Join moderators Drs. Matt Martin, Carrie Valdez and Red Hoffman as they speak with Drs. Nick Mark, Sheldon Teperman and Alex Guerrero about the management of the critically ill patient during the COVID-19 Pandemic.  Nick shares his experience in Seattle and Sheldon and Alex share what is currently going on in New York City, the current epicenter of the pandemic.  They discuss the management of hypoxemia (including high flow nasal cannula, ventilator strategies and proning- including a discussion of the "burrito" technique), clinical pearls regarding extubation and the role of CPR in these critically ill patients.  Our experts also discuss the importance of establishing communication channels both within your hospital and within your region and the importance of caring for and protecting both ourselves and all those we work with while "leading from the front."  This is a longer episode, but definitely worth a listen, filled with real life clinical pearls that will assist you and your hospital in preparing for and caring for COVID patients.This episode is dedicated to neurosurgeon Dr. James Goodrich, who died on Monday, March 30, 2020 from complications of the Coronavirus. Resources discussed within this episode:-EAST COVID-19 Resources and Information is available here: https://www.east.org/education/covid-19-resources-and-information.  This is meant to be a clearinghouse of information and protocols from various societies and institutions throughout the world.  -Dr. Nick Mark's OnePager guide to the care of critically ill patients with COVID can be found here: https://www.onepagericu.com/.  -Fair allocation of scarce medical resources in the time of COVID-19 (NEJM March 23, 2020) can be found at:  https://www.nejm.org/doi/pdf/10.1056/NEJMsb2005114?articleTools=true-A framework for rationing ventilators and critical care beds during the COVID-19 pandemic (JAMA March 27, 2020) can be found  at:  https://jamanetwork.com/journals/jama/fullarticle/2763953-The COVID Ready Communication Playbook by Vital Talk can be found at: https://www.vitaltalk.org/guides/covid-19-communication-skills/-The proning protocol currently in use at NYC Health + Hospitals can be found here - Proning Protocol-The burrito technique for proning is also demonstrated at:  https://www.youtube.com/watch?v=qx2z26IL6g8&feature=youtu.be-A reminder that "There are no emergencies in a pandemic."

Join Drs. Matt Martin, Carrie Valdez and Red Hoffman as they speak with EAST President Dr. A. Britton Christmas about the management of surgical patients during the COVID-19 pandemic.  They discuss the latest American College of Surgeons guidelines for Emergency General Surgery, safety in the operating room regarding airway management and laparoscopic procedures as well as thoughts on tracheostomies, chest tubes and ED thoracotomies.  Links below for more information! -EM physician Dr. Yale Tung Chen chronicles his COVID diagnosis and provides daily ultrasound updates on his Twitter account @yaletung-Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy.  Epub ahead of print available. https://bit.ly/2UozPX4 -EAST COVID-19 Resources and Information. This is meant to be a clearinghouse of information and protocols from various societies and institutions throughout the world.  https://bit.ly/2QSV5Cj -Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (published March 2020) is available https://bit.ly/3dB9H2Z -Department of Defense COVID-19 Practice Management Guidelines-COVID-19 App - Developed by Dr. Kari Jerge - Download the App - http://covid19medapp.com/View webpage - http://apps.appshed.com/1517747/-Visit the Vital Talk website to help guide you in difficult conversations with your patients regarding COVID-19 https://bit.ly/2JnnNqQ -CAPC (Center to Advance Palliative Care) is offering a free COVID toolkit, including symptom management tips that will help you with your primary palliative care skills https://bit.ly/2Uqu9w4 -Dr. Nick Mark's OnePager guide to the care of critically ill patients with COVID. Join us early next week for Part 2 of the COVID series- Nick will be one of our guests! https://www.onepagericu.com/

Dr. Melissa Red Hoffman interviews Dr. Anna Newcomb and Dr. Chris Michetti from Inova Fairfax Hospital, current and past presidents of the American Trauma Society, as well as two trauma survivors, John and Richard.  Their stories are inspiring; their work is awesome.  Links below for more information!Trauma Survivors NetworkAmerican Trauma Society

Enjoy our 33rd EAST Annual Scientific Assembly (#EAST2020) Compilation Traumacast! @carrievaldezmd @drmadbak @Aditi_Kapil  Thank you to @TopKniFe_B @MuhammadKhurru1 @LeahTatebe @Bryanacotton1 @docmartin22 for promoting your residents and fellows – great research!  Interviews with @elliotthaut @blackcloudmd @jjcolemanMD @kamil_hanna @smstreit @scottassen @LeahTatebe and more!

In this EAST Traumacast, Drs. Ian Mitchell (@ianmitchellMD), Alexander Gibbons (@AlexGibbonsMD), and Alejandra Casar Berazaluce (@alejandracasar) present highlights from the 2019 Pediatric Trauma Society Annual Meeting (@PediTraumaSoc). Great stuff on head injury risk calculation, whole blood and viscoelastic assays in pediatric resuscitation, Pediatric Trauma Research, and firearm violence prevention.

Join us as we discuss how percutaneous techniques have changed the contemporary management of hemothorax. How did percutaneous (pigtail) thoracostomy come about? Are conventional large bore tubes safer or better? How do you approach undrained hemothorax? Dr. Peter Rhee and Dr. Narong Kulvatunyou challenge current dogma as they answer all these questions and more in this timely traumacast. Dr. Firas Madbak and Dr. Matt Martin comoderate.

Pressors in trauma resuscitation? Heresy!  Or is it…?  Dr. Carrie Sims discusses her recently published study showing use of low-dose vasopressin in the trauma bay resulted in lower utilization of blood products, with equivalent outcomes.  Dr. Sims also discusses how she was able to get this study through the IRB with exception from informed consent (EFIC), a major hurdle for high-quality trauma research.Supplemental InformationEffect of low-dose supplementation of arginine vasopressin on need for blood product transfusions in patients with trauma and hemorrhagic shockArginine vasopressin, copeptin, and the development of relative AVP deficiency in hemorrhagic shockThe pathogenesis of vasodilatory shockEarly use of vasopressors after injury: caution before constriction

Join guests Dr. Red Hoffman and Dr. Benoit Blondeau as they help dispel myths and drop knowledge about how to incorporate Palliative Care into your ACS practice.Also, check out these great articles by Dr. Hoffman that deal with some of these same issues: https://jamanetwork.com/journals/jama/article-abstract/2737686 and https://www.ncbi.nlm.nih.gov/pubmed/31446920

So you think you know how to handle pediatric solid organ injuries?  In this Traumacast, we hear from Drs. Ian Mitchell, Regan Williams, Judith Hagedorn, and Bindi Naik-Mathuria from the Pediatric Trauma Society (PTS) about updates to practice management guidelines for pediatric solid organ injury. The discussion is geared toward those that might initially manage a pediatric patient but also those "adult” hospitals caring for kids ages 15 and up. Links mentioned in the podcast:Pediatric Trauma Society Guidelines Liver/Spleen Guideline - J Pediatr Surg. 2000 Feb;35(2):164-7; discussion 167-9EAST Pediatric Blunt Renal Trauma GuidelinePancreas Guideline - J Trauma Acute Care Surg. 2017 Oct;83(4):589-596. doi: 10.1097/TA.0000000000001576.

Join us for an in depth look at life as a military surgeon.  How did they get involved? What motivates them to re-enlist? How do they prepare for combat surgery? Drs. Ben Miller, Pam Choi and Matt Martin (as a guest!) share their experiences.