

Traumacast
The Eastern Association for the Surgery of Trauma
Audio interviews addressing upcoming research and its application to the injured, critically ill or emergency general surgery patient, education efforts related to the clinical practice of acute care surgery, novel methods in the management of these patients and topics affecting providers and clinical care within the field.
Episodes
Mentioned books

Aug 19, 2016 • 47min
A Randomized Trial of TEG versus Conventional Coagulation Tests to Guide Massive Transfusion in Bleeding Trauma Patients: Interview with Dr. Gene Moore
Viscoelastic assays for assessing the coagulation system have been around for decades, but have recently seen a surge in interest and research in the trauma community. Thromboelastography (TEG) and Rotational Thromboelastometry (ROTEM) provide a real-time assessment of multiple aspects and factors involved in clot initiation, development and maturation, and then breakdown or lysis. Many trauma centers have begun incorporating viscoelastic testing in the initial evaluation of injured patients, particularly among those with known or suspected active bleeding. Although TEG/ROTEM have many theoretical advantes compared to standard or conventional coagulation assays, there have been no prospective controlled trials comparing them head to head until now. We interviewed Dr. Gene Moore, the senior author and principal investigator on a recently published prospective randomized trial comparing the utility and associated outcomes of massive transfusions guided by TEG versus those guided by conventional coagulation assays. This is a must-read paper for all trauma providers, and Dr. Moore provides some great additional insights into the study design, results, and interpretation.Supplemental Materials:Goal-directed Hemostatic Resuscitation of Trauma-induced Coagulopathy: A Pragmatic Randomized Clinical Trial Comparing a Viscoelastic Assay to Conventional Coagulation Assays Annals of Surgery: June 2016 - Volume 263 - Issue 6 - p 1051–1059EAST Online Education Activity - TEG/ROTEM Testing in Trauma & Transfusion Management

Aug 2, 2016 • 52min
Intraoperative Hypotensive Resuscitation
In this episode, we discuss an interesting study which was recently published in the Journal of Trauma and Acute Care Surgery (see link below) with the study’s lead author, Dr. Matthew Carrick, and the senior author, Dr. Kenneth Mattox. Drs. Carrick and Mattox describe the extension of the hypotensive resuscitation paradigm beyond the trauma bay and into the operating room, as well as some details about how they were able to accomplish this prospective, randomized trial with exception from informed consent. In characteristic form, Dr. Mattox also challenges the audience to take on more areas of untested dogma — what he calls the “sacred cows” of patient care — and to make an impact in clinical science research.Article ReferencedCarrick MM, Morrison CA, Tapia NM, Leonard J, Suliburk JW, Norman MA, Welsh FJ, Scott BG, Liscum KR, Raty SR, Wall MJ Jr, Mattox KL. Intraoperative hypotensive resuscitation for patients undergoing laparotomy or thoracotomy for trauma: Early termination of a randomized prospective clinical trial. J Trauma Acute Care Surg. 2016 Jun;80(6):886-96.http://www.ncbi.nlm.nih.gov/pubmed/27015578

Jul 25, 2016 • 55min
Whole Blood Transfusion: Everything Old is New Again
Whole blood transfusion, once the norm, is once again rising to the forefront of hemorrhage resuscitation science. In this podcast, Drs. Philip Spinella and Alan Murdock share their expert thoughts and opinions regarding the rationale for whole blood transfusion. After listening, you just may want to start using whole blood in your hospital.Articles Referenced:Cotton BA, Podbielski J, Camp E, Welch T, del Junco D, Bai Y, Hobbs R, Scroggins J, Hartwell B, Kozar RA, Wade CE, Holcomb JB; Early Whole Blood Investigators. A randomized controlled pilot trial of modified whole blood versus component therapy in severely injured patients requiring large volume transfusions. Ann Surg. 2013 Oct;258(4):527-32; discussion 532-3Spinella PC, Pidcoke HF, Strandenes G, Hervig T, Fisher A, Jenkins D, Yazer M, Stubbs J, Murdock A, Sailliol A, Ness PM, Cap AP. Whole blood for hemostatic resuscitation of major bleeding. Transfusion. 2016 Apr;56 Suppl 2:S190-202.Blumberg BS, Kuvin SF, Robinson JC, Teitelbaum JM, Contacos PG. Alterations in Haptoglobin Levels. JAMA. 1963;184(13):1021-1023Nessen SC, Eastridge BJ, Cronk D, Craig RM, Berséus O, Ellison R, Remick K, Seery J, Shah A, Spinella PC. Fresh whole blood use by forward surgical teams in Afghanistan is associated with improved survival compared to component therapy without platelets. Transfusion. 2013 Jan;53 Suppl 1:107S-113S.Strandenes G, Berséus O, Cap AP, Hervig T, Reade M, Prat N, Sailliol A, Gonzales R, Simon CD, Ness P, Doughty HA, Spinella PC, Kristoffersen EK. Low titer group O whole blood in emergency situations. Shock. 2014 May;41 Suppl 1:70-5Strandenes G, De Pasquale M, Cap AP, Hervig TA, Kristoffersen EK, Hickey M, Cordova C, Berseus O, Eliassen HS, Fisher L, Williams S, Spinella PC. Emergency whole-blood use in the field: a simplified protocol for collection and transfusion. Shock. 2014 May;41 Suppl 1:76-83.http://rdcr.org/wp-content/uploads/2015/06/2013-williams-blood-transfusion-on-cruise-ships.pdfhttp://rdcr.org/wp-content/uploads/2015/06/2013-williams-blood-transfusion-on-cruise-ships.pdf

Jul 1, 2016 • 51min
Simulation and Surgical Training - Promise and Pitfalls
In this traumacast, Dr. Howard Champion, EAST Founding Member and 1991 EAST President, and surgical simulation expert shares his experience and vision for simulation in surgery training. Dr. Champion is a seasoned surgical educator, serving as Chief of Trauma at Washington Hospital Center for many years. In 2001, he founded SimQuest, a leading simulation platform provider. Dr. Champion not only discusses his views on the utility of simulation in competency based assessment, but also offers encouragement for those interested in a career in simulation-based surgical education. Drs. Kevin Pei and Matt Martin serve as co-moderators.Supplemental MaterialsMinimizing Surgical Error by Incorporating Objective Assessment into Surgical EducationSimQuest Website

Jun 21, 2016 • 1h 10min
Highlights and Interviews from the 29th EAST Annual Scientific Assembly held January 12-16, 2016
The 29th EAST Annual Scientific Assembly took place January 12-16, 2016 in San Antonio, Texas. The meeting once again had record attendance, and boasted a wide array of educational, scientific, career development, and social programs. And of course - dodgeball! The EAST Traumacast was there to cover it all and bring you highlights, interviews, and summaries from this great meeting. This traumacast starts out with an interview with the 29th EAST President, Dr. Stan Kurek, then covers the highlights from the entire meeting, and closes with an interview with the 30th EAST President, Dr. Nicole Stassen.Supplemental MaterialsSummary and downloads from the 29th EAST Annual Scientific AssemblyMake your plans now for the 30th EAST Annual Scientific Assembly - January 10-14, 2017Video highlights and interviews from the 29th EAST Annual Scientific Assembly - See what it is all about!

Jun 10, 2016 • 1h 12min
Highlights and Interviews from the 2016 Trauma, Critical Care, and Acute Care Surgery Conference (aka the “Mattox Meeting”) in Las Vegas
One of the most well known and attended trauma conferences in the world is the Trauma, Critical Care, and Acute Care Surgery Conference, held annually in Las Vegas. Also known as the “Mattox Meeting”, this conference attracts a large and diverse group of attendees with an interest in trauma and emergency surgical care. For the 49th annual meeting we joined forces with the “Behind the Knife” podcast team to cover the conference and bring you interviews and discussions with the incredible group of expert faculty assembled by Dr. Mattox. We also had the opportunity to sit down and interview the Behind the Knife team about their experience and insights from starting a new surgical podcast that has become one of the top medical podcasts in the country. Interviewees include: The Behind the Knife team (Scott Steele, Jason Bingham, John McClellan), Kenneth Mattox, Ali Salim, Marty Schreiber, Kenji Inaba, Scott Steele, Mike Sise, and Raul Coimbra.Supplemental MaterialsBehind the Knife: www.behindtheknife.org/Trauma, Critical Care, and Acute Care Surgery Conference: www.trauma-criticalcare.com

May 2, 2016 • 57min
State of Early Goal Directed Therapy
In this EAST Traumacast, the state of Early Goal Directed Therapy is discussed with two dynamic speakers, Dr. Donald Yealy who is the lead author on the PROCESS trial , and Dr. Ruby Skinner who is a busy SICU director. This and two other studies prompted changes in the Surviving Sepsis Campaign Guidelines. Drs. Yealy and Skinner give insight into how early goal directed therapy has changed since the original studies and how the changes have impacted their patient care. The discussion is moderated by Dr. Kevin Pei and Dr. Matt Martin.

May 1, 2016 • 50min
#HELP! Social Media for the Surgeon: Getting Started, Building a Following, and Building a Community
Social media plays an increasingly important role in all aspects of personal and professional life, and can have profound impacts both positive and negative. Having a solid basic understanding of the mechanics and “rules of the game” is critical to successfully adopting and using social media. EAST as an organization has embraced social media, and for the 2016 Annual Scientific Assembly made a concerted effort to increase the social media presence of the meeting on Twitter. We were able to sit down with the core group of EAST Twitter users, aka the “EAST Twitterati”, and discuss how to get started on social media, practical tips and advice for optimizing the experience, key potential pitfalls to be aware of, and how the use of social media has impacted their personal lives and careers.Interviewees: Elliott Haut, Joe Sakran, Christian Jones, Paula Ferrada, Rob Winfield, Jason Smith, Brad Dennis, Alex Eastman, Jamie Coleman, and Tareq KheirbekSupplemental Materials:Twitter 101 tip sheet

Apr 7, 2016 • 1h 8min
EAST February 2016 Literature Review Traumacast
In this episode, we have a lively discussion about the papers reviewed by Dr. Niels Martin in the February EAST literature review. We were also very fortunate to have Dr. Bob Martindale, who was one of the lead authors for the 2016 ASPEN/SCCM ICU nutrition guidelines, join us to discuss the key issues of importance to Trauma/ICU providers. We also discuss the effect of age of stored red blood cells with Dr. Martin Schreiber. Also joining in this discussion were EAST members Dr. Kevin Schuster and Dr. Andrew Bernard. The discussion is moderated by Dr. Dave Morris and Dr. Matt Martin.Supplemental Materials2016 ASPEN/SCCM ICU Nutrition Guidelines

Apr 6, 2016 • 55min
Sham Peer Review for Surgeons: EAST Town Hall Discussion
In this podcast we discuss the process of professional peer review, and how this process can be used or mis-used for a variety of reasons. Our guest is Dr. Larry Huntoon, who has become a recognized national expert in the area of “sham peer review”, and who was written and lectured extensively about common themes in techniques and tactics that are used in these proceedings. He gives some great advice about recognizing, reacting to, and even preventing this type of adverse professional action for surgeons. This interview was done as a “Town Hall” session, and Dr. Huntoon takes questions from the attendees after the formal moderated interview. The discussion is moderated by Dr. Matthew Martin and Dr. Andrew Bernard. Supplemental Materials: Editorial: Tactics Characteristic of Sham Peer Review by Larry Huntoon, MD, PhD Recognizing the Tactics of Sham Peer Review: a 3-part video series presented by Dr. Larry Huntoon