Trauma ICU Rounds

Episode 31 - Who Should Manage Vascular Trauma?

Nov 16, 2020

In this engaging discussion, Dr. Tanya Zakrison, a trauma and acute care surgeon, and Dr. Matt Martin, a former Army surgeon, join Dr. Benjamin Starnes, a vascular surgery expert, and Dr. Wesley Ohman, a specialist at a Level 1 trauma center. They delve into the critical question of who should manage vascular injuries. The conversation highlights the necessity of collaboration between trauma and vascular surgeons, addresses challenges in surgical training, and explores the evolving approaches to treat complex vascular trauma effectively.

40:28

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Quick takeaways

Effective management of vascular trauma requires a collaborative approach between trauma and vascular surgeons to optimize patient outcomes.

Current training disparities in surgical programs necessitate structured initiatives to enhance exposure to vascular cases for all surgical trainees.

Deep dives

Debate on Vascular Trauma Management

The discussion centers around the management of vascular trauma, debating whether vascular surgeons or trauma surgeons should take the lead. Trauma surgeons argue that they are often best positioned to address specific injuries immediately based on their on-site availability and experience with such cases. They stress that the focus should not be on which specialty 'owns' the care but rather on providing the best possible outcome for the patient based on the capabilities of the available surgical team. Furthermore, they recognize that the competent management of vascular trauma requires collaboration among all specialties involved, emphasizing teamwork over territorial disputes.

Intro

2min

Collaboration in Vascular Trauma Management

15min

Navigating Vascular Trauma: Skills and Collaboration

11min

Exploring Dual Training Pathways for Trauma Surgeons

2min

Evolving Strategies in Vascular Trauma Management

3min

Navigating Vascular Trauma Management

5min

Collaboration and Training in Vascular Trauma Management

3min

Who should be primarily responsible for managing vascular injuries? Trauma surgery? Vascular surgery? BOTH?! In this episode, we join the teams from the highly successful Behind the Knife and Audible Bleeding Podcasts to discuss the importance of a collaborative approach to the management of vascular trauma in an era marked by a decrease in general surgery resident experience with operative vascular trauma cases, together with an increase in the number of programs offering an integrated vascular surgery residency. Drs. Tanya Zakrison and Matt Martin (Team Trauma) debate Drs. Benjamin Starnes and Wesley Ohman (Team Vascular) on a topic that has brought about some "heated" exchanges on social media platforms such as Twitter.

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