/journals/jama/article-abstract/2810757 BIG T Trauma episode 290 covers potential indications, placement, and complications of REBOA: https://behindtheknife.org/podcast/big-t-trauma-series-ep-2-reboa/ ***TRAUMA SURGERY VIDEO ATLAS: https://app.behindtheknife.org/premium/trauma-surgery-video-atlas ***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9*** 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

Profs Nikki Curry (Oxford) and Karim Brohi (London) present the results of the CRYOSTAT-2 trial, evaluated early & empiric high-dose cryoprecipitate in patients with major traumatic haemorrhage. The editorial is delivered by Susan Rowell (Chicago) and the session is chaired by Phil Gillen from Belfast. The panel discussing the trial are Russell Gruen (Canberra), Caroline Leech (Coventry), John Holcomb (Birmingham, USA), Andrew Althouse (Pittsburgh) and co-investigator Simon Stanworth from Oxford.

Russell Gruen, Brian Burns and Stephen Bernard present the results of the PATCH-Trauma trial, investigating tranexamic acid in severe trauma. An independent editorial is delivered by Karim Brohi (London). Caroline Leech (Coventry) chairs a panel discussion consisting of Susan Rowell (Chicago), Carol Hodgson (Melbourne), John Holcomb (Birmingham, USA) and John Norrie (Edinburgh).

Karim is a Professor of Trauma Sciences in the Blizzard Institute, Barts and the London School of Medicine & Dentistry, and Consultant Trauma & Vascular Surgeon at Barts Health NHS Trust. He is also the director of the pan London trauma system. In this episode we look at: Monitoring modalities and diagnostics (the advent of pre-hospital and in-hospital US, in-hospital CT & MRI) that have led to an improvement in outcome. Whether front loading pre-hospital critical care teams with more interventions had a net positive impact on survival to discharge. The benefit of numerical targets for physiology such as blood pressure in resuscitation or more organic end-points such as mentation/AVPU or pallor/diaphoresis/respiratory rate are more useful? The adverse effects of complex interventional involvement in pelvic blunt injury (such as REBOA or ECMO) are worth the investment at point of injury or whether they are better placed in centres of specialism? What we can do to prevent penetrating trauma as the upward trend in penetrating disease continues? Look at the advances in rehabilitation services Vs impact on survival to discharge in comparison to pre-hospital, & surgical intervention? Some of the more common injury patterns that exist more-so now compared to when Karim first started as a surgeon. The recent challenges faced within the Pan London Trauma Networks. The advent of Acute Traumatic Coagulopathy (ATC) in the early 2000’s and its consequential impact on survival since. Where Karim sees the largest gains that can be made in pre-hospital care? What Karim looks for potential in other junior clinicians Advice that Karim would pass on to someone starting their medical career. Aspects of mindset and approach that have changed in Karim's practice over the last 10 years I hope you enjoy the episode.

Eddie was set to become another statistic, another teenager killed by rising levels of knife crime. But Eddie’s life was saved by the new field of trauma science. It is revolutionising the way people are treated after shootings, traffic accidents or any injury that causes catastrophic bleeding. The doctors that pioneered the work call it Code Red. Your chances of surviving major bleeding are now higher than ever before. So what changed? Quite simply trauma medicine has been turned on its head. Before 2007, doctors would have treated Eddie’s catastrophic bleeding by trying to replace the fluid leaking out of his stab wounds. Salty water, called saline, and just one component of our blood – the oxygen carrying red blood cells – would be put back into Eddie’s body - in what's called a massive transfusion. It seemed like a good idea. Keep the blood pressure up, keep oxygen moving round the body and keep the patient alive. But that’s not what happened - around half of people died on the operating table. The principles were wrong. They were damaging the body’s natural way of stemming blood loss – clotting. It was around 2003 that the ideas behind the Code Red protocol started to take shape. The poster child of the new field of trauma science was revealing the vital role of clotting. Karim Brohi, Professor of Trauma Sciences at Queen Mary, University of London, discovered that major trauma could disrupt the blood’s ability to clot within minutes of the injury, and patients affected were more likely to die. What's more, saline was diluting the blood and making the bleeding worse. Over a decade ago, the Royal London Hospital decided to do something radical. It introduced Code Red, also known as damage control resuscitation, and shifted the focus from blood pressure to blood clotting - get blood products into patients to get on top of any abnormalities there first. Making that happen took a huge culture shift. This is not a normal research environment. There’s no time to ponder, patients are hovering between life and death; and every second counts. But now the innovation has been accepted across the NHS, and recent research reveals a massive drop in the death rate of patients with catastrophic bleeding. Producer: Beth Eastwood

Chris Hicks is @HumanFact0rz He is into Human Factors. He is reading about Human Factors. He is writing about Human Factors. He is on stage, he is on EMCrit, he is on fire. But it’s a smouldering kind of fire, a nice fire, not a raging forest fire. A raging forest fire would be a better metaphor for what drove Chris into Human Factors; a bunch of over heated but talented egos coming together, with the all the poise of a conflagration, in a trauma bay. I met Chris first in Dublin, with a bunch of other erudite, humorous and well grounded Canadians. There does seem to be a rich vein of talent up there. What’s happening in Canada? Is it all as good as it looks from afar? Or does Justin Trudeau just look handsome and apologise a lot? Maybe its just the contrast to that orange person to the south that some people call Mr President? Either way I keep meeting charming gifted Canadians. So that bit is good. The orange guy is a worry. In an effort to improve those trauma bay infernos Chris and his chum Andrew Petrosoniak have recently edited/curated a special EMClinics of North America. It is a trauma special and being Chris, you know the Human Factors stuff will be good. That’s just the start of it too. He has people from all over the place in there. Amal Mattu, George Kovaks, Katrin Hruska, Brian Burns, Paul Engels, Karim Brohi and Captain America. That’s a lot of FOAMed types and a few superheroes too. Some of the EMClinics chapters will available for free until the end of December 2017. You can get free PDF’s from https://www.sciencedirect.com/science/journal/07338627 I reckon we should all download it. If the EMClinics of North America that was free for a while gets double or triple the downloads that it normally achieves then the publishers would surely sit up and take notice. That might cause a little disruption. Chris is good at that disruptive stuff. It is worth remembering that all this #FOAMed stuff is not necessarily safe from harm. If we lost a few major protagonists for whatever reason then how would FOAMed change? It is all happening because a relatively small number of people put a relatively huge amount of effort in. I don’t think we can get complacent. We certainly have not achieved universally free medical education have we? #FOAMed is great but conventional medical education is not getting any cheaper. Meanwhile if you’re reading this on Lifeinthefastlane, Intensive Care Network or TheTopEnd.org you’ll hopefully appreciate that you couldn’t possibly get any thing any cheaper. F is for Free. House keeping; the CVC Checklist guy I couldn’t remember was Peter Pronovost from John Hopkins. More housekeeping; the tunes are provided by Mood Ruff, a Hip Hop crew from Winnipeg. You can find them on iTunes but you won’t find that track, No Hooks. (12 inch vinyl from 1989.) You can get more Hicks at EMCrit.org and @HumanFact0rz on twitter. You can get more Jellybeans on iTunes and Stitcher Radio. (Links Below) You can find collections on www.lifeinthefastlane.com and www.IntensiveCareNetwork.com Special interest playlists (emergency, pre-hospital, intensive care etc) are put together on www.soundcloud.com/TheTopEnd and they all live happily together at www.TheTopEnd.org

Darren Braude and Karim Brohi battle it out in the #SMACCDub Cage Match 'It is time to throw away the hard cervical collar'.

This week the podcast features a talk Jenny Beck-Esmay gave at the 11th All NYC EM Conference entitled "Give TXA Now!" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_77_0_Final_Cut.m4a Download One Comment Tags: All NYC EM, CRASH-2, Massive Transfusion Protocol, MATTERS, Trauma, TXA Show Notes Take Home Points Giving TXA provides a significant mortality benefit to the any trauma patient requiring massive transfusion with an NNT = 7 for mortality TXA must be given early. Give within 1 hour of injury if possible but the benefit remains up to 3 hours out TXA administration: 1 gram as a bolus followed by 1 gram over the next 8 hours Show Notes Intensive Care Network: Karim Brohi on TXA in Trauma EMCrit: Podcast 67 – Tranexamic Acid (TXA) Core EM: CRASH-2 Tranexamic Acid in Major Trauma References CRASH-2 trial collaborators. Effects of tanexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a ransomised placebo-controlled trial.

This week the podcast features a talk Jenny Beck-Esmay gave at the 11th All NYC EM Conference entitled "Give TXA Now!" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_77_0_Final_Cut.m4a Download One Comment Tags: All NYC EM, CRASH-2, Massive Transfusion Protocol, MATTERS, Trauma, TXA Show Notes Take Home Points Giving TXA provides a significant mortality benefit to the any trauma patient requiring massive transfusion with an NNT = 7 for mortality TXA must be given early. Give within 1 hour of injury if possible but the benefit remains up to 3 hours out TXA administration: 1 gram as a bolus followed by 1 gram over the next 8 hours Show Notes Intensive Care Network: Karim Brohi on TXA in Trauma EMCrit: Podcast 67 – Tranexamic Acid (TXA) Core EM: CRASH-2 Tranexamic Acid in Major Trauma References CRASH-2 trial collaborators. Effects of tanexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a ransomised placebo-controlled trial. Lancet 2010; 376: 23-32.

Mark Wilson hosts an all-star cast!Summary By: Mark Wilson Traumatic brain injury (TBI) is a hugely important topic in critical care. It is a major cause of morbidity and mortality throughout the world with hospital presentations totaling over 2million in the US, 1 million in the UK and 700,000 in Australia each year. Not only do they represent a huge proportion of injuries, but they are a unique in their potential to fundamentally change “who a person is”. As critical care and trauma practitioners there are many aspects of management that can change outcomes for patients in the short and long term. Dr Mark Wilson (@MarkHWilson) is a neurosurgeon and doctor for the Air Ambulance in the UK. In this session from SMACC Chicago entitled “It’s a Knockout”, he expertly leads a discussion which holds a magnifying glass to the current practice guidelines for managing TBI as taught in ATLS.  On the discussion panel is a star-studded international cast including: Pierre Janin, Andrew Dixon (@DrAndrewDixon), Karim Brohi (@karimbrohi), Karel Harbig (@karelharbig), Deb Stein, Michael McGonigal, Bill Knight, John Hinds and Ralph the Janitor (who looks remarkably like Cliff Reid @cliffreid). In this discussion forum, international specialists from the fields of neurosurgery, intensive care, trauma surgery, emergency medicine and radiology engage in a discussion of the step-by-step management of a real case of a patient with a head injury. This discussion highlights the many management controversies including how to manage the c-spine, whether or not to oxygenate, whether or not to intubate, when to extubate, if and how to sedate the patient, when to CT and how to monitor the head injured patient. In typical SMACC style this discussion demonstrates the approach to the management of a patient from different vantage points and demonstrates why it is so difficult to come to a consensus of the approach to this type of injury. Panelists delve into the features of TBI that you won’t find in textbooks including impact brain apnoea, multi-compartment syndrome and more. Watch out for the a segue into the Good Sam App, a smartphone app which alerts registered medically trained personnel to nearby emergencies to minimize downtime when medical emergencies occur. This forum has everything you have come to love and expect from SMACC including international experts, heated debates, controversial #hashtags, guest speakers and more!

Karim Brohi joins the St.Emlyn's team at the London Trauma Conference to talk on vascular injury and arterial dissection. A whole range of diagnoses that you should not miss, but which is easy to miss. Tricky! Check out the blog post that accompanies this podcast here. S

Evolution and inflammation. Karim Brohi critiques our approach to sepsis and how we should consider more judicious, multi-directional approach.

Segun Olusanya and James Day interview Karim Brohi on his talk about coagulation in trauma. This interview was recorded during the State of the Art Conference in London earlier this year. Brohi is the author of Trauma.org

Jellybean #25; Karim Brohi, of Trauma.org, The Royal London & Barts, and other cool stuff! by Doug Lynch @TheTopEnd

Let's talk trauma. I interview Karim Brohi on traumatic arrest, massive transfusion and hypotensive resuscitation.