Podcasts about Trauma surgery

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

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

Elizaveta Kon, MD, Professor of Orthopedic and Trauma Surgery at Humanitas University in Milan, Italy and the 2024-2025 President of the Società Italiana di Artroscopia, Ginocchio, Arto Superiore, Sport, Cartilagine e Tecnologie Ortopediche (SIAGASCOT), shares her experience as the first female professor of orthopaedic surgery in Italy, why she created the Meniscus Discovery Channel, her hope for a future of more personal, individualized treatment plans, and more.

FINAL CUT: "Mother Charity – Navigating the Brutal, Exhilarating World of Trauma Surgery" With Martha B. Boone, M.D., Board-Certified Surgeon, Urologist, Award-Winning Author

Do you find yourself saying: “Hey, what's the big idea with that newfangled whole blood in the refrigerator next to the trauma bay?”  Like using whole blood but not sure why?  Don't like using whole blood but not sure why? Join us for a 30 minute power session in whole blood where we try to get you the information you need to know! Hosts: - Michael Cobler-Lichter, MD, PGY4/R2: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @mdcobler (X/twitter) - Eva Urrechaga, MD, PGY-8, Vascular Surgery Fellow University of Pennsylvania Recent graduate of University of Miami/Jackson Memorial Hospital/Ryder Trauma Center General Surgery Residency @urrechisme (X/twitter) - Eugenia Kwon, MD, Trauma/Surgical Critical Care Attending: Loma Linda University  Recent graduate of University of Miami/Jackson Memorial Hospital/Ryder Trauma Center Trauma/CC Fellowship - Jonathan Meizoso, MD, MSPH Assistant Professor of Surgery, 6 years in practice University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @jpmeizoso (twitter) Learning Objectives: - Describe the proposed benefits of whole blood resuscitation in trauma -  Identify current problems with synthesizing the existing literature on whole blood resuscitation in trauma - Propose needed areas for future research regarding whole blood resuscitation in trauma Quick Hits: 1. There is significant heterogeneity in study design across whole blood resuscitation studies, complicating comparison 2.  There is likely a mortality benefit to whole blood resuscitation in trauma, however this is likely dependent on the specific population 3. Future research directions should focus on prospective randomized work to try and better quantify the exact benefit of whole blood, and determine in which populations this benefit is actually realized References 1.     Hazelton JP, Ssentongo AE, Oh JS, Ssentongo P, Seamon MJ, Byrne JP, Armento IG, Jenkins DH, Braverman MA, Mentzer C, Leonard GC, Perea LL, Docherty CK, Dunn JA, Smoot B, Martin MJ, Badiee J, Luis AJ, Murray JL, Noorbakhsh MR, Babowice JE, Mains C, Madayag RM, Kaafarani HMA, Mokhtari AK, Moore SA, Madden K, Tanner A 2nd, Redmond D, Millia DJ, Brandolino A, Nguyen U, Chinchilli V, Armen SB, Porter JM. Use of Cold-Stored Whole Blood is Associated With Improved Mortality in Hemostatic Resuscitation of Major Bleeding: A Multicenter Study. Ann Surg. 2022 Oct 1;276(4):579-588. doi: 10.1097/SLA.0000000000005603. Epub 2022 Jul 18. PMID: 35848743. https://pubmed.ncbi.nlm.nih.gov/35848743/ 2.     Sperry JL, Cotton BA, Luther JF, Cannon JW, Schreiber MA, Moore EE, Namias N, Minei JP, Wisniewski SR, Guyette FX; Shock, Whole Blood, and Assessment of Traumatic Brain Injury (SWAT) Study Group. Whole Blood Resuscitation and Association with Survival in Injured Patients with an Elevated Probability of Mortality. J Am Coll Surg. 2023 Aug 1;237(2):206-219. doi: 10.1097/XCS.0000000000000708. Epub 2023 Apr 11. PMID: 37039365; PMCID: PMC10344433. https://pubmed.ncbi.nlm.nih.gov/37039365/ 3.     Meizoso JP, Cotton BA, Lawless RA, et al. Whole blood resuscitation for injured patients requiring transfusion: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2024;97(3):460-470. doi:10.1097/TA.0000000000004327 https://pubmed.ncbi.nlm.nih.gov/38531812/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

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

In this week's episode of Promising Young Surgeon, we are honored to have Dr. Brittany Bankhead, a double board-certified trauma and general surgeon, and a surgical intensivist, join us. With her impressive portfolio that spans medtech development, consulting, real estate, and clinical practice, Dr. Bankhead shares her journey and insights into balancing a multifaceted career with personal fulfillment. Dr. Bankhead discusses the evolution of the medical field, particularly the increasing diversity and inclusion of women in surgery. She reflects on her path from a Caribbean medical school to becoming an associate professor, emphasizing the importance of resilience and grit in overcoming challenges. Her story is a testament to crafting a life that aligns with one's passions and values, rather than conforming to traditional expectations. 00:00 – Welcome Dr. Brittany Bankhead05:20 – Breaking the Mold in Medicine15:45 – Journey into Trauma Surgery23:30 – Balancing Clinical Practice and Entrepreneurship34:10 – Overcoming Implicit Bias in Medicine45:00 – Advice for Pursuing Passions55:30 – Where to Connect with Dr. Bankhead Resources:Follow Brittany on Instagram https://www.instagram.com/bbankheadmd?igsh=MXMwMXQ5NnM1OTk0Zg== Follow Brittany on Twitterhttps://x.com/bbankheadmd?s=11&t=GI5Z4rbybo3olRxXriUSAg Interact with the podcast! Email me at pys@heyinfluent.com to ask questions. We would love to hear from the Promising Young Surgeon audience.Promising Young Surgeon is sponsored by Pattern. Discover why more than 20,000 doctors trust Pattern to shop for disability insurance. Request free quotes in 5 minutes. Compare policies with an expert. Buy with confidence. LINK: https://www.patternlife.com/promising-young-surgeon?campid=349433Subscribe, tune in, and join the conversation as Dr. Hardin and her guests tackle the pressing issues facing today's medical professionals and ponder how to nurture a more compassionate and sustainable healthcare environment. Connect with Frances Mei:https://linktr.ee/francesmei.md https://rethinkingresidency.com/about/Find More info on this series and other podcasts on the Influent Network at HeyInfluent.comFollow the Influent Network on Social Media:LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections. Powered by HurrdatSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The dreaded esophageal injury.  Do you still have nightmares about mock oral board scenarios torturing you with the ins and outs of how to manage traumatic esophageal injury?  Think you remember all the nuances?  Whether you do or you don't, this episode should serve as a good refresher for all levels while offering some pearls for management of this tricky scenario. Hosts: - Michael Cobler-Lichter, MD, PGY4/R2: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @mdcobler (X/twitter) - Dylan Tanzer, MD, 2nd-year Trauma/Surgical Critical Care Fellow University of Miami/Jackson Memorial Hospital/Ryder Trauma Center - Eugenia Kwon, MD, Trauma/Surgical Critical Care Attending: Loma Linda University Recent graduate of University of Miami/Jackson Memorial Hospital/Ryder Trauma Center Trauma/CC Fellowship - Jonathan Meizoso, MD, MSPH Assistant Professor of Surgery, 5 years in practice University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @jpmeizoso (twitter) Learning Objectives: - Describe the diagnostic workup of a suspected traumatic esophageal injury - Identify when someone with suspected esophageal injury needs immediate surgical management - Describe appropriate surgical techniques for repair of both cervical and thoracic esophageal injuries Quick Hits: 1.     Don't forget the primary survey.  Unstable patients should be in the OR, as should patients with hard signs of vascular or aerodigestive injury 2.     If there is concern for esophageal injury but no immediate indication for the OR, this should be further investigated with CTA of the affected area.  Clinical exam has poor sensitivity. 3.     The esophagus should be primarily repaired if the defect is able to come together without tension after debridement.  Don't forget a well-vascularized buttress 4.     If you cannot perform a primary repair, your procedure of choice should be lateral esophagostomy with feeding jejunostomy and gastrostomy for decompression.  Repair over T-tube can be considered for injuries with small amounts of tissue loss References 1.     Biffl WL, Moore EE, Feliciano DV, Albrecht RA, Croce M, Karmy-Jones R, et al. Western Trauma Association Critical Decisions in Trauma: Diagnosis and Management of Esophageal Injuries. J Trauma Acute Care Surg 2015;79(6):1089-95. https://pubmed.ncbi.nlm.nih.gov/26680145/ 2.     Sperry JL, Moore EE, Coimbra R, Croce M, Davis JW, Karmy-Jones R, et al. Western Trauma Association Critical Decisions in Trauma: Penetrating Neck Trauma. J Trauma Acute Care Surg 2013;75(6):936-40. https://pubmed.ncbi.nlm.nih.gov/24256663/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Burnout—it's a silent epidemic, especially among healthcare professionals. But what if healing from burnout is truly resolved by tuning into the wisdom of your own body? In today's episode, I'm interviewing Dr. Jeffrey Carter, a healthcare professional who has experienced burnout firsthand. He uncovers how perfectionism, high-stress environments, and workaholic tendencies can lead to burnout and, more importantly, how somatic healing can offer a path to recovery and reclaiming balance in life.In this podcast episode, Dr. Carter takes us through:- His personal experience with burnout and how it impacts different professions.- The link between healthcare stress, exhaustion, and burnout.- How burnout affects relationships and daily interactions.- His early life struggles with perfectionism and achievement.- The dangers of using work as a form of escape/numbing mechanism.- The importance of somatic practices to release tension and heal.- How self-awareness and taking responsibility can help manage burnout.- How support systems are crucial for healing.And so much more!Dr. Jeffrey Carter, MD, is a practicing Trauma Surgeon, Critical Care Doctor, and Integrative Medicine Specialist.  After four years of medical school and eight years of training in Trauma Surgery, Dr. Carter experienced physician burnout during his early thirties, and his health suffered as a result. He initially sought help through the traditional avenues with some success, but still, something was missing.Ultimately, Dr. Carter dedicated himself to becoming healthy and found power in holistic therapies, which led him to study Integrative Medicine at the Andrew Weil Center for Integrative Medicine at the University of Arizona in Tucson. He became a Fellow of Integrative Medicine in 2023.Dr. Carter believes in partnering with his patients in patient-centered care. This relational doctor-patient relationship produces the best outcomes. He is a Gold Humanism Society Inductee and has contributed to many publications, presentations, posters, and book chapters. Follow Aimee Takaya on: IG: @aimeetakaya Facebook: Aimee Takaya Learn more about Aimee Takaya, Hanna Somatic Education, and The Radiance Program at⁠ ⁠www.freeyoursoma.com.⁠⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/aimee322/support

    Join us for a captivating exploration of military medicine with COL Jennifer Gurney, MD, FACS, a trauma surgeon and chief of the Joint Trauma System. Dr. Gurney shares her inspiring journey from joining the Army for financial support during medical school to becoming a leader in trauma surgery, significantly influenced by the events of September 11, 2001. Her experiences at renowned institutions like Stanford and San Francisco General Hospital underscore the importance of fellowship training in her field. Listen in as she discusses the critical role of trauma systems in optimizing combat casualty care, highlighting the "Walker Dip," a challenge in maintaining medical readiness during periods of non-conflict, and the significance of data and performance improvement in military medicine.    Discover how lessons from global trauma systems, including conflicts in Ukraine and Israel, are shaping the future of military medical care. We examine the strategic partnership between the American College of Surgeons and the Military Health System, emphasizing the importance of collaboration, communication, and shared experiences between military and civilian trauma systems. Insights from Dr. Gurney and other critical figures in trauma surgery provide a roadmap for national trauma systems, highlighting the efforts to address both trauma and non-battle injuries. With COL Gurney's commitment to providing the best care for military personnel, this episode is a compelling exploration of the challenges and rewards of military medicine.   Chapters: (00:04) Optimizing Military Medicine Through Trauma Surgery (11:13) Learning From Global Trauma Systems (16:33) Military Medical Partnership   Chapter Summaries: (00:04) Optimizing Military Medicine Through Trauma Surgery      Dr. Jennifer Gurney's journey into Army Medicine, specializing in trauma surgery, and the importance of data and performance improvement in optimizing combat casualty care.   (11:13) Learning From Global Trauma Systems       Military trauma systems in Ukraine and Israel highlight the importance of data, training, and collaboration for improved outcomes in war.   (16:33) Military Medical Partnership With Surgeons       Strategic partnership between ACS and MHS, integration with COT, data capture on military health threats, and insights from JTS Chief.   Take Home Messages: Commitment to Military Medicine: The journey into military medicine can be profoundly influenced by significant events, such as 9/11, which shape career paths and lead to specialized roles in trauma care. This highlights the importance of dedication and resilience in providing optimal care for military personnel. Importance of Trauma Systems: Optimizing trauma systems is crucial for maintaining combat casualty care readiness. This involves continuous data-driven performance improvement and collaboration between military and civilian systems to enhance medical outcomes. Global Insights and Collaboration: Learning from global conflicts, such as those in Ukraine and Israel, provides valuable insights into military medical readiness. This underscores the importance of international collaboration and communication in refining trauma care protocols and strategies. Strategic Partnerships: Partnerships between military health systems and civilian organizations, like the American College of Surgeons, play a pivotal role in advancing trauma care. Effective communication and shared knowledge contribute to the development of a comprehensive national trauma system. Adapting to Future Challenges: The military medical community must prepare for future conflicts that may present new challenges. This involves leveraging emerging technologies and ensuring rapid data capture and analysis to maintain a high standard of care, even in unpredictable environments.   Episode Keywords: Military Medicine, Trauma Surgery, Joint Trauma System, Medical Readiness, Combat Casualty Care, Global Trauma Systems, Military Medical Partnership, Surgeons, Data and Performance Improvement, Collaboration, Communication, Continuous Improvement, Military Health System, American College of Surgeons, National Trauma System, Regional Medical Command Centers, National Disaster Medical System   Hashtags: #MilitaryMedicine, #TraumaSurgery, #JointTraumaSystem, #MedicalReadiness, #CombatCasualtyCare, #GlobalTraumaSystems, #MilitaryMedicalPartnership, #Surgeons, #DataandPerformanceImprovement, #Collaboration, #Communication, #ContinuousImprovement, #MilitaryHealthSystem, #AmericanCollegeofSurgeons, #NationalTraumaSystem, #RegionalMedicalCommandCenters, #NationalDisasterMedicalSystem   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/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast 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 YouTube Channel: https://www.youtube.com/@wardocspodcast

Did you know that 13% of trauma patients who go home with an opioid prescription will develop opioid dependence?  Multimodal pain regimens not only reduce opioid consumption, but also improve pain control.  On this episode of the BIG T TRAUMA series, we explore a multimodal approach to pain management...and tackle some surgical dogma along the way.   Hosts: Patrick Georgoff, MD, Trauma Surgeon, Duke University, @georgoff Teddy Puzio, MD, Trauma Surgeon, University of Texas Houston Gabby Hatton, MD, Trauma Surgery fellow, University of Texas Houston  References: 1.     Rate and Risk Factors Associated With Prolonged Opioid Use After Surgery: A Systematic Review and Meta-analysis. JAMA Netw Open 2020: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767637 2.     Traumatic injuries and persistent opioid use in the USA: findings from a nationally representative survey. Injury Prevention 2017: https://pubmed.ncbi.nlm.nih.gov/27597400/ 3.     Ketamine For Acute Pain After Trauma (KAPT): A Pragmatic, Randomized Clinical Trial. J Trauma 2024: https://pubmed.ncbi.nlm.nih.gov/38689402/ 4.     EAST PMG: Efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of acute pain after orthopedic trauma (2023): https://www.east.org/education-resources/practice-management-guidelines/details/efficacy-and-safety-of-nonsteroidal-antiinflammatory-drugs-nsaids-for-the-treatment-of-acute-pain-af 5.     Systematic Review and Meta-Analysis of the Association Between Non-Steroidal Anti-Inflammatory Drugs and Operative Bleeding in the Perioperative Period. JACS 2021: https://pubmed.ncbi.nlm.nih.gov/33515678/ 6.     Is the use of nonsteroidal anti-inflammatories after bowel anastomosis in trauma safe? J Trauma 2023: https://pubmed.ncbi.nlm.nih.gov/36728125/ 7.     University of Texas at Houston Multimodal Pain Guideline: https://med.uth.edu/surgery/acute-trauma-pain-multimodal-therapy/ 8.     ACS TRAUMA QUALITY PROGRAMS BEST PRACTICES GUIDELINES FOR ACUTE PAIN MANAGEMENT IN TRAUMA PATIENTS: https://www.facs.org/media/exob3dwk/acute_pain_guidelines.pdf Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

VTE prophylaxis is more than just some squeezy leg socks and a one-size fits all dose of enoxaparin!  Ever wonder how VTE prophylaxis is similar to constipation?  Have you or a loved one been hurt by a hospital administrator telling you that VTE is a never event?  Come with us, and our special guest Dr. Bryan Cotton, on this journey to the frontier of research attempting to debunk this myth and improve patient care by reducing VTE rates in trauma patients.   Hosts: - Michael Cobler-Lichter, MD, PGY4/R2: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @mdcobler (X/twitter) - Eva Urrechaga, MD, PGY-8, Vascular Surgery Fellow University of Pennsylvania Recent graduate of University of Miami/Jackson Memorial Hospital/Ryder Trauma Center General Surgery Residency @urrechisme (X/twitter) - Eugenia Kwon, MD, Trauma/Surgical Critical Care Attending: Loma Linda University Recent graduate of University of Miami/Jackson Memorial Hospital/Ryder Trauma Center Trauma/CC Fellowship - Brandon Parker, DO, Assistant Professor of Surgery, 5 years in practice University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @BrandonParkerDO (X/twitter) - Bryan Cotton, MD, MPH, FACS, Professor of Surgery, 20 years in practice  University of Texas Health Science Center at Houston/Red Duke Trauma Institute at Memorial Herman Hospital @bryanacotton1 (X/twitter) Learning Objectives: - Describe the rationale for the addition of aspirin to chemoprophylactic regimens for VTE -  Identify appropriate screening systems for trauma patients at high risk for VTE -  Describe the rationale for monitoring anti factor Xa levels in the trauma population receiving VTE chemoprophylaxis - List the major conclusions of the two studies discussed regarding the addition of aspirin to VTE chemoprophylaxis regimens in trauma patients, and the change in antithrombin activity levels over time in relation to enoxaparin responsiveness in polytrauma patients Quick Hits: 1.     On adjusted analysis, the standard VTE PPX plus aspirin group had a lower OR of developing VTE, though limitations of this study highlight need for future prospective work 2.     Trauma patients often suffer from decreased activity of antithrombin 3, which may mediate the relatively higher rates of VTE in this population. 3.     Trauma patients who went on to develop VTE were more likely to not achieve satisfactory anti Xa levels, with a VTE rate of 30% in the never-responder group, the group for which Xa levels were never higher than 0.2 4.     Ex vivo supplementation of antithrombin seems to improve enoxaparin responsiveness.  Remember, enoxaparin and heparin are HELPING AT3, not the other way around References 1.     Lammers D, Scerbo M, Davidson A, et al. Addition of aspirin to venous thromboembolism chemoprophylaxis safely decreases venous thromboembolism rates in trauma patients. Trauma Surg Acute Care Open. 2023;8(1):e001140. doi:10.1136/tsaco-2023-001140 https://pubmed.ncbi.nlm.nih.gov/37936904/ 2.     Vincent LE, Talanker MM, Butler DD, et al. Association of Changes in Antithrombin Activity Over Time With Responsiveness to Enoxaparin Prophylaxis and Risk of Trauma-Related Venous Thromboembolism. JAMA Surg. 2022;157(8):713-721. doi:10.1001/jamasurg.2022.2214 https://pubmed.ncbi.nlm.nih.gov/35731524/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

What really happens behind the scenes when a severely injured trauma patient arrives at the hospital?   Emergency care providers need to act quickly and coordinate seamlessly with their team when seconds count to save a trauma patient's life. But the high-stakes, chaotic environment can make it challenging to stay calm, avoid errors, and prevent burnout, especially if you don't get to practice those skills regularly. Stephen Cohn MD says trauma surgeons need to be experts at dealing with calamity. They are glue people, helping to hold together the entire hospital enterprise. In today's episode you'll get: An inside look at real-world trauma resuscitation from a surgeon's perspective   Practical tips to optimize trauma teamwork, communication, and composure under pressure Advice for both individuals and organizations on building sustainable trauma surgery careers Listen now to hear Dr. Cohn's wisdom gleaned from 40+ years of managing the worst injuries imaginable. Resources Stephen M. Cohn MD. All Bleeding Stops: Life and Death in the Trauma Unit. Mayo Clinic Press. 2023. Timestamps 00:00 Introduction 01:40 Walk-through of the arrival of a trauma patient at the trauma center 10:14 Feelings in the trauma center and coordinated teamwork 14:12 Continuing medical education and team training 17:32 The work that trauma & general surgeons do and a wide array of potential surgical intervention 19:16 Innovations that have redefined and impacted trauma care 21:39 Common errors and misconceptions 23:27 Advice for younger surgeons on preventing burnout and preserving energy 25:37 Institutional support and resources 27:27 Key takeaways Subscribe to the Write Medicine podcast! Don't forget to subscribe to the Write Medicine podcast for more valuable insights on continuing medical education content for health professionals. Click the Follow button and subscribe on your favorite platform.

John is an inspiration, especially if you've thrived at the top of your game only to realize it wasn't "filling your cup." John realized he was letting work be the driver of his life, and it wasn't very fulfilling. He made the courageous decision to talk to management and admit he was burned out, but they weren't willing to make changes. So he decided it was up to him to make the change. Hear how he made the shift to academics and the effect this had on the other areas of his life. You can find John on Linked In or FB. He's also sharing his email if you want to contact him! If you liked what you heard and want help with your own burnout journey, I'd love to talk. I'm writing a book on how to heal from burnout (due out 1/25), and I have a group coaching starting June 11th. If you'd like to be a podcast guest or want to discuss sponsorships or speaking engagements, reach out via email, hope.cook@gmail.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/coachhopecook/message

Rajeev Puri, MD, is a board-certified Surgical Hospitalist who came to Health First from Central Maine Medical Center in Lewiston, Maine. He has expertise in trauma care, laparoscopic surgery and general surgery. Dr. Puri is a fellow of the American College of Surgeons and is accredited in rib plating in trauma. He received the Mohan Das Award for Outstanding Chief Resident in 2011 from Einstein Medical Center Philadelphia in Philadelphia, Pennsylvania. In this episode he shares his experiences on becoming a doctor as well as fatherhood.

The Odyssey of an American Doctor: Step into the remarkable life of Dr. Salvador Forcina, whose path took him from the ruins of World War II Italy to the forefront of American medicine. In this compelling episode of 'Living the Dream with Curveball,' Dr. Forcina shares the trials and triumphs that led to his esteemed career as a surgeon and his role as a chief of surgery at two North Jersey Shore hospitals. His tale is a testament to the enduring spirit of determination and hard work.

   Step into the world of military and civilian medical excellence as we share the stage with Dr. Peggy Knudsen, a leading trauma surgeon whose work bridges these two critical spheres. Her journey from a Minnesota mining town to the front lines of trauma surgery reveals the profound impact of military-civilian partnerships in healthcare. Through stories of her time in Iraq and Germany, Dr. Knudsen unravels the complexities of trauma care and the incredible strides made possible by the collaboration between military-civilian expertise and innovation.    Imagine stepping off a plane and straight into an active war zone as a civilian surgeon. Our latest episode brings that reality to light, showcasing civilian surgeons who volunteered to serve in military hospitals during the Iraq and Afghanistan conflicts. Their integration into military teams and the skills honed in the heat of battle are not only harrowing tales of service but also invaluable learning experiences that have reshaped their professional and personal lives. Join us as we examine the rigorous process that prepared these civilians for the battlefield, and the indelible mark it left on their approach to surgery back home. These civilian heroes didn't just bring their expertise to the theater of war; they returned with invaluable insights that have since transformed the landscape of civilian trauma care.     We address the evolving landscape of trauma medicine, where military innovations have found their place in our local hospitals. Dr. Knudsen sheds light on the importance of programs like Stop the Bleed and the pioneering strategies of damage control resuscitation, illustrating the profound influence of military protocols on saving lives in civilian emergencies. As we consider the future readiness of military medical professionals, she eloquently speaks to the importance of ongoing collaboration to maintain a high standard of combat casualty care, ensuring that, even in peacetime, our surgeons are prepared for the realities of war. Her experiences offer a unique lens on the Excelsior Surgical Society's role in nurturing military surgeons' professional development, painting a vivid picture of how these collaborations are pivotal in advancing modern trauma systems.    As we face concerns over a potential decline in deployment experience among military medical personnel, Dr. Knudsen sheds light on collaborative efforts to ensure that the next generation of military surgeons retains the expertise necessary for future combat casualty care. It's an enlightening discussion that solidifies the critical nature of these ongoing partnerships in trauma care.   Chapters: (00:04) Military-Civilian Partnerships in Trauma Care (11:56) Civilian Surgeons in War Zones (24:22) Improving Trauma Care Through Military-Civilian Partnerships (31:42) Military-Civilian Trauma Care Partnerships   Chapter Summaries: (00:04) Military-Civilian Partnerships in Trauma Care Dr. Peggy Knudsen's journey in trauma surgery, her role in pediatric surgery, and the importance of military-civilian partnerships in advancing trauma care.   (11:56) Civilian Surgeons in War Zones Civilian surgeons volunteered in military hospitals during Iraq and Afghanistan conflicts, learning from and working with military personnel.   (24:22) Improving Trauma Care Through Military-Civilian Partnerships Military trauma care advancements, tourniquet use, damage control resuscitation, burn care improvements, and preserving surgical skills through partnerships.   (31:42) Military-Civilian Trauma Care Partnerships Firsthand trauma experience, military-civilian partnerships, and readiness of trauma community to respond to large-scale operations.   Take Home Messages: Civilian and military trauma care partnerships are critical for advancing modern trauma systems and ensuring readiness for future conflicts. Civilian surgeons gain transformative experiences and valuable insights from volunteering in war zones, which they bring back to improve civilian trauma care. Military innovations, such as the use of tourniquets and damage control resuscitation, have significantly influenced trauma care protocols in civilian medical practice. The integration of civilian medical expertise with military precision has led to life-saving advancements in trauma care and emergency response strategies. Collaborative efforts between professional medical societies and the Department of Defense are essential for maintaining and reinforcing combat casualty care knowledge among military medical professionals. The importance of programs like Stop the Bleed is highlighted, aiming to educate the public on life-saving techniques that stem from military medical practices. Trauma medicine is constantly evolving, with military medical protocols being adapted for use in civilian emergencies, underscoring the need for continuous learning and adaptation. Active-duty military surgeons benefit from being integrated into civilian trauma centers, helping them stay deployment-ready and enhancing their trauma care skills. The Mission Zero Act plays a role in funding military-civilian trauma care partnerships, aiming to improve preparedness and response capabilities in both military and civilian settings. The trauma community is committed to responding to large-scale military operations, showcasing the readiness and willingness of civilian surgeons to support military efforts when necessary. Episode Keywords: Trauma Care, Military-Civilian Partnerships, Medical Excellence, Military Precision, Civilian Practice, Senior Visiting Surgeon, Iraq, Germany, Military Surgeons, Professional Development, Excelsior Surgical Society, War Zones, Battlefield Medicine, Civilian Surgeons, Volunteer, Military Teams, Civilian Heroes, Battlefield Medicine, Military Innovations, Local Hospitals, Stop the Bleed, Damage Control Resuscitation, Combat Casualty Care, Military Protocols, Civilian Emergencies, Future Readiness, Military Medical Professionals, Peacetime, War, Trauma Surgery, Pediatric Surgery, Evolution of Trauma Systems, Excelsior Surgical Society, Professional Growth, American College of Surgeons, American Association for the Surgery of Trauma, Logistics, Deployment, Learning Opportunities, Collaborative Work, Military Personnel, Specialties, Trauma, General, Vascular, Orthopedic, Neurosurgery, Selection Process, Balad, Iraq, Military Healthcare System, Tourniquet, Stop the Bleed Program, Life-Saving Techniques, Damage Control Resuscitation, Whole Blood Resuscitation, Burn Care, Patient Resuscitation, Combat Casualty Care Knowledge, Curriculum, Skill Assessments, Mission Zero Act, Funding, Blue Book, Trauma   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/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast 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 YouTube Channel: https://www.youtube.com/@wardocspodcast      

In this episode of Deep Cuts, Dr. Selwyn O. Rogers on how to understand and begin to tackle gun violence in the United States. We'll discuss the factors that perpetuate gun violence, which individuals are at highest risk, and what interventions might look like to curb gun violence. We'll also discuss the ways Dr. Rogers finds meaning amidst this challenging work. Dr. Selwyn O. Rogers Jr.is a widely respected surgeon and public health expert. He is the founding director of the University of Chicago Medicine Trauma Center, and has built an interdisciplinary team of specialists to treat patients who suffer injury from life-threatening events, such as car crashes, serious falls and gun violence. His team works with leaders in the city's trauma network to expand trauma care on the South Side of Chicago.Dr. Rogers has also served in leadership capacities at health centers across the country, including most recently as vice president and chief medical officer for the University of Texas Medical Branch at Galveston, as the chair of surgery at Temple University School of Medicine, and as the division chief of trauma, burns and surgical critical care at Harvard Medical School.If you have questions or topics you'd like to hear us discuss, please reach out to us via Instagram or X @deepcutssurgery. You can also learn more about our podcast and team at our website, deepcuts.surgery.uchicago.edu.“Deep Cuts” comes to you from the Department of Surgery at the University of Chicago which is located on Ojibwe, Odawa and Potawatomi land.Our senior producer is Tony Liu. Our host is Dr. Anthony Douglas. Our producers are Alia Abiad, Caroline Montag, and Chuka Onuh. Our editor and production coordinator is Nihar Rama. The intro song you hear at the beginning of our show is “Love, Money Part 2” from Chicago's own Sen Morimoto off of Sooper Records. Special thanks this week to all of our listeners for supporting the show. Let us know -- what have you most enjoyed about our podcast? Where do you see room for improvement? You can reach out to us on Instagram or X at @deepcutssurgery.

Eat when you can, sleep when you can, and don't F with the pancreas!  What happens when that third rule goes wrong, and why do people say pancreas injuries are like eating crawfish?  Whether you love the pancreas or just the mention of the P-word strikes fear in your heart, or if you just want the answer to the aforementioned questions, join Drs. Cobler-Lichter, Kwon, and Meizoso, as they guide you through all this and more!  Hosts: - Michael Cobler-Lichter, MD, PGY3, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center, @mdcobler (twitter) - Eugenia Kwon, MD, Trauma/Surgical Critical Care Fellow, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center -Jonathan Meizoso, MD, MSPH Assistant Professor of Surgery, 4 years in practice, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center, @jpmeizoso (twitter) Learning Objectives: - Describe the AAST grading system for pancreatic injuries - Come up with a treatment plan for each grade of pancreatic injury - Identify commonly associated injuries with pancreatic trauma -  List potential complications of pancreatic trauma and/or surgery Quick Hits: 1. Pancreas injuries do not all require a trip to the operating room. Low grade injuries should be managed with a trial of nonoperative management if there are no other operative indications 2. CT is the best initial imaging modality, although it has low sensitivity. If there is high concern for a pancreas injury based on mechanism or associated injuries, further investigation is required. 3. Pancreas injuries are like crawfish: suck the head and eat the tail. 4. Injuries to the left of the SMV can generally be treated with distal pancreatectomy and splenectomy, whereas injuries to the right of the SMV are usually drained. 5. Its important to identify and address any concomitant injuries, with duodenal injuries being the most common in higher grade injuries. 6. In the case of the dreaded grade 5 injury, the safe answer is to come back and do your reconstruction at a later time. References 1.     https://www.westerntrauma.org/western-trauma-association-algorithms/management-of-pancreatic-injuries/ 2.     Bassi, Claudio et al. The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After. Surgery, Volume 161, Issue 3, 584 – 591 https://pubmed.ncbi.nlm.nih.gov/28040257/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

On October 7, Hamas launched a horrific terror attack in Israel. Over 1,300 Israelis have been killed, over 3,200 have been injured, and nearly 200 hostages have been taken. As always, JOWMA's network of physicians is here to serve the Jewish world. Now, WE NEED YOUR HELP. Help support JOWMA's work and our medical mission. We are bringing critically-needed physicians to save lives in Israel. Every dollar raised goes directly to support this Donate to JOWMA's Medical Mission: https://donate.cwsio.com/jowma/ Eliza “Shevie” Kassai, MD is a board-certified general and trauma surgeon. She has been a valued member of the Mountain View Surgical team since 2020. Born and raised in Denver, she attended medical school at the Technion in Israel and subsequently returned to Denver to complete her training. She completed her internship and residency in General Surgery at the University of Colorado. She completed a Research Fellowship in Trauma Surgery during her training and her research has been published in multiple medical journals, including the Journal of the American College of Surgeons, Injury, and The American Surgeon. She is certified in robotic surgery, and serves as the Medical Director of the Wound Care and Advanced Hyperbaric Center at The Medical Center of Aurora. She lives with her husband and three children in Denver. Dr. Kassai loves skiing, running, traveling, and spending time with her family. _______________________________________________________ Sponsor the JOWMA Podcast! Email digitalcontent@jowma.org Become a JOWMA Member! www.jowma.org  Follow us on Instagram! www.instagram.com/JOWMA_org  Follow us on Twitter! www.twitter.com/JOWMA_med  Follow us on Facebook! https://www.facebook.com/JOWMAorg/ Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

Scott Watson talks with Dr. Steven Cohn about life as a trauma surgeon.See omnystudio.com/listener for privacy information.

Explore the world of Dr. Adam Lee Goldstein, Head of Trauma Surgery at Wolfson Medical Center and Co-Director of Operating Together. From his roots in Washington DC to a dedicated medical career in Israel, Dr. Goldstein shares his compelling story. In this episode, we delve into the remarkable efforts in trauma care, humanitarian projects, and collaborative initiatives. Join us as we uncover the healing power of partnership and resilience in the field of trauma surgery. Dive into the challenges and motivations of caring amid ongoing conflicts. Situated in a pivotal location, Wolfson Medical Center serves over a million people, including some of Israel's most overlooked populations. Discover the hospital's commitment to humanitarian projects, global resident training, and historical dedication to Save a Child's Heart.Dr. Goldstein co-directs Operating Together, a transformative project uniting healthcare professionals across borders. Delve into the mission, programs, and partnerships that foster cooperation and relationships between Israeli, Palestinian, and international healthcare experts.Explore recent advancements in trauma care, research, and training within Wolfson Medical Center's trauma unit. Dr. Goldstein provides insight into how the recent conflict has shaped the operations and goals of Operating Together. Gain rare insights into the medical treatment provided to hostages, offering a glimpse into the challenges faced by trauma surgeons in crisis situations. Discuss the transformative power of individual relationships and the belief in lasting change based on respect. Dr. Goldstein shares his current perspective on whether individual relationships can transcend political challenges, reflecting on his op-ed for the New York Times, “I'm a Trauma Surgeon in Israel. In My Hospital, We Are in This Together,” written during the May 2021 conflict (Operation Guardian of the Walls), expressing hope for unity within the hospital's walls. Explore Dr. Goldstein's vision for the future of trauma care, cooperation, and partnerships. Gain insight into how his experiences in trauma surgery have shaped both his personal and professional outlook.Recorded on February 14 (Day 131).Connect with Dr. Goldstein (Adamg.barefoot@gmail.com) and Operating Together on Instagram: operating_togetherThanks for tuning in!

In Betsy Wurzel's recent interview, Dr. Cohn delves into the role of a Trauma Surgeon, emphasizing the rigorous training and education required for success in this field. He highlights the Trauma Surgeon's pivotal role as the "Quarterback" in the Trauma Center, collaborating with the entire team to achieve the best outcomes for patients. The discussion extends to topics such as burnout, preventive measures for traumas through the enforcement of safety laws (helmets, seatbelts, breath analyzers), and gun safety issues.The interview provides valuable insights into Dr. Cohn's experiences, addressing how he manages the balance between family life and recreational activities to destress. The conversation explores the personality traits essential for a Trauma Surgeon and touches on the looming shortage of trained and experienced doctors across various medical specialties.For individuals fascinated by the realm of Trauma Surgery, the interview and Dr. Cohn's book present a compelling viewpoint, cultivating a greater understanding and admiration for the committed professionals who operate in Trauma Centers.We are contact and more information about this interview via this URL: Trauma Surgeon's Crucial Role in the Trauma CenterBecome a supporter of this podcast: https://www.spreaker.com/podcast/chatting-with-betsy--4211847/support.

Dive into the riveting world of trauma surgery with "From TRAGEDY TO TRIUMPH A Trauma Surgeon's journey" on The Bedrock Way podcast. Dr. John Porter, an esteemed trauma surgeon from Cooper University Healthcare, shares his transformative journey from a childhood aspiration ignited by historical upheaval to becoming a beacon of resilience in healthcare. This episode is a profound exploration of the trials and triumphs faced by those who operate at life's sharpest edge. Discover the raw, untold stories of life within hospital walls, where every decision can tip the balance between life and death. Unveil the hidden depths of a surgeon's psyche, their relentless pursuit of excellence, and the emotional fortitude required to navigate the most thankless of jobs. Dr. Porter's personal narrative weaves through moments of crisis, offering insights into the power of purpose and the profound impact of diversity and leadership in the medical community. Join us for an episode that not only peels back the layers of a trauma surgeon's experience but also sheds light on the broader implications for wellness, innovation, and personal growth in healthcare. Tune in to hear Dr. Porter's expert perspective on why a career dedicated to saving lives transcends the pursuit of accolades, how diversity in the field can lead to improved patient outcomes, and the importance of mindfulness in high-stakes environments. Don't miss this episode of The Bedrock Way podcast, where we dive into the essence of what it means to be a life-saver. Subscribe now to be part of a community that values personal journeys, expertise, and the collective mission to shape the new reality of healthcare. CHAPTERS: 0:00 - Introduction to Trauma Surgery 2:00 - Surgeon's Journey: Tragedy to Triumph 5:20 - Surgeon's Background: Education & Early Life 9:15 - Athletics Influence on Surgical Career 12:34 - Debunking Multitasking in Surgery 20:15 - Surgeon's Mental Health Challenges 24:25 - Misconceptions of Surgical Lifestyle 26:30 - Day-to-Day of a Trauma Surgeon 30:55 - Commitment to Trauma Surgery 33:50 - Dr. Porter's Professional Journey 35:54 - Dr. Porter's Role at Cooper Hospital 38:36 - Leadership: Medical Supply Chain Management 43:00 - Fitness Importance for Surgeons 49:20 - Dr. John's Additional Medical Roles 55:21 - Trauma Surgery & Military Relations 57:55 - Resilience in Surgical Practice

Drs. Christopher Jones, Professor of Surgery and Director of Transplantation and Keith Miller, Associate Professor, Division of Trauma Surgery team up to share the genesis and development of the Future Healers Program in collaboration with Game Changers to help youth in Louisville navigate the secondary trauma that comes from increasing gun violence in the community. Future Healers Program  Do you have comments or questions about Faculty Feed? Contact us at FacFeed@louisville.edu. We look forward to hearing from you. --- Send in a voice message: https://podcasters.spotify.com/pod/show/hscfacdev/message

Direct Peritoneal Resuscitation!  We're not just dumping fluids into the open abdomen.  What is DPR?  Why do it?  Who should get it?  Does it work? Come try and stay awake for some basic science talk before then learning all about why you should consider adopting DPR into your Trauma/EGS practice? Join Drs. Cobler-Lichter, Kwon, Meizoso, Urréchaga, and Rattan as they guide you through all this and more!  Hosts: Michael Cobler-Lichter, MD, PGY2: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @mdcobler (twitter) Eva Urrechaga, MD, PGY6/R4: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @urrechisme (twitter) Eugenia Kwon, MD, Trauma/Surgical Critical Care Fellow: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center Jonathan Meizoso, MD, MSPH Assistant Professor of Surgery, 3 years in practice University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @jpmeizoso (twitter) Rishi Rattan, MD, Attending Surgeon in Trauma/Critical Care, 7 years in practice Legacy Emanuel Medical Center @DrRishiRattan (twitter) Learning Objectives: - State the proposed benefits of DPR - Identify who can benefit from DPR - Demonstrate the proper way to set up a DPR circuit - Discuss the proposed basic science mechanism for DPR's efficacy Quick Hits: 1.      Consider DPR in all your open abdomens in EGS/Trauma.  You never know when you're going to be able to close some of these patients. 2.     The principal of DPR is to allow the fluid to dwell in the abdomen as long as possible.  Keep the catheter deep and don't put holes in your dressing. 3.     DPR is ideal for patients with packing, who are in discontinuity, and for fresh anastomoses.  These will only benefit from DPR, not be harmed by it.  4.     Make sure these patients are receiving hourly I/Os.  Nursing by-in is huge for this procedure. 5.     DPR is associated with higher rates of fascial closure, reduces inflammation, and improves blood flow to the abdomen. References Ribeiro-Junior MAF, Cássia Tiemi Kawase Costa, de Souza Augusto S, et al. The role of direct peritoneal resuscitation in the treatment of hemorrhagic shock after trauma and in emergency acute care surgery: a systematic review. Eur J Trauma Emerg Surg. Published online November 13, 2021. doi:10.1007/s00068-021-01821-x Smith JW, Garrison RN, Matheson PJ, Franklin GA, Harbrecht BG, Richardson JD. Direct Peritoneal Resuscitation Accelerates Primary Abdominal Wall Closure after Damage Control Surgery. J Am Coll Surg. 2010;210(5):658-667. doi:10.1016/j.jamcollsurg.2010.01.014 Smith JW, Neal Garrison R, Matheson PJ, et al. Adjunctive treatment of abdominal catastrophes and sepsis with direct peritoneal resuscitation: indications for use in acute care surgery. J Trauma Acute Care Surg. 2014;77(3):393-398; discussion 398-399. doi:10.1097/TA.0000000000000393 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episode here: https://behindtheknife.org/listen/

On this week's episode, Dr. Drew talks to Dr. Adam Lee Goldstien. Dr. Goldstien serves as the Director of Trauma Surgery at Wolfson Medical Center and is also a co-founder of "Operating Together", an initiative fostering collaborative educational projects between Palestinian and Israeli surgeons. Dr. Drew and Dr. Goldstien discuss the psychology of individuals drawn to the field of trauma surgery, the intricacies of Israel's healthcare system, surgeons and their egos, and the art of community-building, starting from the foundation of one-on-one relationships. https://www.operatingtogether.org/ Please support the show by checking out our sponsors! Entera: Don't miss out on this incredible opportunity to transform your beauty routine. Go to enteraskincare.com and use promo cod e DREW for 10% off at checkout. Kion: To save 20% on monthly deliveries and 10% on one-time purchases, just go to getkion.com/DRDREW Shopify: Sign up for a one-dollar-per-month trial period at SHOPIFY.COM/drew

In today's episode I speak with trauma surgeons Drs. Morad Hameed and Elliott Haut. With the announcement of President Biden's first-ever federal Office of Gun Violence Prevention, today's conversation is on point. We chat gun violence in the USA and Canada and discuss the Stop The Bleed campaign. Morad and Elliott speak on what they do to prevent burnout in themselves given that they are exposed to so much trauma themselves. The STOP THE BLEED® campaign was initiated by a federal interagency workgroup convened by the National Security Council Staff, The White House. The purpose of the campaign is to build national resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following everyday emergencies and man-made and natural disasters.  Morad Hameed is a trauma surgeon and intensivist at the Vancouver General Hospital (VGH) and an Associate Professor of Surgery at the University of British Columbia (UBC). He completed medical school and surgical residency at the University of Alberta, graduate studies in public health at Harvard University, and fellowships in Trauma Surgery and Surgical Critical Care at the University of Miami.  Elliott Haut MD PhD is the Vice Chair of Quality, Safety, & Service, Department of Surgery, Professor of Surgery at Johns Hopkins Medicine and Editor in Chief at Trauma Surgery & Acute Care Open.

Welcome to FractureLine: the official weekly news feed from the Chest Wall Injury Society, where we will listen to all the bottom-line CWIS updates, shout-outs, fun facts, and weekly banter! This week, the cast gets to know Dr. Anne Schenderlein (PGY-3, Helios Clinics Schwerin, Germany). Dr. Schenderlein is the winner of CWIS International's resident project award and is automatically included in CWISummit 2024. She is a self-professed "biggest fan" of FractureLine and has a bright career planned in Trauma Surgery. Come and get to know her, there's even a Halloween-themed joke included! Frankly, we can't think of anything better to do!

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

#027 - In this next episode, I was honored to be joined by M. George DeBusk, MD, MSc, FACS, FCCP. He's a trauma surgeon and critical care physician specialized in trauma and emergency surgery. What makes him a fantastic resource for security practitioners like us is that he's made a career out of educating, training, and providing medical oversight for security providers, first responders, law enforcement, and even special operations groups.Dr. DeBusk holds dual certification from the American Board of Surgery in General Surgery and Surgical Critical Care and specializes in Trauma Surgery and Intensive Care Medicine. “Doc” completed a General Surgery residency at Harvard Medical School's, Beth Israel Deaconess Medical Center and completed a Post-Doctoral Fellowship at MIT during his residency. He is a Fellow of the American College of Surgeons (ACS) and College of Chest Physicians. He is an elected member of the American Association for the Surgery of Trauma and has held the position of State Vice Chair of the ACS Committee on Trauma in the States of Massachusetts and New Hampshire. Dr. DeBusk also holds full medical licensure to practice in multiple U.S. states and abroad where he provides concierge medical care for private clients worldwide. Topics that we focused on included: what type of medical training curriculum is most appropriate for security or executive protection professionals, how we can evaluate training providers, what the advantages are of having a physician like him supporting your team, and what deliverables you can expect to get from a medical director. And so much more!-- Support the podcast and future content creation projects -- Become a member or donate: https://www.buymeacoffee.com/securitystudent-- -- If you'd like to get the resources and show notes mentioned in this episode --https://thesecuritystudent.com/shownotes

  Get ready for an awe-inspiring journey as we sit down with Air Force Reserve Trauma Surgeon Jeremy Cannon. Navigating his path from the Air Force Academy to Harvard Medical School, Dr. Cannon's trajectory is nothing short of incredible. His expertise in Trauma Surgery and Critical Care has seen him at the forefront of developing the Air Force's adult ECMO program and has landed him a vital role in the Excelsior Surgical Society, an organization focused on preserving combat casualty care lessons.    Listen as Dr. Cannon unravels his deployment stories from Iraq and Afghanistan, revealing the unique challenges and life-altering experiences that inspired his specialization in Trauma Surgery. He shares a heart-wrenching tale of how he saved an Iraqi boy's life and reflects on the stark contrasts between the two war theaters. From his time as the Deputy Commander for Clinical Services in Bagram, Afghanistan, where he was entrusted with managing casualty flow and making critical evacuation decisions, Dr. Cannon's experiences are a testament to the resilience of the human spirit. Dr. Cannon pulls back the curtain on the unique challenges that inspired his interest in researching and improving Trauma Surgery and his vital work with the Excelsior Surgical Society.    We explore Dr. Cannon's current position at the University of Pennsylvania and his civilian medical practice, drawing comparisons to his military experiences. We delve into his work at the David Grant Medical Center and his significant contributions to their research unit. As Dr. Cannon discusses the biggest concerns for trauma and Critical Care readiness in the Total Force, this episode offers a fascinating insight into the intersection of Medicine, Trauma Surgery, and Military Service. An episode not to be missed, especially for those involved in the world of Military Medicine and trauma care.   Chapters: (0:00:00) - Military Medicine and Trauma Surgery Journey (0:14:22) - Deployment Experiences and Lessons Learned (0:22:52) - Military Medical Challenges and Innovations (0:33:29) - Combat Casualty Care and Trauma Readiness (0:50:28) – Leadership and Research Opportunities   Chapter Summaries: (0:00:00) - Military Medicine and Trauma Surgery Journey (14 Minutes) We speak with Air Force Reserve trauma surgeon Jeremy Cannon about his experiences in Military Medicine. He shares his journey from the Air Force Academy to medical school at Harvard, and his specialization in Trauma Surgery and Critical Care. We also discuss his research interests and his involvement in the Air Force's development of an adult ECMO program. Lastly, we explore the history of the military's Excelsior Surgical Society and its connection to the American College of Surgeons for capturing and preserving combat casualty care lessons.   (0:14:22) - Deployment Experiences and Lessons Learned (8 Minutes) Dr. Cannon shares his deployment experiences as a combat surgeon with the 332nd Air Force Theater in Balad Iraq. He reflects on what he learned and how it inspired his specialty in Trauma Surgery, as well as an incredible story about saving the life of an Iraqi boy with a complex complication from injury. He also discusses his later deployment to Afghanistan, where he served as a trauma surgeon at the Craig Joint Theater Hospital. He reflects on the differences and similarities between the two theaters and their unique challenges.   (0:22:52) - Military Medical Challenges and Innovations (11 Minutes) Jeremy Cannon shares his experience as the Deputy Director for Clinical Services for the Task Force MED-East in Bagram, Afghanistan. He explains how the responsibility of the role was different from his previous experiences in Trauma Surgery and the challenges he faced in managing casualty flow and making decisions on evacuations. He recounts an example of a call he received from a Role Two facility regarding a burn victim and the Air Force's decision to start the Adult Extracorporeal Life Support Lung Rescue Program.   (0:33:29) - Combat Casualty Care and Trauma Readiness (17 Minutes) Jeremy Cannon's role as the combat casualty care investigator at David Grant Medical Center at Travis Air Force Base in Vacaville, California is discussed. His experience and knowledge helped the research unit there. His current role as a trauma surgeon at the University of Pennsylvania and his civilian medical practice is also explored, and how it is similar to what he experienced in the military. The Navy Trauma Training Team at his hospital is examined, and the biggest concern for trauma and Critical Care readiness in the total force is discussed.   (0:50:28) - Leadership and Research Opportunities (1 Minute) Jeremy talks about his deployment experiences as a combat surgeon with the 332nd Air Force Theater in Balad Iraq, his role as Deputy Director for Clinical Services for the Task Force MEDD-East in Bagram, Afghanistan, and his experience as the combat casualty care investigator at David Grant Medical Center at Travis Air Force Base in Vacaville, California. We are inspired by his stories and grateful for his service.   Take Home Messages: Military medicine and trauma surgery offer unique challenges and experiences that can be both rewarding and demanding. A significant part of the journey in military medicine involves being able to adapt and navigate through diverse situations, such as deployments to war zones like Iraq and Afghanistan. The resilience of the human spirit is a common thread in the stories of military surgeons, often seen in the face of difficult circumstances and life-altering experiences. The ability to draw parallels between military service and civilian medical practice can provide valuable insights and enrich both fields. Significant contributions to research in military medicine, particularly in areas such as trauma surgery and critical care, are vital for improving combat casualty care. Organizations like the Excelsior Surgical Society play a key role in preserving lessons from combat casualty care, contributing to the progress and development of military medicine. The experiences and expertise of military surgeons can greatly benefit civilian medical practices, especially in trauma and critical care. Continuous commitment to maintaining trauma readiness in peacetime is crucial for preserving the lessons learned and capabilities developed during periods of conflict. Learning from history and retaining the lessons from past experiences are essential for improving future practices in combat casualty care. Military medicine is not only about treating injuries and saving lives, but also about nurturing resilience, innovating in the face of challenges, and contributing to a larger cause.   Episode Keywords: Military Medicine, Trauma Surgery, Air Force Reserve, Jeremy Cannon, Harvard Medical School, ECMO Program, Excelsior Surgical Society, Deployment Stories, Iraq, Afghanistan, Clinical Services, Bagram, Combat Casualty Care, University of Pennsylvania, David Grant Medical Center, Research Unit, Navy Trauma Training Team, Total Force Readiness   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaSurgery #DeploymentStories #CombatMedicine #WarzoneChallenges #TraumaBayLife #CriticalCare #AirForceJourney #MedicalInnovations   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

   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

In this episode, Robert Floyd, MD together with Evan Hirsch, talk about Food Plan for More Energy.   Dr. Floyd is a Board-Certified MD with extensive training in Functional Medicine, Family Medicine, Emergency Medicine, Trauma Surgery, and Critical Care and has worked as an integrative physician, hospitalist, and emergency medicine physician over the past fifteen years, including holding multiple Medical Director positions for more than 7-years.   Having seen firsthand the devastation and the carnage left behind by the current western medicine model, he knew he had to do something different to help his patients reclaim their wellness for good.   Being an elite-level athlete, he keenly understands how diet and lifestyle choices impact health and wellness. He has been an "outside the box thinker" his entire career utilizing biohacking and integrative/functional medicine modalities, both in his daily life and his practice to help himself and his clients achieve optimal health.   When not practicing medicine, Dr. Floyd enjoys traveling, riding dirt bikes, making music, skiing, and working on his ranch with his wife. He is also on the path to a black belt in Brazilian Jiu-Jitsu.   To learn more about Dr. Floyd, please visit: https://rtfloyd.clickfunnels.com/top-10-foods-for-gut-health   .   For more information about Dr. Evan and his program, Click Here.   Prefer to watch on Youtube? Click Here.   Please note that any information in this episode is for educational purposes only and does not constitute medical advice.  

In this episode of Run with Fitpage, we have Dr. Niraj Vora, who is a distinguished orthopedic surgeon specializing in Primary Hip and Knee Replacement, Revision Hip and Knee Replacement, Robotic Knee Replacement, and Trauma Surgeries. Our hosts Vikas and Dr Vora discuss the interplay of lifestyle factors, nutrition, and physical activity in maintaining strong bones while debunking myths like the impact of running on bone health. With an impressive educational background including an M.B.B.S. from The University of Bombay in 1990 and an M.S. in Orthopedics from the same institution in 1993, Dr Vora holds notable distinctions such as the Dr. Anand Pardhy prize, the Dr. M. V. Sant Prize, and the Dr. Dipak Kothari Gold medal for his exceptional performance in M.S. Orthopedics examinations. Dr. Vora's expertise extends beyond surgical precision, as he has also excelled as a dedicated teacher, trainer, and examiner in orthopedic surgeries. A passionate sailor and certified SCUBA diver, Dr. Vora's diverse interests underscore his commitment to holistic well-being.  From preventive measures for osteoporosis to advice for athletes and those with existing bone conditions, Dr. Vora's expertise offers a holistic perspective on bone health. As a Specialist in Joint Replacement and Trauma Surgery, he brings profound knowledge and a wealth of experience to his role as a Consultant Orthopaedic Surgeon. About the hostVikas hosts this weekly podcast and enjoys nerding over-exercise physiology, nutrition, and endurance sport in general.  He aims to get people to get out and 'move'.  When he is not working, he is found running, almost always.  He can be found on nearly all social media channels but Instagram is preferred:)Reach out to Vikas:Instagram: @vikas_singhhLinkedIn: Vikas SinghTwitter: @vikashsingh1010Subscribe To Our Newsletter For Weekly Nuggets of Knowledge!

The anterior abdominal stab wound! Who gets explored? When do you get imaging? Who gets serial abdominal exams? How does this change depending on the location of injury? Join Drs. Cobler-Lichter, Kwon, Meizoso, and Urréchaga in their first episode as the new Miami Trauma team  - as they discuss how to navigate the nuances of stab wounds to the torso! Hosts: - Michael Cobler-Lichter, MD, PGY2: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @mdcobler (twitter) - Eva Urrechaga, MD, PGY6/R4: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @urrechisme (twitter) - Eugenia Kwon, MD, Trauma/Surgical Critical Care Fellow: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center - Jonathan Meizoso, MD, MSPH Assistant Professor of Surgery University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @jpmeizoso (twitter) Learning Objectives: - Identify the differences in management of abdominal/thoracoabdominal stab wounds depending on location of injury - Identify who needs immediate operative intervention and who can undergo further evaluation - Define the management pathways for patients with abdominal stab wounds without an immediate indication for the OR - Define thoracoabdominal stab wound and when to evaluate for thoracic injuries - Discuss the role of diagnostic imaging when evaluating a patient with a stab to the torso Quick Hits: 1. Don't forget about the blunt trauma that may be associated with an assault! 2.  Don't miss injuries- always start with the ABCs and do a thorough head to toe exam  3. For stab wounds to the torso- hemodynamic instability, evisceration, peritonitis, impalement, or gross blood should go to the OR. 4. The three general clinical pathways for patients without a clear indication for the OR, include serial abdominal exams, local wound exploration, or diagnostic imaging. 5. Serial abdominal exams require frequent monitoring ideally by the same team member every time to detect changes early. 6. Local wound exploration requires adequate lighting and retraction to visualize the anterior rectus fascia. A negative LWE rules out an intra-abdominal injury, but a positive LWE does not necessarily rule it in. 7. Left thoracoabdominal stab wounds require evaluation of the diaphragm to rule out a traumatic diaphragm injury. 8. If there are no clear indications for the OR, diaphragm evaluation should be performed via laparoscopy after a period of 8 - 12 hours from injury. 9. A negative pericardial ultrasound does not rule out a cardiac injury in patients with a left-sided hemothorax. 10. Patients with flank and back stab wounds should be evaluated with CT scan to rule-out retroperitoneal injuries References 1. Martin MJ, Brown CVR, Shatz DV, Alam HB, Brasel KJ, Hauser CJ, de Moya M, Moore EE, Rowell SE, Vercruysse GA, Baron BJ, Inaba K. Evaluation and management of abdominal stab wounds: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg. 2018 Nov;85(5):1007-1015. doi: 10.1097/TA.0000000000001930. PMID: 29659472. 2. Como JJ, Bokhari F, Chiu WC, Duane TM, Holevar MR, Tandoh MA, Ivatury RR, Scalea TM. Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma. 2010 Mar;68(3):721-33. doi: 10.1097/TA.0b013e3181cf7d07. PMID: 20220426. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this trauma episode, check out our BIG T Trauma Series here: https://behindtheknife.org/podcast-series/big-t-trauma/

Dr. Selwyn Rogers, the founding director of the University of Chicago Medicine Trauma Center, talks about trauma care and the importance of a team of skilled collaborators.

We are excited to introduce you to our special guest, Army National Guard and Trauma Surgery PA-C, William Mackenzie! Get ready for some inspiration and amazing words of wisdom! Follow William Mackenzie, PA-C on Instagram HERE!Create your strongest, most competitive PA school application in our Application to Acceptance (A2A) Course! You can absolutely get accepted to PA school, even with a low GPA or less than average stats...as long as you apply the right way! We show you exactly how to create your strongest CASPA application so you can land interviews and get accepted to PA school! Weekly coaching starts April 25 SO GET IN NOW! Get in here and let's do this!Free Tutorial: THIS is how you need to pick your PA schools for your highest chances of getting accepted this cycle! Watch hereKeep up all your hard work! You are getting SOOO close!Beth & Katie

To operate or not to operate, to drain the urine leak or to not drain it, those are the questions. Join our Miami Trauma team including Drs. Urréchaga, Neeman, and Rattan- in their final episode together! - as they discuss how to navigate the ins and outs of renal trauma!  Learning Objectives:  ·       Define the different renal injury grades and how to manage each, ·       Identify when to take the renal trauma patient to the operating room, ·       Discuss when to involve IR for urinary drainage or embolization. ·       Explain when and how to perform a nephrectomy. ·       Debate the treatment of penetrating zone two injuries- to explore or not explore? Quick Hits: 1.     Most kidney injuries, the vast majority, can be non-operatively managed.  2.     For pretty much all AAST grade of injury, the choice to go to the OR immediately lies in whether the patient is stable or unstable.  3.     If there is a urinary leak seen on imaging, it can usually just be observed and followed with repeat imaging to determine the need for drainage, unless the injury is significant or if there is injury to the renal pelvis- then the patient will usually need a drainage procedure.  4.     Consider IR in any stable patient found to have active extravasation, fistula, or pseudoaneurysm. 5.     In the case of an unstable patient, except very rare circumstances, you should be going to the OR  6.     If there is another cause of instability, address that first. If you're opening Gerota's fascia, be prepared to commit to a nephrectomy.  7.     In penetrating injury, the formal teaching is mandatory exploration of a renal hematoma. Real world experience shows that this isn't always necessary- such as in tangential injuries or injuries to the periphery- on a case-by-case basis. References 1.     Federico C, Moore Ernest E, Yoram K, Walter B, Aari L, Yosuke M, et al. Kidney and uro-trauma: WSES-AAST guidelines. World J Emerg Surg 2019;14:54. 2.     Morey AF, Brandes S, Dugi DD 3rd et al: Urotrauma: AUA guideline. J Urol 2014, 192: 327. Published 2014; Amended 2017, 2020. 3.     Aziz HA, Bugaev N, Baltazar G, Brown Z, Haines K, Gupta S, Yeung L, Posluszny J, Como J, Freeman J, Kasotakis G. Management of adult renal trauma: a practice management guideline from the eastern association for the surgery of trauma. BMC Surg. 2023 Jan 27;23(1):22. doi: 10.1186/s12893-023-01914-x. PMID: 36707832; PMCID: PMC9881253. 4.     Petrone P, Perez-Calvo J, Brathwaite CEM, Islam S, Joseph DK. Traumatic kidney injuries: A systematic review and meta-analysis. Int J Surg. 2020 Feb;74:13-21. doi: 10.1016/j.ijsu.2019.12.013. Epub 2019 Dec 21. PMID: 31870753. **Fellowship application link: https://forms.gle/PiKM2MMQpE5jSAeW7 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other trauma surgery episodes here: https://behindtheknife.org/podcast-category/trauma/

 On this episode we are thrilled to interview Dr. Nii Darko also known on his podcast “Docs Outside the Box” as Dr. Nii.  He will tell us about why he started podcasting as well as how he chose the specialty of Trauma Surgery.  He will explain what Locum Tenens work is and why he feels it fits his life and goals.   Dr. Darko will discuss his journey from Lehigh University  to Kansas City College of Osteopathic Medicine  and how he persevered in obtaining a general surgery residency at Morehouse followed by a prestigious Trauma Fellowship at the Ryder Trauma Center at the University of Miami.  Dr. Nii speaks about  his pride in being an osteopathic physician and how seriously he takes  being a role model to  minority pre-medical students and physicians.  We Know you will enjoy this episode.

In this episode, our team discusses the recent paper from JAMA Surgery Association of Whole Blood With Survival Among Patients Presenting With Severe Hemorrhage in US and Canadian Adult Civilian Trauma Centers. Join us as we explore some of the history of blood transfusions, how we got to where we are today, and the role whole blood transfusion may play going forward Hosts:  Elliott R. Haut, MD, PhD, a senior, nationally recognized name in trauma and acute care surgery at Johns Hopkins University. Dr. Haut is a past president of The Eastern Association for the Surgery of Trauma (EAST) and editor-in-chief of Trauma Surgery and Acute Care Open. Marcie Feinman, MD, MEHP, the current program director of General Surgery Residency at Sinai Hospital of Baltimore and editorial board member of SCORE. She received her Masters in Education in the Health Professions from Johns Hopkins.  David Sigmon, MD, MMEd, a PGY-7 resident at the University of Illinois at Chicago who will be a fellow at Lincoln Medical Center in the Bronx next year. He did two years of research in surgical education at the University of Pennsylvania where he also received his Master's in Medical Education.  LITERATURE Torres CM, Kent A, Scantling D, Joseph B, Haut ER, Sakran JV. Association of whole blood with survival among patients presenting with severe hemorrhage in US and Canadian adult civilian trauma centers. JAMA Surg. Published online January 18, 2023.  https://pubmed.ncbi.nlm.nih.gov/36652255/ Sperry JL, Guyette FX, Brown JB, et al. Prehospital plasma during air medical transport in trauma patients at risk for hemorrhagic shock. N Engl J Med. 2018;379(4):315-326. https://pubmed.ncbi.nlm.nih.gov/30044935/   Moore HB, Moore EE, Chapman MP, et al. Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial. Lancet. 2018;392(10144):283-291. https://pubmed.ncbi.nlm.nih.gov/30032977/   Cannon JW, Khan MA, Raja AS, et al. Damage control resuscitation in patients with severe traumatic hemorrhage: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2017;82(3):605-617. https://pubmed.ncbi.nlm.nih.gov/28225743/   Howley IW, Haut ER, Jacobs L, Morrison JJ, Scalea TM. Is thromboelastography (Teg)-based resuscitation better than empirical 1:1 transfusion? Trauma Surg Acute Care Open. 2018;3(1):e000140. https://pubmed.ncbi.nlm.nih.gov/29766129/   Guyette FX, Brown JB, Zenati MS, et al. Tranexamic acid during prehospital transport in patients at risk for hemorrhage after injury: a double-blind, placebo-controlled, randomized clinical trial. JAMA Surg. 2020;156(1):11-20. https://pubmed.ncbi.nlm.nih.gov/33016996/   Smart BJ, Haring RS, Zogg CK, et al. A faculty-student mentoring program to enhance collaboration in public health research in surgery. JAMA Surg. 2017;152(3):306-308. https://pubmed.ncbi.nlm.nih.gov/27973649/   National Academies of Sciences E. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths after Injury.; 2016. https://nap.nationalacademies.org/catalog/23511/a-national-trauma-care-system-integrating-military-and-civilian-trauma   Braverman MA, Smith A, Pokorny D, et al. Prehospital whole blood reduces early mortality in patients with hemorrhagic shock. Transfusion. 2021;61 Suppl 1:S15-S21.  https://pubmed.ncbi.nlm.nih.gov/34269467/ **Specialty team application link - https://forms.gle/DwrRcMYDaP3a3LaQA Please email hello@behindtheknife.org with any questions. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other trauma episodes here: https://behindtheknife.org/podcast-category/trauma/

How does Sterile Processing remove the drama from trauma? Whether it is locating that one-of-a-kind set or turning over trays on the tightest timelines, trauma cases can spark chaos for both the operating room and central sterile.    On this Season 19 episode of "The Surgeons We Serve," a season focused on spotlighting the intersection of surgeons & surgical instruments, we are joined by Dr. Derek Donegan, Orthopaedic Trauma surgeon, to discuss the best way to provide exceptional patient care in unexpected circumstances.    Dr. Donegan shares unique insights on how a surgeon's educational background can impact your inventory needs and walks us through the collaborative efforts that happen behind the drape. If you've ever wondered why every instrument, and the kitchen sink, are called for in trauma cases, this is the episode for you.    Join us as we discuss creative ways to overcome inventory shortages, how to leverage your vendor partnerships for the optimal outcome, and what data points are necessary for successful demand planning. It's a new era in trauma surgery, with partnership between surgeons and sterile processing professionals taking our trauma capacity to the next level. Dr. Donegan is available directly at Derek.donegan@gmail.com.   Season 19 episodes are individually approved for 1 CE, so once you finish this interview, you can download your CE certificate immediately by passing the short quiz linked below each week.    For access to this CE quiz and over 300 other free CE credits, visit our CE Credit Hub: http://www.beyondclean.net/ce-credit-hub

Join our Miami Trauma team including Drs. Urréchaga, Neeman, and Rattan as they dive into the literature regarding a topic that has become all too common to the US news cycle- gun violence. They will go over a recent paper from JAMA and include other important literature while trying to understand this complex problem that has been grappling US public policy.  Quick Hits: 1.     Firearm injury is the leading cause death in the US among ages 1-19 2.     For every person killed violently by someone else with a firearm, there are 3 survivors.  3.     Gun ownership triples the risk of homicide 4.     Permit laws and preventing people convicted of a violent crime from owning a firearm decrease firearm-related death and have a positive ripple effect even outside state borders. In short, for effective reductions of firearm-related injury and death, federal legislation will be more effective than state-by-state References 1.     Liu, Y, Siegel, M, Sen, B. Association of State-Level Firearm-Related Deaths With Firearm Laws in Neighboring States. JAMA Network Open. 2022;5(11):e2240750. doi:10.1001/jamanetworkopen.2022.40750 2.     Goldstick, JE, Cunningham, RM, Carter, PM. Current Causes of Death in Children and Adolescents in the United States. N Engl J Med. 2022 May 19;386(20):1955-1956. doi: 10.1056/NEJMc2201761.  3.     Kellermann, AL, Rivara, FP, Rushforth, NB, Banton, JG, Reay, DT, Francisco, JT, Locci, AB, Prodzinski, J, Hackman, BB, Somes, G. Gun Ownership as a Risk Factor for Homicide in the Home. N Engl J Med 1993; 329:1084-1091. DOI: 10.1056/NEJM199310073291506 4.     Liu Y, Siegel, M, Sen, B. Neighbors do matter: between-state firearm laws and state firearm-related deaths in the US, 2000-2017. Am J Prev Med. 2020;59(5):648-657. doi:10.1016/j.amepre.2020.06.022 5.     Siegel, M, Pahn, M, Xuan, Z, et al. Firearm-related laws in all 50 US states,1991-2016. Am J Public Health.2017; 107(7):1122-1129. doi:10.2105/AJPH.2017.303701 6.     Kalesan, B, Mobily, ME, Keiser, O, Fagan, J, Galea, S. Firearm legislation and firearm mortality in the USA: a cross-sectional, state-level study. Lancet. 2016 Apr 30;387(10030):1847-55. doi: 10.1016/S0140-6736(15)01026-0. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other Journal Review episodes here: https://behindtheknife.org/podcast-series/journal-review/

In this episode, our team discusses the management of traumatic rib fractures including pearls and pitfalls. Join as we discuss the current standards of treatment as well as controversies in how to manage these patients! Hosts:  Elliott R. Haut, MD, PhD, a senior, nationally recognized name in trauma and acute care surgery at Johns Hopkins University. Dr. Haut is a past president of The Eastern Association for the Surgery of Trauma (EAST) and incoming editor-in-chief of Trauma Surgery and Acute Care Open. Marcie Feinman, MD, MEHP, the current program director of General Surgery Residency at Sinai Hospital of Baltimore and editorial board member of SCORE. She received her Masters in Education in the Health Professions from Johns Hopkins.  David Sigmon, MD, MMEd, a PGY-7 resident at the University of Illinois at Chicago who will be a fellow at Lincoln Medical Center in the Bronx next year. He did two years of research in surgical education at the University of Pennsylvania where he also received his Master's in Medical Education.  LITERATURE Terry SM, Shoff KA, Sharrah ML. Improving blunt chest wall injury outcomes: introducing the pic score. J Trauma Nurs. 2021;28(6):386-394. https://pubmed.ncbi.nlm.nih.gov/34766933/ Witt CE, Bulger EM. Comprehensive approach to the management of the patient with multiple rib fractures: a review and introduction of a bundled rib fracture management protocol. Trauma Surg Acute Care Open. 2017;2(1):e000064. https://tsaco.bmj.com/content/2/1/e000064 Utter GH, McFadden NR. Rib fractures, the evidence supporting their management, and adherence to that evidence base. JAMA Netw Open. 2020;3(3):e201591-e201591. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2763488 Dehghan N, Nauth A, Schemitsch E, et al. Operative vs nonoperative treatment of acute unstable chest wall injuries: a randomized clinical trial. JAMA Surgery. Published online September 21, 2022. https://jamanetwork.com/journals/jamasurgery/article-abstract/2796556 Kasotakis G, Hasenboehler EA, Streib EW, et al. Operative fixation of rib fractures after blunt trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2017;82(3):618-626. https://pubmed.ncbi.nlm.nih.gov/28030502/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other trauma episodes here: https://behindtheknife.org/podcast-category/trauma/

Eliza “Shevie” Kassai, MD is a general and trauma surgeon in Denver Colorado. She is a graduate of Bais Yaakov of Denver and Stern College for Women. Following a 2 year post baccalaureate research fellowship at the NIH, she attended medical school at the Technion in Israel with induction into the Gold Humanism Society. She returned to Denver to complete her residency training in General Surgery at the University of Colorado. She completed a Research Fellowship in Trauma Surgery during her training and her research has been published in multiple medical journals including the Journal of the American College of Surgeons, Injury, and the American Surgeon. She lives with her husband and three children in Denver. She is involved in many organizations within the local Frum community. Dr. Kassai loves skiing, running, traveling, and spending time with her family.

In this newest episode Johnny and Kyle talk with Dr. Alex Franz from the Department of Orthopedics and Trauma Surgery at the University Hospital of Bonn. We discuss Dr. Franz's extensive research in blood flow restriction exercise and how he's using that path to solve big problems in medicine! This conversation is pretty epic! You're sure to enjoy. Below you'll find the papers of his we discussed. Franz, A., Queitsch, F. P., Behringer, M., Mayer, C., Krauspe, R., & Zilkens, C. (2018). Blood flow restriction training as a prehabilitation concept in total knee arthroplasty: A narrative review about current preoperative interventions and the potential impact of BFR. Medical Hypotheses, 110, 53–59. Franz, A., Behringer, M., Nosaka, K., Buhren, B. A., Schrumpf, H., Mayer, C., Zilkens, C., & Schumann, M. (2017). Mechanisms underpinning protection against eccentric exercise-induced muscle damage by ischemic preconditioning. Medical Hypotheses, 98, 21–27. Franz, A., Behringer, M., Harmsen, J.-F., Mayer, C., Krauspe, R., Zilkens, C., & Schumann, M. (2018). Ischemic Preconditioning Blunts Muscle Damage Responses Induced by Eccentric Exercise. Medicine and Science in Sports and Exercise, 50(1), 109–115. Franz, A., Berndt, F., Raabe, J., Harmsen, J.-F., & Behringer, M. (2020). Invasive Assessment of Hemodynamic, Metabolic and Ionic Consequences During Blood Flow Restriction Training. Frontiers in Physiology. https://doi.org/10.3389/fphys.2020.617668 Alexander Franz, Sanghyeon Ji, Bernd Bittersohl, Christoph Zilkens, MichaelBehringer. (n.d.). Impact of a Six-Week Prehabilitation with Blood-Flow Restriction Training on Pre- and Postoperative Skeletal Muscle Mass and Strength in Patients Receiving Primary Total Knee Arthroplasty.

While we're usually reaching far into the past on this show, this week's episode will feature a discussion of the tragic death of Princess Diana.  We'll focus on the details of the case from the standpoint of physicians doing trauma care in the modern day.  We'll question as to whether the outcome might have changed given modern technology or different circumstances.  Though the general story is well known to many of us, this was the first time we, as emergency physicians, had really considered the details of this historic, albeit relatively recent and still compelling case.Note: This episode was pre-recorded and released coincidentally hours in advance of the news that Queen Elizabeth II had died.   We feel the subject material discussed here is of merit but would also like to acknowledge the day's event and offer sympathies to our UK listeners.

We are facing a difficult case tonight: stab wound to the base of the left neck. Hope you know your anatomy well and are ready for a ride. Let's see how one manages a patient whose injury is life threatening, a challenge to correctly diagnose, approach and repair. Join Drs. Urréchaga, Neeman, and Rattan from Ryder Trauma Center in Miami as they go through a real case trying to save a life and dominate the day. Learning Objectives:  Reviewing thoracic outlet anatomy. Simplifying primary survey and immediate care for penetrating great vessel injuries. Discussing possible surgical approaches for various great vessel injuries, incisions, extensions, tips and tricks. References 1) Feliciano DV, DuBose JJ. Cardiac, great vessel, and pulmonary injuries. In: Rasmussen TR, Tai NRM, eds. Rich's Vascular Trauma. 4th ed. Philadelphia: Elsevier, 2022: 171-198. 2) Karmy-Jones R, Namias N, Coimbra R, et al. Western Trauma Association critical decisions in trauma: penetrating chest trauma. J Trauma Acute Care Surg. 2014;77(6):994-1002. 3) Sperry JL, Moore EE, Coimbra R, et al. Western Trauma Association critical decisions in trauma: penetrating neck trauma. J Trauma Acute Care Surg. 2013;75(6):936-940. 4) Wall MJ, Ghanta RK, Mattox KL. Heart and thoracic vessels. In: Feliciano DV,           Mattox K L, Moore EE, eds. Trauma. 9th ed. New York: McGraw-Hill, 2021: 599-         628. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our Big T Trauma Series here: https://behindtheknife.org/podcast-series/big-t-trauma/

Determining when to order imaging for blunt cerebrovascular injury is a diagnostic quandary that has long engendered controversy. Today we discuss a paper that introduced universal CT angiogram of the neck to screen for BCVI in all blunt trauma patients and then compared the result to what would have happened if some of the current screening guidelines were utilized. Join us as we discuss their fascinating results and what it means for blunt trauma patients going forward. Hosts:  Elliott R. Haut, MD, Ph.D., a senior, nationally recognized name in trauma and acute care surgery at Johns Hopkins University. Dr. Haut is a past president of The Eastern Association for the Surgery of Trauma (EAST).  Marcie Feinman, MD, MEHP, the current program director of General Surgery Residency at Sinai Hospital of Baltimore and editorial board member of SCORE. She received her Master's in Education in the Health Professions from Johns Hopkins.  David Sigmon, MD, MMEd, a PGY-6 resident at the University of Illinois at Chicago who plans on going into trauma surgery. He did two years of research in surgical education at the University of Pennsylvania where he also received his Master's in Medical Education.  LITERATURE Black JA, Abraham PJ, Abraham MN, et al. Universal screening for blunt cerebrovascular injury. J Trauma Acute Care Surg. 2021;90(2):224-231. https://pubmed.ncbi.nlm.nih.gov/33502144/ Kim DY, Biffl W, Bokhari F, et al. Evaluation and management of blunt cerebrovascular injury: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2020;88(6):875-887. https://pubmed.ncbi.nlm.nih.gov/32176167/ Biffl WL, Moore EE, Offner PJ, Brega KE, Franciose RJ, Elliott JP, Burch JM. Optimizing screening for blunt cerebrovascular injuries. (1999) American journal of surgery. 178 (6): 517-22. https://pubmed.ncbi.nlm.nih.gov/10670864/ Geddes AE, Burlew CC, Wagenaar AE, Biffl WL, Johnson JL, Pieracci FM, Campion EM, Moore EE. Expanded screening criteria for blunt cerebrovascular injury: a bigger impact than anticipated. (2016) American journal of surgery. 212 (6): 1167-1174. https://pubmed.ncbi.nlm.nih.gov/27751528/ Ciapetti M, Circelli A, Zagli G et-al. Diagnosis of carotid arterial injury in major trauma using a modification of Memphis criteria. Scand J Trauma Resusc Emerg Med. 2010;18 (1): 61. https://pubmed.ncbi.nlm.nih.gov/21092211/ Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

The mortality rate for unstable pelvic hemorrhage due to blunt trauma remains around 30 percent. However, technological advances promise to finally make a dent. But on the cutting edge, it's not clear which treatments should be used when to maximize lives saved. With life-threatening pelvic exsanguination, time is critical. Do you know when to rush to pack the pelvis? Do you know when to deploy a REBOA instead? Are there scenarios where you should do both? Join Drs. Urréchaga, Neeman, and Rattan from Ryder Trauma Center in Miami as they try to tease out answers using two studies hot off the presses with seemingly contradictory results. Learning Objectives: Blunt Pelvic Hemorrhage ·       Expanding knowledge of management strategies for blunt pelvic hemorrhage ·       Describe propensity score matching and its use in non-randomized studies ·       Compare outcomes of REBOA and preperitoneal pelvic packing (PPP) ·       Critically appraise study design and methods of studies References 1.     S. Mikdad, I.A.M. van Erp, M.E. Moheb, et al. Pre-peritoneal pelvic packing for early hemorrhage control reduces mortality compared to resuscitative endovascular balloon occlusion of the aorta in severe blunt pelvic trauma patients: A nationwide analysis. Injury. 2020; 51:1834–1839. doi.org/10.1016/j.injury.2020.06.003 2.     S. Asmar, L. Bible, M. Chehab, et al. Resuscitative Endovascular Balloon Occlusion of the Aorta vs Pre-Peritoneal Packing in Patients with Pelvic Fracture. Journal of the American College of Surgeons. 2021; 232(1):17-26. doi.org/10.1016/j.jamcollsurg.2020.08.763 3.     B. Joseph, M. Zeeshan, J.V. Sakran, et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surg. 2019;154(6):500-508. doi:10.1001/jamasurg.2019.0096 Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.