Traumacast

A discussion about the future of EAST with EAST Past President, Dr. Sagraves.

A discussion with Dr. Khashayar Vaziri regarding repair of complex abdominal wall hernia, use of mesh, and placement techniques.

A discussion with Dr. Carrie Sims regarding her research into vasopressin deficiency following hemorrhage and its potential role in resuscitation.

A brief discussion of political and financial issues faced when The Trauma Center at Penn opened in 1988. Many of the same issues are still faced by trauma directors in new trauma centers.

A discussion of damage control resuscitation - what it is and how to implement it and why. An interview with Michael Rotondo,  MD.

A discussion regarding the management of blunt splenic injury with reference to the EAST Practice Management Guideline on this topic.

Emergency Preservation and Resuscitation Trial evaluating deep hypothermia for cardiac arrest following penetrating trauma. Discussion with Dr Sam Tisherman, the PI for the study.

Dr. Eileen Bulger, a Professor of Surgery and Chief of Trauma at Harborview Medical Center, shares insights from her trials on hypertonic saline for pre-hospital resuscitation. She discusses the unexpected halt of her studies due to futility despite initial promise. The conversation delves into the complexities of using hypertonic saline in hypovolemic shock and brain injuries, highlighting the need for better patient selection and dosage. Dr. Bulger also explores its potential as an immunomodulatory agent and the challenges that remain in trauma care.

A discussion regarding causes of coagulopathy in trauma and the use of TEG in its diagnosis and management.

A discussion regarding Dr. Haider's study which showed the transportation by helicopter following trauma improves survival.