Podcasts about surgeons committee

Send us a textAgree to Agree (https://agreetoagree.org/) is an Ad Council ( https://www.adcouncil.org/ ) initiative focused on finding common ground to reduce the impact of gun violence on children and teens across all communities in the U.S. This new campaign launched in early 2025 and is focused on reaching distinct audiences, including parents and those with children in their lives who have a vested interest in protecting our youth and health care professionals who witness the impact of gun violence firsthand. Dr. Chethan Sathya, MD, MSc, is a pediatric trauma surgeon and National Institutes of Health (NIH)-funded firearm injury prevention researcher (https://www.northwell.edu/chethan-sathya-md). He serves as director of Northwell Health's Center for Gun Violence Prevention and oversees the health system's expansive approach to firearm injury prevention.The largest health system in New York, Northwell has taken a public health approach to gun violence prevention, focusing on key areas such as research, medical education, clinical screening, advocacy and community engagement. Under Dr. Sathya's leadership, the center has leveraged the health system's diverse patient population and wide reach to implement ground breaking preventative strategies and perform high-level research.Furthermore, Dr. Sathya spearheaded the formation of the National Gun Violence Prevention Learning Collaborative for Hospitals and Health Systems. Dr. Sathya is a part of the National Academies of Sciences, Engineering, and Medicine Action Collaborative for preventing firearm-related violence. He's also a consultant to the American College of Surgeons Committee on Trauma. Ms. Rowena Patrick is a Senior Vice President and group campaign director at the Ad Council ( https://www.adcouncil.org/rowena-patrick ), a non-profit organization, that brings together the most creative minds in advertising, media and tech to address the most worthy causes. Since 1942, Ad Council icons and slogans have woven into the very fabric of American culture. From their earliest efforts including “Loose Lips Sink Ships,” Smokey Bear's “Only You Can Prevent Wildfires” and “Friends Don't Let Friends Drive Drunk” to the recent groundbreaking Love Has No Labels, #EndFamilyFire and #SheCanSTEM, the Ad Council's social good campaigns shift mindsets and spur movements. The Ad Council settles for nothing less than a lasting impact on American life.For the past two decades Ms. Patrick has collaborated with some of the best creative and marketing minds in the country to tackle critical issues like gun violence, the overdose crisis and empowering girls in STEM. Her current roster of clients includes AARP, Brady, and a consortium of leading tech companies: Google, Verizon, IBM, and Bloomberg.Prior to that, Ms. Patrick worked at various companies with roles such as Account Supervisor / Account Executive at FCB, Business Development Manager at Initiative, and Account Executive / Assistant Account Executive at Ogilvy & Mather. She also worked as a Marketing Consultant at The Nova Collective and as a Teaching Assistant at Columbia University. Ms. Patrick holds a MS in Strategic Communications from Columbia University and a BS in Marketing & Information Systems from New York University.#ChethanSathya #RowenaPatrick #AdCouncil #NorthwellHealth #AgreeToAgree #ViolencePrevention #FirearmInjuries #GunViolence #FirearmSafety #PublicServiceAdvertisement #PublicHealth #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #ViralPodcast #STEM #Innovation #Technology #Science #ResearchSupport the show

James R. Korndorffer, Jr. MD MHPE FACS is Associate Professor and Vice Chair of Education in the Department of Surgery at Stanford University. Previously he served as Vice chair of Surgery at Tulane University Health Sciences Center in New Orleans. While at Tulane he also was the Surgery Residency Program Director, the assistant dean for Graduate medical education and the Medical Director of the Tulane Center for Advanced Medical Simulation and Team Training. He received his undergraduate degree in Biomedical Engineering from Tulane University, his Medical Degree from the University of South Florida College of Medicine and his Masters in Health Professions Education from the University of Illinois Chicago. His general surgery residency was completed at The Carolinas Medical Center in Charlotte, North Carolina and his Advanced Laparoscopic Fellowship was completed at Tulane University.He is actively involved in numerous national societies including the American College of Surgeons, the Society for Gastrointestinal and Endoscopic Surgeons, the Association for Surgical Education, and the Association for Program Directors in Surgery. He serves on the American College of Surgeons Committee on Validation of Surgical Knowledge and Skills, SAGES Fundamentals of Laparoscopic Surgery and Development Committees and also serves as the APDS research committee vice chair.Dr. Korndorffer has published over 60 papers in peer reviewed journals, 5 book chapters and has presented at over 100 national meetings. Dr. Korndorffer's clinical interests include minimally invasive surgery for gastrointestinal disorders and hernias. His research interests include surgical education, surgical simulation, patient safety, and patient care quality.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Kanamalar travmalarla ilişkili ölümlerin önde gelen nedenidir ve bu hastaların yarısından fazlası hastane öncesi dönemde ölmektedir. Bu nedenle üç dernek (American College of Surgeons Committee on Trauma, the American College of Emergency Physicians [ACEP], and the National Association of EMS Physicians [NAEMSP]) bir araya gelerek, hastane öncesinde kanama kontrolü teknikleri ve hemostatik resüsitasyon konusunda ortak rehberlik sunmak ve aynı zamanda ilk yardımcılara da yol gösterici olmak için bir konsensüs bildirgesi yayınladılar. Bu yazıda rehber (Klinisyenler Tarafından Hastane Öncesinde Kanama Kontrolü ve Tedavisi: Ortak Tutum Bildirgesi) önerilerinden bir özet bulacaksınız.​1​ Uzun süredir askeri alanda kanama durdurmak için packing (yara içi tampon), kavşak turnikeleri ve hemostatik emdirilmiş örtüler kullanılmaktadır. Yine savaş alanı tecrübesi kan ürünlerinin hastane öncesinde kullanımını desteklemektedir. Bu bildirgede benzer uygulamaların sivil hayatta kullanımına dair radikal öneriler yapıldı. Elbette tüm kılavuzlar bölgesel faktörler göz önünde bulundurularak oluşturulur. Umarım kısa süre içinde ülkemizde hem güvenlik güçlerimizin yaralanmalarında taktik alanda, hem de sivil hayatta daha etkili müdahaleler yapmak konusunda yerel rehberler oluşturarak hastane öncesi bakım kalitemizi güçlendirebiliriz. BİLDİRGE ORTAK KARAR NOKTALARI Elbette kanamalı hastaların kanama kontrolü için halen ilk seçenek olarak doğrudan baskı uygulanması öneriliyor. Direkt basının hastaların çoğunda kanamayı etkili olarak kontrol altına aldığı vurgulanmış. Kanama kontrolü için öncelikle kanamanın kaynağının ve hayati tehlike oluşturup oluşturmadığının belirlenmesi önerilmiş. Diğer öneriler; Doğrudan bası ile kanama kontrol altına alınamıyor veya alınması mümkün değilse, yarayı sarmak için gazlı bez ve/veya hemostatik emdirilmiş pansumanların kullanılması ve sıkıştırılabilir arteriyel kanamayı kontrol altına alabilmek için ekstremitelerde turnike kullanılması önerilir. Gövdeye birleşim bölgelerinden (boyun, omuz/koltuk altı ve kasık) kaynaklanan kanamalar doğrudan bası ve yara içi tampon ve/veya bir birleşim bölgesi -KAVŞAK turnikesi- (yalnızca koltuk altı veya kasık için) kullanılarak kontrol edilebilir. Yara içi tampon, yaranın içindeki damarlara doğrudan basıncı artırır. Bir travmatik yarayı doldurmak için temiz bir bez, gazlı bez veya hemostatik içeren pansuman derinlemesine ve sıkı bir şekilde yaraya bastırılır. Yara tamamen dolana kadar tampon uygulanırken doğrudan bası yapılmaya devam edilir. Tampon sonrasında yara bir pansumanla kapatılmalı ve her iki elle ciddi baskı uygulanarak başlangıçta hemostaz sağlanana kadar baskı sürdürülmelidir  Saçlı deri yaralanmaları ciddi hayati tehlikeli kanamalara neden olabilir ve doğrudan baskı uygulanarak veya hızla dikiş atılarak kontrol edilebilir. Hayati tehlike oluşturan dış kanamalar için kanama kontrol algoritması aşağıdaki şekilde gösterilmiştir. NOT: Bu noktada taktik tıbbında geçmişte de sık kullanılan 'yara içi tampon' önerisine dikkat çekmek istiyorum. Kanama doğrudan bası ile kontrol alınamadığında ikinci basamak müdahale olarak ekstremitelerde turnike uygulaması, bunun mümkün olmadığı vücut birleşim yerlerinde ise tampon ya da kavşak turnikesi kullanılması önerilmiş. 3. Lokal hemostatik içeren örtüler: Lokal hemostatik içeren örtüler faktör konsantratörleri, mukoadezifler ve prokoagülanlar içerebilir. ÖNERİ: Hemostatik emdirilmiş örtülerin en az 3 dakika doğrudan baskı uygulandıktan sonra uygulanması önerilmiş. 4. Turnike için Öneriler Hayati tehlike oluşturan kanamaları olan hastaların ekstremite travmalarında, vaktinde uygulanan turnike sağkalım şansını artırır. Bu nedenle ticari turnikelerin hızlı erişilebilecek yerde bulundurulması önerilmiş. Bu rehberde el yapımı turnikeler yerine ticari turnikelerin tercih edilmesinin üzerinde durulmuş. Ekstremite Turnike Tekniği: Yaranın en az 5-8 cm (2-3 inch) proksimalinden ...

Welcome back to another episode of TM3 Impact! Tomas is joined by Dr. Ramon Cestero. Dr. Cestero is board certified in both general surgery and surgical critical care. During his time at Los Angeles County/USC, Dr. Cestero was awarded two commendations from the County of Los Angeles for his efforts as team leader of the LAC/USC Haiti Trauma/Critical Care Task Force after the 2010 earthquake in Haiti. From 2003 to 2013, Dr. Cestero served as an active duty Navy surgeon and served as Department Head, Combat Casualty Care Research at the US Naval Medical Research Unit in San Antonio. Throughout his Navy career, Dr. Cestero has completed multiple combat surgical deployments in Iraq and Afghanistan and served as the Chief of Trauma for the NATO Role 3 Multinational Medical Unit in Kandahar, Afghanistan in 2012. His military awards and decorations include the Meritorious Service Medal, Joint Service Commendation Medal, Navy Commendation Medal, Humanitarian Service Medal, and Navy/Marine Corps Achievement Medal. Currently, he is an Associate Professor of Surgery at the University of Texas Health Science Center, Medical Director of the Surgical/Trauma Intensive Care Unit, and Program Director of the Surgical Critical Care fellowship as well as the Trauma Surgery fellowship. Additionally, he is a Fellow of the American College of Surgeons as well as the American College of Critical Care Medicine, and he has been selected as Vice Chair of the South Texas American College of Surgeons Committee on Trauma. He is also the Program Director of the UT Health San Antonio School of Medicine Executive Leadership Program which includes the Executive MBA for Health Professionals and the Executive Development Program for Emerging Health Leaders. His research interests include clinical trauma care, critical care diagnostics, surgical device development, and medical leadership and management.   Follow TM3 on social media: Instagram: https://www.instagram.com/thetomasmar... Facebook: https://www.facebook.com/thetomasmart... Twitter: https://twitter.com/tomasm_3 Linkedin: https://www.linkedin.com/in/tomasmart... Want to be on the TM3 Impact Podcast? Email us here: Krystal@lhmsat.com

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

This week we were joined by trauma surgeon and podcaster Dr. Dennis Kim. Dr. Kim, among many other things, hosts the very successful and highly educational @TraumaICURounds podcast. We in Canada are lucky enough to have him back on Canadian soil, and so on this episode talked to him about his experience moving back to Canada and collaborating to develop a trauma system in Victoria, BC. We then delved into a masterclass on fascial dehiscences, ranging from closure techniques to prevent dehiscences in the first place to strategies for dealing with them when they happen. Links: 1. https://www.traumaicurounds.ca/ 2. STITCH trial: https://pubmed.ncbi.nlm.nih.gov/26188742/ 3. Wittman Patch: https://medizzy.com/feed/46410 4. Abra Closure Device: https://www.cjmedical.com/products/specialties/dynamic-tissue-systems/abra-abdominal-wall-closure Bio (from https://medicalstaff.islandhealth.ca/news-events/dr-dennis-kim): Originally from Toronto, Dr. Kim completed medical school at McMaster University followed by General Surgery residency and a Critical Care Medicine fellowship at the University of Ottawa. He subsequently underwent a 2-year fellowship in Trauma & Surgical Critical Care at UC San Diego. Dr. Kim is quadruple board certified in Canada and the US. Dennis has been an attending surgeon in the Division of Trauma/Acute Care Surgery/Surgical Critical Care at Harbor-UCLA Medical Center in South Los Angeles since 2012, where he served as the Medical Director of the Trauma SICU and Chair of the Hospital Critical Care Committee. An avid educator and recipient of several teaching awards, Dr. Kim is an Associate Professor of Clinical Surgery and the former Co-Chair of the College of Applied Anatomy at the David Geffen School of Medicine at UCLA. Dr. Kim is actively involved in and holds numerous leadership roles in several key national trauma organizations including EAST, AAST, and the American College of Surgeons Committee on Trauma. He has published over 140 peer-reviewed publications, 25 book chapters, and several Practice Management Guidelines focused on the optimal care of critically injured and ill patients. Dr. Kim hosts the very popular Trauma ICU Rounds Podcast and is active across several social media platforms. Dr. Kim joins us with his wife, Alexis, their four children, and dog. Traveling, cooking, and spending time in the outdoors are but a few of the activities that help bring balance and joy to the de Rosenroll-Kim family. Dr. Kim brings with him a wealth of experience regarding trauma program development, performance improvement, and patient safety initiatives.

LEXINGTON, Ky. (October 6, 2022) – The Trauma Program Office is part of the UK HealthCare Trauma/Surgical Services service line. The team provides the day-to-day administrative operations for maintaining the UK HealthCare Chandler Hospital Adult Level I Trauma Center and the Kentucky Children's Hospital Pediatric Level I Trauma Center. The program office operates in accordance with the specifications of the American College of Surgeons Committee on Trauma (ACS-COT) national standards and criteria of the Resources for Optimal Care of the Injured Patient. Its mission, vision and goals are focused on using UK HealthCare resources to promote excellence in trauma patient care for our Adult and Pediatric Level 1 Trauma Centers. Amie Peel and Baillie McCane both work in the UK Trauma Program Office, Peel as a Trauma Education Coordinator, and McCane as a Trauma Outreach Coordinator. On this episode of ‘Behind the Blue', they both talk about trauma preparedness, trauma care and injury prevention programs offered by their office, and some key tips on what people can do to be prepared for trauma care situations. ‘Behind the Blue' is available on iTunes, Google Play, Stitcher and Spotify. Become a subscriber to receive new episodes of “Behind the Blue” each week. UK's latest medical breakthroughs, research, artists and writers will be featured, along with the most important news impacting the university. For questions or comments about this or any other episode of "Behind the Blue," email BehindTheBlue@uky.edu or tweet your question with #BehindTheBlue. Transcripts for this or other episodes of Behind the Blue can be downloaded from the show's blog page. To discover what's wildly possible at the University of Kentucky, click here.

Col (Dr.) Donald Jenkins is a Trauma Surgeon at UT Health San Antonio, who deployed multiple times to the Middle East with the Air Force during his 25-year career on active duty. His research efforts have helped bring whole blood transfusions to the battlefield and to emergency medical systems stateside. With the development of the Joint Trauma System, he was able to use real-time data to help improve the care of injured soldiers and pass these lessons along to the healthcare providers that followed. After his military service, he was able to use his skillsets to serve as the American College of Surgeons Committee on Trauma Performance Improvement committee chair. In this episode, he describes what his deployment to Iraq was like as the Trauma Medical Director, in charge of all medical care for the theater, and the challenges that they faced at that point in the war. He also discusses his role as the Trauma Director of the Joint Theater System just a year later where he was in charge of the trauma care for both Iraq and Afghanistan and discusses the unique challenges each theater faced. He provides a behind-the-scenes account of the development and implementation of the Joint Trauma System and how he and Dr. Holcomb plowed through bureaucracy to make this Joint Forces project come to be what it is today. We also dive into how the Joint Trauma System led to the development of the evidenced-based Clinical Practice Guidelines that are still used today. Don shares many insights, combat care innovations, and leadership lessons over a distinguished career. You don't want to miss this episode! Find out more and join Team WarDocs at www.wardocspodcast.com                           The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing career opportunities, experiences, and achievements of military medicine. 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 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

Dr. Ettien was born in Chattanooga and attended the University of the South at Sewanee. Following graduation he accepted a commission in the U.S. Air Force and was rated as an aerial Navigator. Following a tour of duty in the Strategic Air Command, he received his M.D. degree from the Medical College of Georgia, where he was admitted to the Alpha Omega Alpha Honor Society and served as Editor of the student newspaper and as President of the Senior Class. He was also awarded the Mosby Scholarship Award. His postgraduate training was taken at Vanderbilt and the Medical College of Georgia. Following two years of private practice in North Carolina he accepted the position of Associate Professor of Surgery at the Medical College of Georgia. He was subsequently recruited to the Diagnostic Clinic in Largo, Florida, and served as Chairman of the Cancer Control Committee and was the Cancer Liaison Physician to the American College of Surgeons Committee on Cancer for 27 years.        Dr. Ettien transitioned to Nashville, TN where he built a Surgical Clinic at TriStar Southern Hills Medical Center (2006-2015) at the request of the hospital.  He also served as Chief of Surgery, Chief of Staff, and as a member of the Medical Executive Committee as well as a member of the Board of Trustees.  In 2006 he was asked to assume the position of Medical Director of the Southern Hills Wound Care Center. He was subsequently asked to become the first Medical Director of the new TriStar Division Wound and Vascular Services Program (2015-2020.) In addition, he also served as the Medical Director for Integumetrix where he provided physician oversight and direction for the advanced wound care Nurse Practitioners under the American Medical Association (AMA) guidelines.  Dr. Ettien is certified by the American Board of Surgery (ABS) in addition to being a Senior Fellow of the American College of Surgeons (ACS), a Fellow of the International College of Surgeons, a member of the Society of Surgery of the Alimentary Tract (SSAT), a Senior Member of the Association for Academic Surgery (AAS) as well as many other surgical organizations. He also served as Editorial Advisor for “Resident and Staff Physician.” In 1982 he became a member of the Undersea Medical Society (UMS) which later became the Undersea and Hyperbaric Medical Society (UHMS). He brings extensive knowledge and expertise with surgical and medical patients with complex wounds and is knowledgeable in the latest wound care technology.  Having enjoyed many hours of flying after receiving his Commercial Pilot Rating in 1980 and navigating the ocean floor as a certified SCUBA diver, today, Dr. Ettien spends his off hours as a master model ship builder and is an avid golfer. He and his wife reside in Nashville, TN.  Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify   Have you ever considered a different way of practicing medicine? Whether you are burned out, need a change of pace, or are looking to supplement your income, locum tenens might be the solution for you.  Not sure where to start? Locumstory.com is the place where you can get real, unbiased answers to your questions.  They answer basic questions like, “What is locum tenens?”, to more complex questions about pay ranges, taxes, various specialties, and how locum tenens can work for you. Go to locumstory.com OR doctorpodcastnetwork.com/locumstory and get the answers. --- Show notes at https://rxforsuccesspodcast.com/56 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com

Previous literature demonstrates increased mortality for Traumatic Brain Injury (TBI) with transfer to a Level II versus Level I trauma center. Our objective is to determine the effect of the most recent American College of Surgeons-Committee on Trauma (ACS-COT) Resources for the Optimal Care of the Injured Patient resources manual (“The Orange Book”) on outcomes after severe TBI afterinterfacility transfer to Level I vs Level II center.

In this episode, we interview Dr. Steven Styllianos. Dr. Stylianos serves Columbia University as the Rudolph N Schullinger Professor of Surgery and Pediatrics and Chief of the Division of Pediatric Surgery. He is currently the Surgeon-in-Chief of the Morgan Stanley Children’s Hospital/New York Presbyterian.A graduate of Rutgers University and the New York University School of Medicine, Dr. Stylianos completed his general surgical training at Columbia–Presbyterian Medical Center. He subsequently spent two years as the Trauma Fellow at the Kiwanis Pediatric Trauma Institute in Boston and then completed his formal pediatric surgery training at Boston Children’s Hospital. Dr. Stylianos joined the faculty of Columbia University College of Physicians and Surgeons and the Children’s Hospital of New York in 1992. He organized and directed the 50-member team of physicians and nurses who separated conjoined twins in 1993, 1995, 2000 and 2020. These conjoined twins separations attracted the attention of the national media, including Dateline NBC, CBS 48 Hours and Fox News.Throughout the years, Dr. Stylianos has served as Chairman of the Trauma Committee for the American Pediatric Surgical Association (APSA) from 1997–2002 and authored the APSA position paper supporting all measures to reduce the toll of firearm violence in children. He also served as the Co-Principal Investigator of the U.S. Department of Health, Maternal and Child Health Bureau’s grant to APSA “Partnership for Development and Dissemination of Outcomes Measures for Injured Children.”Currently, Dr. Stylianos is a site verification officer of the American College of Surgeons Committee on Trauma and was recently elected to serve on the American Pediatric Surgical Association Foundation’s Board of Directors. He is also Editor-in-Chief of the Journal of Pediatric Surgery Case Reports, Associate Editor of the Journal of Pediatric Surgery and served on the Executive Board as a founding member of the Pediatric Trauma Society. Dr Stylianos recently received the prestigious American Pediatric Surgical Nurses Association’s 2016 Champions Award and the American Trauma Society’s 2016 NY State Trauma Medical Director of Distinction.And most importantly, Dr Stylianos and his wife Joann are proud first-time grandparents to to their grandson Nico. In this episode, we discuss what it was like to lead a team who separated conjoined twins, how he handles leadership in the OR, and his experience in the epicenter of COVID-19 in New York. Questions we asked include: What are your current leadership roles and what do you feel were the experiences that led you to them?What was it like to lead the team that separated conjoined twins?What is your mindset in the OR when things don’t go as you planned?Tell us about the first few days of the pandemic for you. What was it like to be presented with this challenge?Were there any lessons you took as a leader in the OR to role as a leader in administration?What are your pieces of advice to developing medical leaders? What is your process of reflecting on failure? What two of your favorite books that you would recommend to young medical leaders?His suggestions: "Farsighted" by Steven Johnson & "The Splendid and the Vile" by Eric Larson

#008 - Join host Dr. Red Hoffman and co-host Dr. Mackenzie Cook as they interview Dr. Sharmila Dissanaike, professor and Peter C. Canizaro chair of surgery at Texas Tech University Health Sciences Center.   They have a wide-ranging discussion about leadership, wellness, disaster ethics and the role of social media in academic medicine.  Sharmila shares some of her journey to becoming a chair of surgery, discusses the importance of maintaining a growth mindset and emphasizes the need for all of us to maintain an interest in the nuance of our current situation, rather than on searching for black and white answers.  Once again, we also talk about the benefit of being a "spork" (neither a spoon nor a fork!). Join us for a great conversation!Resources discussed in the episode:Ethical Framework for the Allocation of Resources in the Event of Shortages by the American College of Surgeons Committee on EthicsEthics of PPE Allocation by the American College of Surgeons Committee on EthicsACS-MacLean Center Surgical Ethics FellowshipTo learn more about the surgical palliative care community, visit us on twitter @surgpallcare.

Join us for an intimate conversation with Dr. Joe Sakran, EAST Injury Control and Violence Prevention Committee Chair as he updates us on the #ThisIsOurLane movement and Dr. Eileen Burger, Chair of the American College of Surgeons-Committee on Trauma, to preview the importance of the upcoming summit.  Freedom with Responsibility: A Consensus Strategy for Preventing Injury, Death, and Disability from Firearm Violence.  JACS 2018

SPECIAL SMALL BATCH EPISODE The National Association of EMS Physicians (@NAEMSP), the American College of Emergency Physicians (@EmergencyDocs @ACEPEMSDP), and the American College of Surgeons-Committee on Trauma (@ACSTrauma) have published a position statement titled:  Spinal Motion Restriction in the Trauma Patient – A Joint Position Statement The PEC Podcast team interviewed NAEMSP President Dr. Brent Myers (@bmyersmd) regarding the utility of EMS Backboards and the PASSION of EMS providers about this very position statement. Click here to listen now! We hope you enjoy this podcast and THANK YOU For listening! Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio DO (@PEMems)    

Peds EMS wizard, Dr. Greg Faris, joins us again on the podcast to discuss pediatric out-of-hosiptal cardiac arrest. This topic gives us all a bit of nausea and tachycardia. We’ll review some recent literature that will, hopefully, nudge us to change the practice of “scoop and run” in our pediatric cardiac arrests. Pediatric OHCA References Tijssen JA, et al. Time on the scene and interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest. Resuscitation. 2015 September; 94: 1-7. Munoz MG, et al. An ethical justification for termination of resuscitation protocols for pediatric patients. Pediatric Emerg Care 2017; 33: 505-515. American College of Surgeons Committee on, T., et al. (2014). "Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest." Pediatrics 133(4): e1104-1116. Goto, Y., et al. (2016). "Duration of Prehospital Cardiopulmonary Resuscitation and Favorable Neurological Outcomes for Pediatric Out-of-Hospital Cardiac Arrests: A Nationwide, Population-Based Cohort Study." Circulation 134(25): 2046-2059. Capizzani AR, et al. Assessment of termination of trauma resuscitation guidelines: are children small adults. J of Peds Surg; 2010: 45, 903-907.

Colonel Matthew J. Martin, MD Dr. Martin is currently the Trauma Medical Director and Chief of Surgical Critical Care at Madigan Army Medical Center, Joint Base Lewis-McChord in Washington State. He is also the Director of Surgical Research and the former Associate Program Director for the Madigan Army Medical Center General Surgery residency program. He is a Clinical Associate Professor of Surgery at the University of Washington School of Medicine, and Associate Professor of Surgery at the Uniformed Services University in Bethesda, MD. He is the current Chair of the Army State, Region 13, for the American College of Surgeons Committee on Trauma. He has been deployed twice in support of Operation Iraqi Freedom and twice in support of Operation Enduring Freedom in Afghanistan, service for which he received The Bronze Star as well as many other military distinctions. Dr. Martin completed his undergraduate degree in 1990; a master’s degree in Medical Science in 1995, and his medical degree in 1998 all from Boston University. He completed residency training in General Surgery at Madigan Army Medical Center in 2003, and a fellowship in Trauma and Surgical Critical Care at Los Angeles County Hospital and USC Medical Center in 2005. Dr. Martin has had a prolific literary and research career in the 11 years since completing his formal training which includes contributions to 100s of peer-reviewed publications, authorship of 24 book chapters, and being co-author and editor of two books (“First to Cut: Trauma Lessons Learned in the Combat Zone”; and more recently “Front Line Surgery: A Practical Approach”) Lastly, Dr. Martin is a co-host of the podcast Traumacast, a show that discusses topics related to all things trauma surgery. Please enjoy with Dr. Matthew Martin!

Traumatized children need your full attention. Protocols work well for adults, but trauma in children requires that we exercise our clinical muscles just a bit more.   Two main reasons:  Children have specific injury patterns  Their physiologic response to trauma is unique.   Crash course in pediatric anatomy and physiology in trauma When you think of trauma in children, think of Charlie Brown. Large head, no neck, his chest and abdomen form an underdeveloped, amorphous shape. Alternatively, think of children as apples – they are rounder than they are tall, with a large increased surface area. Apples don’t have a hard shell or thick rind to protect them. If you drop them, you may not see any evidence of damage to the outside, but there can be considerable bruising just under the surface. A child has thin skin, less subcutaneous deposits than an adult, and a non-calcified, pliable thorax that deforms more than it protects or shields. The child’s abdominal muscles are not yet developed. There is less peritoneal fat to cushion a blow, and so traumatic forces transmit readily into internal organs, often without external bruising. The child’s large surface area also causes him to dissipate heat more quickly. He may be wet from urine or blood, and in a major trauma, this faster cool-down predisposes him to coagulopathy. Case A 5-year-old boy who was playing with his older brother in front of their home when the ball rolled into the street. He ran after it, and was struck by a sedan going approximately 30 mph. This is the so-called Wadell’s triad that occurs in a collision of auto versus pedestrian or auto versus bicycle. The initial impact is the greatest, and will vary depending on the child’s height and what part of his body reaches up to the bumper of the car. Depending on the height of the child and the height of the car, the initial impact will cause a femur fracture, a pelvic fracture, or direct abdominal trauma. The second impact happens as the child is flung onto the grill or the hood of the car, causing usually thoracic trauma. The third impact can be the coup de grace – to add insult to major injury, the child is then propelled forward, worsening the two previous impacts’ injuries and adding a third – severe blunt head trauma. Intubation Pearl #1: If your patient has any subtle change in mental status, intubate early. In pediatric trauma, we need to be proactive. Hypoxia is our enemy. Intubation Pearl #2: Thankfully cervical spine injuries in children are uncommon, and when they do occur, they typically occur at the child’s fulcrum, which is at C2. Compare this with an adult’s injury pattern with our fulcrum at C7. Be careful and minimize manipulation of the cervical spine, but do what you must to visualize the chords and place the tube. Keep the neck midline, and realize that the child’s usual decrease respiratory reserve is even more affected by trauma. Preoxygenate and pass that tube quickly. Chest Tube Pearl #1: Chest tube sizing in pediatrics is straightforward if we remember that the traditional chest tube size is 4 x the ETT size. Chest Tube Pearl #2: Try using a pigtail catheter. Safety Triangle Lateral edge of the pectoral muscle Lateral edge of the latisimus dorsi Line along the fifth intercostal space at the level of the nipple. It’s roughly where you would put on a generous dose of deodorant. Insertion here minimizes the risk of damage to nerves, vessels and organs. Resuscitative Thoracotomy in Children In a 40-year review of ED thoracotomy, Moore et al. analyzed 1,691 patients who received ED thoracotomy. Overall all-cause adult survival was 6.1%. In children ? 15 years of age, overall all-cause survival was considerably less, at 3.4%. In a large case series and review of the literature for pediatric ED thoracotomy, Allen et al. found a survival rate in penetrating trauma of 10.2%, with a much lower survival rate in blunt pediatric arrest, at 1.6%. Adolescents had more penetrating injuries, and younger children had more blunt trauma. To synthesize, the rarity of ED thoracotomy in children is due to the fact that: Traumatic full arrest in children is uncommon. It is most often blunt trauma. Blunt traumatic arrest in children is mostly non-survivable. REBOA If you have access to resuscitative endovascular balloon occlusion of the aorta or REBOA, this may be an option to temporize the child to get him to the relative control of the operating room. REBOA involves accessing the common femoral artery, passing a vascular sheath, floating a balloon catheter to the appropriate section of the aorta, and inflating the balloon to occlude blood flow. Brenner et al. described a case series of 6 patients from two Level I trauma centers. They used REBOA for refractory hemorrhagic shock due to either blunt or penetrating injury. After balloon occlusion, blood pressure improved sufficiently to take the patient either to interventional radiology or to the OR. Four patients lived, two died. The AORTA trial is underway to investigate its use in trauma. Summary: Children are like Charlie Brown – large head, no neck, amorphous, underdeveloped and unprotected thorax and abdomen. Or, if you like, they’re like, apples – they have a large surface area and are easily internally bruised, often without overt signs of external bruising. Chest tubes for children are very similar to the adult procedure – the traditional chest tube size is 4 x the child’s ETT size. Try to use smaller pigtail catheters, available in commercial kits, whenever possible. They’re easy, safe, and effective. Resuscitative thoracotomy is for penetrating trauma with signs of life wthin 10-15 minutes of arrival. Find the correctable surgical cause of the arrest. Resuscitative thoracotomy for blunt trauma has a dismal prognosis in children. Selected References Allen CJ, Valle EJ, Thorson CM, Hogan AR, Perez EA, Namias N, Zakrison TL, Neville HL, Sola JE. Pediatric emergency department thoracotomy: a large case series and systematic review. J Pediatr Surg. 2015 Jan;50(1):177-81. American College of Surgeons Committee on Trauma; American College of Emergency Physicians Pediatric Emergency Medicine Committee; National Association of Ems Physicians; American Academy of Pediatrics Committee on Pediatric Emergency Medicine, Fallat ME. Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest. Pediatrics. 2014 Apr;133(4):e1104-16. Holscher CM, Faulk LW, Moore EE, Cothren Burlew C, Moore HB, Stewart CL, Pieracci FM, Barnett CC, Bensard DD. Chest computed tomography imaging for blunt pediatric trauma: not worth the radiation risk. J Surg Res. 2013 Sep;184(1):352-7. Moore HB, Moore EE, Bensard DD. Pediatric emergency department thoracotomy: A 40-year review. J Pediatr Surg. 2015 Oct 19. Scaife ER, Rollins MD, Barnhart DC, Downey EC, Black RE, Meyers RL, Stevens MH, Gordon S, Prince JS, Battaglia D, Fenton SJ, Plumb J, Metzger RR. The role of focused abdominal sonography for trauma (FAST) in pediatric trauma evaluation. J Pediatr Surg. 2013 Jun;48(6):1377-83. Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma. 2011 Dec;71(6):1869-72. Pediatric Trauma on WikEM   This post and podcast are dedicated to Dr Al Sacchetti, MD, FACEP. Thank you for promoting the emergency care of children and for spreading the message that you don’t need subspecialty training to take good care of acutely ill and injured children. Powered by #FOAMed — Tim Horeczko, MD, MSCR, FACEP, FAAP

In the wake of the American College of Surgeons Committee on Trauma suggesting patient outcome is the same for Level I and Level II trauma centers, I believe a timely message is report by Dr. Jan Jansen from the Aberdeen Royal Infirmary and colleagues throughout Scotland who describe their comprehensive geospatial analysis of greater than 80,000 trauma patients over a year. Dr. Samuel Ross and associates from the Carolinas Medical Center in Charlotte, provide insight into the impact of normal saline versus Ringer’s lactate on resuscitation endpoints for hemorrhagic shock. Another interesting resuscitation paper was by Dr. Martin Ponschab et al from the Trauma Research Center in Salzburg. Dr. Elizabeth Benjamin and colleagues from the LA County Medical Center, investigate the risk of deep organ space infection after emergent bowel resection and anastomosis. The second paper is by Dr. Daniel Yeh et al from the Massachusetts General Hospital who focus on the clinical implications of gangrenous cholecystitis. Transcript