Trauma ICU Rounds
64 episodes - English - Latest episode: almost 2 years ago -Medical education podcast dedicated to providing high-quality, concise, and clinically relevant multimedia content spanning the spectrum of surgical critical care, emergency general & trauma surgery
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Episodes
Episode 55: AAST 2022 Hot Topics - From Sex Dimorphisms in Coagulation to TXA, TEG, Calcium and Beyond with Drs. Bryan A. Cotton, Neil Parry, Nori Bradley, Jordan Weinberg, Joshua Brown & Alyssa MacLean
September 27, 2022 03:00 - 37 minutes - 25.5 MBJoin us after hours at Dr. Bryan A. Cotton's pop-up bourbon bar at the AAST 2022 Meeting in Chicago. In this FANTASTIC & FUN episode, we talk amongst friends about cutting edge research at this year's meeting. To no one's surprise, coagulopathy, damage control resuscitation, whole blood, and factor replacement therapy just happen to be but a few of the topics discussed on Rounds. Time Stamps: 00:12 AAST 2022 - Intro 00:42 Sex diamoprhisms in coagulation 01:52 Hemostatic profiles of female d...
Episode 54: Frailty, Geriatric Trauma & TBI with Dr. Bellal Jospeh
September 20, 2022 03:00 - 47 minutes - 32.7 MBIn this episode we sit down with the Chief of Trauma, Surgical Critical Care, Burns, & Acute Care Surgery at the University of Arizona, Dr. Bellal Joseph, who share with us his thoughts and research findings on hot topics including frailty, geriatric trauma, leadership, and more. Timestamps: 00:12 Introductions 01:30 What is frailty? Your physiologic NOT chronologic body. 06:58 Injured elderly trauma patients can have good outcomes 07:30 Trauma specific frailty index 10:48 Failure to ...
Episode 53: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part II
September 12, 2022 23:00 - 34 minutes - 23.6 MBIn this episode, we talk all things critical care the one and only, Dr. Jean-Louis Vincent aka. JLV. This episode is a MUST listen. We touch upon the evolution of early goal directed therapy, measures of fluid responsiveness, optimizing oxygen delivery, and the importance of integrating data points versus examining them in isolation when caring for our critically ill and injured patients. This and MUCH MUCH more in arguably one of my favorite episodes to date!! Timestamps 00:00 Introduct...
Season 3 Trailer
September 06, 2022 00:00 - 2 minutes - 1.61 MBIt's been a while! We are coming to you from our new studio in Victoria on Vancouver Island, BC. This Season is PACKED with incredible content, interviews and educational pearls designed to improve the quality of care that you are deliver daily at the bedside to your patients and their loved ones. Support the Show.
Episode 52: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part I
September 06, 2022 00:00 - 23 minutes - 16.1 MBIn this episode, we discuss the overarching importance of AVOIDING iatrogenic harm in the ICU with arguably one of the world's leading experts in critical care medicine, the one and only, Dr. Jean-Louis Vincent aka. JLV. Tune in as Dr. Vincent shares with us the importance of having a systematic, problem-based approach to patient care delivery which, of course, involves giving our patients a FAST HUG every day! Time Stamps: 2:10 LA Critical Care and Differences between Europe versus USA 4...
Episode 51 - Persistent Inflammation, Immunosuppression & Catabolism Syndrome (PICS) with Dr. Scott Brakenridge
February 11, 2022 22:00 - 43 minutes - 30.1 MB"Getting patients resuscitated through sepsis, septic shock, and hemorrhagic shock is not the end...it's the beginning." In this episode, Dr. Brakenridge from Harborview Medical Center joins us to discuss PICS and the impact of this syndrome on our critically ill and injured patients and their families. Also referred to as the Post-Intensive Care Syndrome, Dr. Brakenridge shares with us the evolution and results of translational research into this now well-recognized morbid condition which ...
Episode 50 - Whole Blood & Modern Hemostatic Resuscitation Strategies with Dr. Bryan A. Cotton
January 29, 2022 23:00 - 43 minutes - 29.8 MBIn this, our 50th episode, we are in Austin, TX, for the Annual EAST Scientific Meeting where we are joined by Dr. Bryan A. Cotton who shares his expertise and knowledge regarding the use of whole blood (WB) in trauma patients. From the use of whole blood in prior military conflicts to the design and successful implementation of one of the only prospective randomized controlled trials of modified whole blood use in trauma patients, Dr. Cotton provides an incredible overview of the potential ...
Episode 49 - TRAUMA with Dr. Ken Mattox: Part II
January 11, 2022 00:00 - 28 minutes - 19.7 MBIn the second episode of a two-part series, Dr. Mattox shares his insights and thoughts on hot research topics in trauma in need of investigation. Additionally, he helps us to envision what acute trauma management may look like in the future, while also sharing with us how his book (and one of my ALL-TIME fave surgery books!), Top Knife, came into being. From lessons learned to lessons in need of learning, Dr. Mattox has all of the bases (and basics) covered. Time Stamps 0:00 Introduction ...
Episode 48 - TRAUMA with Dr. Ken Mattox: Part I
January 07, 2022 01:00 - 31 minutes - 21.3 MBWe. Are. Back!! After a (brief?!) hiatus, we are launching 2022 with a 2-part series with the one and only Dr. Ken Mattox. In this episode, Dr. Mattox shares with us his thoughts on what the modern general surgeon should look like and how we as surgeons differ from our medicine counterparts. Additionally, we review the history of modern trauma resuscitation, the paradigm shifts that have occurred as it pertains to permissive hypotension, as well as the technological advances that have occu...
Episode 47 - Every Deep-Drawn Breath with Dr. Wes Ely
September 11, 2021 21:00 - 43 minutes - 29.6 MBDr. Wes Ely from Vanderbilt University School of Medicine joins us on Rounds to discuss the evolution of our understanding and the current impact of ICU-acquired brain disease on our patients and their loved ones. In addition to discussing the evidence behind current best practices in the ICU, Dr. Ely shares with us stories from his new book which highlight the importance of listening to, engaging with, and remaining vulnerable to those whom we are so fortunate and blessed to serve-our patie...
Episode 46 - Pelvic Binders for Hemodynamically Unstable Pelvic Ring Fractures
July 02, 2021 12:00 - 24 minutes - 16.5 MBIn follow-up to a recent pro-con debate on the use of pre-hospital pelvic binders, we explore the why, when, and how of pelvic binder placement. From the indications to post-placement considerations and importance of a multidisciplinary approach to the management of these life-threatening injuries, this episode of Rounds is a great addition to Season 1 Episode 24 Hemodynamically Unstable Pelvic Fractures with Dr. Clay Burlew. Time Stamps 00:12 Welcome 02:52 Learning Objectives 03:43 Intr...
Episode 45 - Modern Insights into an Academic Career in Trauma & Acute Care Surgery with Dr. Carlos Brown
June 24, 2021 23:00 - 33 minutes - 23 MBIn this episode, we sit down with Dr. Carlos VR Brown from the Dell Seton Medical Center at the University of Texas to discuss issues relevant to both junior and mid-career trauma & acute care surgeons. Topics covered include: military-civilian trauma, finding one's niche in academic surgery, work-life balance, and learning from our mistakes. As I prepare to enter a new phase in my academic surgical career, the timing of this interview could not have been more perfect. This episode is pack...
Episode 44 - Massive Upper GI Bleeds
June 07, 2021 00:00 - 25 minutes - 17.7 MBMassive upper GI bleeds can be intimidating and lethal. An expeditious, multidisciplinary approach is required to improve survival and optimize patient outcomes. Time Stamps: 00:12 Welcome & Introduction 01:55 Goals & Objectives 02:29 Common Etiologies & Differential Diagnosis for UGIBs 05:15 Initial Evaluation 10:52 Initial Management 15:38 Indications & Timing of Endoscopic and Non-Endoscopic Interventions 18:19 Forrest Classification of Peptic Ulcers 20:43 Indications & Timing o...
Episode 43 - Penetrating Cardiac Injuries with Dr. Kenji Inaba
May 20, 2021 22:00 - 56 minutes - 38.5 MBOur first in-person interview since the start of the COVID pandemic! Join us for National Stop the Bleed Day as Dr. Kenji Inaba from LAC+USC joins us to discuss management of penetrating cardiac injuries, the Los Angeles County Hospital Emergency Response Team (HERT), and recent updates to the Stop the Bleed campaign. From the utility of FAST to the diagnostic (and potentially therapeutic?!) role of subxyphoid windows, this episode has it all and is not to be missed! Also, remember to check...
Episode 42 - Management of the Difficult Gallbladder
May 08, 2021 20:00 - 57 minutes - 39.2 MBJoin us as we discuss surgical management options for the difficult gallbladder. Is it better to open or proceed with a laparoscopic subtotal cholecystectomy? If the latter, fenestrated or reconstituted? What's the difference?! This week on Rounds, we have several guest professors join us to discuss their perspectives and experience on managing patients with a difficult gallbladder. Joining us from Texas (and favoring subtotal cholecystectomy) are Drs. Sharmila Dissanaike and Michael Truitt....
Episode 41 - Acute Colonic Pseudo-Obstruction (aka Ogilvie's Syndrome)
May 01, 2021 20:00 - 20 minutes - 13.8 MBBowel obstructions may be due to mechanical or functional causes. Although acute colonic pseudo-obstruction (ACPO) falls into the latter category, we must ALWAYS rule out mechanical causes for massive distension of the colon. In this episode, we make our way down the GI tract and discuss the pathophysiology, risk factors, diagnostic and therapeutic considerations for what Dr. Ogilvie coined "Large-intestine Colic" in 1948. Support the Show.
Episode 40 - Acute Mesenteric Ischemia
April 12, 2021 19:00 - 26 minutes - 18.1 MBWhether due to occlusive or nonocclusive obstruction of the arterial inflow or obstruction of venous outflow, acute mesenteric ischemia (AMI) continues to be associated with high mortality rate. Early recognition based on a high index of suspicion is critical to early diagnosis and intervention, particularly among patients presenting with pain out of proportion to physical exam findings. In this episode, we discuss the pathophysiology of AMI, together with common causes, the initial clinical...
Episode 39 - Necrotizing Soft Tissue Infections (NSTIs)
April 01, 2021 01:00 - 28 minutes - 19.3 MBRare. Morbid. Lethal. NSTIs area group of infections which result in aggressive tissue destruction, systemic toxicity, and can involve any layer of the soft tissue. The key to successful management (like so many disease processes) is having a high index of suspicion together with administration of early, broad-spectrum antibiotics and surgery. Support the Show.
Episode 38 - Cricothyrotomy Considerations with Scott Weingart
February 12, 2021 18:00 - 38 minutes - 26.3 MBDr. Scott Weingart joins us on Rounds to discuss a topic that's of great interest to the both of us - surgical cricothyroidotomy. Tune in to hear how Scott's approach to performing a cric has evolved over time and why "trauma surgeons are the worst people to learn crics from?!" From 3 strikes and your out to the use of bougies, this episode covers all things cric. Also check out Episode 23 of Rounds "Surgical Cricothyroidotomy: How I Do It". Even better go to: https://emcrit.org/emcrit/sur...
Episode 37 - Basic Mechanical Ventilation III: The Role of PEEP & LVRs
February 06, 2021 18:00 - 16 minutes - 11.7 MBWhat are the determinants of mean airway pressure? Is too much PEEP ever a bad thing? In this episode, we review determinants of oxygenation in mechanically ventilated patients and discuss the benefits and risks of high versus low PEEP strategies, as well as the utility of lung volume recruitment maneuvers. Check out our previous related episodes 1, 3, 6, 10, and 36. Support the Show.
Episode 36 - ARDS Fundamentals I: Classification, Pathophysiology & Initial Vent Management
February 02, 2021 20:00 - 22 minutes - 15.4 MBBack to the basics! In this episode we review the evolving criteria, etiologies, and pathophysiology of ARDS. A brief review of ventilator induced lung lung injury and initial vent setup provide the groundwork for future episodes exploring how to troubleshoot the vent and therapies for ARDS that have been shown to improve oxygenation and mortality. Please check out Episodes Support the Show.
Episode 35 - Sleep, Wellness, and the Acute Care Surgeon
January 15, 2021 08:00 - 49 minutes - 34.3 MBDr. Jamie Coleman from Denver Health joins us on Rounds to share her insights and knowledge surrounding wellness, sleep, and stress among surgeons and frontline workers. From healthy pre-call preparation and tips on healthy sleep hygiene to harnessing resilience and measuring the burden of unacknowledged mental health disorders on health care professionals, this episode is a MUST listen for all of us who need to be reminded that sometimes, "It's okay not to be okay". Support the Show.
Episode 34 - Bowel Obstruction & the Role of the Gastrografin Challenge
January 08, 2021 08:00 - 43 minutes - 29.8 MBDr. Martin Zielinski from the Mayo Clinic, Rochester, MN, joins us on Rounds to discuss best practices in the management of bowel obstruction. In this episode, we review common etiologies for bowel obstruction, discuss the role of imaging, as well as the significance of clinical and radiographic findings on the likelihood of operative intervention. Dr. Zielinski also shares with us the Gastrografin swallow protocol that has been successfully developed and implemented at the Mayo Clinic in th...
Episode 33 - Harbor-UCLA Anesthesia Grand Rounds "Resuscitative Thoracotomy (and some stuff on crics)"
December 26, 2020 15:00 - 28 minutes - 19.4 MBIn this follow-up episode to our discussion with Dr. Scott Weingart of EMCrit, we review the indications for performing a resuscitative thoracotomy, together with the potential application of a circulation first resuscitation strategy, and some intricacies regarding performing a surgical cricothyroidotomy. Support the Show.
Episode 32 - Blunt Cerebrovascular Injury (BCVI)
December 17, 2020 08:00 - 48 minutes - 33.1 MBDr. Walt Biffl from Scripps Memorial Hospital La Jolla joins us on Rounds to discuss the evolution of BCVI management from the early 1990s to present day. Topics discussed include screening criteria, the diagnostic approach and imaging modalities for accurately identifying these injuries in our blunt polytrauma pateints. Grading criteria, antithrombotic therapies, and the use of endovascular stents round out this informative discussion with one of the world's leading experts on the topic. ...
Episode 32 - Blunt Cerebrovascular Injury (BCVI)
December 17, 2020 08:00 - 48 minutes - 33.1 MBDr. Walt Biffl from Scripps Memorial Hospital La Jolla joins us on Rounds to discuss the evolution of BCVI management from the early 1990s to present day. Topics discussed include screening criteria, the diagnostic approach and imaging modalities for accurately identifying these injuries in our blunt polytrauma pateints. Grading criteria, antithrombotic therapies, and the use of endovascular stents round out this informative discussion with one of the world's leading experts on the topic. ...
Episode 31 - Who Should Manage Vascular Trauma?
November 16, 2020 08:00 - 40 minutes - 27.8 MBWho should be primarily responsible for managing vascular injuries? Trauma surgery? Vascular surgery? BOTH?! In this episode, we join the teams from the highly successful Behind the Knife and Audible Bleeding Podcasts to discuss the importance of a collaborative approach to the management of vascular trauma in an era marked by a decrease in general surgery resident experience with operative vascular trauma cases, together with an increase in the number of programs offering an integrated vasc...
Episode 31 - Who Should Manage Vascular Trauma?
November 16, 2020 08:00 - 40 minutes - 27.8 MBWho should be primarily responsible for managing vascular injuries? Trauma surgery? Vascular surgery? BOTH?! In this episode, we join the teams from the highly successful Behind the Knife and Audible Bleeding Podcasts to discuss the importance of a collaborative approach to the management of vascular trauma in an era marked by a decrease in general surgery resident experience with operative vascular trauma cases, together with an increase in the number of programs offering an integrated vasc...
Episode 30 - Acute Kidney Injury in the SICU with kidney_boy Dr. Joel Topf
October 30, 2020 13:00 - 1 hour - 44.7 MBDr. Joel Topf joins us on Rounds to discuss and review key concepts in the recognition and management of acute kidney injury (AKI) in the SICU. AKI is a common and morbid complication among hospitalized patients. Further, trauma and surgical patients, in particular, are at an increased risk for AKI due to the myriad of pre-, intra-, and postrenal insults that commonly occur at the time of injury, during resuscitation, surgery,, as well as from iatrogenic insults including IV contrast, NSAIDs...
Episode 29 - Sepsis 2020: What Surgeons Need to Know
October 10, 2020 19:00 - 1 hour - 51.2 MBIn recognition of Sepsis Awareness Month, Dr. Matt Martin joins us once again on Rounds to discuss state-of-the-art sepsis management in 2020. Also joining us on Rounds is Dr. Vanessa Ho from MetroHealth Medical Center in Cleveland, Ohio, who authored a recently published review paper in Surgical Infections earlier this year, "Sepsis 2019: What Surgeons Need to Know". Support the Show.
Episode 28 - Extremity Compartment Syndrome
October 07, 2020 20:00 - 31 minutes - 21.8 MBWhat are the 5 or 6 Ps? If you answered Pain, Pain, Pain, Pain, Pain, and Pain, you can go right ahead and skip this episode. Extremity compartment syndrome is an acute surgical emergency and requires a HIGH index of suspicion in order to make the diagnosis. Therapy consists of fasciotomy. If left untreated, numerous complications and sequelae may develop including AKI and even death. Support the Show.
Episode 27 - Season 2: Acute Care Surgery
September 25, 2020 22:00 - 3 minutes - 2.21 MBOver the course of 30+ episodes, we'll be discussing fundamental surgical disease processes & conditions that may prove challenging to even the most seasoned acute care surgeon. Along the way, we'll be joined on Rounds by an incredible group of guest professors who will share their experiences, expertise, and results of recent research investigations with us. Support the Show.
Episode 0 - Season 2: Acute Care Surgery
September 25, 2020 22:00 - 3 minutes - 2.21 MBOver the course of 30+ episodes, we'll be discussing fundamental surgical disease processes & conditions that may prove challenging to even the most seasoned acute care surgeon. Along the way, we'll be joined on Rounds by an incredible group of guest professors who will share their experiences, expertise, and results of recent research investigations with us.
Episode 26 - Season 1 Recap
September 11, 2020 22:00 - 6 minutes - 4.32 MBSo apparently not all of the listeners of the show are on Twitter?! In this brief recap of Season 1 (yes, Season 1 is done!) we pay thanks to all of our guest professors, provide you with an update of where we are in terms of the Season 2 launch, and, as usual, invite you to engage with me, the show, and our social media account. Support the Show.
Episode 25 - The Past, Present, and Future of REBOA
August 21, 2020 16:00 - 44 minutes - 30.5 MBDr. Megan Brenner joins us on Rounds to discuss the evolving role of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the management of trauma & acute care surgery patients with non-compressible torso hemorrhage. Advances in technology, evolving indications, and controversies regarding the appropriate and safe deployment of REBOA are but a few of the topics covered in this episode. Support the Show.
Episode 24 - Hemodynamically Unstable Pelvic Fractures
August 20, 2020 12:00 - 32 minutes - 22.4 MBDr. Clay Burlew from Denver Health joins us Rounds to discuss the management of trauma patients with hemodynamically unstable pelvic ring fractures. Topics covered during this episode include utility and technique of preperitoneal packing (PPP), evolution of the institutional multidisciplinary pathway for the management of unstable pelvic fractures at Denver Health, and use of REBOA as an adjunct to hemorrhage control in patients with these potentially devastating injuries. Support the Show.
Episode 23 - Surgical Cricothyroidotomy: How I Do It
August 18, 2020 23:00 - 28 minutes - 19.6 MBKnife. Finger. Tube. Sounds simple enough. And you read correctly....a bougie is both unnecessary and superfluous! In this episode I share you some tricks of the trade for performing a cric successfully, together with post-surgical airway considerations including hemorrhage control and the decision to convert to a formal tracheostomy. Support the Show.
Episode 22 - UCLA Grand Rounds "Endpoints of Resuscitation: Where to Begin?"
July 31, 2020 07:00 - 53 minutes - 36.8 MBIn this episode we discuss endpoints of resuscitation with a focus on the pros and cons of both passive and dynamic hemodynamic measurements including arterial pressure waveform analysis, ultrasonography, and passive leg raising. Please visit www.traumaicurounds.com and check out the Vidcast for this episode. Support the Show.
Episode 21 - The Coagulation Cascade Simplified
July 24, 2020 21:00 - 53 minutes - 36.8 MBDr. Eric Simms joins us on Rounds to share with us his foolproof and fun way of remembering the dreaded coagulation cascade. Supplementing this podcast is a vidcast (https://www.traumaicurounds.ca/vidcasts) that provides us with a helpful visual explanation for understanding the key factors, steps, and intricacies of the coagulation cascade. Support the Show.
Episode 20 - Reducing Venous Thromboembolism in Trauma Patients
July 13, 2020 13:00 - 52 minutes - 36.2 MBDr. Eric Ley from Cedars-Sinai Medical Center joins us on Rounds to discuss the recently published Western Trauma Association's Critical Decisions Algorithm for reducing VTE in trauma patients. Early risk stratification, timing and initial dose of LMWH, weight-based dosing, and surveillance screening are just a few of the key topics we discuss on this episode. Support the show (https://www.patreon.com/traumaicurounds)
Episode 20 - Reducing Venous Thromboembolism in Trauma Patients
July 13, 2020 13:00 - 52 minutes - 36.2 MBDr. Eric Ley from Cedars-Sinai Medical Center joins us on Rounds to discuss the recently published Western Trauma Association's Critical Decisions Algorithm for reducing VTE in trauma patients. Early risk stratification, timing and initial dose of LMWH, weight-based dosing, and surveillance screening are just a few of the key topics we discuss on this episode. Support the Show.
Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury
July 07, 2020 07:00 - 36 minutes - 25 MBDr. Martin Schreiber, Division Head of Trauma, Critical Care, and Acute Care Surgery at Oregon Health and Science University (OHSU) joins us on Rounds to discuss the results of his recently accepted prospective RCT of prehospital TXA use in adult patients with traumatic brain injury. In addition, we discuss the rise of hemostatic adjuncts, balanced resuscitation, and the potential challenges associated with publishing research in one of the top medical journals - JAMA. Support the Show.
Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury
July 07, 2020 07:00 - 36 minutes - 25 MBDr. Martin Schreiber, Division Head of Trauma, Critical Care, and Acute Care Surgery at Oregon Health and Science University (OHSU) joins us on Rounds to discuss the results of his recently accepted prospective RCT of prehospital TXA use in adult patients with traumatic brain injury. In addition, we discuss the rise of hemostatic adjuncts, balanced resuscitation, and the potential challenges associated with publishing research in one of the top medical journals - JAMA. Support the show (ht...
Episode 18 - Rapid Rounds: The Rapid Shallow Breathing Index (RSBI)
July 03, 2020 21:00 - 10 minutes - 7.14 MBIn this Rapid Rounds, we provide a quick and closer look at the Yang & Tobin index as originally described in the 1991 NEJM paper. Support the Show.
Episode 17 - Discontinuing Mechanical Ventilation
June 29, 2020 07:00 - 46 minutes - 31.9 MBDetermining whether or not your intubated and ventilated patient requires ongoing ventilatory support should not be overly complicated. In this episode we review the approach to determining if our mechanically ventilated patients can be safely extubated. In addition to discussing readiness for spontaneous breathing trial (SBT) criteria, we also discuss the potential utility of "weaning" criteria, choice of method of SBT, and considerations when removing the endotracheal tube. Support the S...
Episode 16 - Abdominal Compartment Syndrome
June 19, 2020 07:00 - 34 minutes - 23.4 MBWhich of your patients are at risk for developing intraabdominal hypertension (IAH) and the abdominal compartment syndrome (ACS)? In this episode, we review the classification, pathophysiology, and widespread systemic effects of this potentially fatal and, often times preventable, surgical disease process. We also discuss key diagnostic and therapeutic strategies as outlined by the WSACS - The Abdominal Compartment Society. Support the Show.
Episode 15 - Emergency Preservation & Resuscitation for Cardiac Arrest from Trauma (EPR-CAT)
June 12, 2020 07:00 - 39 minutes - 27 MBDr. Sam Tisherman from the Shock Trauma Center joins us on Rounds to discuss his ongoing, cutting-edge research in EPR-CAT. Colloquially known as "suspended animation", EPR-CAT may provide trauma & acute care practitioners with the desperately needed time that's required to repair lethal exsanguinating injuries through the induction of profound hypothermia after traumatic arrest. During Rounds, we discuss everything from indications for EPR-CAT to the role of selective aortic arch perfusion,...
Episode 14 - Circulation First: Rethinking the ABC Sequence of Initial Trauma Care...& Much, Much More!!
June 05, 2020 18:00 - 44 minutes - 30.8 MBDr. Paula Ferrada joins us on Rounds this week to discuss several topics ranging from a circulation first approach in hemodynamically unstable trauma patients to the importance of inclusion, diversity, and equity in surgery & medicine. Clinical pearls, invaluable insight, and career advice for learners at different stages of their careers round out a fantastic episode that you'll want to share with your friends and colleagues. Support the Show.
Episode 13 - Shock Talk II: Diagnosis & Initial Management
May 29, 2020 07:00 - 33 minutes - 22.9 MBTime is tissue. Early recognition of shock with immediate institution of lifesaving therapies are critical to successful patient outcomes. Establishment of functional IV access together with augmentation of cardiac output through increased preload and appropriate use of vasoactive agents are key aspects in the initial management of sick patients. Support the Show.
Episode 12 - Rapid Rounds: Tracheostomy Considerations during the COVID-19 Pandemic
May 22, 2020 07:00 - 9 minutes - 6.46 MBTo trach or not to trach? That is the question we're addressing in our first Rapid Rounds. One topic. Two to three questions. All in under 10 minutes. This week's rounds is informed by 2 recent articles in the trauma critical care literature published in Trauma Surgery Acute Care Open (TSACO) and the Journal of Trauma and Acute Care Surgery (JTACS). Support the Show.