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 12 - 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).
Episode 11 - National Stop the Bleed Day & Tourniquet Use in 2020
May 22, 2020 01:00 - 18 minutes - 12.5 MBPressure. Packing. Tourniquet. In this episode, we provide a glimpse into the American College of Surgeons Stop the Bleed Program, from inception to present day. We also discuss the increasing use of tourniquets as an adjunct to hemorrhage control in patients with severe extremity injuries. Support the Show.
Episode 10 - Basic Mechanical Ventilation II: Modes
May 15, 2020 07:00 - 28 minutes - 19.6 MBIn this follow-up episode to Episode 3, we discuss and review the key factors (3 Ts) that define a mode of mechanical ventilation. In addition to the Targeted control variable (volume or pressure), the other key factors determining a mode include the Type of breath and Timing of breath delivery. In addition to discussing what defines a mode, we also review when and why one particular mode might be selected over another. Support the Show.
Episode 9 - The rEVOLUTION of ECMO
May 08, 2020 07:00 - 1 hour - 47.8 MBWhat are the indications for ECMO beyond ARDS and refractory cardiogenic shock? In which patients should we consider eCPR and is this the new standard of care for patients sustaining out-of-hospital cardiac arrest? Finally, how do I work towards safely and efficiently weaning my patient from VV or VA ECMO? These are just a few of the questions that we address on Rounds with our guest faculty member and Director of the UCLA Adult ECMO Program, Dr. Peyman Benharash. In this comprehensive rev...
Episode 8 - Tracheostomies Demystified
May 01, 2020 02:00 - 35 minutes - 24.5 MBIs there an ideal time to place a tracheostomy? What factors might influence my decision to proceed with an open versus percutaneous tracheostomy? In this episode, we discuss common perioperative considerations influencing our decision to proceed with tracheostomy in critically ill patients requiring prolonged mechanical ventilation. Over the course of rounds, I'll share with you some "tricks of the trade" and review key management principles for safely dealing with potentially life-threaten...
Episode 7 - Shock Talk I: Pathophysiology & Classification
April 24, 2020 15:00 - 22 minutes - 15.6 MBWhat is shock? A clear grasp of this concept is a MUST for any practitioner taking care of patients. Shock is many things. It is dynamic. It is elusive. It is lethal. A high index of suspicion is required to identify patients in shock. While lifesaving therapies are initiated, we must have an organized approach to to shock in order to identify the best diagnostic and therapeutic pathways for our patients. As such, we will review a simple classification system for shock. In a follow-up episod...
Episode 6 - Acute Respiratory Failure II: Recognition, Management & Oxygen Therapies
April 16, 2020 18:00 - 22 minutes - 15.8 MBThis episode follows-up on Episode 1 and focuses on the assessment and initial treatment of patients with acute respiratory failure. Through a focused clinical exam, we can identify signs of increased work of breathing which should alert us to the need for support in the form of oxygen and ventilatory therapies. The 3 major types of oxygen delivery systems are also discussed including low- and high-flow, as well as reservoir systems. Support the Show.
Episode 5 - The Deadly Dozen of Thoracic Trauma
April 12, 2020 04:00 - 23 minutes - 16 MBIn this episode we review the "lethal 6" and "hidden 6" chest injuries that comprise the deadly dozen of thoracic trauma. Mechanism of injury together with vital signs and findings from the physical exam should provide us with the data needed to identify life-threatening thoracic injuries on our primary survey. For hidden injuries, the diagnostic adjuncts required to identify these injuries are also discussed. Support the Show.
Episode 4 - Endpoints of Resuscitation
April 07, 2020 01:00 - 42 minutes - 29.5 MBDr. Matt Martin from Scripps Mercy Hospital in San Diego, CA joins us on Rounds to discuss topics related to the resuscitation of critically injured patients with a focus on endpoints of resuscitation. The basic approach to the assessment of "sick" versus "not sick" patients and utility of early transfusion of whole blood are explored, along with the usefulness of physical exam findings and other adjuncts in guiding our resuscitation efforts. Support the Show.
Episode 3 - Basic Mechanical Ventilation I: Fundamentals
April 03, 2020 21:00 - 31 minutes - 21.9 MBIn this episode we review and discuss the core physiologic concepts required to understand basic mechanical ventilation. By examining the respiratory equation of motion or force balance equation, we'll gain insight into the pressures that need to be generated to deliver a positive pressure breath and those pressures that can be monitored during the care of vented patients. This will form the groundwork for Basic Mechanical Ventilation II: Modes of Ventilation. Support the Show.
Episode 2 - Airway Management during the COVID-19 Pandemic: Rapid Sequence vs. "Protected" Intubation
April 03, 2020 20:00 - 23 minutes - 16.1 MBIn this episode we explain what rapid sequence intubation or RSI is and the indications for its use in securing a definitive airway. More importantly, we share lessons learned regarding COVID-specific considerations for intubating patients with acute hypoxemic respiratory failure. Support the Show.
Episode 1 - Acute Respiratory Failure I: Mechanisms & Pathophysiology
April 03, 2020 20:00 - 36 minutes - 25.2 MBIn this, our inaugural episode, we explore common mechanisms underlying acute hypoxemic and hypercapneic respiratory failure. Concepts discussed include the oxygen delivery equation, differentiating hypoxia from hypoxemia, and a discussion of V/Q mismatch and shunts. In the follow-up episode - Acute Respiratory Failure II: Clinical Management & Oxygen Therapies - we'll apply these concepts to the management of acute respiratory failure and discuss the benefits and harms of oxygen therapy. ...
Episode 0 - The W5H of Trauma ICU Rounds
March 26, 2020 23:00 - 5 minutes - 3.66 MBLook. Listen. Feel. In this trailer for the Trauma ICU Rounds podcast, I outline the objectives of this medical education series. Key topics that will be addressed span the spectrum of surgical critical care, acute care and emergency general surgery, as well as trauma. We'll also explore issues related to professional development and highlight the results of influential and novel research studies. In addition to auditory learning, visit the website http://www.traumaicurounds.ca. for addition...
Episode 0: The W5H of Trauma ICU Rounds
March 26, 2020 23:00 - 5 minutes - 3.66 MBLook. Listen. Feel. In this trailer for the Trauma ICU Rounds podcast, I outline the objective of this medical education series. Key topics that will be addressed span the spectrum of surgical critical care, acute care and emergency general surgery, as well as trauma. Additionally, we will explore issues related to professional development and highlight the results of influential and novel research studies. In addition to auditory learning, visit the website http://www.traumaicurounds.com (C...