Traumacast

Dr. Carrie Valdez hosts Drs. Alexandra Briggs, Avi Bhavaraju  and Ashley Meagher on our first Traumacast in our series on Rural Trauma.  Dr. Briggs is the chair of the Rural Trauma Ad Hoc Task Force for EAST.   For this Traumacast, the group focuses on the Level 1 trauma experience supporting our rural trauma centers- what are we doing well and what can we do better?

Welcome guest moderator Dr. Simon Fitzgerald as he and Dr. Carrie Valdez discuss "What have we learned about COVID-19?" with Drs. Matthew Martin, Kari Jerge, Bellal Joseph and Haytham Kaafrani. This episode was recorded as a vaccine was introduced in the shadow of our third national surge of COVID cases. We focus on updates in COVID management, future research and who should get the vaccine. 

Welcome Dr. Lauren Dudas, our next guest moderator, as she interviews Dr. Don Jenkins and Dr. Dan Grabo on whole blood.  Is it better than component transfusion? What would it take to start a program at your institution? What does the future hold for your transplant, ruptured AAA and OB patients?

Welcome back Dr. David Skarupa to the EAST Traumacast. Drs. Carrie Valdez, Aditi Kapil and Lucy Ruangvoravat dig deeper into complex vascular cases. David addresses additional considerations in the ICU and answers questions raised after his last appearance on Traumacast! 

Welcome Dr. David Skarupa to an EAST Traumacast on Vascular Trauma!  Dr. Carrie Valdez, Dr. Red Hoffman, and Dr. Firas Madbak pick Dr. Skarupa's brain on upper and lower extremity trauma, how to find the aorta and IVC - and can you REALLY ligate them?! - and what do we do for anticoagulation or antiplatelet therapy! 

Join moderator Dr. Red Hoffman as she speaks with Drs. Callie Thompson and Lyndsay Deeter as well as veteran burn nurse Leslyn Wiese about the management of the burn patient.  They discuss how to work up the traumatically injured burn patient, things not to miss in electrical injuries, how to best deal with facial burns secondary to smoking on home oxygen and the challenges of dealing with deep second-degree burns.  They also offer some tips and tricks about how to care for burns at your own institution (if you are not at a burn center).   ResourcesUniversity of Washington Burn Educational Videos on YouTube:  https://bit.ly/3bo8KcY 

Join moderators Drs. Carrie Valdez and Red Hoffman as they speak with Drs. Matt Martin, Haj Reddy and Eddie Chao in New York City.  Recorded on April 14, 2020, this episode offers the latest updates on the care of the critically ill COVID patient.   We "round" with our three guests and discuss the management of each organ system.   References and ResourcesEAST 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.   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://bit.ly/2K6csM7 

Join Drs. Valdez and Hoffman to discuss Palliative Care in the era of the COVID pandemic.  Dr. Hoffman lends her expertise and provides great resources linked below, including her podcast series on Surgical Palliative Care.   References and ResourcesSurgical Palliative Care podcast hosted by Dr. Red Hoffman - https://thesurgicalpalliativecarepodcast.buzzsprout.com/ National POLST (Physician Orders for Life Sustaining Treatment) - https://polst.org/programs-in-your-state/?pro=1 Vital Talk - https://www.vitaltalk.org/  Center to Advance Palliative Care (CAPC) - https://www.capc.org/

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

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 Criti

Welcome Red Hoffman, our newest Traumacast moderator!!  She interviews 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.  

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.