POPULARITY
4 episodes with Shock Trauma
3 episodes with Shock Trauma
2 episodes with Shock Trauma
2 episodes with Shock Trauma
2 episodes with Shock Trauma
2 episodes with Shock Trauma
3 episodes with Shock Trauma
Samantha Adams is the Nurse Manager for The Shock Trauma's Center, State Designated, Neurotrauma Center, including Neurotrauma Critical Care and Neurotrauma Intermediate Care units, providing holistic & multidisciplinary care to patients suffering from significant traumatic brain and spinal cord injuries. Through collaboration, teamwork, and patient/family engagement, patients are supported with the utmost scientific and medical technologies setting best practice standards with innovation and research. Sam has a family/personal and professional connection that has opened her eyes and her passion to serve individuals with a brain injury. She appreciates the truth that "if you met one person with a brain injury, then you have met one person with a brain injury". This conceptual injury that affects every person differently has brought her passion to support and educate our community and care providers to ensure a better understanding and ultimately better support/compassionate care for individuals living with a brain injury & their family/friends. Samantha lives in Joppa MD and when she is not working enjoys ALL OUTDOOR ACTIVITIES! She loves camping in the wilderness, kayaking, hiking, gem/mineral hunting. All music, listening, playing the piano, or drumming a beat on her kitchen table. Sam has a great love for animals – from her beautiful flock of chickens, rabbit named Keven, to a wonderful German Shepherd named Super Nova Scotia. #5Thoughts Friday: Sandy, State, and Scientist For more information you can visit www.biamd.org or call the free helpline at 1-800-221-6443. Disclaimer: This podcast is provided for informational purposes only and does not constitute endorsement of treatments, individuals, or programs which appear herein. Any external links on the website are provided for the visitor's convenience; once you click on any of these links you are leaving the BIAMD website. BIAMD has no control over and is not responsible for the nature, content, and availability of those sites.
Send us a textJoin hosts Charles Schelle, MS, and Dana Rampolla as they interview Michael Allen, MSW '03, chief executive officer of Therapeutic Connections and chairman of the University of Maryland School of Social Work Alumni Board. Allen shares his inspiring journey navigating through being a social worker at the R Cowley Adams Shock Trauma Center at the University of Maryland Medical Center, employee assistance program (EAP) consulting, and his innovative work at Therapeutic Connections. Learn how he leveraged his experiences to make impactful changes in behavioral health services and hear his advice for aspiring social workers.Listen to The UMB Pulse on Apple, Spotify, Amazon Music, and wherever you like to listen. The UMB Pulse is also now on YouTube.Visit our website at umaryland.edu/pulse or email us at umbpulse@umaryland.edu.
Send Dr. Caroline a MessageWe store unreleased patterns of physical and spiritual trauma in our body cells. We can carry the new trauma patterns with us for years, limiting our spiritual expression. Many types of frequencies can help release the shock and trauma experienced from us. Homeopathic frequencies, when matched with our responses and symptoms, can move the boulders of trauma from our life stream. This allows us to go forward with vitality. Join Caroline Walrad as she shares stories of her work.Standard Process Whole Food Supplements, Organically Grown in the United States. "Changing lives since 1929"Order directly from Standard Process here:carolinewalrad.standardprocess.com/products
Energetic Health Institute Radio with Dr. Meg Montañez Davenport, BCHN – The lingering fight-or-flight response from trauma can lead to these vivid and disturbing dreams, making it crucial to understand and address the intricate relationship between the mind and body. Medications like Proazin (Minipress) are commonly prescribed to manage nightmares, particularly those associated with PTSD...
Energetic Health Institute Radio with Dr. Meg Montañez Davenport, BCHN – The lingering fight-or-flight response from trauma can lead to these vivid and disturbing dreams, making it crucial to understand and address the intricate relationship between the mind and body. Medications like Proazin (Minipress) are commonly prescribed to manage nightmares, particularly those associated with PTSD...
Send us a Text Message.If your pain becomes so heavy that you're punishing yourself physically, or even thinking about taking your life, please reach out locally to your suicide prevention helpline.And then come back to this podcast episode where I'm going to share with you:- why I know it's not your fault and there's actually nothing wrong with you- where you need to start your healing- what becomes possible once you get the right helpPlease, stay safe. You're worth it. And you deserve to live a happier, healthier life.It is possible for you.Watch this episode on Youtube as well!Support the Show.Want to know the two keys to becoming a calm mom and stop yelling? (Without memorizing any parenting scripts, without months in mediation or years in talk therapy?) Grab it here for FREE: https://www.zensupermom.com/mommy-tantrum-book About the Author:Alena Gomes Rodrigues is a mommy tantrum specialist and the founder of the Zen Supermom method. She's definitely NOT a supermom. But through her own journey as a recovering perfectionist, hyper-achiever, and a 'Momzilla', she discovered the most effective strategy and tools to help busy moms stop yelling at their kids and set & keap healthy boundaries so that they stay calm, at peace, and happy no matter how stressful their life gets.Want to know HOW? Join us for the upcoming free workshop! https://www.zensupermom.com/workshopHave feedback & comments? Email hi@zensupermom.comLearn more about the Zen Supermom Method and the author of this podcast on the Zen Supermom webZen Supermom Cafe FB Community: JOIN US HERE Music by ...
If you're banged up in a car crash somewhere in the Free State or if you're shot on the street, chances are you'll be transported quickly -- maybe by helicopter -- to the R Adams Cowley Shock-Trauma Center at the University of Maryland. The sixty-five hundred badly injured patients admitted there each year get the highest level of trauma care in the U.S. But even though it's the heart of Maryland's exceptional Emergency Medical Services, the Shock-Trauma center has struggled for money. That changed this week. We talk with Shock-Trauma's top doctor, Dr. Thomas Scalea, about how the center's funding situation has improved dramatically.Do you have a question or comment about a show or a story idea to pitch? Contact On the Record at: Senior Supervising Producer, Maureen Harvie she/her/hers mharvie@wypr.org 410-235-1903 Senior Producer, Melissa Gerr she/her/hers mgerr@wypr.org 410-235-1157 Producer Sam Bermas-Dawes he/him/his sbdawes@wypr.org 410-235-1472
Maureen Scarboro is a CRNP from Shock Trauma. She is also a member of the Brain Injury Association of Maryland Board. Join us as we learn how she came to be so involved and why she does it. More information about Shock trauma can be found here. #5 Thoughts Friday: Connections, Carolyn, and Cinco de Mayo For more information you can visit www.biamd.org or call the free helpline at 1-800-221-6443. Disclaimer: This podcast is provided for informational purposes only and does not constitute endorsement of treatments, individuals, or programs which appear herein. Any external links on the website are provided for the visitor's convenience; once you click on any of these links you are leaving the BIAMD website. BIAMD has no control over and is not responsible for the nature, content, and availability of those sites.
We are re-broadcasting this episode in honour of the memory of the late Dr. David Feliciano. Original shownotes: In this episode, we were lucky enough again to be joined by Dr. David Feliciano. Dr. Feliciano is a world-renowned trauma surgeon and a passionate surgical historian. Today he joins us to talk about surgeons who won the Nobel Prize and the complex and rich history that surrounds them. Email us at podcast.cjs@gmail.com or send us a tweet @CanJSurg with your thoughts about this and all our previous episodes. Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma. Links: 1. Nobel Prize winners who were trained as surgeons. Feliciano DV.Am Surg. 2009 Jan;75(1):15-9; quiz 97.PMID: 19213390 No abstract available. journals.sagepub.com/doi/abs/10.117…urnalCode=asua 2. Alexis Carrel (1873-1944): Nobel Laureate, 1912. Dente CJ, Feliciano DV.Arch Surg. 2005 Jun;140(6):609-10. doi: 10.1001/archsurg.140.6.609. jamanetwork.com/journals/jamasurg…ullarticle/508657 3. Joseph E. Murray (1919- ): Nobel Laureate, 1990. Cash MP, Dente CJ, Feliciano DV.Arch Surg. 2005 Mar;140(3):270-2. doi: 10.1001/archsurg.140.3.270.PMID: 15781791 No abstract available. jamanetwork.com/journals/jamasurg…ullarticle/508445 4. Michael Houghton, Winner of 2020 Nobel Prize. www.ualberta.ca/michael-houghton-…l-prize-2020.html
This is a re-broadcast to honour the memory of the "Boss" Dr. Feliciano. Original shownotes: It's not an understatement to say that Dr. David Feliciano is a true giant in trauma surgery. Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma. We discuss with him how he recruited such amazing faculty, developing one's technical skills, research, and the future of trauma. 1.Trauma textbook: www.amazon.ca/Trauma-Eighth-Erne…oore/dp/1259860671 2.“Everything You Ever Wanted to Know about Trauma” public lecture: www.youtube.com/watch?v=99yddsDe6oU 3.“Leftovers” by Dr. Feliciano has one of the best lines in a paper ever: At this point, the chief surgical resident on the trauma service met with the attending surgeon for violating his own well-known rule—“wounds that don't heal contain dead tissue, infected tissue, cancer, or a foreign body.” www.ncbi.nlm.nih.gov/pmc/articles/PMC6263419/ 4.Pitfalls in the management of peripheral vascular injuries. www.ncbi.nlm.nih.gov/pmc/articles/PMC5877918/
If you have aches and pains you can't understand, are worried about medication side effects, and would like to heal more naturally, check out this interview with guest Dr. Jeffrey Benton. He is a chiropractor and the author of the Emotional Trauma Release Technique - The Ultimate System for Releasing Life Traumas, a self-help book that helps you release trauma alone! I met Dr. Benton during the San Diego Consciousness Conference in January 2023. He boldly put copies of his book on an empty exhibitor's table and began fielding questions from people and doing mini-healings on them immediately! I bought his book and realized that our community would love to learn his technique. During our conversation, we dive deep into: Understanding two main types of trauma Shock Trauma and German New Medicine Unveiling how internalized trauma can manifest as physical symptomsDiscovering the Emotional Trauma Release Technique (ETRT) for self-healing And so much more! Here is a complimentary PDF download from page 111 of his book as a gift to our listeners. Enjoy! To connect or learn more about Dr. Jeffrey Benton's work by visiting www.lighttouchhealingcenter.com and get a copy of his fantastic book on Amazon: https://amzn.to/45zoHJ4.
Israel has been rocked to its core by Hamas' brutal surprise attack. At least 1,000 people have been killed in Israel since the start of the Hamas assault, Meantime the Palestinian Health Ministry says the death toll in Gaza is now more than 800, with more than 4,000 injured. The fighting continues to rage on, with the UN calling the latest developments "bone-chilling." Ehud Barak was Israel's prime minister from 1999 to 2001. Before that he was Israel's defense minister for nearly six years. Barak tells Christiane why the Hamas attack was “the most severe blow” in Israel's “entire existence.” Also on today's show: Abbey Onn, a relative of five of the Israeli's being held hostage; Khamis Elessi, a doctor in Gaza; Imran Ahmed, CEO, Center for Countering Digital Hate; John Kirby, National Security Council Coordinator for Strategic Communication To learn more about how CNN protects listener privacy, visit cnn.com/privacy
Prepare to be riveted as we journey through the invigorating world of Military Medicine, guided by the unique insights of Air Force Colonel Stacy Shackelford, MD, Trauma Surgeon, and the Defense Health Agency Trauma Medical Director. Our exploration starts with the Joint Trauma System, where Colonel Shackelford sheds light on how data from combat casualty care on the battlefield has been instrumental in enhancing evaluation and treatment strategies. Gain an understanding of Colonel Shackelford's first-hand experiences from her multiple deployments around the globe, her specialty in trauma surgery, and the achievements of the Joint Trauma System since 2005. Imagine the possibilities as we delve into the world of data-driven treatment advancements and their significant impact on the field. This episode is not just about advancements but also evolution. We dive into the transformation of trauma care in the military, with Dr. Shackelford leading the discussion around the critical role of whole blood, component therapy, and medic training in improving casualty care. Hear her recount her time as the Joint Theater Trauma System Director in Afghanistan, where she proudly trained Air Force medical teams for deployment requirements. Get a glimpse of her first assignment at Shock Trauma in Baltimore and discover how it has shaped her career trajectory. The advancements in Military Medicine over the past two decades are nothing short of remarkable. We recount the incredible story of one casualty who was saved using nearly every single medical advance made during this era. This narrative illustrates the power and importance of pre-hospital care, en-route care, the various Roles of care, and the Joint Trauma System. We delve into the challenges faced in bettering combat casualty care and the resistance encountered from those with different priorities. Don't miss the chance to hear about the unyielding efforts to make continuous improvements in this critical field of medicine. This episode is a testament to the constant innovation in Military Medicine, the struggles, the triumphs, and the unforgettable human stories at its heart. So, buckle up, and get ready for a fascinating journey into the world of Military Medicine. Chapters: (0:00:00) - Joint Trauma System Development (0:05:00) - Trauma Care in the Military Evolution (0:18:36) - Advancements in Military Medicine (0:26:14) - Military Medicine and Battlefield Experiences Chapter Summaries: (0:00:00) - Joint Trauma System Development (5 Minutes) Air Force Colonel Stacey Shackelford, MD, talks about the Joint Trauma System and how data from combat casualty care on the battlefield is used to guide improvements in evaluation and treatment strategies. We hear about Stacey's deployments around the globe, her specialty in trauma surgery, and the accomplishments of the Joint Trauma System since 2005. We also learn about the data-driven approach to improving care and how the JTTS was established under the National Defense Authorization Act. (0:05:00) - Trauma Care in the Military Evolution (14 Minutes) We explore the changes in trauma and how the military's use of whole blood, component therapy, and training of medics has vastly improved casualty care. Dr. Shackelford talks about her experience as the Joint Theater Trauma System Director in Afghanistan and her pride in training the Air Force medical teams to deploy. We also learn about her first assignment at Shock Trauma in Baltimore and the impact that has had on her career. (0:18:36) - Advancements in Military Medicine (8 Minutes) We discuss the amazing save of one casualty who was taken care of using nearly every advance in Military Medicine over the past two decades. We explore the importance of pre-hospital care, en route care, Roles of care, and the Joint Trauma System. We consider the impact of the military's use of whole blood, component therapy, and training of medics in vastly improving casualty care. We consider the coalition of people who are constantly thinking about how to make combat casualty care better and the resistance they face from those who prioritize other things. (0:26:14) - Military Medicine and Battlefield Experiences (6 Minutes) We examine the importance of the Joint Trauma System and how data from combat casualty care is used to guide improvements in Military Medicine. We also look at the changes in trauma medicine, the use of whole blood and component therapy, and the training of medics. Take Home Messages: The Joint Trauma System, where data from combat casualty care on the battlefield plays a critical role in enhancing evaluation and treatment strategies in Military Medicine. Military Medicine is not just about advancements but also about the evolution of care. For example, the use of whole blood and component therapy has greatly improved casualty care. First-hand experiences and deployments around the globe offer valuable insights into trauma surgery and the advancements in Military Medicine. Continuous efforts are being made to improve the critical field of Military Medicine despite challenges and resistance encountered from those with different priorities. The incredible story of one casualty who was saved by nearly every single medical advance made in the past two decades highlights the power and importance of pre-hospital care, en-route care, Role 2 care, and the Joint Trauma System. The deployment experiences of the guest in Afghanistan as the Joint Theater Trauma System Director provided her with a sense of pride and achievement, particularly in training Air Force medical teams for deployment. Trauma care in the military has significantly evolved over the years, with the implementation of whole blood, component therapy, and medic training. Military Medicine is not just about treating casualties on the battlefield but also involves the collection and analysis of data to guide improvements in care and treatment strategies. There is a strong need to expand the focus from trauma care to all of casualty care in Military Medicine. Despite the challenges, the progress and remarkable advancements made in Military Medicine over the past two decades are a testament to the unyielding efforts of medical professionals in this field. Episode Keywords: Military Medicine, Joint Trauma System, Combat Casualty Care, Battlefield Medicine, Trauma Surgery, Data-Driven Care, Defense Health Agency, Whole Blood Therapy, Component Therapy, Medic Training, Joint Theater Trauma System, Pre-Hospital Care, En-Route Care, Combat Casualty, Air Force Medical Teams, Excelsior Surgical Society, Walking Blood Bank. Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaCare #CombatCasualtyCare #JointTraumaSystem #AdvancementsInMedicine #BattlefieldMedicine #WholeBloodTherapy #MilitaryDeployments #MedicTraining Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all Military Medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast
Oral health is equally as inportant as physical health. Today's guest is my Dentist Dr. John Tsaknis, who I have had for over a decade. Dr. Tsaknis is a DC native. He went to The University of Maryland, Collge Park and received a BS degree in Zoology, received his dental degree at the University of Maryland, Baltimore College of Dental Surgery. He continued his training with a two year residency at the University of Maryland Medical System, to include Shock Trauma, Kernan Hospital, Childrens Hospital, Head and Neck Cancer Ward and the Baltimore Veterans Administration. Later, he taught part time for a number of years at the University of Maryland in the areas of Emergency Clinic, New Patient Clinic and oversaw D3, D4 and PGY1 residents in the Oral and Maxillofacial Department. Dr. Tsaknis received a certificate for anesthesiology and is only a handful of dentist in the DC area trained in sedation. After working as an associate for a few years, he started Tsaknis Dental & Associates in Ashburn, VA and later started Tsaknis Dental Group in downtown DC. In 2009 Dr. Tsaknis started his third office DentalBug at 703 D Street NW, Later rebranding all to City Dental DC and in 2019 he started his fourth office at 2075 L, NW, partnering with Javan Wellness at that location. Dr. Tsaknis has over 1000 hours of continuing education, has been trained and certified on both the Galileos Cone Beam CT scanner and the Cerec Cad-Cam systems for same day crowns. He has been trained on Biolase lasers, Velscope and a variety of implant brands: BioMet3I, Noble Biocare, Straumann, Bicon, Implant Direct and several others. Dr. Tsaknis also provides Oral Sleep Apnea appliances as he is not only a member of the American Academy of Dental Sleep Medicine, but is also certified at the Qualified Dental Designation level and in 2022 received the highest achievement as a Diplomate of the ABDSM. He was DC's top 20 Invislaign Provider in 2018 and Top 10 in 2019 and the #1 general dentist Platinum Plus provider in 2021. He is also trained on the latest dental gadgets that you will find through-out the office, to include iTero scanner, digital cameras, lasers and fixing the printer at the front desk. In his free time, he enjoys spending time with his family and restoring old cars. City Dental contact information: E: www.citydentaldc.com P: 202-628-7929 Facebook/Instagram/Twitter: citydentaldc
T.J. Smith is in for Bryan today. Join him and C4 as they discuss updates from the mass shooting that happened in the Brooklyn Homes neighborhood this past Saturday Night. Governor Wes Moore spoke in Brooklyn Homes yesterday after spending time with the victims at Shock Trauma. Why was his response so delayed? Also, They take your reactions over the blame game being played by Gov't leaders on why no one knew about the Brooklyn Day Celebration. C4 and Bryan Nehman live every weekday from 5:30-10:00 am ET on WBAL News Radio 1090, FM101.5, and the WBAL Radio App.
What are the 3 types of trauma? Today I talk about the most well know type trauma. This comes from the work of Gabor Mate who is one of the world's leading voices on trauma. The first one is shock trauma. What is shock trauma? I give some examples of what shock trauma is and I also quote some of the words of Bessel Van der Kolk from The Body Keeps the Score and Peter Levine from his book Healing Trauma. Next week I will talk about developmental trauma and the week after that about attachment trauma. Any questions please do let me know. Warm regards, Piers --- Piers is an author and a men's transformational coach and therapist who works mainly with trauma, boarding school issues, addictions and relationship problems. He also runs online men's groups for ex-boarders, retreats and a podcast called An Evolving Man. He is also the author of How to Survive and Thrive in Challenging Times. To purchase Piers first book: https://www.amazon.co.uk/How-Survive-Thrive-Challenging-Times/dp/B088T5L251/ref=sr_1_1?dchild=1&keywords=piers+cross&qid=1609869608&sr=8-1 For more videos please visit: http://youtube.com/pierscross For FB: https://www.facebook.com/pierscrosspublic For Piers' website and a free training How To Find Peace In Everyday Life: https://www.piers-cross.com/community Many blessings, Piers Cross http://piers-cross.com/
Col (ret) Carmack is a fellowship-trained Orthopedic Trauma Surgeon who served in the Air Force. He has deployment experience and has trained healthcare professionals at Military-Civilian Partnerships at Level 1 Trauma Centers. He is currently the Physician Director of the Northern Light Orthopedic Service Line in Bangor, Maine. In this episode, Dr. Carmack discusses his path into orthopedic surgery and how serving as a GMO impacted his career. He also discusses his role in two civilian-military partnerships, how it better prepared him and his team to manage combat casualties, and the importance of maintaining these mil-civ medical relationships to maintain readiness. Dr. Carmack also discusses his experience in a deployed theatre and his most memorable cases from that time. We ask him for tips for non-orthopedic providers in caring for patients with orthopedic injuries. He tells us what he thinks are some of the biggest advancements in trauma orthopedic care over the past twenty years. Finally, we discuss his decision to join the Air Force Reserves, what that experience was like, and how he earned an MBA supported by the Reserves. Col Carmack is a graduate of UC Berkeley for his undergraduate studies, followed by Columbia University for his Medical Degree, where he joined the Air Force through the HPSP program. He subsequently did a General Surgery Internship at Wilford Hall Medical Center. After his internship, he served a tour as a General Medical Officer, serving as the Chief of Flight Medicine at Kelly Air Force Base. This was followed by an Orthopedic Surgery Residency at Wilford Hall Medical Center. He then completed an Orthopedic Trauma Fellowship at Wayne State University. While on active duty, he served in unique roles as an Orthopedic Trauma Surgeon at Ben Taub Hospital in Houston and as part of the C-STARS program at Shock Trauma in Baltimore, Maryland. He deployed to Iraq and Qatar and served at Landstuhl Medical Center. He left Active Duty after 13 years and joined the Air Force Reserves from which he retired in 2014. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guests at https://www.wardocspodcast.com/episodes Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. Foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps (affectionately called "Doc"—an earned title of respect, trust, and confidence) who are dedicated to the medical care of our fellow comrades-in-arms (both on and off the battlefield), our Wounded Warriors and our military Families. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast
The manhunt for 24-year-old David Emory Linthicum lasted another day as he lead police on a chase that ended up in Harford County. After Linthicum made his way back to Powers Avenue he shot a detective multiple times. He then stole an officer's vehicle and started driving away. Police chased him to Fallston in Harford County. The injured detective was flown into Shock Trauma from Cockeysville Middle School.
Dr. Rex Jung only had one introduction to psychology class during his entire undergraduate career at the University of Boulder, CO and admitted, at the time, psychology wasn't his path. Instead, he graduated with a BS in Finance and was working for several years in the business world before he found his passion. It wasn't until he started volunteering for the Special Olympics that he became fascinated and interested in how the brain works. Now in his late 20's, he decided to explore what kind of work was available in that area and psychology, in general, was one of the paths. He states, “I discovered later, neuropsychology was the particular path that would get me to where I wanted to be.” In this podcast, you will learn more about Dr. Jung's unconventional career path in psychology. If you want to follow the typical academic path and become a professor in psychology, this episode may not be for you. However, if you are looking for inspiration and advice on how to find your passion and turn that into a career that, as Dr. Jung states, “tickles” your brain and makes your “brain sing,” then this is the Master's in Psychology Podcast episode you don't want to miss. To make the strange transition from finance and business to psychology, Dr. Jung started in the clinical psychology program at Loyola College in Baltimore, MD so “that I at least look plausible” as an applicant when applying to PhD programs. Dr. Jung shares the backstory leading up to starting graduate school at Loyola. He had to move furniture in both Colorado and Baltimore to put himself through school and to provide himself with food and lodging. While he was in Baltimore, Dr. Jung did many things. He worked at the National Institute of Aging in a research laboratory of personality and cognition. He volunteered at Shock Trauma Hospital as a neuropsychology technician doing testing and also volunteered at Johns Hopkins in neurosurgery (and pediatric neurosurgery), so he was able to see the medical training and neuropsychological aspects of the field which helped him decide on a graduate school and realize that “it was the specialization of neuropsychology that was the best fit for me.” His National Institute of Aging job and Shock Trauma job later turned into paid positions so he could eventually stop moving furniture and that is when he had enough money to start graduate school in the master's program in clinical psychology at Loyola. Dr. Jung had two main criteria for PhD graduate schools. First, there had to be mountains in or near it. Second, there had to be snow. He missed the western part of the country, so he applied to schools all up and down the Rocky Mountain range. He was a little over a year into his master's program when he was accepted and started his PhD at the University of New Mexico. He recalls that many of his classes transferred from the master's program to the PhD program at UNM. After receiving his doctorate in clinical neuropsychology, Dr. Jung followed the advice of his advisors and found a place outside of New Mexico for his internship. He looked around and found that the best research was being done at Baylor College of Medicine, so he applied there and a number of other places and was accepted at Baylor College of Medicine in Houston, TX. While there, he worked side by side with neurologists and neurosurgeons to do awake craniotomies “to test patients while they're undergoing neurosurgery to determine if you're cutting part of the brain that is important to ongoing cognitive functions.” He still had family in Albuquerque, so he made fifty round trip flights during that year. He states, “it was an important, hard, expensive year, but I got the experience that I needed.” Dr. Jung is a licensed psychologist and a practicing clinical neuropsychologist. He is president and owner of a private neuropsychology practice called Brain and Behavioral Associates, PC in Albuquerque, NM which “provides neuropsychological, legal,
This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. This week, co-hosts Chris Cebollero and Kelly Grayson tackle the topic of TXA, including its uses and how to administer it. In a recent article, "Understanding TXA," columnist Jonathan Lee offers an overview on how TXA is becoming a mainstay in the field and makes a case for it to be considered for shock and trauma patients. Grayson, who carries TXA on his ambulance, shares the protocols for the drug's administration and management.
In this week's class, we talk with Dr. Jeremy Kaswer, better known as @TacTraumaMD, about his approach to the initial stabilization of the poly-trauma patient.From Assessment to Chest Tubes, Shock Index to REBOA, Dr. Kaswer shares his experience as an ED physician, Army Flight Surgeon, and Critical Care Fellow at SHOCK Trauma with our community.And be sure to stick around to the end when Dr. Kaswer's drops a BOMB on us about obstructive physiology in the trauma patient and why he believes more prehospital providers should be using POCUS in the field.
The lives of so many Baltimore children are beset by the trauma of violence. In this podcast, Serge and Clarke talk to a man whose father was shot in the head in Baltimore when the man was in the second grade. He remembers being driven to Shock Trauma in a police car, where his father survived, but blinded and paralyzed. Hear the remarkable story of a man dedicated to making our world a better place by mentoring youth on the job and off. His 501(c)(3) enterprise is called Save Our Young. We invite you to meet this remarkable man, learn more about him, and to support his mission. www.soybaltimore.org.
Give us about ten minutes a day and we will give you all the local news, local sports, local weather, and local events you can handle. SPONSORS: Many thanks to our sponsors... Solar Energy Services because solar should be in your future! The Kristi Neidhardt Team. If you are looking to buy or sell your home, give Kristi a call at 888-860-7369! And Rehab 2 Perform Today... Baltimore Firefighter John McMaster has gone home from Shock-Trauma. A 21-year old woman was gunned down in Eastport on Wednesday night and the Mayor and police have released a statement. Anne Arundel County Police make an arrest in a cold case. Watch out for a door-to-door COVID-19 testing scam. The Anne Arundel Economic Development Corporation is looking for minority-owned businesses for the next cohort of their IVP. And February 6-13 is your chance to get involved with the SOUPer Bowl! And as usual, George from DCMDVA Weather is here with your local weather forecast! Please download their APP so you can keep on top of the local weather scene! The Eye On Annapolis Daily News Brief is produced every Monday through Friday at 6:00 am and available wherever you get your podcasts and also on our social media platforms--All Annapolis and Eye On Annapolis (FB) and @eyeonannapolis (TW) NOTE: For hearing impaired subscribers, a full transcript is available on Eye On Annapolis
Three fire fighters died Monday in Baltimore following a partial building collapse... and a fourth was taken to Shock Trauma in critical condition. Citizen comment was taken Monday night on a bill to establish a police accountability board in Frederick County. The 2022 Maryland General Assembly is well under way and a new state legislative map will be passed soon. See omnystudio.com/listener for privacy information.
Tom's guest today is Dr. Thomas Scalea. He's a professor of Trauma Surgery and Director of the Program in Trauma at the University of Maryland School of Medicine. And for the past 25 years, he's been Physician-in-Chief of the R Adams Cowley Shock Trauma Center at the University of Maryland Medical Center (UMMC). For Dr. Scalea and his staff, the terrible numbers of homicide and non-fatal shootings that have plagued Baltimore for many years are not abstractions. Many of the victims of these shootings are rushed to Shock Trauma right after they are attacked. Many are saved because of a variety of techniques developed at Shock Trauma to treat serious injuries, techniques that have been adopted all over the world. Dr. Scalea and his team have also cared for tens of thousands of people injured in car accidents and falls. He has traveled to Haiti and China to help earthquake victims, he has trained thousands of US Air Force personnel, and he has worked with military physicians in Afghanistan. We welcome your questions or comments for Dr. Scalea. Dr. Thomas Scalea joins us on Zoom. See omnystudio.com/listener for privacy information.
Accident on Rt 65 kills one person, sends another to Shock Trauma. Masks recommended indoors for Frederick County residents. Cool Jerks reuniting on Friday night. See omnystudio.com/listener for privacy information.
In this gripping episode I speak with executive coach and leadership consultant Daniel Stover about his near-death experience while traveling abroad. His story is vulnerable, captivating and ultimately very inspiring. We explore what happens when we're pushed to our limits, how we may not react the way we think we're going to in crisis, and the potential for trauma to lead to profound shifts in understanding about what it means to be alive. About Our Guest:Dan grew up in rural Northwest Ohio, where his journey of self discovery began. While volunteering for Suicide Prevention Services in college, Dan found his passion for helping others get unstuck and find hope. It was there he became a coach, advisor, trainer and board member for the first time.Dan received two degrees from The Ohio State University, and his master's degree in organizational psychology from The Chicago School of Professional Psychology. In 2012, Dan began his formal training in leadership psychology with an established midwest leadership development firm. He thrived in the consulting profession and held several board positions in Columbus, Ohio. In 2015, Dan pioneered West to Los Angeles, where he expanded his career and passion for leadership development.Today, Dan owns and manages Ensight Partners. He has helped hundreds of teams create culture, resolve conflict and lead more effectively across industries, internationally. In 2017, he received the Excellency Award from Geneva Group International.In his free time, Dan is an avid reader, traveler, nature photographer and hiker. He is a member of The American Psychological Association, The Society of Consulting Psychology, and The Nature Conservancy. Dan is also member of the Diversity and Inclusion Initiative for the Society of Consulting Psychology, The International Coaching Federation and the ICF Foundation Society.Visit Dan's company websiteFollow Dan on Instagram
This week Zanora talks about everything from the brutality at the Mexican boarder to hard Break ups --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Metacarpal Fractures Dr. Alison Wong (Founder of: https://sketchymedicine.com/, Dalhousie Plastic Surgery graduate, Hand Surgery fellow at Shock Trauma, Baltimore) talked with me about Metacarpal Fractures. High-yield takeaways are the recognition of common MC fracture patterns and their mechanisms, assessing angulation/malrotation, performing a standard Jahss reduction maneuver, and balancing fixation with movement to prevent stiffness. Timestamps: 1:30 - Background (40% of all hand fractures are MC, 80% are MC neck) 3:30 - Boxer's (swinging, 5th MC neck) 4:45 - X-ray principles (3 views, assess angulation [apex dorsal]) 6:15 - Angulation (5th tolerates more, 20/30/40/50-60, biomechanics cause extensor lag) 8:00 - Reduction via Jahss maneuver (https://www.aliem.com/trick-of-trade-reducing-metacarpal/ - see second video) 9:00 - Malrotation (scissoring, flexion cascade, fingernails. Scissoring video: https://imgur.com/a/XADr6dI) 12:15 - Extensor tendons (injury, fight bite, lag, MC head fractures, infections. Always ask what they punched) 14:15 - How to splint (immobilization in the safe position [see video above], ensure MCPs bent, IPs straight, wrist slightly extended. ORIF = less rigid fixation to allow tendon gliding and no stiffness) 17:30 - ORIF options (CRPP retrograde, anterograde bouquet technique for distal fractures: https://imgur.com/a/9Sn3Y31) 20:15 - MC shaft fractures (same exam, same signs. Polytrauma will need rigid fixation to allow hand for rehab/transfer, isolated injury can be nonop. More options for ORIF: IM nail, lag screw, plate/screw construct) 23:45 - Problem with hand fractures (rigid fixation versus stiffness) 26:30 - Main complication of MC fractures: pain/weakness with grip due to malrotation 27:15 - Bennett's versus 1st MC base versus Rolando fractures (Geometry and deforming forces: https://imgur.com/a/jl6lMBN, APL as main deforming force. Treat with CRPP + traction/pronation) 30:45 - Case (Demographics: Age/Sex/Handedness/Smoking/Occupation, Injury: Mechanism/DOI, Symptoms: Numbness/Paraesthesia/Pain, Exam: Extensor Lag/Malrotation/NV status) 33:15 - Patient factors inform management 34:30 - https://sketchymedicine.com/ Check out our sponsors: MD Consultants: mdconsultants.ca helps pre-med students with CASPer, MMI, and panel interview prep. Enter code: ORTHOPOD15 for 15% off pre-med packages. MCAT Prep 101: www.prep101.com/casting Improve your MCAT scores with customized study plans, specialized tutors, CARS-specific training, and high-yield workshops. For a $350 discount off MCAT Tutoring Plans, enter code: 350CASTINGPOD
The tide of gunshot, knife, and assault victims to University of Maryland Shock Trauma barely ebbs, not even during the pandemic. More than a third opt for the Violence Intervention Program. Social worker David Ross meets them at bedside and offers support, and program manager Erin Walton tells why patients may see a magic moment to find a new path. Then we speak with DeCarlo Cornish, who survived two shootings. He shares his thoughts for those still in the street life. Original air date: April 1, 2021. See omnystudio.com/listener for privacy information.
Dr. Kim Boswell, Assistant Professor at the University of Maryland and Shock Trauma, discusses ECMO before, during, and after COVID-19.
Bassam speaks with Dr. Thomas M. Scalea, a trauma surgeon and the Physician-in-Chief of the renowned R. Cowley Adams Shock Trauma in Baltimore, MD. In a wide-ranging conversation, they discuss his journey to medicine, how he manages such a busy clinical and administrative schedule, the importance of compassionate touch in the age of technology, and what it means to be an effective leader.Complete episode show notes can be found here: https://www.doctorhustle.com/episode21/Doctor Hustle Twitter: @doctor_hustleDoctor Hustle Instagram: @doctor.hustle
Dr. Naomi Kehati Bronner – Why Shock & Trauma Are The Ground Zero Of Many Mental Health IssuesAir Date Live Streaming on OMTimes TV 15 April at 12:00 PM ET/9:00 AM PTWatch the Livestream on OMTimes Radio & TV Facebook or OMTimesTV YoutubeAir Date OMTimes Radio 22 April at 12:00 ET/9:00 PTOur mental health is a measure of how strong the relationships in our lives are. Since our sense of wellbeing is linked to our ability to create and sustain healthy connections with other people, having our emotional needs met is as important to our mental wellbeing as oxygen is to our breathing. Not having our needs for safety, trust, or attunement adequately met because of parental neglect, familial abuse, or other traumas can not only create a distortion in how we experience ourselves and others, but also compromise our nervous system's ability to regulate our feelings.Clinical Psychologist Dr. Naomi Kehati Bronner, specializes in understanding the dynamics that are at the roots of relationships between people and events that have shaped their perceptions of their self and their world. Dr. Bronner joins me today to explain why our primary relationships in terms of the parenting we received, the family dynamics we grew up with, and the kind of community we were raised will inevitably shape our lives, and how ancestral and developmental trauma are often the ground zero of most mental health issues.Visit the CRACKED! The Podcast show page https://omtimes.com/iom/shows/cracked-the-podcast/Connect with Sandie Sedgbeer at https://www.sedgbeer.comConnect with Rebecca Schaper at https://www.rebeccaschaper.com/#DrNaomiKehatiBronner #RebeccaSchaper #SandieSedgbeer #CrackedThePodcast
Catoctin football player Colan Droneburg, suffered a serious head injury. He was taken to Shock Trauma in Baltimore where he remains in ICU. Teammate Ryan Orr talks to Dianah Gibson about Colan and the game. See omnystudio.com/listener for privacy information.
A patient with multiple abdominal gunshot wounds, resuscitated before and after damage control surgery by the legendary Scott Weingart (@emcrit): emergency physician, surgical intensivist by way of Shock Trauma in Baltimore, director of an emergency critical care program, and longtime innovator in medical education and FOAM via the EMCrit podcast and blog. Our 1st anniversary … Continue reading "Episode 21: Trauma resuscitation with Scott Weingart"
In this episode, we were lucky enough again to be joined by Dr. David Feliciano. Dr. Feliciano is a world-renowned trauma surgeon and a passionate surgical historian. Today he joins us to talk about surgeons who won the Nobel Prize and the complex and rich history that surrounds them. Email us at podcast.cjs@gmail.com or send us a tweet @CanJSurg with your thoughts about this and all our previous episodes. Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma. Links: 1. Nobel Prize winners who were trained as surgeons. Feliciano DV.Am Surg. 2009 Jan;75(1):15-9; quiz 97.PMID: 19213390 No abstract available. https://journals.sagepub.com/doi/abs/10.1177/000313480907500103?journalCode=asua 2. Alexis Carrel (1873-1944): Nobel Laureate, 1912. Dente CJ, Feliciano DV.Arch Surg. 2005 Jun;140(6):609-10. doi: 10.1001/archsurg.140.6.609. https://jamanetwork.com/journals/jamasurgery/fullarticle/508657 3. Joseph E. Murray (1919- ): Nobel Laureate, 1990. Cash MP, Dente CJ, Feliciano DV.Arch Surg. 2005 Mar;140(3):270-2. doi: 10.1001/archsurg.140.3.270.PMID: 15781791 No abstract available. https://jamanetwork.com/journals/jamasurgery/fullarticle/508445 4. Michael Houghton, Winner of 2020 Nobel Prize. https://www.ualberta.ca/michael-houghton-nobel-prize-2020.html
Join us while we speak with Shock Trauma's own Dr. Galvagno about 3 things you can do to improve your airway management success rate.
Meet United States Naval Corpsmen John Opalski & Sergio Acosta. John served in the 1st ever SHOCK TRAUMA unit in modern HISTORY in the IRAQ war (2 TOURS) & Sergio was attached to the Marines unit known as the "BALLS of the CORPS" in the most REMOTE part of AFGHANISTAN to ever have AMERICANS. Whats it like to be a medic in the most hostile settings? You won't ever forget this one.
Meet United States Naval Corpsmen John Opalski & Sergio Acosta. John served in the 1st ever SHOCK TRAUMA unit in modern HISTORY in the IRAQ war (2 TOURS) & Sergio was attached to the Marines unit known as the "BALLS of the CORPS" in the most REMOTE part of AFGHANISTAN to ever have AMERICANS. Whats it like to be a medic in the most hostile settings? You won't ever forget this one.
It’s not an understatement to say that Dr. David Feliciano is a true giant in trauma surgery. Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma. We discuss with him how he recruited such amazing faculty, developing one’s technical skills, research, and the future of trauma. 1.Trauma textbook: https://www.amazon.ca/Trauma-Eighth-Ernest-Moore/dp/1259860671 2.“Everything You Ever Wanted to Know about Trauma” public lecture: https://www.youtube.com/watch?v=99yddsDe6oU 3.“Leftovers” by Dr. Feliciano has one of the best lines in a paper ever: At this point, the chief surgical resident on the trauma service met with the attending surgeon for violating his own well-known rule—“wounds that don’t heal contain dead tissue, infected tissue, cancer, or a foreign body.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263419/ 4.Pitfalls in the management of peripheral vascular injuries. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877918/
Dr. DuBose interviews current Shock Trauma surgical critical care fellow, Navy veteran and pediatric surgeon Dr. Howard Pryor. The relatively unaccomplished Dr. Pryor discusses the basics of trauma in the child, which is both qualitatively and quantitatively different from trauma care in the adult. They conclude with a discussion about Caps Lock, which both mistakenly believe is unnecessary.
The Boss himself discusses the management of liver trauma, including the value of a big, curved needle, the MARS system, and the problem of naked, homeless testudines. Interview conducted by Dr. John Maddox, current fellow at Shock Trauma.
There is a lot of information about COVID19 but not a lot of information about how to manage the prehospital airway of a decompensating COVID19 patient. Join the Podcast crew as we speak with Dr. Galvagno form Shock Trauma about the best practices for managing the crashing airway of a COVID19 patient.
Give us about ten minutes a day and we will give you all the local news, local sports, local weather, and local events you can handle. CONNECT WITH US! THERE ARE LOTS OF WAYS: http://bit.ly/EOAConnect Today...County Executive Pittman made his first State of the County speech last night. An afternoon car crash in Arnold sends two to Shock-Trauma. A record 28th gun was stopped at BWI. A Millersville man is found guilty of manslaughter in the overdose death of a 16 year old. Time is running out for this year's batch of Galway Bay Egg Nog. And Chesapeake Family is hosting a LEGO competition for kids! It's Thursday, which means the Annapolis Makerspace Minutes with Trevor. And of course, George from DMV Weather is here with your local weather forecast! Flash Briefing for Alexa. Yep, I finally brought the Daily News Brief to Alexa. Search for "Eye On Annapolis Daily News Brief" in your Alexa app and enable it--and be sure to drop us a rating! More info here. The Eye On Annapolis Daily News Brief is produced every Monday through Friday and available on Apple Podcasts, Spotify, Google Music, Stitcher Radio, tunein, IHeartRADIO, Amazon Echo, YouTube, Facebook, Twitter, and of course at Eye On Annapolis. Our weather partner is DMV Weather based in Annapolis. Please download their APP so you can keep on top of the local weather scene! Please be sure to check out our weekly sister podcast, The Maryland Crabs!
Everyone by now has heard about the attack the Great Frederick Fair that resulted in the death of a 59-year-old man At around 5:36 PM on Friday, deputies assigned to the Fair were notified of an assault in the midway area. They found the victim lying unconscious on the ground.. Medics responded and he was medivaced to Shock Trauma in Baltimore. Investigators interviewed witnesses who said the attack was unprovoked. Two juveniles were arrested. A 15-year-old male is charged with 1st- and 2nd-degree assault, and a 16-year-old male is charged with 2nd-degree assault. The Sheriff’s Office says it’s consulting with the State’s Attorney’s Office to determine additional charges. States Attorney Charlie Smith talked with us about the guidelines of charging in case like this.
"Shock Trauma" is Janelle's redemption story - many of the things that were once triggers and reminders of pain in the past have been redefined as symbols of hope and healing. JanelleMaree.bandcamp.com TWLOHA.com/find-help --- Support this podcast: https://anchor.fm/hollerinpoets/support
What are we doing to address this ongoing crisis? Some say it’s time to start looking at gun violence as a public health issue. That’s the angle we’re taking on this show. And we’re talking with the folks who are at the front lines – working in Shock Trauma – in Annapolis – and at John Hopkins’ renowned School of public health.
n this episode, Zack Shinar interviews Zaf Qasim about the recent controversies with ACEP and ACS about who can do REBOA. Zaf is one of the world's experts on REBOA and he's an ER doc! Zaf works at the University of Pennsylvania, trained in London as well as Shock Trauma in Baltimore and teaches at Reanimate. When you come to the essence of this episode, the question is what is the emergency physician's role in the trauma resuscitation? Both Zaf and Zack agree; we need to be the resuscitationist in the trauma suite. We need to manage the airway and then quickly take over the arterial and venous access, interpret the transduced pressures, manage the massive transfusion protocol and be ready to insert the REBOA catheter while the trauma surgeon is involved with the left chest, the source of bleeding and where the next destination for this patient will be. The post 49 – You Can’t Spell REBOA without the ER – Endovascular Resuscitation of the Trauma Patient – Zaf Qasim appeared first on ED ECMO.
Dr. Thomas Scalea, Physician-in-Chief of the R Adams Cowley Shock Trauma Center, describes what makes Shock a unique institution, relates his frustrations with recurrent violence in Baltimore, regales us with tales of maximally invasive surgery, walks us through the management of retrohepatic vena caval injuries, and reveals which injury patterns still raise his sphincter tone. Violence Intervention Program: https://www.washingtonpost.com/opinions/how-to-break-baltimores-cycle-of-violence/2017/07/28/54f7fa7e-632a-11e7-84a1-a26b75ad39fe_story.html?utm_term=.5f8c53511896
Session 28 Dr. Nii Darko is a community-based Trauma Surgeon. He's also an Osteopathic physician. Listen to his journey and what you should be thinking about. Dr. Darko has also been on The Premed Years podcast back in Session 196 and he is the host of the podcast called Docs Outside the Box. [01:05] An Early Interest in Trauma Surgery Practicing for almost five years now, Dr. Darko knew he wanted to be in two points of his life. As a seventeen-year-old, Nii had the opportunity to shadow a trauma surgeon in Newark, New Jersey, with his first exposure to trauma case was a person who got shot where they evaluated the patient and seeing a whole chorus of nurses and different medical staff helping the person. The trauma surgeon he was shadowing was at one corner of the room conducting the stuff, which to him seemed like an orchestra or rather a concerted type of chaos. The patient was taken into the operating room and when the doctor came out, he talked with the family. The doctor comes out of this operating room as a big superhero and saves the day. From then, he got hooked. Fast-forward to residency around ten to twelve years later, Nii noticed that general surgeons were doing everything including trauma and found himself moving towards operating on the unknown which to him was the fun part about trauma. You don't know exactly what's injured so you have to use all of these different detective-type qualities to figure out exactly what's going on. So Nii felt trauma surgery was the best mix for him in terms of taking care of patients who need things like appendix or the gall bladder and at the same time use his superman qualities in high-adrenaline and highly stressful situations. [04:40] Traits that Lead to a Good Trauma Surgeon Nii cites patience as a very big trait considering that oftentimes, with trauma, you don't know what's going on and a lot of things are going on at the same time. Another important quality is leadership. You need to understand that it's a very highly stressful situation. You have the ability to take a step back, be patient and at the same time, have the qualities where you direct people respectfully. Nii stresses the fact that no man is an island, particularly in medicine and although you'll be making decisions on your own, you are leading a team and if you can lead them effectively, it's always going to end up, for the most part, with good results for the patients. Nii initially wanted to be obstetrician being greatly inspired by Bill Cosby of the Cosby Show who played the part of an obstetrician who was a positive African-American doctor figure. In fact in medical school, Nii was the first year representative for the OB/GYN club and he quickly realized afterwards that it wasn't for him. Orthopedic surgery was also in the running for a very short period of time for him but everything fell by the wayside when he did a rural general surgery rotation in the middle of Kansas and then knew from then on that general surgery was for him. [06:58] A Typical Day and Types of Patients Nii gets into the hospital by seven in the morning and a sign out period occurs where they talk about all the patients on the list, anything major that occurred the night before and then they talk about the plan for the next 12-24 hours. From 8 am to 7 pm, Nii handles different duties whether it be patient evaluation at the trauma bay or someone on the general floor. By 7pm, they do the sign out process again and whoever is on at night handles any situation that needs to occur at night and then do it all over again. Nii typically treats patients from all walks of life, children and elderly patients as well patients in their late teens and 20's. As a trauma surgeon, majority of patients he sees are patients in their teens to mid-late 20's and 30's, which he describes as the "invincible years" where people think they're invincible so they do more of the reckless stuff. Additionally, he sees a huge boom of geriatric patients consisting of the baby boomer generation who as they get older are more prone to falls and different types of mechanisms, making them the second largest patient population he deals with. 70% of his job consists of true trauma cases such as car accident, gunshot wounds, stab wounds, and critical care while 30% goes to general surgery. Only about 10-15% of his patients that come through the trauma bay get taken to the operating room for various operations such as removing a spleen or fixing a liver laceration or a washout of an exposed bone. A very small percentage of patients get taken to the operating room which is a significant shift from trauma surgery that our generation knows from most TV shows in the 70's and 80's. Because of how advanced technology now is, those days are way behind us. Now, you can study someone and take a look in their, say abdomen or chest, and have more information before you take them to the operating room. [12:08] Calls, Work-Life Balance, and Burnout In terms of taking calls, Nii works in a two-week-on-two-week-off type model which is basically a shift work where he and another surgeon alternate call for two weeks and he gets another two weeks off. No administrative work, no hospital work, no patients. So Nii works hard in Central Pennsylvania for two weeks and then he's able to get home for a week to see family. This makes it attractive for people who really care about being able to travel or being able to do things with their families that they may not be able to do in a regular type of job. But that said, Nii describes his two weeks on as tough. You can do it but it's not for everybody. However, Nii finds those two weeks off as very valuable. When his patients come back during the two weeks he's off, they have this agreement among all surgeon where it's no longer his patient but their patient. Hence, other doctors take care of him or treat him during his time off. Nii sees this as the wave of the future. It may not be necessarily two week in a row and two weeks off but more and more specialties are taking on this type of work model with varying number of days on and off and where they're working as a team. Considering the amount of work or the amount of patients one person has to see and to be able to have the lifestyle with the new generations coming up, millennials and GenX, he sees lifestyle as coming into center stage and as a result, this type of schedule is becoming a lot more attractive. Nevertheless, Nii still feels he has enough time for family since he's working very hard for two weeks and prior to this year, he was in a situation where he spent 24 hours in the hospital and another 24 hours afterward is for backup in case he's needed to come in. he ends up convincing the OR to give you time to operate early in the day which doesn't happen much due to elective cases filling in. So you may be spending an additional five to six hours in the hospital. Again, Nii stresses how tough those two weeks are and oftentimes, you may still not be able to see loved ones during that time, but during the two weeks off, you may still catch up. But it's not for everyone. Nii has still missed a lot of important life events and he honestly says there are times he's questioning if this is all worth it but in order to be human, you have to have that type of thought process at one point. Nii is not complaining but this is real talk. This is bringing to light something people have not talked about before and it may have been manifested in bad behaviors in the operating room. So it's important to have this type of discussions now. [17:35] Residency, Fellowship, and Competitiveness Nii did five years of general surgery residency which includes training in a whole bunch of various areas of surgery such as general surgery, surgical oncology, ENT, neurosurgery, a little bit of orthopedic surgery, but less focused on general surgery. Afterwards, he was allowed to practice general surgery and decided to do a one-year fellowship where he did additional training at University of Florida's Ryder Trauma Center. He got as much experience in trauma as he could as well as critical care experience. After his training, he became board-eligible to practice trauma surgery and critical care surgery as well as general surgery. Nii describes trauma surgery as not a very competitive residency for a host of reasons. For one, a lot of people are little bit nervous about the hours you work with trauma. Second, it's very stressful. Third, a lot of programs offer trauma so it's not as competitive as in the realms of vascular surgery or any other type of subspecialty such as laparoscopic surgery or bariatric surgery. For the most part, people may think of trauma surgery as not being too competitive but it's very hard to get into the top trauma centers like the University of Miami, Grey Memorial Hospital, USC in California, or Shock Trauma in Maryland, these hospitals. [19:55] How to Be a Competitive Applicant From a medical student's perspective, Nii cites the the key things for becoming a very competitive applicant to general surgery. First, set the groundwork by being an excellently trained general surgeon. Show your interest in general surgery whether it be going to conferences or shadowing a general surgeon. You're going to be doing a general surgery rotation so you may want to do an additional rotation as a third or fourth year doing a sub-internship in general surgery or trauma surgery. Get excellent letter of recommendation and do well on your board exams. Once you become a general surgery resident, make sure to have an open mind. Make sure you're giving every rotation that you're doing enough attention and being as open as possible to basically learn as much possible. Be open to the idea that maybe you thought you wanted to do trauma surgery but you're actually really interested in surgical oncology or what have you. At this point, which usually happens during your second or third year, start getting yourself involved in research or doing some additional trauma surgery rotations if you like or get yourself involved in co-authoring a chapter in a textbook if you're at a large institution that does that. As for Nii, University of Miami has opportunities for not only medical students but also for general surgery residents to attach themselves to one or two general surgeons who are making probably a 25-30-chapter textbooks. There are plenty of opportunities to get yourself ready but focus on getting into a general surgery residency and as a resident, start putting your hands in different ways to show your commitment to trauma surgery. [22:40] Tips for Choosing Your Program Nii says he wouldn't have done anything differently with how he chose his program. The way he did it as a fourth year surgery resident at Grey Memorial Hospital where there was a lot of trauma done, there were multiple trauma surgeons who train at various places and they've come to work at that hospital. What he did was querying all of those surgeons, going to various people and asking them about their program and why they think it would be good for him to train there. Aside from getting advice from them, he went online and looked up more about those different programs and even calling up the program directors where some of them accommodated him. Nii wants people to understand that medicine is an extremely small world but as you start to get into more sub-specialties like trauma surgery, it's a very, very small world. For instance, their chairperson knew the trauma director at Miami and they ended up getting introduced in that way so he got to talk to him and told him about the program. So he applied and ended up working for him. Additionally, when you apply you get the opportunity to interview at these places if given the interview, which is an opportunity for you to showcase how well you speak and think or how you are in person, outside, separate from a piece of paper. Also take it as an opportunity to interview them. Ask them in how well they train their residents or fellows and in doing well on their board exams, how much experience do they get operating in x or y, how much time do they get off. [25:00] His Hustle to Allopathic Residency as a DO Nii is a DO but he went to an allopathic residency program for general surgery. Based on the NRMP Match Data for 2017 for Surgery programs, out of 1,276 positions filled, only 64 were filled by osteopathic students. When asked about how it was for an osteopath to get into an allopathic residency, Nii explains how much he hustled which means grabbing an opportunity and not waiting for someone to give you an opportunity. He knew he wanted to do general surgery and was open to doing a general surgery residency at an osteopathic program. He went through the rounds of interview at all these different DO programs and at the same time he decided to interview at all different places. He got a phone call from three or four general osteopathic surgery programs that they have matched outside of the match, which was part of their culture. They at times will just agree to take in a certain person before the match. So Nii had no other places available to him to get into a DO general surgery residency. But since he got to interview also at allopathic programs, he still had that chance within that allopathic realm. He ended up doing a last-minute sub-internship at Morehouse School of Medicine in the Medical Intensive Care Unit (MICU). When he got there, he made it very clear that he was doing the MICU rotation because he tried to get into the SICU (Surgical Intensive Care Unit) rotation but it wasn't available. He actually got lucky he had a very good pulmonology critical care physician and he honestly told him that he enjoyed intensive care unit but at the same time he was really interested in being a surgeon but he took the opportunity since it was the only thing available to him. Then every now and then he would request to round with the trauma surgeons and then he eventually maneuvered that into seeing what they do in the trauma. He basically got his foot on the door and hustle his way into making sure they know him. As a result, he got accepted into their program. It wasn't until his second year that he had the opportunity to talk to the chairperson who accepted him because they saw his ability considering they have never ever taken an osteopathic medical student before. By the time he graduated from the program, he was the best resident that has ever come through that program. Nii's advice is to make sure that if any osteopathic medical students are ever interested in their program, you have to take them more seriously. Think that we're all going through the same trials and tribulations and stress. Nii thought they may think that because he's a DO, he's different but he went above and beyond and he crushed it. Back then, they didn't treat him any differently or did anything to make him feel that way, but it was the thoughts he had at that time. His advice to medical osteopathic students out there is if you want to get it then go get it. And if you have to get into a general surgery in the allopathic world, then go and be as aggressive as possible and take the opportunities that may be presented to you. Kick the door open and don't wait for someone to give you an opportunity otherwise you're going to be on the outside looking in. [31:40] Subspecialties, Other Specialists, and Special Opportunities As a trauma surgeon, your subspecialty is called Trauma Critical Care. You can go and get some additional education like other specialties can like take additional courses in ultrasound. This is very useful if you're trying to figure out if someone is bleeding in their abdomen or has blood anywhere else. Using it is cheap, quick, and it doesn't require moving the patient to a CT scan where their pressure can drop or end up dying of a collapsed lung. You can get additional training in mostly anything. It won't get you additional certification but Nii explains it's always good to have that additional training in your back pocket because you never know when you're going to use it. Moreover, if you want to get any type of additional training that would get you certified in something else, you may have to do an additional fellowship aside from trauma surgery such as laparoscopic surgery or plastic surgery. In trauma, Nii always works with an orthopedic surgeon for broken bones, neurosurgeons for head and spinal cord injuries, plastic surgeons and oral and maxillofacial surgeons for broken bones in the face or missing teeth, broken nose and broken sockets. Other specialties they work a lot with include cardiothoracic surgeons. Other special opportunities outside of clinical medicine for trauma surgeons can be EMS. For example, if EMS is called to a scene and a patient is found down, if there's enough training, and EMT may bring that patient to the ER and allow the ER to work that patient up. But if the patient has a bunch of bruises on the head or anything on the rest of the body that may suggest they've fallen, if a trauma surgeon did the education and ER comes together, they may be able to educate EMS as to what to do first. You can also create your own type of experience. You can do a podcast like Nii where he interviews ordinary doctors do extraordinary things. And as with any other specialty, the world is your oyster. Nii further says that as a doctor, whatever you do, you just have so many opportunities to do anything you want. There are so many ways that you can branch off and go into. [36:38] What He Wished He Knew Going Into Trauma Surgery Nii trained in Atlanta, Georgia and from his experience, he found trauma surgery as a burden in their hospital since majority of trauma patients at their facility were indigent populations. Other services are expensive so if a patient with polytrauma comes through and they don't have insurance, it could be a huge expense for the hospital since a lot of that care has to oftentimes be written off. This normally occurs in areas where you have patients who don't have a lot of insurance or indigent populations. When Nii ended up becoming a trauma surgeon and going into areas where people have car insurance or people have other health insurances to pay for this, he didn't know that trauma surgeon could be as lucrative for a hospital as well as for the providers. And at the hospital he's currently at, trauma surgery is not a burden and instead is the biggest money maker for the hospital just because there are so many tenets of care. He wished he had known this before because he used to often get physicians who tried to turn him away from trauma surgery whereas in his current situation, trauma surgery is not seen as a burden and the administration can't get enough of trauma surgeons and want more of them. [39:00] Most and Least Liked Things About Trauma Surgery The thing Nii likes the most about trauma surgery is being the jack of all trades. He enjoys stressful situations and being trained in all different areas knowing you've got to stay calm. You get to orchestrate a lot of people and run a team and you're seeing someone literally from the door as they come in and all the way to when they're discharged and you're in charge of all facets of the care. He finds this very fascinating reason that the went to trauma surgery in the first place. On the flip side, the thing he liked the least is also the stress that comes with it that there's a lot to handle. In other specialties, you get to triage it to another person but you don't have this option in trauma surgery. There is constant stress which can eventually wear you down considering that Nii is still in his late 30's and he already feels the stress of that so he knows he can't continue like this into his 50's since it's not sustainable. But Nii loves this too so it's like an addiction. [40:45] Major Changes in Trauma Surgery Nii explains that trauma in the 80's and 90's was known to be not as operative as other specialties. There were even times when a lot of trauma surgeons lost the operative skills they've acquired during residency so a lot of trauma surgeons were not very good at operating. But a new field has come up called Emergency General Surgery or Acute Care Surgery, which Nii describes as a different thought process. For instance, if a trauma surgeon has to be in-house, he handles all the general surgery emergencies that occur in a hospital. This helps the general surgeons who have very busy elective services in the morning so they won't have to come in during the middle of the night to take out an appendix when at 7am they had a whipple surgery, which is one of the most intricate surgeries you can do in the abdomen that takes roughly about five to seven hours. So the general surgeon is no longer tired because he doesn't have to come in the middle of the night while the trauma surgeon can still get his hands dirty. Technology-wise, it continues to push things further and further. The obvious things would be technology getting smaller and smaller that you can transport patients with, which Nii considers as a small thing compared to the combination of trauma surgery and general surgery. [44:00] Would He Be Doing It All Over Again? If he had to do it all over again, Nii actually doesn't know if he would do it all over again. His thought process has changed a lot from medical school and residency, from a gunner mentality to now more of enjoying what he does and at the same time, he is no longer defined by being a physician. There is more to Nii Darko than just being a doctor. And if he had thought process in medical school, he may not have decided to go into general surgery and he may have decided to do something else where he'd be really be able to take care of patients not only in the way he would want to take care of them but also at the same time have a lifestyle where he can get away and that when he's off, he is off. No work no matter where he goes. Sure he does work two weeks on and two weeks off, but this may not be the same in another facility. As opposed to Emergency Medicine, you work a certain amount of shifts a month and you're guaranteed some time off. So if he had to do it all over again, he may have chosen something different. [45:40] Final Words of Wisdom Nii's advice to premed and medical students and residents looking at trauma surgery is to relax and take a big deep breath. If you want to be a trauma surgeon, there are plenty of places and spots available for you to get into trauma surgery. From a premed standpoint, focus on getting into medical school and being the best student you can be. At the same time, take opportunities to shadow a general surgeon and contrast that with shadowing a trauma surgeon so you can see the differences in how they practice. From a medical student's perspective, this is the time for you to really do as well as you can with your boards and with your rotations. At the same time, start laying the foundation for your commitment to general surgery if this is where you're interested in. Finally, as a resident, keep an open mind and give all of your rotations an equal share of your attention. At the same time, if you know for a fact that it's what you really want to do, go and get it. Don't let anybody keep an opportunity from you and know that trauma surgery is extremely rewarding. Although very stressful, Nii enjoys it everyday and at the same time you deal with people at their most vulnerable states and being able to take care of someone every step of the way, not many other specialties say they can do that so he is very grateful and humbled he has the opportunity to do this. Links: Docs Outside the Box Podcast The Premed Years Podcast Session 196 (interview with Dr. Nii Darko) NRMP Match Data for 2017 University of Florida's Ryder Trauma Center
Today we are pleased to feature a groundbreaking talk by a recent addition to the Shock Trauma faculty, Samuel Tisherman, MD, FACS, FCCM. Dr. Tisherman is a Professor of Surgery and Director of the Division of Critical Care and Trauma Education here at the University of Maryland. He is also one of the worlds foremost experts on using hypothermia in the resuscitation of trauma patients. Today he gives a preface for his revolutionary EPR-CAT trail. You will want to be on the cutting edge of this revolutionary concept!
Dr. Ron Tesoriero, Assistant Professor in the Department of Surgery & Associate Program Director of the Surgical Critical Care and Acute Care Surgery Fellowship at UMMC & Shock Trauma has has a thing or two to say about acute pancreatitis. These patients are by far some of the sickest in our ...
Imagine that you have been assigned to a six-person team in your company and asked to complete a top-priority project on a very short deadline. Some of the people have never worked together before team members change every hour or so leadership constantly shifts between three different individuals and any mistake could have disastrous even fatal consequences for the project. Wharton management professor Katherine J. Klein spent 10 months studying such teams in action at the Shock Trauma Center in Baltimore Md. Her research presented in a new co-authored paper suggests a novel view of leadership different from that offered in traditional leadership models. See acast.com/privacy for privacy and opt-out information.
© 2020-2025 Ivy Podcast Discovery LLC
