Journal of Trauma and Acute Care Surgery - Trauma Loupes Podcast

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Dr. Moore’s highlights for the August 2015 issue include: an AAST presentation by Dr. Konstantinos Chouliaras and colleagues from the LA County/USC Medical Center who analyze the need for evaluation of mediastinal air following blunt trauma. Dr. Ashley Zander et al from the Scripps Mercy Center in San Diego illuminate on the limitations of risk assessment models to determine VTE prophylaxis following injury. Dr. Dave Wisner and colleagues from a multitude of well-known institutions provide a comprehensive overview of the current management of children with solid organ injuries following blunt trauma. Dr. Kenji Inaba and colleagues review their seven years’ experience of 87 patients who had tourniquets applied; 15% of these were prehospital, 39% in the ED, and 10% in the OR.

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Dr. Moore’s highlights for the July 2015 issue include: the lead article is the presidential address by Dr. Kimberly Davis from Yale who provides an insightful overview of decision-making applied to our discipline of trauma and acute care surgery. Dr. Rebecca Schroll and the colleagues from EAST review a multi-institutional experience with prehospital use of tourniquets from 2010 to 2013. Dr. Diane Schwartz et al from the Brigham and Women’s Hospital in Boston provide compelling support for performing laparoscopic cholecystectomy within 24 hours of admission. Dr. Chethan Sathya and colleagues from the Sunnybrook Research Institute in Toronto review the challenges in assessing the quality of care provided by trauma centers caring for injured children. Dr. Marie Crandall and her EAST colleagues suggest the areas that warrant concentrated efforts include 1) car engineering advances, 2) behavioral interventions, and 3) risk screening.

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Dr. Gene Moore presents recommended reading from the June 2015 issue of The Journal of Trauma, which features first papers from last year’s inaugural meeting of the Pediatric Trauma Society. Meeting highlights include the historic presidential address by Dr. Barbara Gaines, who delves into the history of the society against the backdrop of pediatric trauma systems development. On a related note, an AAST plenary paper by Dr. Robert Winchell and colleagues from the ACS Committee reassesses the effects of COT consultation on regional trauma system development. Featured research papers include Dr. Margaret Lauerman et al’s study of Grade 4 blunt cerebrovascular injuries and Dr. Paul Chestovich et al’s experience with laparoscopy for penetrating abdominal wounds. On the statistical side, Dr. Angela Sauaia highlights Dr. Lynne Moore et al’s model for evaluating the quality of trauma care as a point of departure for discussing the use of MICE for missing data.

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Dr. Gene Moore’s highlights for the May 2015 issue include the lead article by Dr. Nobuyuki Saito and colleagues from the Nippon Medical Center Chiba Hokuso Hospital, Inzai, Japan who evaluated their complications of REBOA. An AAST paper by Dr. John Harvin and colleagues from the Memorial Hermann Hospital in Houston who evaluate the impact of TXA on mortality in their patients with hyperfibrinolysis documented by TEG. Another timely issue is addressed by Dr. Diane Hale and associates from the University of San Antonio who assess whether clinical findings can be used to exclude unstable cervical spine injuries in children less than six years of age. The final paper is by Dr. Annika Blaser from Lucerne, Switzerland along with colleagues from Estonia, Sweden, and Australia. This team provides a comprehensive review of abdominal compliance and its implications in the development of intra-abdominal hypertension and compromised laparoscopic workspace.

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Dr. Gene Moore’s highlights for the April 2015 issue include: The lead articles are the AAST Presidential Address entitled “Responsibility” by Dr. Bill Cioffi and the Fitts Lecture “Genomics of Injury: The Glue Grant Experience” by Dr. Ron Tompkins. Dr. Marty Schreiber and colleagues of the Resuscitation Outcome Consortium who completed a randomized trial comparing prehospital limited crystalloid versus standard crystalloid resuscitation. Dr. Tatsuyo Norii and colleagues who examine the impact of resuscitation endovascular balloon occlusion of the aorta on survival following blunt trauma using the Japanese Trauma Data Bank from 2004-2011. Dr. Peter Rhee and colleagues from the University of Arizona and the University of Southern California who review their experience with transfusion of auto transfused whole blood from hemothoraces, The final paper to highlight is authored by Dr. Ben Howard and colleagues from the San Francisco General who fundamentally demonstrate that patients with isolated hypoxemia (Pa02/Fi02 < 300) are different from those who are hypoxemia and meet Berlin criteria for ARDS, that is, bilateral pulmonary opacities on chest x-ray collected with chest tubes and anticoagulated with CPD.

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Dr. Gene Moore’s highlights for the February 2015 issue include: The paper that generated most discussion was the EAST guideline developed for cervical spine collar clearance in the obtunded adult blunt trauma patient, authored by Dr. Mayur Patel and a host of EAST participants. Dr. Stephanie Savage and colleagues from the University of Tennessee in Memphis who presented a prospective validation of their critical administration threshold (CAT). The third most discussed paper, gratifyingly to the editorial office, was experimental work. Dr. Stephen Davies et al from the University of Virginia designed a swine model of combined lung and brain injury to determine if airway pressure release ventilation, (APRV) improved outcome compared to the standard ARDS Net practice. Dr. Daniel McIlroy and colleagues from the John Hunter Hospital in Newcastle, New South Wales, Australia who characterize the release of mitochondrial and nuclear DNA release in 35 seriously injured patients (median ISS of 14) who required operative skeletal fixation. The preceding paper in the Journal by Dr. Haipeng Li and colleagues from the Beth Israel Deaconess Medical Center provide experimental evidence that mitochondrial DNA from fractures suppress pulmonary immune responses.

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Dr. Gene Moore’s highlights for the January 2015 issue include: Master Surgeon’s Lecture by Dr. Andy Peitzman from the University of Pittsburgh; report by Dr. Tyler Loftus and colleagues from the University of Florida addressing another common challenge for acute care surgeons; review of a common dilemma for acute care surgeons – risk of recurrence following hospitalization for acute diverticulitis by Dr. Vanessa Ho and colleagues from Jamaica, Sloan Kettering, and Cornell Medical Centers in New York; report by Dr. Brent Pottenger et al from Johns Hopkins and UC Davis; and a potentially useful technique for damage control of severe lung injuries suggested by Dr. Alberto Garcia and colleagues from Cali, Columbia.

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