Journal Of Trauma And Acute Care Surgery - Trauma Loupes Podcast

Listen as our Editor in Chief, Dr. Ernest Moore, discusses multiple articles from the Journal of Trauma’s May 2018 issue.

Listen as our Editor in Chief, Dr. Ernest Moore, discusses multiple articles from the Journal of Trauma’s April 2018 issue.

Journal of Trauma Editor in Chief, January issue of the Journal of Trauma and Acute Care Surgery

Listen as our Editor in Chief, Dr. Ernest Moore, discusses multiple articles from the Journal of Trauma’s February 2018 issue.

Journal of Trauma Editor in Chief, December issue of the Journal of Trauma and Acute Care Surgery

Journal of Trauma Editor in Chief, November issue of the Journal of Trauma and Acute Care Surgery

Journal of Trauma Editor in Chief, September issue of the Journal of Trauma and Acute Care Surgery

Journal of Trauma Editor in Chief, September issue of the Journal of Trauma and Acute Care Surgery

Journal of Trauma Editor in Chief, Dr. Gene Moore discusses several articles from the August issue of the Journal of Trauma and Acute Care Surgery

Journal of Trauma Editor in Chief, Dr. Gene Moore discusses several articles from the July issue of the Journal of Trauma and Acute Care Surgery

Journal of Trauma Editor in Chief, Dr. Gene Moore discusses several articles from the June issue of the Journal of Trauma and Acute Care Surgery

Journal of Trauma Editor in Chief, Dr. Gene Moore discusses several articles from the May issue of the Journal of Trauma and Acute Care Surgery

Journal of Trauma Editor in Chief, Dr. Gene Moore discusses several articles from the April issue of the Journal of Trauma and Acute Care Surgery.

Journal of Trauma Editor in Chief,  Dr. Gene Moore discusses several articles from the March issue of the Journal of Trauma and Acute Care Surgery

The first is by Dr. Clay Burlew and colleagues from Denver Health/University of Colorado who review their 11 years’ experience with preperitoneal pelvic packing for patients arriving in shock from pelvic fracture bleeding. The ensuing paper is by Dr. Andrea Lubitz et al from Temple University who report the compelling results of a sheep model in which inhales nitric oxide was employed to attenuate right heart failure following emergent pneumonectomy complicated by hemorrhagic shock. Dr. James Byrne and associates from the Sunnybrook Health Sciences Center in Toronto investigated the relative effectiveness of low-molecular weight heparin versus imfractionated heparin in preventing pulmonary embolism following major trauma. Dr. Matt Kutcher and his colleagues at the University of Pittsburgh provide an enlightening perspective on the critical role of acute care surgeons in major academic medical centers. Transcript

The lead article is Dr. Grace Rozycki’s Presidential Address entitled “A legacy of caring”. Dr. Rozycki provides a unique resource of fundamental concepts that summarize what the older generation; aka, the dinosaurs, would convey to the newer generation for their success in pursuing a fulfilling career. The ensuing paper is the Fitts Oration by Dr. Peggy Knudson who provides a comprehensive and compelling overview of the critical need to establish an enduring collaborative relationship between military and civilian trauma communities. Dr. Ronald Tesoriero and colleagues from the Cowley Shock Trauma Center in Baltimore undertook a retrospective review of patients with pelvic fractures who underwent angiography over ten years ending in 2012 to determine its current role in the acute management of life-threatening pelvic hemorrhage. In a related paper, Dr. Jeremy Juern and colleagues from the Medical College of Wisconsin performed a retrospective review to determine the role of CT contrast extravasation in predi

The lead paper is by Dr. Junichi Inoue and colleagues from the Tokyo Medical University who analyze the Japan Trauma Data Bank to determine the impact of REBOA. The next paper is by Dr. Vicente Undurraga and colleagues from the PROPPR group. In this subgroup the authors selected patients requiring emergency laparotomy, defined as within 90 minutes of hospital arrival, with the hypothesis that this high risk group would be most likely to benefit from an initial 1:1:1 transfusion strategy. The next paper by Dr. Shibani Pati and colleagues from the University of California at San Francisco and colleagues from Portland and Houston, examine the type of plasma to deliver to attenuate the endotheliopathy of trauma. Finally, I believe another timely report is by Dr. James Byrne and associates from the University of Toronto who analyze the impact of EMS prehospital times on trauma center outcome. Transcript

The issue begins with highlighting the National Academics of Sciences, Engineering, and Medicine (NASEM), formerly the National Academy of Sciences Institute of Medicine, report published in June 2016. This massive document is entitled “A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths.” Dr. James Feeney and colleagues from St. Francis Hospital in Hartford used their Trauma Quality Improvement Project (TQR) registry to determine the impact of preinjury warfarin versus direct oral anticoagulants (including thrombin and Xa inhibitors) on outcome following blunt intracranial hemorrhage. Dr. Stefano Siboni and colleagues from LA County/USC examined the National Trauma Data Bank from 2007 to 2012 to determine outcome following isolated blunt pancreatic injury. Dr. Michael Wandling and associates from Northwestern, Sunnybrook, and Johns Hopkins provide an interesting analysis of police versus ground EMS transport for penetrating trauma using the N

The lead article is by Dr. Bryan Morse with present or former colleagues at Grady Memorial Hospital who reviewed their experience with penetrating cardiac wounds over a 36 years period. Dr. Adrian Maung et al from the Yale School of Medicine analyzed the impact of new oral anticoagulation agents versus warfarin on postinjury mortality. Dr. Jonathan Meizoso and colleagues from the Ryder Trauma Center evaluated the time to operation on mortality for patients with GSWs arriving hypotensive (less than 110 mmHg). Dr. Morgan Schellenberg et al from Los Angeles County + University of Southern California Medical Center reviewed the evaluation of patients with pelvic GSWs. Check out the Injury Free Coalition for Kids supplement, representing their 20th annual meeting and, as usual, carefully edited by Dr. Joe Tepas. Transcript

The lead paper is by Dr. Joe DuBose and the AAST AORTA Study Group who maintain a registry representing eight Level I Trauma Centers. Dr. Howard Champion and associates from Sim Quest and colleagues from the University of Texas in Houston evaluated the US Department of Transportation Fatality Analysis Reporting System (FARS) database from 1978-2013 to determine location and time of death. Dr. Eitan Heldenberg and colleagues from the Israeli Trauma Group interrogated the Israeli National Trauma Registry to determine the incidence and impact of vascular injury on outcome in terror-related explosions. Dr. Josh Brown and colleagues from the University of Pittsburgh evaluated the role of prehospital lactate for triage in their air medical system. In a related paper, Dr. Janie Baxter et al from the Royal Infirmary in Edinburgh performed a systematic review of lactate levels in the ED predicting outcome, and concluded they are useful. Transcript