Traumacast

Scott Brakenridge, a renowned sepsis researcher at the University of Washington, joins surgical critical care fellow Erin White to tackle crucial topics in managing surgical infections. They discuss the early management of septic shock and the importance of following the Surviving Sepsis guidelines. The conversation dives into ventilator-associated pneumonia, highlighting preventive measures and treatment protocols. They also explore the complexities of managing C. diff infections and the innovative use of monoclonal antibodies in treating recurrent cases, offering fresh insights into critical care practices.

Dr. Chasen Croft, an associate professor of surgery and trauma medical director at the University of Florida, shares his expertise on managing hemothorax. He discusses diagnostic techniques like ultrasound and CT scans and the evolving use of smaller bore chest tubes. The conversation dives into management strategies, weighing operative intervention against observation, and highlights advancements in thoracic irrigation. Croft also explores the efficacy of innovative drainage methods and the future of less invasive approaches in trauma care.

In this engaging discussion, Dr. Joseph Cuschieri, a seasoned surgical expert, shares his insights alongside critical care fellows Dr. Gerald Wang and Dr. Kirea Mazzolini. They dive deep into the intricate pathophysiology of shock, covering its various types like septic and hemorrhagic shock. The trio emphasizes evidence-based resuscitation strategies and the strategic use of vasopressors. Listeners can also expect real case studies that highlight the dynamic decision-making needed in critical care environments, making the complex topic accessible and relatable.

Join Drs. Bawazeer and Warta as they discuss the management of difficult gallbladders with renowned Dr. Andrew B. Peitzman.  Everything from diagnosis and grading of cholecystitis to SAFE cholecystectomy and considerations for alternatives to surgery are discussed.Resources:Hirota M, et al. Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg. 2007;14(1):78-82. doi: 10.1007/s00534-006-1159-4. Epub 2007 Jan 30. PMID: 17252300; PMCID: PMC2784516.Brunt LM,et al; Prevention of Bile Duct Injury Consensus Work Group. Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy. Surg Endosc. 2020 Jul;34(7):2827-2855. doi: 10.1007/s00464-020-07568-7. Epub 2020 May 12. PMID: 32399938.Gupta V, Jain G. Safe laparoscopic cholecystectomy: Adoption of universal culture of safety in cholecystectomy. World J Gastrointest Surg. 2019 Feb 27;11(2):62-84. doi: 10.4240/wjgs.v11.i2.62. PMID: 30842813; PMCID: PMC6397793.Loozen CS, et al. Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial. BMJ. 2018 Oct 8;363:k3965. doi: 10.1136/bmj.k3965. PMID: 30297544; PMCID: PMC6174331.

In this engaging discussion, expert Dr. Martin Schreiber from the Uniformed Services University of the Health Sciences shares his insights on critical hematology topics. The conversation delves into the management of venous thromboembolism and anticoagulation strategies, shedding light on when to use IVC filters. They also discuss trauma-induced coagulopathy, the vital role of fibrinogen, and conditions like von Willebrand disease and sickle cell disease. Plasmapheresis applications in critical care and its significance in sepsis treatment round out this informative session.

Dr. Brian Yorkgitis, Chief of Acute Care Surgery at IU Health, and Dr. Linda Schutzman, Assistant Professor of Surgery at IU Health, share their expertise in surgical critical care. They dive into the implementation of Massive Transfusion Protocols and the revival of whole blood transfusions, emphasizing evidence-based practices. The conversation highlights the significance of DVT prophylaxis in trauma care and the complexities of thrombosis post-trauma, particularly with pulmonary embolisms. Their insights bridge the gap between traditional approaches and modern advancements in patient care.

Join moderators Drs. Mohammed Bawazeer, Lauren Dudas, Jennifer Brewer and Alexandra Brito as they interview speakers and presenters from the 38th EAST Annual Scientific Assembly held January 14-17, 2025 in Tucson, AZ. Guests include outgoing and incoming EAST Presidents, Drs. Ben Zarzaur and Nicole Fox in addition to Drs. Leah Aakjar, Rachel Applebaum, Ellen Becker, Anthony DeSantis, Veronica Layrisse-Landaeta, Jonathan Meizoso, Travis Miles,  Lauren Steward, Ronald Tesoriero and Medical Student Hannah Cleary. 

Dr. Carlos Brown, Chief of Acute Care Surgery at Dell Medical School, joins fellows Dr. Jennifer Brewer and Dr. Leah Aakjar to delve into the intricacies of airway management. They explore the challenges of managing airways in trauma cases, emphasizing the balance between hemorrhage control and airway stabilization. Discussion includes pharmacological insights for intubation, vital techniques for effective procedures, and the complexities involved in tracheostomy. They highlight the importance of teamwork and preparation in high-pressure critical care situations.

Join moderators Ds. Mohammed Bawazeer and Dr. Erika Bisgaard as they speak with guests Dr. Chloe Bryson-Cahn and Dr. Rondi Gelbard.  They discuss the management of necrotizing soft tissue infections and the role of surgery, antimicrobial therapy, scoring systems and more! 

Phil Mason, a CT and Transplant ICU Medical Director and ECMO expert, teams up with Brandon Parker, an Assistant Professor of Surgery and Medical Director of the Trauma ECMO Program, to dive deep into the world of ECMO for trauma patients. They discuss the nuances between VV and VA ECMO, highlighting key clinical trials like CESAR and EOLIA. The conversation explores patient selection, the importance of timely intervention, and the challenges of managing complex cases. They also speculate on future innovations in ECMO technology that could enhance patient outcomes.