Traumacast

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.

In this special EAST Traumacast episode , guest moderators Drs. Dante Yeh, April Mendoza, Rishi Rattan, Rondi Gelbard, and Vanessa Ho bring you some of the interesting science and topics presented at the 2019 Surgical Infection Society Annual Meeting. On behalf of those of us who already used up our travel allowances, thanks to this great crew!Click here for more information about the Sugical Infection Society.

In this EAST Traumacast, Dr. Firas Madbak interviews Dr. Ben Zarzaur and Dr. Alfredo Carbonell about these rare and challenging hernias. Join us for an in-depth discussion covering optimal timing, repair approaches and management priorities.

This Traumacast contains highlights from the recent Chest Wall Injury Summit held March 28-30, 2019.  If you have an interest in chest wall injury or chest wall stabilization surgery you will probably enjoy this episode.   Click here for more information about the Chest Wall Injury Society (CWIS).

Drs. Carrie Valdez and Dave Morris interview our colleague across the pond- Dr. Mansoor Khan! We review management of penetrating injuries to the upper abdomen, how the pancreas is like a crawfish and finish up with some thoughts on when to call for help.

At the 2019 annual meeting of the Society of Critical Care Medicine, the US military Joint Trauma System (JTS) held another session of the increasingly popular "Case Records of the Joint Trauma System". This is a planned series of presentations where an expert panel is presented with interesting and challenging battlefield trauma cases drawn from the Department of Defense Trauma Registry. This registry has captured data on all wounded patients treated at forward military medical treatment facilities during combat and post-combat operations in Iraq and Afghanistan. This program has been spearheaded by Colonel Jennifer Gurney, an Army trauma surgeon and the current Chief of Trauma Systems Development with the JTS. This challenging and entertaining session focused on critical care management issues and was co-moderated by Colonel Gurney and Colonel (ret) Lee Cancio. The expert panel consisted of: LTC Jeremy Pamplin, Lt Col Jeremy Cannon, COL (ret) John Oh, COL Kevin Chung, and COL Jay Johannigman.For any questions about this program, suggestions for future venues or cases, and to submit any cases or case material, please email Dr. Jen GurneyJoint Trauma System Website