Who is hacking our hospital systems and why?  What can you do about it?Listen in as we interview Menny Barzilay, partner at Cytactic – Cyber Crisis Management, and Matan Scharf. Both guests are internationally known cyber security experts, formerly in the intelligence services of the Israeli Defense Forces and currently working at Tel Aviv University. Join Drs. Carrie Valdez and Lauren Dudas for a fascinating discussion on Cybersecurity.   Additional resources and links to more talks with our guests are listed below. Supplemental Material:Menny Barzilay website, great resources, newsletter and blog - https://www.mennyb.com/blogCyber attack suspected in German woman’s death, NYT article: https://www.nytimes.com/2020/09/18/world/europe/cyber-attack-germany-ransomeware-death.htmlDeath by Cyber, YouTube talk by Menny Barzilay - https://www.youtube.com/watch?v=N_5Pv9sd40A&ab_channel=GlobalCloudComputingCommunityAutoimmune Deficiency, Hospital Cyber Defense, YouTube talk by Matan Scharf - https://youtu.be/y1r3xuwWnjYSecuring the World: Cybersecurity in the Age of IoT, YouTube talk by Matan Scharf - https://youtu.be/SJVVrr-cmF4

Celebrating 10 Years of EAST Traumacast! Dive into conversation as Dr. Michal Radomski and @ldel302 interview @carrievaldezmd Dr. Dave Morris, @docmartin22 @saranimdDrs. Michal Radomski and Lauren Dudas interview previous EAST Traumacast moderators Drs. Carrie Valdez, Dave Morris, Matt Martin and Babak Sarani.  Share laughs with the originators as you hear how it all started and how the program got where it is today!  A special thank you to Christine Eme, EAST Staff, for all of her production support and the many others who dedicated their time over the past 10 years.  Also check out the new introduction, created by EAST member Dr. Shyam Murali.  Here’s to the next decade of EAST Traumacast listening!

Drs. Tatiana Cardenas and Lauren Dudas discuss pilonidal disease with Drs. Patrick McGonagill and Joga Ivatury.  Listen to hear about how to plan your acute intervention without being detrimental to definitive options, different excisional techniques and patient selection.  You’ll hear – pilonidal disease is about so much more than just “rearranging butt cracks!”

Drs. Jeremy Levin, Michal Radomski and Carrie Valdez discuss with Dr. Brad Dennis and Dr. Steven Weisbord contrast associated acute kidney injury – from the renal medulla to “renalism,” a discussion of clinical consequences, and much in between.  Should I adjust imaging order based on existing AKI?  Should risk of AKI alter imaging acquisition decision making in the trauma bay?  Are there strategies to mitigate the impact of contrast?  Listen to find out!Supplemental Material: Guidelines – KDIGOWeisbord SD, Gallagher M, Kaufman J, Cass A, Parikh CR, Chertow GM, Shunk KA, McCullough PA, Fine MJ, Mor MK, Lew RA, Huang GD, Conner TA, Brophy MT, Lee J, Soliva S, Palevsky PM. Prevention of contrast-induced AKI: a review of published trials and the design of the prevention of serious adverse events following angiography (PRESERVE) trial. Clin J Am Soc Nephrol. 2013 Sep;8(9):1618-31. doi: 10.2215/CJN.11161012. Epub 2013 May 9. PMID: 23660180; PMCID: PMC3805082.Inker LA, Eneanya ND, Coresh J, Tighiouart H, Wang D, Sang Y, Crews DC, Doria A, Estrella MM, Froissart M, Grams ME, Greene T, Grubb A, Gudnason V, Gutiérrez OM, Kalil R, Karger AB, Mauer M, Navis G, Nelson RG, Poggio ED, Rodby R, Rossing P, Rule AD, Selvin E, Seegmiller JC, Shlipak MG, Torres VE, Yang W, Ballew SH, Couture SJ, Powe NR, Levey AS; Chronic Kidney Disease Epidemiology Collaboration. New Creatinine- and Cystatin C-Based Equations to Estimate GFR without Race. N Engl J Med. 2021 Sep 23. doi: 10.1056/NEJMoa2102953.Weisbord SD, Gallagher M, Jneid H, Garcia S, Cass A, Thwin SS, Conner TA, Chertow GM, Bhatt DL, Shunk K, Parikh CR, McFalls EO, Brophy M, Ferguson R, Wu H, Androsenko M, Myles J, Kaufman J, Palevsky PM; PRESERVE Trial Group. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. N Engl J Med. 2018 Feb 15;378(7):603-614. doi: 10.1056/NEJMoa1710933.

Drs. Shyam Murali, Rita Brintzenhoff and Lauren Dudas discuss POCUS with Drs. Sarah Murthi and Paula Ferrada.  Why is it so great? What are some tips for challenging image acquisition?  How can I get a program started?  Can my images get validated? And what is on the horizon?  Hear the answers to these questions and more with this animated group!Supplemental Material:Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients by Grace Rozycki et al.Cold Steel: Canadian Journal of Surgery Podcast with Grace RozyckiSurgical Critical Care Program Directors Society Ultrasound CurriculumQuantifying systemic congestion with Point-Of-Care ultrasound: development of the venous excess ultrasound grading system by William Beaubien-Souligny et al. (original VEXUS Scan publication)

In this second installment of a three part series, Drs. Lauren Dudas and Lucy Ruangvoravat interview Drs. Carrie Valdez, JR Taylor and Erich Schafer, surgeons at designated level II-IV trauma centers.  Listen as they discuss their trauma system, schedules and their perspectives as rural trauma surgeons.  If you missed part one in the series, check out Traumacast #140!

Drs. Patrick McGonagill, Lauren Dudas and Carrie Valdez approach the challenge of managing necrotizing pancreatitis in a multidisciplinary discussion with acute care surgeon Dr. Jose Diaz, hepatobiliary and pancreatic surgeon Dr. Clancy Clark and advanced gastroenterologist Dr. Shyam Thakkar.  What are some of the intervention options? How might I approach it at my center? What are the long term complications to look out for?  Hear about it all!

Guest moderator Dr. Brandon Parker joins Dr. Lauren Dudas to discuss strategies to prevent prehospital death – from the Florida program “Survive the Ride” to the Australia prehospital triage algorithm and some physiology in-between!  Guest speakers: Patricia Byers, MD, Kelsey Ensor, MD, Ben Meadley, PhD and Paul Pepe, MD.Supplemental Material: Survive The Ride Essenstial ECG – Gordon Center (miami.edu)

Listen to the first author of the EAST PMG, Dr. Kodadek and pharmacist Jen Beavers discuss alcohol dependence – from identifying at risk patients to a review of treatment options.  Hosted by new guest moderators Drs. Jeremy Levin, Sam Tarras and Patrick McGonagill as well as Lauren Dudas. Supplemental Information:Kodadek, Lisa M., Jennifer J. Freeman, Devesh Tiwary, Mack Dillon Drake, M. Elizabeth Schroeder, Linda Dultz, Cassandra White, et al. 2020. “Alcohol-Related Trauma Reinjury Prevention with Hospital-Based Screening in Adult Populations: An Eastern Association for the Surgery of Trauma Evidence-Based Systematic Review.” Journal of Trauma and Acute Care Surgery 88 (1): 106–12. https://doi.org/10.1097/TA.0000000000002501.Alvanzo, Anika, Kurt Kleinschmidt, Julie A Kmiec, George Kolodner, Gerald E Marti, William F Murphy, Carlos F Tirado, et al. 2020. “The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management.” http://links.lww.com/JAM/A192.Ammar, Mahmoud A., Abdalla A. Ammar, Jordan Rosen, Hagar S. Kassab, and Robert D. Becher. 2021. “Phenobarbital Monotherapy for the Management of Alcohol Withdrawal Syndrome in Surgical-Trauma Patients.” Annals of Pharmacotherapy 55 (3): 294–302. https://doi.org/10.1177/1060028020949137.

Dr. Simon Fitzgerald, Dr. Lauren Dudas and Dr. Carrie Valdez discuss how things work on “the hill” with Dr. Joseph Sakran.  Hear an overview of how to transform an idea into policy or just how to get more involved.  Additionally, Dr. Sakran briefly reviews his year as a 2019-2020 RWJ Foundation Health Policy Fellow and how he lives his life to fulfill “purpose over position.”Supplemental Information:Robert Wood Johnson Foundation Health Policy Fellows