Traumacast

Phil Mason, a CT and Transplant ICU Medical Director and ECMO expert, teams up with Brandon Parker, an Assistant Professor of Surgery and Medical Director of the Trauma ECMO Program, to dive deep into the world of ECMO for trauma patients. They discuss the nuances between VV and VA ECMO, highlighting key clinical trials like CESAR and EOLIA. The conversation explores patient selection, the importance of timely intervention, and the challenges of managing complex cases. They also speculate on future innovations in ECMO technology that could enhance patient outcomes.

Join Drs. Aimee LaRiccia and Melissa Ward as they continue their discussion with guests Drs. Howard Pryor and Erica Hodgeman. In this session, they discuss the management of specific injury patterns in children and how it can differ from the adult population.  Supplemental Material:  Rauh JL, Neff LP, Forssten MP, Ribeiro MAF Jr, Sarani B, Mohseni S. Contemporary management and outcomes of blunt traumatic American Association for the Surgery of Trauma Organ Injury Scale grades III and IV pancreatic injuries in children: A Trauma Quality Improvement Program analysis. J Trauma Acute Care Surg. 2024 Sep 1;97(3):365-370. doi: 10.1097/TA.0000000000004270. Epub 2024 Jan 29. PMID: 38282245.Lamoshi, A., Lay, R., Wakeman, D. et al. Validation of the predictive model for operative intervention after blunt abdominal trauma in children with equivocal computed tomography findings: a multi-institutional study. Pediatr Surg Int 40, 39 (2024). https://doi.org/10.1007/s00383-023-05616-6

Dr. Munther Homoud, an expert in pericardial effusion and dysrhythmias, joins fellow medical professionals Dr. Sarada Rao and Dr. Sheliza Kabani. They dive into the intricacies of cardiac tamponade, discussing its causes and emergency treatments like pericardiocentesis. The conversation shifts to managing cardiac dysrhythmias, including atrial fibrillation and ventricular tachycardia, emphasizing shock protocols and medication strategies. They also tackle the nuances of atrioventricular blocks, pacemaker functionality, and the complexities of pacemaker syndrome.

Dr. Howard Pryor, an expert in pediatric trauma care, joins Dr. Erica Hodgeman, a specialist in pediatric resuscitation, to explore the unique challenges of treating young patients. They discuss the importance of tailored assessments for children, emphasizing physiological differences from adults. The role of families in trauma care is highlighted, showcasing how clear communication can build trust with young patients. They also dive into imaging protocols, the complexities of pediatric surgery, and the significance of blood resuscitation practices.

EAST/AAST/AAST-AMC: SCC Review Series - Episode 03Renal FailureJoin Dr. Josh Dilday with the expert Guest Dr. Paul McCarthy, and Fellow Guest Dr. Evelyn Coile. This is the third episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST and AAST-AMC During this episode, Renal Failure will be discussed.Content preparation: Dr. Joshua Dilday and Dr. Mohammed BawazeerModerator: Dr. Joshua Dilday Expert Guest: Dr. Paul McCarthyFellows Guest: Dr.  Evelyn CoileTopics covered in this episode:Clinical assessment of kidney function Acute Kidney Injury, and CRRTFluid and volume therapy in the ICUSodium disorders and water metabolism (SIADH, CSW, DI)

EAST/AAST/AAST-AMC: SCC Review Series - Episode 02Hepatic FailureContent preparation/Moderators: Dr. Alex Brito and Dr. Adora Santos Expert Guest: Dr. Ram SubramanianFellows Guest: Dr. Ted Shung and Dr. David Ritter.Topics covered in this episode:Portal hypertension Hepatorenal and hepatopulmonary syndromes Liver transplantHepatic encephalopathy and Fulminant Hepatic failureSupplemental Material: https://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Guidelines-for-the-Management-of-Adult-Acute-and-Ahttps://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Guidelines-for-the-Management-of-Liver-Failure-2

Dr. Paula Ferrada, an expert in hemodynamic monitoring, joins surgical critical care fellows Dr. Matt Elson and Dr. John Luckoski to delve into crucial monitoring techniques. They discuss the essentials of arterial lines and central venous access, emphasizing the importance of patient-specific strategies. The conversation extends to capnography's role in confirming intubation and its insights into ventilation. The guests also highlight the significance of fluid management and monitoring indicators, pushing for tailored approaches in critically ill patients.

Join Drs. Mohammed Bawazeer and Jaswin Sawhney as they talk with guests Drs. Joseph Sakran and Jason Hall. They discuss the acute and elective management of diverticulitis including such topics as antibiotics, the role of laparoscopic lavage, indications for surgery in the acute and elective settings, management of colovesical fistula and the role of acute care surgeons and colorectal surgeons in the management of this disease process.

Dr. Taryn Travis, a critical care specialist in burn treatment, and Dr. Mack Drake, an expert in burn resuscitation, dive into the intricacies of managing burn patients. They discuss the physiology of burn shock and the critical approaches to fluid resuscitation. Challenges like inhalation injuries and infection management are highlighted, along with the importance of clear communication with families. The episode also touches on nutritional needs and advanced practices for treating complications, ensuring comprehensive burn care in critical settings.

 Join Dr. Tatiana Cardenas and Dr. Mohammed Bawazeer as they talk with guests Dr. Matt Martin and Dr. Andrea Pakula and discuss the role of robotic surgery in the management of hernias by the acute care surgeon.  The discussion covers training in robotics, the role of robotics in emergent and urgent hernia surgery, and various case scenarios involving hernias encountered by acute care surgeons.