Traumacast

Dr. Shyam Murali interviews Dr. Jamie Coleman and Dr. Patrick Murphy about their recent EAST Multicenter Trial looking at Acute Care Surgery service staffing, the physiologic toll of call on the body and determining how to “rightsize the workforce.. References: Murphy, Patrick B. MD, MPH, MSc; Coleman, Jamie J. MD; et al; The ACS Staffing Authorship Group. Understaffed and overworked: The stark reality of acute care surgeon staffing in the United States, an Eastern Association for the Surgery of Trauma multicenter study. Journal of Trauma and Acute Care Surgery ():10.1097/TA.0000000000004700, July 4, 2025. | DOI: 10.1097/TA.0000000000004700 

Join Dr. Erika Bisgaard with the expert Guest Dr. Scott Brakenridge, and Fellow Guest Dr. Erin White. This is the nineth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST and AAST. During this episode we will be discussing early management of septic shock, surviving sepsis campaign, Ventilator associated Pneumonia, C. Diff colitis and Necrotizing soft Tissue infections.  Content preparation: Dr. Erika Bisgaard & Dr. Mohammed Bawazeer Content reviewer: Dr. Alex BritoModerator: Dr. Erika BisgaardExpert Guest: Dr. Scott BrakenridgeFellow Guests: Dr. Erin WhiteTopics covered in this episode:A.Sepsis, septic shock and Surviving sepsis guidelinesB.VAP and pulmonary infectionsC.C diff colitis D.Necrotizing soft tissue infections 

Dr. Chasen Croft, an associate professor of surgery and trauma medical director at the University of Florida, shares his expertise on managing hemothorax. He discusses diagnostic techniques like ultrasound and CT scans and the evolving use of smaller bore chest tubes. The conversation dives into management strategies, weighing operative intervention against observation, and highlights advancements in thoracic irrigation. Croft also explores the efficacy of innovative drainage methods and the future of less invasive approaches in trauma care.

In this engaging discussion, Dr. Joseph Cuschieri, a seasoned surgical expert, shares his insights alongside critical care fellows Dr. Gerald Wang and Dr. Kirea Mazzolini. They dive deep into the intricate pathophysiology of shock, covering its various types like septic and hemorrhagic shock. The trio emphasizes evidence-based resuscitation strategies and the strategic use of vasopressors. Listeners can also expect real case studies that highlight the dynamic decision-making needed in critical care environments, making the complex topic accessible and relatable.

Join Drs. Bawazeer and Warta as they discuss the management of difficult gallbladders with renowned Dr. Andrew B. Peitzman.  Everything from diagnosis and grading of cholecystitis to SAFE cholecystectomy and considerations for alternatives to surgery are discussed.Resources:Hirota M, et al. Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg. 2007;14(1):78-82. doi: 10.1007/s00534-006-1159-4. Epub 2007 Jan 30. PMID: 17252300; PMCID: PMC2784516.Brunt LM,et al; Prevention of Bile Duct Injury Consensus Work Group. Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy. Surg Endosc. 2020 Jul;34(7):2827-2855. doi: 10.1007/s00464-020-07568-7. Epub 2020 May 12. PMID: 32399938.Gupta V, Jain G. Safe laparoscopic cholecystectomy: Adoption of universal culture of safety in cholecystectomy. World J Gastrointest Surg. 2019 Feb 27;11(2):62-84. doi: 10.4240/wjgs.v11.i2.62. PMID: 30842813; PMCID: PMC6397793.Loozen CS, et al. Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial. BMJ. 2018 Oct 8;363:k3965. doi: 10.1136/bmj.k3965. PMID: 30297544; PMCID: PMC6174331.

In this engaging discussion, expert Dr. Martin Schreiber from the Uniformed Services University of the Health Sciences shares his insights on critical hematology topics. The conversation delves into the management of venous thromboembolism and anticoagulation strategies, shedding light on when to use IVC filters. They also discuss trauma-induced coagulopathy, the vital role of fibrinogen, and conditions like von Willebrand disease and sickle cell disease. Plasmapheresis applications in critical care and its significance in sepsis treatment round out this informative session.

Dr. Brian Yorkgitis, Chief of Acute Care Surgery at IU Health, and Dr. Linda Schutzman, Assistant Professor of Surgery at IU Health, share their expertise in surgical critical care. They dive into the implementation of Massive Transfusion Protocols and the revival of whole blood transfusions, emphasizing evidence-based practices. The conversation highlights the significance of DVT prophylaxis in trauma care and the complexities of thrombosis post-trauma, particularly with pulmonary embolisms. Their insights bridge the gap between traditional approaches and modern advancements in patient care.

Join moderators Drs. Mohammed Bawazeer, Lauren Dudas, Jennifer Brewer and Alexandra Brito as they interview speakers and presenters from the 38th EAST Annual Scientific Assembly held January 14-17, 2025 in Tucson, AZ. Guests include outgoing and incoming EAST Presidents, Drs. Ben Zarzaur and Nicole Fox in addition to Drs. Leah Aakjar, Rachel Applebaum, Ellen Becker, Anthony DeSantis, Veronica Layrisse-Landaeta, Jonathan Meizoso, Travis Miles,  Lauren Steward, Ronald Tesoriero and Medical Student Hannah Cleary. 

EAST/AAST/AAST-AMC: SCC Review Series - Episode 05Airway ManagementJoin Dr. Mohammed Bawazeer with the expert Guest Dr. Carlos Brown, and Fellows Guests Dr. Jennifer Brewer and Dr. Leah Aakjar. This is the fifth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST, and AAST-AMC. Airway Management, Management of the Difficult Airway, and Tracheostomy will be discussed.  Content preparation: Dr. Mohammed Bawazeer and Dr. Jennifer Brewer. Content reviewer: Dr. Alexandra Brito Moderator: Dr. Mohammed BawazeerExpert Guest: Dr. Carlos BrownFellows Guests: Dr. Jennifer Brewer, Dr. Leah AakjarTopics covered in this episode:Airway management Management of the difficult airway Tracheostomy Supplemental Material: Apfelbaum JL, Hagberg CA, Connis RT, Abdelmalak BB, Agarkar M, Dutton RP, Fiadjoe JE, Greif R, Klock PA, Mercier D, Myatra SN, O'Sullivan EP, Rosenblatt WH, Sorbello M, Tung A. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022 Jan 1;136(1):31-81. doi: 10.1097/ALN.0000000000004002. PMID: 34762729. 

Join moderators Ds. Mohammed Bawazeer and Dr. Erika Bisgaard as they speak with guests Dr. Chloe Bryson-Cahn and Dr. Rondi Gelbard.  They discuss the management of necrotizing soft tissue infections and the role of surgery, antimicrobial therapy, scoring systems and more!