Trauma ICU Rounds

Dr. Jamie Coleman from Denver Health joins us on Rounds to share her insights and knowledge surrounding wellness, sleep, and stress among surgeons and frontline workers. From healthy pre-call preparation and tips on healthy sleep hygiene to harnessing resilience and measuring the burden of unacknowledged mental health disorders on health care professionals, this episode is a MUST listen for all of us who need to be reminded that sometimes, "It's okay not to be okay".Support the show

Dr. Martin Zielinski, a Professor of Surgery at the Mayo Clinic, dives into the complexities of bowel obstruction management. He explains the significance of imaging and clinical findings, emphasizing the need for careful assessment before surgery. The podcast highlights the innovative Gastrografin swallow protocol for treating small bowel obstruction. Zielinski discusses tailored surgical strategies, nutritional management, and the importance of biomarkers, shedding light on optimizing patient outcomes in this critical area of trauma care.

Dive into the critical world of trauma care as experts discuss the life-saving procedure of resuscitative thoracotomy. Learn about the key indications for its use and the innovative 'circulation first' strategy during emergencies. The conversation also highlights the nuances of performing a cricothyroidotomy, underscoring its importance in trauma situations. A compelling case study illustrates the significance of swift decision-making and maintaining vital circulation when every second counts.

Dr. Walt Biffl, Medical Trauma Director at Scripps Memorial Hospital La Jolla and a leading expert on blunt cerebrovascular injury (BCVI), shares his insights on the evolution of BCVI management. He discusses advancements in screening criteria and diagnostic imaging, highlighting challenges in identifying high-risk patients. The conversation also covers the development of grading criteria for stroke risk assessment, treatment options including antithrombotic therapies and endovascular stenting, and emphasizes the importance of collaborative decision-making in critical care.

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.

Dr. Joel Topf, a board-certified nephrologist and clinical professor, shines a light on acute kidney injury (AKI) in critically ill patients. He emphasizes the importance of monitoring and managing AKI, especially in trauma cases. The discussion explores how traditional fluid management can impact kidney function and why balanced solutions are essential. Joel also tackles sodium correction challenges in trauma patients, highlighting the dangers of rapid treatments. His insights aim to transform approaches to kidney health in the surgical ICU.

Dr. Matt Martin, a retired army colonel and trauma care expert, joins Dr. Vanessa Ho, an accomplished associate professor and sepsis researcher. They dive into evolving definitions of sepsis and the importance of early detection. Discussion highlights include challenges in antibiotic selection, fluid management strategies, and the role of steroids in septic shock. They also explore innovative treatments and emphasize the necessity for tailored approaches in managing severe infections and the impact of recent studies on surgical sepsis.

Dive into the urgent world of extremity compartment syndrome, where recognizing the 5 or 6 Ps can be a matter of life or death. Uncover the critical signs and the necessity of early diagnosis to prevent severe complications like AKI. The conversation swings into the importance of fasciotomy as a key treatment and explores various surgical techniques. Learn how timely interventions can make all the difference in patient outcomes and why swift action is essential in this surgical emergency.

Over the course of 30+ episodes, we'll be discussing fundamental surgical disease processes & conditions that may prove challenging to even the most seasoned acute care surgeon. Along the way, we'll be joined on Rounds by an incredible group of guest professors who will share their experiences, expertise, and results of recent research investigations with us. Support the show

So apparently not all of the listeners of the show are on Twitter?! In this brief recap of Season 1 (yes, Season 1 is done!) we pay thanks to all of our guest professors, provide you with an update of where we are in terms of the Season 2 launch, and, as usual, invite you to engage with me, the show, and our social media account. Support the show