Traumacasts

Audio interviews addressing upcoming research and its application to the injured patient, education efforts related to trauma, and novel methods in the management of injury. We want to hear your thoughts and reflections on the content produced by Educational Resources Committee – “Traumacast”, “In the Arena”, etc.

We want to hear your thoughts and reflections on the content produced by Educational Resources Committee – “Traumacast”, “In the Arena”, etc. Send us your feedback.

Thank you to Haemonetics for supporting the EAST Traumacast!

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Podcasts Currently Available

COVID-19 Part 02 - Care of the ICU Patient - #132

03/31/2020

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 and caring for COVID patients.

This episode is dedicated to neurosurgeon Dr. James Goodrich, who died on Monday, March 30, 2020 from complications of the Coronavirus.

Resources discussed within this episode:

-EAST 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.

-Dr. Nick Mark's OnePager guide to the care of critically ill patients with COVID can be found here: https://www.onepagericu.com/.

-Fair allocation of scarce medical resources in the time of COVID-19 (NEJM March 23, 2020) can be found at: https://www.nejm.org/doi/pdf/10.1056/NEJMsb2005114?articleTools=true

-A framework for rationing ventilators and critical care beds during the COVID-19 pandemic (JAMA March 27, 2020) can be found at: https://jamanetwork.com/journals/jama/fullarticle/2763953

-The COVID Ready Communication Playbook by Vital Talk can be found at: https://www.vitaltalk.org/guides/covid-19-communication-skills/

-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://www.youtube.com/watch?v=qx2z26IL6g8&feature=youtu.be

-A reminder that "There are no emergencies in a pandemic."

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COVID-19 Part 01 - Care of the Surgical Patient - #131

03/27/2020

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 Critically Ill Adults with Coronavirus Disease 2019 (published March 2020) is available https://bit.ly/3dB9H2Z

-Department of Defense COVID-19 Practice Management Guidelines

-COVID-19 App - Developed by Dr. Kari Jerge - Download the App - http://covid19medapp.com/
View webpage - http://apps.appshed.com/1517747/

-Visit the Vital Talk website to help guide you in difficult conversations with your patients regarding COVID-19 https://bit.ly/2JnnNqQ

-CAPC (Center to Advance Palliative Care) is offering a free COVID toolkit, including symptom management tips that will help you with your primary palliative care skills https://bit.ly/2Uqu9w4

-Dr. Nick Mark's OnePager guide to the care of critically ill patients with COVID. Join us early next week for Part 2 of the COVID series- Nick will be one of our guests! https://www.onepagericu.com/

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Highlights from the 2019 Pediatric Trauma Society Annual Meeting - #128

01/09/2020

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.

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Traumatic Flank Hernias - The Scan Shows What?! - #121: 06/24/2019; 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.; Listen Download

Stats! - #109: 11/13/2018; The Traumacast you've been waiting for! Join your moderators and Dr. Dan Holena as we dive into how to set up research projects and what the stats really mean. Plus Dan explains why you should watch The Blob and what exactly is a statophile?!; Listen Download

Vasopressin Following Hemorrhagic Shock - Podcast #30: 07/31/2013; A discussion with Dr. Carrie Sims regarding her research into vasopressin deficiency following hemorrhage and its potential role in resuscitation.; Listen Download

Starting A Trauma_Center - Podcast #29: 07/15/2013; A brief discussion of political and financial issues faced when The Trauma Center at Penn opened in 1988. Many of the same issues are still faced by trauma directors in new trauma centers.; Listen Download

Blunt Splenic Injury - Podcast #27: 04/18/2013; A discussion regarding the management of blunt splenic injury with reference to the EAST Practice Management Guideline on this topic.; Listen Download

Hypertonic Saline Prehospital - Podcast #25: 12/29/2012; A discussion with Dr. Eileen Bulger regarding her two trials evaluating the role of hypertonic saline in the pre-hospital setting.; Listen Download

Helicopter Transport and Mortality after Trauma - Podcast #23: 08/30/2012; A discussion regarding Dr. Haider's study which showed the transportation by helicopter following trauma improves survival.; Listen Download

Screening for DVT following Trauma - Podcast #20: 08/27/2012; A discussion with Dr. Elliott Haut regarding the pros and cons of screening for DVT in asymptomatic patients following trauma.; Listen Download

Training in Trauma Surgery - Podcast #18: 08/25/2012; A discussion comparing the ATLS, ASSET, and ATOM courses and the future role of simulation in trauma surgery training; Listen Download

Mortality in Minority Hospitals - Podcast #17: 08/24/2012; A discussion with Dr. Adil Haider regarding reasons for increased mortality noted in hospitals that treat mostly minority patients following injury.; Listen Download

Getting a Trauma Fellowship and Job - Podcast #16: 07/21/2012; Discussion with Dr. Joe Sakran on getting into a trauma fellowship and securing a job; Listen Download

Beta Blocker Therapy For Traumatic Brain Injury - Podcast #15: 01/14/2012; A discussion of the role of beta-blocker therapy following TBI. We discuss Dr. Cotton and others' studies suggesting a mortality benefit, possible mechanisms underlying this finding, and how/when to go about instituting beta-blockade in this population.; Listen Download

Trauma Scoring Systems Dr Champion - Podcast #14: 01/13/2012; Dr. Champion helped establish EAST and describe the ISS/AIS and TRISS scoring systems. We discussion of various commonly used trauma scoring systems and their shortcomings. We also discuss how to go about assessing and creating a scoring system.; Listen Download

Rib Fractures and Mortality Dr Luchette - Podcast #13: 01/12/2012; A discussion with Dr. Fred Luchette regarding factors associated with mortality following rib fractures. We discuss who requires evaluation at a trauma center, how requires ICU admission, pain control, and the role of rib plate fixation and tracheostomy in these patients.; Listen Download

Screening For Blunt Cerebrovascular Injury - Podcast #12: 01/11/2012; A discussion with Dr. Martin Croce regarding the use of CTA versus angiography to screen for blunt cerebrovascular injury.; Listen Download

ICU Management of the TBI Patient - Podcast #11: 10/26/2011; A discussion of techniques to minimize secondary brain injury, including measurement of cerebral pressures and oxygen tension and interventions such as the role of steroids, transfusion, hypothermia for brain injury.; Listen Download

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Traumacasts

Podcasts Currently Available

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