Traumacast

This episode reviews the key concepts of respiratory failure, including mechanisms of hypoxemia, hypercapnic respiratory failure, and how tools like the A–a gradient help differentiate causes. The discussion then covers noninvasive ventilation strategies (HFNC, CPAP, BiPAP) and transitions into core principles of mechanical ventilation modes, settings, and advanced strategies like APRV. Finally, the episode highlights complications of mechanical ventilation and provides a conceptual approach to interpreting pressure-volume and flow-volume loops. Content preparation: Dr. Lauren Craugh and Dr. Andrew DrahosContent reviewers: Dr. Lauren Craugh and Dr. Andrew DrahosModerators: Dr. Lauren Craugh and  Dr. Andrew DrahosExpert Guest: Dr. Tim EllenderFellow Guest: Dr. AJ Sood

Join episode moderators Drs. Lauren Dudas, Jeremy Levin, Alex Brito and Aimee LaRiccia as they talk with some of the 2026 EAST Scientific Assembly Presenters, Student Doctor Luke Vaske BS, Dr. Alex Reeb, Dr. Carson Mills, Dr. Jennifer Hartwell and Student Doctor William Rice BS, about their work. This episode also features an interview with 2025 EAST past President Dr. Nicole Fox where she discusses all about her EAST journey and her year as president of the organization. 

Join Dr. Ida Molavi, Dr. Sarada Rao, Devin Gillaspie with expert guest Dr. Jose Diaz and fellow guest Dr. Victoria Liang as they cover ICU Nutrition and Endocrine Management in this Surgical Critical Care Review episode. This is a unique collaborative initiative between EAST, AAST and AAST-AMC. When do you feed the septic patient on vasopressors? When does gut ischemia change the calculus? We walk through enteral and parenteral nutrition per ASPEN/SCCM guidelines, 2024 glycemic targets, refeeding syndrome, post-TBI diabetes insipidus, and thyroid storm — including how to sequence therapy and when plasmapheresis enters the picture. Content preparation: Dr. Ida Molavi & Dr. Victoria LiangContent reviewer: Dr. Ida MolaviModerators: Dr. Sarada Rao, Dr. Devin Gillaspie, and  Dr. Ida MolaviExpert Guest: Dr. Jose DiazFellow Guest: Dr. Victoria Liang

Host Dr. Aimee LaRiccia talks with Dr. Lisa Kodadek from Yale School of Medicine and Dr. Jennifer Freeman from Baylor in Fort Worth about the development of EAST Practice Management Guidelines (PMGs). They explore how ideas evolve into PMGs, the rigorous grading and review process, and the continuous effort to ensure quality and relevant guidelines. Listen and learn!EAST PMGs: https://www.east.org/education-resources/practice-management-guidelines 

Dr. Aimee LaRiccia interviews Experts in Trauma Research - Dr. Deborah Stein, Dr. John Cull and Dr. Michelle Price about the National Trauma research Repository (NTRR). The history of the NTRR, project funding, and how trauma surgeons can get involved and take advantage of this resource are discussed. References:The public page of the NTRR: https://ntrr.nih.gov/CNTR website, which includes recorded webinars, a comprehensive document on the structure and functions of the NTRR, a quick NTRR info-sheet, and our NTRR poster that was presented at the 2025 Military Health Systems Research Symposium: https://www.nattrauma.org/ntrr-landing/Initial CNTR blog post announcing the Department of Defense contract to develop the NTRR: https://bit.ly/NTRRDODContract

Dr. Zaffer Qasim interviews expert panelists Dr. David Fischer and Dr. Matthew Kirschen about a particularly challenging aspect of critical care medicine - brain death testing. National guidance surrounding this topic has recently been updated, and it is imperative that critical care clinicians understand the intricacies of this important evaluation. References: 1.       Greer DM, Kirschen MP, Lewis A, Gronseth GS, Rae-Grant A, Ashwal S, Babu MA, Bauer DF, Billinghurst L, Corey A, Partap S, Rubin MA, Shutter L, Takahashi C, Tasker RC, Varelas PN, Wijdicks E, Bennett A, Wessels SR, Halperin JJ. Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Guideline. Neurology. 2023 Dec 12;101(24):1112-1132. doi: 10.1212/WNL.0000000000207740. Epub 2023 Oct 11. Erratum in: Neurology. 2024 Feb 13;102(3):e208108. doi: 10.1212/WNL.0000000000208108. PMID: 37821233; PMCID: PMC10791061. https://www.neurology.org/doi/10.1212/WNL.0000000000207740Kirschen MP, Lewis A, Greer DM. The 2023 American Academy of Neurology, American Academy of Pediatrics, Child Neurology Society, and Society of Critical Care Medicine Pediatric and Adult Brain Death/Death by Neurologic Criteria Determination Consensus Guidelines: What the Critical Care Team Needs to Know. Crit Care Med. 2024 Mar 1;52(3):376-386. doi: 10.1097/CCM.0000000000006099. Epub 2023 Nov 3. PMID: 37921516. https://journals.lww.com/ccmjournal/abstract/2024/03000/the_2023_american_academy_of_neurology,_american.3.aspx 

Dr. Mohammed Bawazeer and Dr. Aimee LaRiccia discuss Small Bowel Obstructions with two expert ACS surgeons, Dr. Matthew Martin and Dr. Andrea Pakula. These experts delve into the complex management of this disease with a special focus on Minimally Invasive Techniques. 

Join Dr. Anaar Siletz and Dr. Joshua Dilday with the expert Guest Dr. Michael Cripps, and Fellow Guest Dr. Arielle Thomas-Jonasson. This is the twelfth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST and AAST. During this episode we will be discussing GI Bleeding and prophylaxis, Abdominal compartment syndrome, Acute pancreatitis/ necrotizing pancreatitis, Toxic megacolon and Ogilvie's syndrome  and Esophageal emergencies.Content preparation: Dr. Arielle Thomas-JonassonContent reviewers: Dr. Joshua Dilday and Dr. Anaar SiletzModerators: Dr. Joshua Dilday and Dr. Anaar SiletzExpert Guest: Dr. Michael CrippsFellow Guest: Dr. Arielle Thomas-JonassonTopics covered in this episode:GI Bleeding and ProphylaxisAbdominal Compartment SyndromeToxic Megacolon and Ogilvie's SyndromeEsophageal Emergencies

Dr. Anthony DeSantis and Dr. Lauren Craugh discuss Care of the Obstetrical Trauma Patient with Dr. Sigrid Burruss and Dr. Allison Lankford. From the physiologic differences that impact the ABCs to the unique laboratory markers of impending organ system failure this discussion will be an asset to your next trauma toolbox. Resources:  Burruss, Sigrid MD; Jebbia, Mallory MD; Nahmias, Jeffry MD, MHPE. Pregnancy and trauma: What you need to know. Journal of Trauma and Acute Care Surgery 98(2):p 190-196, February 2025. | DOI: 10.1097/TA.0000000000004478

Join Dr. Mohammed Bawazeer with the expert Guest Dr. Neeraj Badjatia, and Fellows Guests Dr. Jennifer Brewer and Dr. Leah Aakjar. This is the eleventh episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST and AAST. During this episode we will be discussing PADIS Guidelines, Status Epilepticus and Non-traumatic Intracranial Hemorrhage.Content preparation: Dr. Uzer Khan, Dr. Mohammed Bawazeer, Dr. Jennifer Brewer, and Dr. Leah AakjarContent reviewers: Dr. Mohammed Bawazeer & Dr. Neeraj BadjatiaModerator: Dr. Mohammed BawazeerExpert Guest: Dr. Neeraj BadjatiaFellow Guests: Dr. Leah Aakjar & Dr. Jennifer BrewerTopics covered in this episode:PADIS Practice Management GuidelinesStatus EpilepticusNon-traumatic Intracerebral Hemorrhage and Subarachnoid Hemorrhage

Join Dr. Ida Molavi and Dr. Joshua Dilday with the expert Guest Dr. Purvi Patel, and Fellows Guest Dr. Caitlyn Braschi. This is the tenth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST and AAST-AMC. During this episode we will be discussing Traumatic Brain Injury, Spinal Cord Injuries and Blunt Cerebrovascular injuries.Content preparation: Dr. Caitlyn BraschiContent reviewers: Dr. Ida Molavi & Dr. Joshua DildayModerators: Dr. Ida Molavi & Dr. Joshua DildayExpert Guest: Dr. Purvi PatelFellow Guest: Dr. Caitlyn BraschiTopics covered in this episode:Traumatic Brain Injury (TBI)Spinal Cord Injury (SCI)Blunt Cerebrovascular Injuries (BCVI)

Dr. Shyam Murali interviews Dr. Jamie Coleman and Dr. Patrick Murphy about their recent EAST Multicenter Trial looking at Acute Care Surgery service staffing, the physiologic toll of call on the body and determining how to “rightsize the workforce.. References: Murphy, Patrick B. MD, MPH, MSc; Coleman, Jamie J. MD; et al; The ACS Staffing Authorship Group. Understaffed and overworked: The stark reality of acute care surgeon staffing in the United States, an Eastern Association for the Surgery of Trauma multicenter study. Journal of Trauma and Acute Care Surgery ():10.1097/TA.0000000000004700, July 4, 2025. | DOI: 10.1097/TA.0000000000004700 

Join Dr. Erika Bisgaard with the expert Guest Dr. Scott Brakenridge, and Fellow Guest Dr. Erin White. This is the nineth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST and AAST-AMC. During this episode we will be discussing early management of septic shock, surviving sepsis campaign, Ventilator associated Pneumonia, C. Diff colitis and Necrotizing soft Tissue infections.  Content preparation: Dr. Erika Bisgaard & Dr. Mohammed Bawazeer Content reviewer: Dr. Alex BritoModerator: Dr. Erika BisgaardExpert Guest: Dr. Scott BrakenridgeFellow Guests: Dr. Erin WhiteTopics covered in this episode:Sepsis, septic shock and Surviving sepsis guidelinesVAP and pulmonary infectionsC diff colitis Necrotizing soft tissue infections 

Join Dr. Michael Cline and Dr. Lauren Dudas as they discuss the Management of Hemothorax with Dr. Chasen Croft.DiagnosisWhen to place a chest tube,Chest irrigation using the CLR irrigator systemConsiderations for operative intervention Chest tube removal

Join Dr. Ida Molavi, Dr. Najiha Farooqi and Dr. Caitlin Fitzgerald with the expert Guest Dr. Joseph Cuschieri, and Fellows Guests Dr. Gerald Wang and Dr. Kirea Mazzolini. This is the eighth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST and AAST. During this episode we will be discussing Shock pathophysiology and classification, Resuscitation, Types of Vasopressors and the general approach to different types of Shock. Content preparation: Dr. Ida Molavi  Content reviewers: Dr. Najiha Farooqi and Dr. Caitlin Moderators: Dr. Ida Molavi, Dr. Najiha Farooqi and Dr. Caitlin Expert Guest: Dr. Joseph Cuschieri Fellow Guests: Dr. Gerald Wang and Dr. Kirea Mazzolini Topics covered in this episode:Pathophysiology and Classification Resuscitation from Circulatory Shock Vasopressors and Inotropes Septic Shock Hemorrhagic Shock Cardiogenic Shock 

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.

Join Dr. Alex Brito with the Expert Guest Dr. Martin Schreiber, and Fellow Guests Dr. Donald Furman and Dr. Rebecca Phuoc. This is the seventh episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST, and AAST-AMC. During this episode we will be discussing the management of venous thromboembolism, the pathophysiology and management of trauma induced coagulopathy, von Willebrand disease, and sickle cell disease as well as the use of plasmapheresis in the surgical ICU. Content preparation: Dr. Alex Brito  Content reviewer: Dr. Erika BisgaardModerator: Dr. Alex BritoExpert Guest: Dr. Martin Schreiber Fellow Guests: Dr. Donald Furman and Dr. Rebecca PhuocTopics covered in this episode:DVT/PE TherapyTrauma - Induced Coaculopathyvon Willebrand Disease and Sickle Cell CrisisPlasmapheresis 

Join Dr. Lauren Craugh with expert guests Dr. Brian Yorkgitis and Dr. Linda Schutzman. This is the sixth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST, and AAST-AMC. During this episode Massive Transfusion and ABC Score, Thromboelastography, and Thromboembolic Prophylaxis will be discussed. Content preparation:  Lauren Craugh, MDContent reviewer: Linda Schutzman, MDModerator: Lauren Craugh, MDExpert Guests: Brian Yorkgitis, DO, FACS & Linda Schutzman, MDTopics covered in this episode:Blood Component Therapy, Massive Transfusion, and Whole BloodABC ScoreTEG/ROTEM Thromboembolic Prophylaxis (Heparin, LMWH, Aspirin)

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. 

EAST/AAST/AAST-AMC: SCC Review Series - Episode 05Airway ManagementJoin Dr. Mohammed Bawazeer with the expert Guest Dr. Carlos Brown, and Fellows Guests Dr. Jennifer Brewer and Dr. Leah Aakjar. This is the fifth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST, and AAST-AMC. Airway Management, Management of the Difficult Airway, and Tracheostomy will be discussed.  Content preparation: Dr. Mohammed Bawazeer and Dr. Jennifer Brewer. Content reviewer: Dr. Alexandra Brito Moderator: Dr. Mohammed BawazeerExpert Guest: Dr. Carlos BrownFellows Guests: Dr. Jennifer Brewer, Dr. Leah AakjarTopics covered in this episode:Airway management Management of the difficult airway Tracheostomy Supplemental Material: Apfelbaum JL, Hagberg CA, Connis RT, Abdelmalak BB, Agarkar M, Dutton RP, Fiadjoe JE, Greif R, Klock PA, Mercier D, Myatra SN, O'Sullivan EP, Rosenblatt WH, Sorbello M, Tung A. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022 Jan 1;136(1):31-81. doi: 10.1097/ALN.0000000000004002. PMID: 34762729. 

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! 

Moderators Dr. Lauren Craugh and Dr. Zaf Qasim join guests Dr. Phil Mason and Dr. Brandon Parker as they discuss the use of ECMO in trauma patients.  They cover the details of both VV and VA ECMO, patient selection, the latest literature and more!! 

Join Drs. Aimee LaRiccia and Melissa Ward as they continue their discussion with guests Drs. Howard Pryor and Erica Hodgeman. In this session, they discuss the management of specific injury patterns in children and how it can differ from the adult population.  Supplemental Material:  Rauh JL, Neff LP, Forssten MP, Ribeiro MAF Jr, Sarani B, Mohseni S. Contemporary management and outcomes of blunt traumatic American Association for the Surgery of Trauma Organ Injury Scale grades III and IV pancreatic injuries in children: A Trauma Quality Improvement Program analysis. J Trauma Acute Care Surg. 2024 Sep 1;97(3):365-370. doi: 10.1097/TA.0000000000004270. Epub 2024 Jan 29. PMID: 38282245.Lamoshi, A., Lay, R., Wakeman, D. et al. Validation of the predictive model for operative intervention after blunt abdominal trauma in children with equivocal computed tomography findings: a multi-institutional study. Pediatr Surg Int 40, 39 (2024). https://doi.org/10.1007/s00383-023-05616-6

EAST/AAST/AAST-AMC: SCC Review Series - Episode 04Pericardial Effusion and Dysrhythmias In the fourth episode of the Surgical Critical Care Review Series, a unique  collaborative initiative between EAST, AAST, and AAST-AMC, join Dr. Navpreet Dhillon and Dr. Andrea Tsoris with expert guest Dr. Munther Homoud  and fellow guests Drs. Sarada Rao Sheliza Kabani discuss pericardial effusion and dysrhythmias.  Topics covered in this episode: ACLS, supraventricular arrhythmias (AFib), ventricular arrhythmias, conduction abnormalities and cardiac pacemakers, pericardial effusion and tamponade. Content Preparation: Dr. Navpreet Dhillon and Dr. Andrea TsorisModerators: Dr. Navpreet Dhillon and Dr. Andrea TsorisExpert Guest: Dr. Munther HomoudFellows Guests: Dr.  Sarada Rao and Dr. Sheliza Kabani

Join Drs. Aimee LaRiccia and Mellissa Ward as they talk with guests Drs. Howard Pryor and Erica Hodgeman.  They discuss the care of the pediatric trauma patient and the intricacies of resuscitation, damage control and more for the pediatric patient. 

EAST/AAST/AAST-AMC: SCC Review Series - Episode 03Renal FailureJoin Dr. Josh Dilday with the expert Guest Dr. Paul McCarthy, and Fellow Guest Dr. Evelyn Coile. This is the third episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST and AAST-AMC During this episode, Renal Failure will be discussed.Content preparation: Dr. Joshua Dilday and Dr. Mohammed BawazeerModerator: Dr. Joshua Dilday Expert Guest: Dr. Paul McCarthyFellows Guest: Dr.  Evelyn CoileTopics covered in this episode:Clinical assessment of kidney function Acute Kidney Injury, and CRRTFluid and volume therapy in the ICUSodium disorders and water metabolism (SIADH, CSW, DI)

EAST/AAST/AAST-AMC: SCC Review Series - Episode 02Hepatic FailureContent preparation/Moderators: Dr. Alex Brito and Dr. Adora Santos Expert Guest: Dr. Ram SubramanianFellows Guest: Dr. Ted Shung and Dr. David Ritter.Topics covered in this episode:Portal hypertension Hepatorenal and hepatopulmonary syndromes Liver transplantHepatic encephalopathy and Fulminant Hepatic failureSupplemental Material: https://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Guidelines-for-the-Management-of-Adult-Acute-and-Ahttps://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Guidelines-for-the-Management-of-Liver-Failure-2

EAST/AAST/AAST-AMC: SCC Review Series - Episode 01Invasive & Non-invasive Hemodynamic MonitoringJoin Dr. Uzer Khan and Dr. Mohammed Bawazeer with the expert Guest Dr. Paula Ferrada and Fellows Guests Dr. Matt Elson and Dr. John Luckoski. This is the first episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST and AAST. During this episode, hemodynamic monitoring will be discussed. Topics covered in this episode:1. Arterial lines 2. Central Venous Lines 3. PA catheters 4. Capnography 5. POCUS

Join Drs. Mohammed Bawazeer and Jaswin Sawhney as they talk with guests Drs. Joseph Sakran and Jason Hall. They discuss the acute and elective management of diverticulitis including such topics as antibiotics, the role of laparoscopic lavage, indications for surgery in the acute and elective settings, management of colovesical fistula and the role of acute care surgeons and colorectal surgeons in the management of this disease process.

 Join Dr. Tatiana Cardenas, and Dr. Samantha Tarras as they speak with guests Dr. Taryn Travis and Dr. Mack Drake.  They will discuss the physiology of burn shock, the intricacies of burn resuscitation and the challenges of burn care.  Topics include markers of resuscitation, use of pressors, inhalation injury, infection, discussions with family and more! 

 Join Dr. Tatiana Cardenas and Dr. Mohammed Bawazeer as they talk with guests Dr. Matt Martin and Dr. Andrea Pakula and discuss the role of robotic surgery in the management of hernias by the acute care surgeon.  The discussion covers training in robotics, the role of robotics in emergent and urgent hernia surgery, and various case scenarios involving hernias encountered by acute care surgeons. 

 Join Drs. Liz Dauer, Tatiana Cardenas, Samantha Tarras, Mohammed Bawazeer, and Melissa Warta as they interview speakers from the 37th EAST Annual Scientific Assembly including incoming EAST President Dr. Ben Zarzaur, in addition to Drs. Amy Goldberg, Jennifer Brewer, Simin Golestani, Nicole Tapia, Marcelo Robiero, Tara van Veen, Kendra Black, and Melike Harfouche.  Also included are medical students Rachel Cary and Cox-Templeton Award winner Grace Keegan. Supplemental Material:  EAST Awards and Scholarship Opportunities

Join Drs. Liz Dauer, Tatiana Cardenas, Samantha Tarras, Mohammed Bawazeer, and Melissa Warta as they interview speakers from the 37th EAST Annual Scientific Assembly including outgoing EAST President Dr. Jason Smith, in addition to Drs. TJ Schaid, Amanda Witte, Lauren Gallagher, Sneha Bhat, Caleb Butts, Rachel Choron, Julia Coleman, Bishwajit Bhattacharya, George Kasotakis, Susan Kartiko, and Melissa Boltz.  Also hear from Annika Kay PA-C and Colleen Trevino NP.Supplemental Material:  EAST Awards and Scholarship Opportunities

Join Drs. Prerna Ladha, Hassan Mashbari and Lauren Dudas and learn about Global Surgery from Drs. Mike Mallah, Chris Dodgion, Katie Iverson and the EAST Global Surgery Ad Hoc Task Force.  What does Global Surgery  even mean? How can you get involved, who is out there practicing internationally or can you practice Global Surgery domestically?  Supplemental Material: ♦https://www.mcw.edu/departments/surgery/education/global-surgical-programs♦https://medicine.musc.edu/departments/surgery/global-surgery-program♦https://www.panamtrauma.org/♦Incision (International Student Surgical Network) - https://incisionetwork.org/♦GSSA (Global Surgery Student Alliance) -  https://www.globalsurgerystudents.org/♦American College of Surgeons Resident and Associate Society Global Surgery Workgroup (https://www.facs.org/for-medical-professionals/membership-community/resident-and-associate-society/leadership/) form to self nominate♦AAGS (Association of Academic Global Surgery) -

Join Drs. Tatiana Cardenas, Zaffer Qasim and Jacob Edwards as they talk with guests Drs. Marissa Mery and Jeremy Cannon.  They discuss trauma resuscitation through the continuum of the trauma bay to OR with perspectives of emergency medicine, surgery and anesthesia providers.  Topics include permissive hypotension, use of pressors, massive transfusion practices, cell saver usage, additional anesthesia trauma training and more!

Join new moderator Dr. Mohammed Bawazeer and Dr. Lauren Dudas discuss the planning and implementation of a robotic ACS program with Drs. Bruce Crookes and Heather Evans.  They talk about the benefits for both patients and the institution and how it has transformed their practices.  The episodes finishes with a game of surgery truth or dare: Lap, Open or Robotic.

Join Drs. Tatiana Cardenas, Liz Dauer and Zaffer Qasim chat with Drs. Paula Ferrada and Sharven Taghavi about ED vs OR intubation in patients with hemorrhagic shock.  They address  ABC vs CAB, the physiology of intubation of patients in shock and reconsidering the dogma.  Supplemental Material:  Ferrada P, Dissanaike S. Circulation First for the Rapidly Bleeding Trauma Patient-It Is Time to Reconsider the ABCs of Trauma Care. JAMA Surg. 2023 May 17. doi: 10.1001/jamasurg.2022.8436. Epub ahead of print. PMID: 37195675.

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.

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.

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 OpportunitiesLaparoscopic Common Bile Duct Exploration information from Wake Forest Study

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 AssemblyInterested in getting involved in an EAST MCT? - EAST Multicenter Trials - The Eastern Association for the Surgery of Trauma 

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

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

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 MaterialOutcomes 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.

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-e103doi: 10.1097/TA.0000000000003331. PMID: 34238857.

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!

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

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.

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. 

Join hosts Drs. Tatiana Cardenas, Lauren Dudas, Megan Quintana, Samantha Tarras, and Carrie Valdez as they interview speakers from the 35th EAST Annual Scientific Assembly held in Austin, Texas. in Austin, Texas.  Guests: Drs. Laszlo Kiraly, Taylor Wallen, Amanda Hambrecht, Majid Chammas, Jessica Schucht, Abid Khan, Aaron Hudnall, Ander Dorken Gallastegi, Leah Tatebe, Gillian Hoshal, Maxwell Braverman, and EAST President Deborah Stein.