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.
Thank you to Haemonetics for supporting the EAST Traumacast!
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- 35th EAST Annual Scientific Assembly
- EAST Traumacast
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- Military Health System Research
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Trauma Informed Care: More Than Just Being A Good Physician - #166- 06/05/2023
- Join Dr. Tatiana Cardenas host Drs. Leah Tatebe and Rochelle Dicker to discuss trauma informed care. Learn about what it is, how it affects patients, curriculum you can soon bring to your institution and why it is so important it will be part of ATLS 11!
Supplemental Material:
Dicker RA, Thomas A, Bulger EM, Stewart RM, Bonne S, Dechert TA, Smith R, Love-Craighead A, Dreier F, Kotagal M, Kozyckyj T, Michaels H; ISAVE Workgroup; Members of the ISAVE Workgroup. Strategies for Trauma Centers to Address the Root Causes of Violence: Recommendations from the Improving Social Determinants to Attenuate Violence (ISAVE) Workgroup of the American College of Surgeons Committee on Trauma. J Am Coll Surg. 2021 Sep;233(3):471-478.e1. doi: 10.1016/j.jamcollsurg.2021.06.016. Epub 2021 Jul 30. PMID: 34339811.Sakran JV, Bornstein SS, Dicker R, Rivara FP, Campbell BT, Cunningham RM, Betz M, Hargarten S, Williams A, Horwitz JM, Nehra D, Burstin H, Sheehan K, Dreier FL, James T, Sathya C, Armstrong JH, Rowhani-Rahbar A, Charles S, Goldberg A, Lee LK, Stewart RM, Kerby JD, Turner PL, Bulger EM. Proceedings from the Second Medical Summit on Firearm Injury Prevention, 2022: Creating a Sustainable Healthcare Coalition to Advance a Multidisciplinary Public Health Approach. J Am Coll Surg. 2023 Jun 1;236(6):1242-1260. doi: 10.1097/XCS.0000000000000662. Epub 2023 Mar 6. PMID: 36877809.
- Listen Download
Fostering Community Partnerships: A Discussion about Injury Control and Violence Prevention Programs - #165- 04/18/2023
Join Dr. Lauren Dudas with guest moderator Dr. Hillary Prince of the EAST Injury Control and Violence Prevention Committee discuss ICVP programs with national leaders. Listen to Injury prevention coordinators Courtney Edwards, DNP, MPH and Mary R. Lauby as well as Jill Braselton, RN, BSN with ThinkFirst National Injury Prevention Foundation discuss their role in violence and injury prevention, creating community partnerships, advocacy and education. We discuss the importance of a comprehensive prevention plan, trauma surgeon involvement and navigating all this with sparse financial resources.
- Listen Download
36th EAST Annual Scientific Assembly Compilation - #164- 03/08/2023
Join Drs. Lauren Dudas, Jeremy Levin and Samantha Tarras interview speakers from the 36th EAST Annual Scientific Assembly including outgoing and incoming EAST Presidents Dr. Deborah Stein and Dr. Jason Smith, in addition to Drs. Avi Bhavaraju, Milad Behbahaninia, Maggie Bosley, Anthony Douglas, Irma Fleming, Gabrielle Hatton, Lea Hoefer, Sami Kishawi, Jeremy Levin, William “Aaron” Marshall, Ashley Meagher, Ronnie Mubang, Marshall Wallace and Cox-Templeton Winner Dr. Ashley Williams.
Supplemental Material:
EAST Awards and Scholarship Opportunities
Laparoscopic Common Bile Duct Exploration information from Wake Forest Study- Listen Download
Less is More - Discussing the EAST MCT: Outcomes Among Trauma Patients with Duodenal Leak Following Primary vs. Complex Repair of Duodenal Injuries - #163- 01/25/2023
Join Drs. Jeremy Levin, Michal Radomski and Lauren Dudas discuss the results of the EAST MCT with PI Rachel Choron. Hear about management options of duodenal injuries, why they can be so clinically challenging and a bit about spearheading an EAST multicenter trial. Abstract was presented at the 36th EAST Annual Scientific Assembly. Look for the publication soon! – “Outcomes Among Trauma Patients with Duodenal Leak Following Primary vs. Complex Repair of Duodenal Injuries: An EAST Multicenter Trial”
Supplemental Material: Check out the abstract from the 36th EAST Annual Scientific Assembly
Interested in getting involved in an EAST MCT? - EAST Multicenter Trials - The Eastern Association for the Surgery of Trauma- Listen Download
FFP Resuscitation in Burn: Are Your Patients Missing Out On This Benefit? - #162- 12/05/2022
Join Drs. Cardenas and Dudas discuss the history, role, potential benefits and implementation of FFP resuscitation as a strategy in burn patients with burn specialists Drs. Robel Beyene, Colonel Jennifer Gurney and Tina Palmieri. What other options are being studied and what is on the horizon? Don’t miss this information packed discussion!
Supplemental Material: Fellowships - The Eastern Association for the Surgery of Trauma- Listen Download
EAST 2022 Scholarship Recipients - #161- 10/03/2022
Join Dr. Lauren Dudas as she interviews some of 2022 EAST award & scholarship cipients: the John M Templeton, Jr., MD Injury Prevention Research Scholarship - Dr. Elinore Kaufman, the EAST MCT Junior Investigator Award – Dr. Asanthi Ratnasekera, the Trauma Research Scholarship – Dr. Stephanie Polites. Hear their EAST stories, what they are using their award money to work on and insight into being surgical scientists.
Supplemental Material: Scholarships & Awards - The Eastern Association for the Surgery of Trauma
- Listen Download
EAST MCT: Outcomes after EGS and Trauma Care in Incarcerated Individuals - #160- 08/23/2022
- Join Dr. Carrie Valdez as she discusses the EAST MCT on Outcomes after Emergency General Surgery and Trauma Care in Incarcerated Individuals with authors Drs. MK Bryant, Liz Dreesen, Sara Scarlet and Rebecca Maine. Learn about outcomes, working with your IRB, and what you can do to increase ethical and compassionate care.
Supplemental Material
Outcomes after emergency general surgery and trauma care in incarcerated individuals: An EAST multicenter study. Bryant MK, Tatebe LC, Rajaram S, Udekwu PO, Wurzelmann M, Crandall ML, Zuniga YD, Tran V, Santos A, Krause C, et al. J Trauma Acute Care Surg. 2022 Jul 1;93(1):75-83. - Listen Download
Pelvic Trauma: What Tools are in Your Toolbox? - #159- 07/29/2022
Join Drs. Shyam Murali and Lauren Dudas with guest host Dr. Megan Quintana discuss pelvic hemorrhage control with experts Drs. Tatiana Cardenas and Joe DuBose. Hear about the different options for hemorrhage control in patients with pelvic fractures so you can maximize patient management at your institution. They also discuss pitfalls, complications and special populations.
Supplemental Material:
DuBose JJ, Burlew CC, Joseph B, Keville M, Harfouche M, Morrison J, Fox CJ, Mooney J, O'Toole R, Slobogean G, Marchand LS, Demetriades D, Werner NL, Benjamin E, Costantini T. Pelvic fracture-related hypotension: A review of contemporary adjuncts for hemorrhage control.
Journal of Trauma and Acute Care Surgery: October 2021 - Volume 91 - Issue 4 - p e93-e103
doi: 10.1097/TA.0000000000003331. PMID: 34238857.- Listen Download
Selective Aortic Arch Perfusion-The Next Best Thing for Trauma Resuscitation? What is it and when can we implement it?? - #158- 06/23/2022
Join Drs. Brandon Parker, Megan Quintana and Lauren Dudas chat with Jonny Morrison and Jim Manning about SAAP: selective aortic arch perfusion. What is it, how is it superior to existing resuscitation methods, who would benefit, how close is it to utilization and more!
- Listen Download
What's the Deal with IV Contrast Shortage? - #157- 05/25/2022
- Join Dr. Nick Namias and Dr. Caroline Park as they discuss the ongoing IV Contrast Shortage with Dr. Lucy Ruangvoravat and Dr. Carrie Valdez.
Supplemental Material: Cavallo J, Pahade J. Practice Management Strategies for Imaging Facilities Facing an Acute Iodinated Contrast Media Shortage. AJR Am J Roentgenol. 2022 May 13. doi: 10.2214/AJR.22.27969
- Listen Download
Rural Emergency General Surgery - #156- 04/28/2022
Created in coordination with the EAST Rural Trauma Committee. Drs. Lauren Dudas and Michal Radomski discuss Emergency General Surgery (EGS) with rural providers Dr. Nicholas Bandy, Dr. Kristin Colling & Dr. Keelin Roche. Listen to hear about rural practice models, procedures important to become comfortable with as rural providers, a bit about organizing an EGS service, and considerations for pursuing a career in rural surgery.
- Listen Download
Resuscitative Thoracotomy: Who? When? Why? To What End? - #155- 03/21/2022
- Dr. Jeremy Levin and Dr. Megan Quintana discuss Resuscitative Thoracotomy (RT) with Dr. Ronnie Mubang and Dr. Adam Nelson. They dive into patient selection, application of ultrasound, different institutions’ criteria, the clamshell, and some less tangible benefits of RT besides survival. Additionally, hear their opinion about select patient scenarios and special populations. And ALWAYS wear your PPE!
Supplemental material:
Joseph B, Khan M, Jehan F, Latifi R, Rhee P. Improving survival after an emergency resuscitative thoracotomy: a 5-year review of the Trauma Quality Improvement Program.
Trauma Surg Acute Care Open. 2018 Oct 9;3(1):e000201. doi: 10.1136/tsaco-2018-000201. PMID: 30402559; PMCID: PMC6203136. - Listen Download
Cybersecurity – You Only Know When You HAVEN'T Planned A Great Defense - #152- 01/27/2022
Who is hacking our hospital systems and why? What can you do about it?
Listen in as we interview Menny Barzilay, partner at Cytactic – Cyber Crisis Management, and Matan Scharf. Both guests are internationally known cyber security experts, formerly in the intelligence services of the Israeli Defense Forces and currently working at Tel Aviv University. Join Drs. Carrie Valdez and Lauren Dudas for a fascinating discussion on Cybersecurity. Additional resources and links to more talks with our guests are listed below.Supplemental Material:
Menny Barzilay website, great resources, newsletter and blog - https://www.mennyb.com/blogCyber attack suspected in German woman’s death, NYT article: https://www.nytimes.com/2020/09/18/world/europe/cyber-attack-germany-ransomeware-death.html
Death by Cyber, YouTube talk by Menny Barzilay - https://www.youtube.com/watch?v=N_5Pv9sd40A&ab_channel=GlobalCloudComputingCommunity
Autoimmune Deficiency, Hospital Cyber Defense, YouTube talk by Matan Scharf - https://youtu.be/y1r3xuwWnjY
Securing the World: Cybersecurity in the Age of IoT, YouTube talk by Matan Scharf - https://youtu.be/SJVVrr-cmF4
- Listen Download
Celebrating 10 Years of EAST Traumacast! - #151- 12/21/2021
- Celebrating 10 Years of EAST Traumacast! Dive into conversation as Dr. Michal Radomski and @ldel302 interview @carrievaldezmd Dr. Dave Morris, @docmartin22 @saranimd
Drs. Michal Radomski and Lauren Dudas interview previous EAST Traumacast moderators Drs. Carrie Valdez, Dave Morris, Matt Martin and Babak Sarani. Share laughs with the originators as you hear how it all started and how the program got where it is today! A special thank you to Christine Eme, EAST Staff, for all of her production support and the many others who dedicated their time over the past 10 years. Also check out the new introduction, created by EAST member Dr. Shyam Murali. Here’s to the next decade of EAST Traumacast listening! - Listen Download
Let's Talk Pilonidal Disease - #150- 12/03/2021
- Drs. Tatiana Cardenas and Lauren Dudas discuss pilonidal disease with Drs. Patrick McGonagill and Joga Ivatury. Listen to hear about how to plan your acute intervention without being detrimental to definitive options, different excisional techniques and patient selection. You’ll hear – pilonidal disease is about so much more than just “rearranging butt cracks!”
- Listen Download
Don’t Practice “Renalism” – A Discussion About Contrast Associated Acute Kidney Injury - #149- 11/01/2021
Drs. Jeremy Levin, Michal Radomski and Carrie Valdez discuss with Dr. Brad Dennis and Dr. Steven Weisbord contrast associated acute kidney injury – from the renal medulla to “renalism,” a discussion of clinical consequences, and much in between. Should I adjust imaging order based on existing AKI? Should risk of AKI alter imaging acquisition decision making in the trauma bay? Are there strategies to mitigate the impact of contrast? Listen to find out!
Supplemental Material:
- Guidelines – KDIGO
- Weisbord SD, Gallagher M, Kaufman J, Cass A, Parikh CR, Chertow GM, Shunk KA, McCullough PA, Fine MJ, Mor MK, Lew RA, Huang GD, Conner TA, Brophy MT, Lee J, Soliva S, Palevsky PM. Prevention of contrast-induced AKI: a review of published trials and the design of the prevention of serious adverse events following angiography (PRESERVE) trial. Clin J Am Soc Nephrol. 2013 Sep;8(9):1618-31. doi: 10.2215/CJN.11161012. Epub 2013 May 9. PMID: 23660180; PMCID: PMC3805082.
- Inker LA, Eneanya ND, Coresh J, Tighiouart H, Wang D, Sang Y, Crews DC, Doria A, Estrella MM, Froissart M, Grams ME, Greene T, Grubb A, Gudnason V, Gutiérrez OM, Kalil R, Karger AB, Mauer M, Navis G, Nelson RG, Poggio ED, Rodby R, Rossing P, Rule AD, Selvin E, Seegmiller JC, Shlipak MG, Torres VE, Yang W, Ballew SH, Couture SJ, Powe NR, Levey AS; Chronic Kidney Disease Epidemiology Collaboration. New Creatinine- and Cystatin C-Based Equations to Estimate GFR without Race. N Engl J Med. 2021 Sep 23. doi: 10.1056/NEJMoa2102953.
- Weisbord SD, Gallagher M, Jneid H, Garcia S, Cass A, Thwin SS, Conner TA, Chertow GM, Bhatt DL, Shunk K, Parikh CR, McFalls EO, Brophy M, Ferguson R, Wu H, Androsenko M, Myles J, Kaufman J, Palevsky PM; PRESERVE Trial Group. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. N Engl J Med. 2018 Feb 15;378(7):603-614. doi: 10.1056/NEJMoa1710933.
- Listen Download
Necrotizing Pancreatitis: From Diagnosis to Management Options and Pitfalls - #146- 07/30/2021
- Drs. Patrick McGonagill, Lauren Dudas and Carrie Valdez approach the challenge of managing necrotizing pancreatitis in a multidisciplinary discussion with acute care surgeon Dr. Jose Diaz, hepatobiliary and pancreatic surgeon Dr. Clancy Clark and advanced gastroenterologist Dr. Shyam Thakkar. What are some of the intervention options? How might I approach it at my center? What are the long term complications to look out for? Hear about it all!
- Listen Download
Preventing Preshospital Death: An International Discussion - #145- 06/29/2021
- Guest moderator Dr. Brandon Parker joins Dr. Lauren Dudas to discuss strategies to prevent prehospital death – from the Florida program “Survive the Ride” to the Australia prehospital triage algorithm and some physiology in-between! Guest speakers: Patricia Byers, MD, Kelsey Ensor, MD, Ben Meadley, PhD and Paul Pepe, MD.
Supplemental Material:
Survive The Ride Essenstial ECG – Gordon Center (miami.edu) - Listen Download
Screening and Treatment of Alcohol Dependence - What Could You Be Doing Better? - #144- 06/01/2021
Listen to the first author of the EAST PMG, Dr. Kodadek and pharmacist Jen Beavers discuss alcohol dependence – from identifying at risk patients to a review of treatment options. Hosted by new guest moderators Drs. Jeremy Levin, Sam Tarras and Patrick McGonagill as well as Lauren Dudas.
Supplemental Information:
Kodadek, Lisa M., Jennifer J. Freeman, Devesh Tiwary, Mack Dillon Drake, M. Elizabeth Schroeder, Linda Dultz, Cassandra White, et al. 2020. “Alcohol-Related Trauma Reinjury Prevention with Hospital-Based Screening in Adult Populations: An Eastern Association for the Surgery of Trauma Evidence-Based Systematic Review.” Journal of Trauma and Acute Care Surgery 88 (1): 106–12. https://doi.org/10.1097/TA.0000000000002501.Alvanzo, Anika, Kurt Kleinschmidt, Julie A Kmiec, George Kolodner, Gerald E Marti, William F Murphy, Carlos F Tirado, et al. 2020. “The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management.” http://links.lww.com/JAM/A192.
Ammar, Mahmoud A., Abdalla A. Ammar, Jordan Rosen, Hagar S. Kassab, and Robert D. Becher. 2021. “Phenobarbital Monotherapy for the Management of Alcohol Withdrawal Syndrome in Surgical-Trauma Patients.” Annals of Pharmacotherapy 55 (3): 294–302. https://doi.org/10.1177/1060028020949137.
- Listen Download
How the Sausage is Made: A View Into Health Policy and Surgeon Activism - #143- 04/20/2021
- Dr. Simon Fitzgerald, Dr. Lauren Dudas and Dr. Carrie Valdez discuss how things work on “the hill” with Dr. Joseph Sakran. Hear an overview of how to transform an idea into policy or just how to get more involved. Additionally, Dr. Sakran briefly reviews his year as a 2019-2020 RWJ Foundation Health Policy Fellow and how he lives his life to fulfill “purpose over position.”
Supplemental Information:
Robert Wood Johnson Foundation Health Policy Fellows - Listen Download
Morel-Lavallee lesions – They’re difficult to pronounce and even more challenging to treat! - #142- 03/25/2021
Join Drs. Simon Fitzgerald, Lauren Dudas and Carrie Valdez as they discuss the Mayo Clinic practice management guideline with Dr. Martin Zielinski and Dr. Henry Schiller. We review their trauma group’s practice pattern and how their management has continued to progress since their paper was published.
Supplemental Information:
Nickerson TP, Zielinski MD, Jenkins DH, Schiller HJ. The Mayo Clinic experience with Morel-Lavallée lesions: establishment of a practice management guideline. J Trauma Acute Care Surg. 2014 Feb;76(2):493-7. doi: 10.1097/TA.0000000000000111. PMID: 24458056.- Listen Download
Starting a Geriatric Trauma Program - #141- 03/01/2021
Drs. Carrie Valdez and Lauren Dudas discuss the details about a geriatric trauma program with Dr. Ben Gayed and Kathy Smith. What does it entail? What are the benefits? How can you get a program started at your institution? The content of this podcast reflects the opinions of those involved not the institutions by which they are employed.
Supplemental Information:
American College of Surgeons – Trauma Quality Improvement Program: Geriatric Trauma Management Guideline
Beers Criteria- Listen Download
What's the Whole Story About Whole Blood Transfusion? - #138- 12/09/2020
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?
- Listen Download
Vascular Trauma - Part 2 - #137- 11/19/2020
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!
- Listen Download
Vascular Trauma - #136- 05/13/2020
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!
- Listen Download
COVID-19 Part 03 - Palliative Care - #133- 04/08/2020
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 Resources
Surgical 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/
- Listen Download
American Trauma Society - Trauma Survivors Network - #130- 03/06/2020
Dr. Melissa Red Hoffman interviews Dr. 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!
- Listen Download
All About Hemothorax: Does Chest Tube Size Matter? - #127- 01/08/2020
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.
- Listen Download
Vasopressin in Hemorrhage Resuscitation - #126- 12/04/2019
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 Information
Effect of low-dose supplementation of arginine vasopressin on need for blood product transfusions in patients with trauma and hemorrhagic shock
Arginine vasopressin, copeptin, and the development of relative AVP deficiency in hemorrhagic shock
The pathogenesis of vasodilatory shock
Early use of vasopressors after injury: caution before constriction- Listen Download
Palliative Care in Your ACS Practice - #125- 10/21/2019
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- Listen Download
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