Traumacast

Join Dr. Anaar Siletz and Dr. Joshua Dilday with the expert Guest Dr. Michael Cripps, and Fellow Guest Dr. Arielle Thomas-Jonasson. This is the twelfth 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 GI Bleeding and prophylaxis, Abdominal compartment syndrome, Acute pancreatitis/ necrotizing pancreatitis, Toxic megacolon and Ogilvie's syndrome  and Esophageal emergencies.Content preparation: Dr. Arielle Thomas-JonassonContent reviewers: Dr. Joshua Dilday and Dr. Anaar SiletzModerators: Dr. Joshua Dilday and Dr. Anaar SiletzExpert Guest: Dr. Michael CrippsFellow Guest: Dr. Arielle Thomas-JonassonTopics covered in this episode:GI Bleeding and ProphylaxisAbdominal Compartment SyndromeToxic Megacolon and Ogilvie's SyndromeEsophageal Emergencies

Dr. Anthony DeSantis and Dr. Lauren Craugh discuss Care of the Obstetrical Trauma Patient with Dr. Sigrid Burruss and Dr. Allison Lankford. From the physiologic differences that impact the ABCs to the unique laboratory markers of impending organ system failure this discussion will be an asset to your next trauma toolbox. Resources:  Burruss, Sigrid MD; Jebbia, Mallory MD; Nahmias, Jeffry MD, MHPE. Pregnancy and trauma: What you need to know. Journal of Trauma and Acute Care Surgery 98(2):p 190-196, February 2025. | DOI: 10.1097/TA.0000000000004478

Join Dr. Mohammed Bawazeer with the expert Guest Dr. Neeraj Badjatia, and Fellows Guests Dr. Jennifer Brewer and Dr. Leah Aakjar. This is the eleventh 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 PADIS Guidelines, Status Epilepticus and Non-traumatic Intracranial Hemorrhage.Content preparation: Dr. Uzer Khan, Dr. Mohammed Bawazeer, Dr. Jennifer Brewer, and Dr. Leah AakjarContent reviewers: Dr. Mohammed Bawazeer & Dr. Neeraj BadjatiaModerator: Dr. Mohammed BawazeerExpert Guest: Dr. Neeraj BadjatiaFellow Guests: Dr. Leah Aakjar & Dr. Jennifer BrewerTopics covered in this episode:PADIS Practice Management GuidelinesStatus EpilepticusNon-traumatic Intracerebral Hemorrhage and Subarachnoid Hemorrhage

Purvi Patel, a trauma and critical care surgeon specializing in brain and spinal injuries, teams up with Caitlyn Braschi, a trauma fellow at LA General USC. Together, they delve into traumatic brain injuries, emphasizing strategies like the Glasgow Coma Scale and the role of beta blockers. The discussion highlights the urgency of addressing cervical spine injuries and their respiratory complications. Patel and Braschi also dissect spinal cord injury classifications and advocate for personalized treatment approaches to improve patient outcomes.

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 

Scott Brakenridge, a renowned sepsis researcher at the University of Washington, joins surgical critical care fellow Erin White to tackle crucial topics in managing surgical infections. They discuss the early management of septic shock and the importance of following the Surviving Sepsis guidelines. The conversation dives into ventilator-associated pneumonia, highlighting preventive measures and treatment protocols. They also explore the complexities of managing C. diff infections and the innovative use of monoclonal antibodies in treating recurrent cases, offering fresh insights into critical care practices.

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.