Latest Emergency general surgery Podcast Episodes
Episode 28 - Extremity Compartment Syndrome
Trauma ICU Rounds - October 07, 2020 20:00 - 31 minutesWhat 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 le...
Episode 27 - Season 2: Acute Care Surgery
Trauma ICU Rounds - September 25, 2020 22:00 - 3 minutesOver 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, ...
Episode 0 - Season 2: Acute Care Surgery
Trauma ICU Rounds - September 25, 2020 22:00 - 3 minutesOver 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, ...
Episode 26 - Season 1 Recap
Trauma ICU Rounds - September 11, 2020 22:00 - 6 minutesSo 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 ...
Episode 25 - The Past, Present, and Future of REBOA
Trauma ICU Rounds - August 21, 2020 16:00 - 44 minutesDr. 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...
Episode 24 - Hemodynamically Unstable Pelvic Fractures
Trauma ICU Rounds - August 20, 2020 12:00 - 32 minutesDr. 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 p...
Episode 23 - Surgical Cricothyroidotomy: How I Do It
Trauma ICU Rounds - August 18, 2020 23:00 - 28 minutesKnife. 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 decis...
Episode 22 - UCLA Grand Rounds "Endpoints of Resuscitation: Where to Begin?"
Trauma ICU Rounds - July 31, 2020 07:00 - 53 minutesIn 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...
Episode 21 - The Coagulation Cascade Simplified
Trauma ICU Rounds - July 24, 2020 21:00 - 53 minutesDr. 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, ste...
Episode 20 - Reducing Venous Thromboembolism in Trauma Patients
Trauma ICU Rounds - July 13, 2020 13:00 - 52 minutesDr. 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 scre...
Episode 20 - Reducing Venous Thromboembolism in Trauma Patients
Trauma ICU Rounds - July 13, 2020 13:00 - 52 minutesDr. 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 scre...
Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury
Trauma ICU Rounds - July 07, 2020 07:00 - 36 minutesDr. 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...
Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury
Trauma ICU Rounds - July 07, 2020 07:00 - 36 minutesDr. 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...
Episode 18 - Rapid Rounds: The Rapid Shallow Breathing Index (RSBI)
Trauma ICU Rounds - July 03, 2020 21:00 - 10 minutesIn 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
Trauma ICU Rounds - June 29, 2020 07:00 - 46 minutesDetermining 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 s...
Episode 16 - Abdominal Compartment Syndrome
Trauma ICU Rounds - June 19, 2020 07:00 - 34 minutesWhich 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 disea...
Episode 15 - Emergency Preservation & Resuscitation for Cardiac Arrest from Trauma (EPR-CAT)
Trauma ICU Rounds - June 12, 2020 07:00 - 39 minutesDr. 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 exsangu...
Episode 14 - Circulation First: Rethinking the ABC Sequence of Initial Trauma Care...& Much, Much More!!
Trauma ICU Rounds - June 05, 2020 18:00 - 44 minutesDr. 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 l...
Episode 13 - Shock Talk II: Diagnosis & Initial Management
Trauma ICU Rounds - May 29, 2020 07:00 - 33 minutesTime 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...
Episode 12 - Rapid Rounds: Tracheostomy Considerations during the COVID-19 Pandemic
Trauma ICU Rounds - May 22, 2020 07:00 - 9 minutesTo 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) an...
Episode 12 - Tracheostomy Considerations during the COVID-19 Pandemic
Trauma ICU Rounds - May 22, 2020 07:00 - 9 minutesTo 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) an...
Episode 11 - National Stop the Bleed Day & Tourniquet Use in 2020
Trauma ICU Rounds - May 22, 2020 01:00 - 18 minutesPressure. 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. Su...
Episode 10 - Basic Mechanical Ventilation II: Modes
Trauma ICU Rounds - May 15, 2020 07:00 - 28 minutesIn 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....
Episode 9 - The rEVOLUTION of ECMO
Trauma ICU Rounds - May 08, 2020 07:00 - 1 hourWhat 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 ...
Episode 8 - Tracheostomies Demystified
Trauma ICU Rounds - May 01, 2020 02:00 - 35 minutesIs 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 requ...
Episode 7 - Shock Talk I: Pathophysiology & Classification
Trauma ICU Rounds - April 24, 2020 15:00 - 22 minutesWhat 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 or...
Episode 6 - Acute Respiratory Failure II: Recognition, Management & Oxygen Therapies
Trauma ICU Rounds - April 16, 2020 18:00 - 22 minutesThis 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 venti...
Episode 5 - The Deadly Dozen of Thoracic Trauma
Trauma ICU Rounds - April 12, 2020 04:00 - 23 minutesIn 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...
Episode 4 - Endpoints of Resuscitation
Trauma ICU Rounds - April 07, 2020 01:00 - 42 minutesDr. 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...
Episode 3 - Basic Mechanical Ventilation I: Fundamentals
Trauma ICU Rounds - April 03, 2020 21:00 - 31 minutesIn 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 breat...
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