Traumacast

Is the era of damage control surgery over? Moderators Dr. Dave Morris and Dr. Carrie Valdez talk with Drs. John Harvin and John Holcomb about the role for DCS in the era of hemostatic resuscitation.  Perhaps it is time to shift our paradigm back to definitive surgery as the default plan now that that we are inducing less edema and coagulopathy with huge doses of crystalloid.Articles/Protocols referenced:The effect of damage control laparotomy on major abdominal comlications : A matched analysis. Am J Surg. 2018 Jul;216(1):56-59. doi: 10.1016/j.amjsurg.2017.10.044. Epub 2017 Nov 11.Decreasing the Use of Damage Control Laparotomy in Trauma: A Quality Improvement Project.J Am Coll Surg. 2017 Aug;225(2):200-209. doi: 10.1016/j.jamcollsurg.2017.04.010. Epub 2017 Apr 23.Direct Peritoneal Resuscitation Nursing Protocol

Dr. Ted Pappas, Professor and Chief of the Division of Advanced Oncologic and GI Surgery in the Department of Surgery at Duke Medicine and Vice Dean for Medical Affairs joins us for an overview of surgical emergencies due to peptic ulcer disease. Do you patch perforations and get out? When is an antiulcer procedure necessary?How do you manage the perforated giant duodenal ulcer? Do you leave a drain? Is a postoperative imaging study needed? When do you operate on a patient with a bleeding duodenal ulcer? We go over these questions and more. This is not a Traumacast you want to miss.

Join our panel of trauma surgeons to discuss @ThisIsOurLane, why surgeons are so enraged and what solutions are possible.  @carrievaldezmd @saranimd @scrubbedin #bloodyscrubs #ThisIsOurLane.Supplemental materials: ACP position statementNRA position statementNational Network of Hospital Based Violence Intervention ProgramsOct 2017 ACS Bulletin Views and opinions expressed in this Traumacast are those of the individuals and not EAST.

The Traumacast you've been waiting for! Join your moderators and Dr. Dan Holena as we dive into how to set up research projects and what the stats really mean. Plus Dan explains why you should watch The Blob and what exactly is a statophile?!

Authors Drs. Jason Sperry and Mark Yazer discuss the PAMPer trial — recently published in the New England Journal.  This important study adds randomized prospective evidence to the benefit of using blood products, and specifically plasma in the pre-hospital resuscitation of injured patients.  They discuss the overview of the trial and how it fits into the larger body of research into best resuscitation practices.Correction: In the original recording, Dr. Morris erroneously referred to Dr. Sperry as “assistant professor.”  Dr. Sperry is a full professor of surgery.  Apologies to Dr. Sperry for this mistake.

Acute mesenteric ischemia of all types is still associated with high mortality rates, despite advances in diagnostic modalities and supportive care, largely due to delay to initiate the appropriate therapy. Dr. Michael Sise joins us to discuss this relatively uncommon but challenging problem confronting the acute care surgeon. This is a comprehensive review you don’t want to miss.

So...when's the last time you packed a chest?  Join us as Dr. Jim O'Connor walks us through management of severe thoracic trauma including packing the chest and leaving it open. Do you have a suggestion for a Traumacast? Submit your idea.

Drs. Don Jenkins and Michelle Price from the National Trauma Institute introduce the National Trauma Research Repository (NTRR) an exciting new undertaking that aims to combine data from previous and future trauma research sources, such as PROPPR, PROMMTT, the Glue Grant, DOD, etc.  They also discuss how researchers can access these data and contribute their own data to the ever-growing repository.  Got a project idea for a large national database? Check out NTRR to see if this could work for you. Disclaimer Statement:The National Trauma Research Repository is sponsored by the Department of the Army, Prime award #W81XWH-15.2.0089. The U.S. Army Medical Research Acquisition Activity, 820 Chandler Street, Fort Detrick MD21702-5014 is the awarding and administering acquisition office. The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the view of the Department of the Army or the Department of Defense.

What is it like to travel to a foreign country on a surgical mission?  We take an in depth look at the experiences of the surgeons, nurses, students, mission leaders, and anesthetists.  Join your moderator, Dr. Carrie Valdez, as she interviews members of the ISHI surgical mission team led by EAST member, Dr. Ziad Sifri.  Supplemental material: www.ishiglobal.orgRutgers Global Surgery Fellowship

Can we help reduce the risk of addiction while also improving pain management in the acute setting?  How does a pain management team improve patient care and satisfaction?  Is your practice on the cutting edge of pain management?  Join Drs. Paul Dangerfield, Tom Scott and Babak Sarani with your moderator, Dr. Carrie Valdez, as we explore these questions, and more!