Traumacast

At the 2018 annual meeting of the Western Trauma Association, the US military Joint Trauma System (JTS) held a an educational session called "Case Records of the Joint Trauma System". This is a planned series of presentations where an expert panel is presented with interesting and challenging battlefield trauma cases drawn from the Department of Defense Trauma Registry. This registry has captured data on all wounded patients treated at forward military medical treatment facilities during combat and post-combat operations in Iraq and Afghanistan. This program has been spearheaded by Colonel Jennifer Gurney, an Army trauma surgeon and the current Chief of Trauma Systems Development with the JTS. This challenging and entertaining session featured an expert panel representing multiple military services and several allied nations, and was co-moderated by Colonel Gurney and Colonel Matthew Martin. The expert panel consisted of: Dr. Kim Peck, Dr. Warren Dorlac, Dr. Rachael Callcut, and Dr. David Feliciano. This 30-minute session was recorded live from the case panel discussion at the WTA 2018 meeting in Whistler, British Columbia, Canada. Supplemental Materials:Joint Trauma System website For any questions about this program, suggestions for future venues or cases, and to submit any cases or case material, please email Dr. Jen Gurney 

Ultrasound (U/S) has been described as the "stethoscope of the 21st century." Guests Charity Evans, MD and Benjie Christie, MD, discuss how they have incorprorated U/S in their management of critical patients -- including evaluation of the pleural space, cardiac ultrasound, and indwelling TEE probes to provide instantaneous feedback on the effectiveness of interventions.  We also discuss credentialing for U/S privileges, curricula for trainees, and the utilization of U/S in the trauma PI process. ResourcesSociety of Critical Care Medicine Ultrasound Resources EAST and the EAST Traumacast crew wishes to express our gratitude to ImaCor, makers of the hTEE device, for a generous grant that helped make this episode possible.

The 31st EAST Annual Scientific Assembly took place January 9-13, 2018 in Lake Buena Vista, Florida. The assembly boasted a wide array of educational, scientific, career development, and social programs. The EAST Traumacast was there to cover it all and bring you highlights, interviews, and summaries from this great meeting. This traumacast starts out with an interview with the 31st EAST President,  Dr. Bruce Crookes, then covers the highlights from the entire meeting, and closes with an interview with the 32nd EAST President, Dr. Andrew Bernard.  Interviews with Drs. Crookes, Bell, Barron, Kale, Pandit, Landman, Sarani, Dennis, Fang, Bernard. Click here to view videos of select keynote presentations delivered during the 31st EAST Annual Scientific Assembly. 

Join us for an in-depth discussion of acute anorectal emergencies Dr. Scott Steele, Professor and Chairman of the Department of Colorectal Surgery at the Cleveland Clinic (and co-moderator of the Behind the Knife podcast). We cover anorectal abscess, anal fissure, hemorrhoidal crises, rectal prolapse, rectal trauma and rectal foreign bodies.   Moderated by Drs. Firas Madbak and Carrie Valdez  Supplemental materials:Clinical Practice Guidelines from the American Society of Colon and Rectal Surgeons  

An important but under-recognized disease in our communities, intimate partner violence represents a significant threat to the health and well-being of the people we serve.  Guests Catherine Otway, RN, SANE-A, SANE-P and Bellal Joseph, MD discuss the scope of the problem, how it relates to trauma care, and how we as trauma providers can influence those within our care for the better.Resources Mentioned in the TraumacastCDC Resources on Intimate Partner ViolenceStrangulation InstituteDr. Joseph's JAMA Surg 2015 Paper

At the 2017 annual meeting of the Military Health System Research Symposium, the US military Joint Trauma System (JTS) held a session of the newly created educational program called "Case Records of the Joint Trauma System". This is a planned series of presentations where an expert panel is presented with interesting and challenging battlefield trauma cases drawn from the Department of Defense Trauma Registry. This registry has captured data on all wounded patients treated at forward military medical treatment facilities during combat and post-combat operations in Iraq and Afghanistan. This program has been spearheaded by Colonel Jennifer Gurney, an Army trauma surgeon and the current Chief of Trauma Systems Development with the JTS. This challenging and entertaining session featured an expert panel representing multiple military services and several allied nations, and was co-moderated by Colonel Gurney and Colonel Marty Schreiber. The 2-hour session has been broken into two podcasts - part 1 and part 2. A brief introductory review of the military "echelons of care" system and terminology is provided by Colonel Gurney and Colonel Matthew Martin, and was recorded live from Baghdad, Iraq. Supplemental Materials: Joint Trauma System website For any questions about this program, suggestions for future venues or cases, and to submit any cases or case material, please email Dr. Jen Gurney at: Jennifer.M.Gurney.mil@mail.mil

At the 2017 annual meeting of the Military Health System Research Symposium, the US military Joint Trauma System (JTS) held a session of the newly created educational program called "Case Records of the Joint Trauma System". This is a planned series of presentations where an expert panel is presented with interesting and challenging battlefield trauma cases drawn from the Department of Defense Trauma Registry. This registry has captured data on all wounded patients treated at forward military medical treatment facilities during combat and post-combat operations in Iraq and Afghanistan. This program has been spearheaded by Colonel Jennifer Gurney, an Army trauma surgeon and the current Chief of Trauma Systems Development with the JTS. This challenging and entertaining session featured an expert panel representing multiple military services and several allied nations, and was co-moderated by Colonel Gurney and Colonel Marty Schreiber. The 2-hour session has been broken into two podcasts - part 1 and part 2. A brief introductory review of the military "echelons of care" system and terminology is provided by Colonel Gurney and Colonel Matthew Martin, and was recorded live from Baghdad, Iraq. Supplemental Materials: Joint Trauma System website For any questions about this program, suggestions for future venues or cases, and to submit any cases or case material, please email Dr. Jen Gurney at: Jennifer.M.Gurney.mil@mail.mil

Part 3 of 3 Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST Annual Meeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery.  There were so many great interviews captured, we split the Traumacast into a three part series. This Traumacast includes interviews with Drs. Coimbra, Arbabi, Benjamin, Bruns, Delano, Jenkins, & Mehta.

Part 2 of 3 Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST Annual Meeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery.  There were so many great interviews captured, we split the Traumacast into a three part series. This Traumacast includes interviews with Drs. Eastman, Hall, Hall, Napolitano, Pieracci, and Rotondo. Supplemental MaterialsSTB 2016 Final Parkland Implementation Guide Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society

Part 1 of 3 Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST Annual Meeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery.  There were so many great interviews captured, we split the Traumacast into a three part series. Interviews with Drs. Coimbra, Arbabi, Benjamin, Bruns, Delano, Jenkins, & Mehta.

In this episode of the EAST Traumacast, we discuss the paper "Temporary arterial shunts in damage control: Experience and outcomes" with authors Dr. Sarah Matthew and Dr. Mark Seamon, and EAST reviewer Dr. Tareq Kheirbek.  Have you used an arterial shunt lately? The authors discuss this infrequent intervention and complications that may occur.   Supplemental MaterialsTemporary arterial shunts in damage control: Experience and OutcomesJ Trauma Acute Care Surg. 2017 Mar;82(3):512-517. doi: 10.1097/TA.0000000000001334 Multicenter Trial - Current Management of Suspected Retained Common Bile Duct Stones in Gallston Pancreatitis and CholedocholithiasisClick here for all EAST Monthly Literature reviews

Robotics in acute care surgery?  "Fire up the robot at 3am?  It's not a pipe dream.  We talk to two acute care surgeons who have incorporated robotics in their daily practice.  Drs. Ruby Skinner and Andrea Pakula have successfully navigated the robotic space and share their tips and tricks on implementation at your institution.  They also share their vision for robotics for acute care surgeons.   Dr. Kevin Pei serves as moderator.

Learn the story behind one of the most successful medical education efforts in history.  In this episode, moderator Dr. Dave Morris speaks with Randy Styner, son of Dr. James Styner, and survivor of the plane crash that started the whole ATLS movement.  Also joining the discussion are Dr. Ronald Craig, one of the co-founders of the ATLS course, and Heather Talbott, Trauma Program Manager at Bryan Health (formerly Lincoln General in Nebraska, where Drs. Styner and Craig practiced).  Hear the story you think you know, told by those that were there when ATLS was born. Read the book: "The Light of the Moon" written by Randy Styner which details the birth of ATLS. 

"Have we changed the PS 50 (probability of survival) for the elderly trauma patient?"  Dr. Robert Barraco quotes one of his mentors, Dr. Carl Valenziano, in this episode about the topic of elderly falls prevention.  Joining Dr. Barraco in this episode is Dr. Marie Crandall, lead author of the EAST EBR "Prevention of fall-related injuries in the elderly."  Traumacast moderators Drs. Kevin Pei and David Morris discuss many aspects of elderly falls prevention and the larger topic of geriatric medicine as it pertains to modern trauma care with Drs. Barraco and Crandall. Resources and Relevant WebsitesEAST EBR - Prevention of fall-related injuries in the elderlyCDC - STEADI (Stop Elderly Accidents, Deaths, & Injury)Stepping OnCochrane - Interventions for preventing falls in older people living in the communityCochrane - Population-based programs for the prevention of fall related injuries in older peopleAmerican Association for the Surgery of Trauma Geriatric Trauma CommitteeAmerican College of Surgeons - Optimal Perioperative Care of the Geriatric PatientAmerican Geriatrics Society

Dr. Bruce Crookes and Dr. Ronald Sing join moderator Dr. Dave Morris in discussing a new device that was developed for “bridging prophylaxis” against pulmonary embolus.  “Bridging prophylaxis” doesn’t sound familiar?  Listen to this episode to learn more.  This podcast was made possible by a generous grant from Bio2 Medical® .