Trauma ICU Rounds

By Dr. Dennis Kim

What's Trauma ICU Rounds about?

Medical education podcast dedicated to providing high-quality, concise, and clinically relevant multimedia content spanning the spectrum of surgical critical care, emergency general & trauma surgery

Download our free app to listen on your phone

Trauma ICU Rounds episodes:

09.27.2022
Episode 55: AAST 2022 Hot Topics - From Sex Dimorphisms in Coagulation to TXA, TEG, Calcium and Beyond with Drs. Bryan A. Cotton, Neil Parry, Nori Bradley, Jordan Weinberg, Joshua Brown & Alyssa MacLe
Join us after hours at Dr. Bryan A. Cotton's pop-up bourbon bar at the AAST 2022 Meeting in Chicago. In this FANTASTIC & FUN episode, we talk amongst friends about cutting edge research at this year's meeting. To no one's...
09.20.2022
Episode 54: Frailty, Geriatric Trauma & TBI with Dr. Bellal Jospeh
In this episode we sit down with the Chief of Trauma, Surgical Critical Care, Burns, & Acute Care Surgery at the University of Arizona, Dr. Bellal Joseph, who share with us his thoughts and research findings on hot topics including...
09.12.2022
Episode 53: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part II
In this episode, we talk all things critical care the one and only, Dr. Jean-Louis Vincent aka. JLV. This episode is a MUST listen. We touch upon the evolution of early goal directed therapy, measures of fluid responsiveness, optimizing oxygen...
09.06.2022
Season 3 Trailer
It's been a while! We are coming to you from our new studio in Victoria on Vancouver Island, BC. This Season is PACKED with incredible content, interviews and educational pearls designed to improve the quality of care that you are...
09.06.2022
Episode 52: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part I
In this episode, we discuss the overarching importance of AVOIDING iatrogenic harm in the ICU with arguably one of the world's leading experts in critical care medicine, the one and only, Dr. Jean-Louis Vincent aka. JLV. Tune in as Dr. Vincent...
02.11.2022
Episode 51 - Persistent Inflammation, Immunosuppression & Catabolism Syndrome (PICS) with Dr. Scott Brakenridge
"Getting patients resuscitated through sepsis, septic shock, and hemorrhagic shock is not the end...it's the beginning." In this episode, Dr. Brakenridge from Harborview Medical Center joins us to discuss PICS and the impact of this syndrome on our critically ill and...
01.29.2022
Episode 50 - Whole Blood & Modern Hemostatic Resuscitation Strategies with Dr. Bryan A. Cotton
In this, our 50th episode, we are in Austin, TX, for the Annual EAST Scientific Meeting where we are joined by Dr. Bryan A. Cotton who shares his expertise and knowledge regarding the use of whole blood (WB) in trauma...
01.11.2022
Episode 49 - TRAUMA with Dr. Ken Mattox: Part II
In the second episode of a two-part series, Dr. Mattox shares his insights and thoughts on hot research topics in trauma in need of investigation. Additionally, he helps us to envision what acute trauma management may look like in the...
01.07.2022
Episode 48 - TRAUMA with Dr. Ken Mattox: Part I
We. Are. Back!! After a (brief?!) hiatus, we are launching 2022 with a 2-part series with the one and only Dr. Ken Mattox. In this episode, Dr. Mattox shares with us his thoughts on what the modern general surgeon should...
09.11.2021
Episode 47 - Every Deep-Drawn Breath with Dr. Wes Ely
Dr. Wes Ely from Vanderbilt University School of Medicine joins us on Rounds to discuss the evolution of our understanding and the current impact of ICU-acquired brain disease on our patients and their loved ones. In addition to discussing the...
07.02.2021
Episode 46 - Pelvic Binders for Hemodynamically Unstable Pelvic Ring Fractures
In follow-up to a recent pro-con debate on the use of pre-hospital pelvic binders, we explore the why, when, and how of pelvic binder placement. From the indications to post-placement considerations and importance of a multidisciplinary approach to the management...
06.24.2021
Episode 45 - Modern Insights into an Academic Career in Trauma & Acute Care Surgery with Dr. Carlos Brown
In this episode, we sit down with Dr. Carlos VR Brown from the Dell Seton Medical Center at the University of Texas to discuss issues relevant to both junior and mid-career trauma & acute care surgeons. Topics covered include: military-civilian...
06.07.2021
Episode 44 - Massive Upper GI Bleeds
Massive upper GI bleeds can be intimidating and lethal. An expeditious, multidisciplinary approach is required to improve survival and optimize patient outcomes. Time Stamps: 00:12 Welcome & Introduction 01:55 Goals & Objectives 02:29 Common Etiologies & Differential Diagnosis for UGIBs...
05.20.2021
Episode 43 - Penetrating Cardiac Injuries with Dr. Kenji Inaba
Our first in-person interview since the start of the COVID pandemic! Join us for National Stop the Bleed Day as Dr. Kenji Inaba from LAC+USC joins us to discuss management of penetrating cardiac injuries, the Los Angeles County Hospital Emergency...
05.08.2021
Episode 42 - Management of the Difficult Gallbladder
Join us as we discuss surgical management options for the difficult gallbladder. Is it better to open or proceed with a laparoscopic subtotal cholecystectomy? If the latter, fenestrated or reconstituted? What's the difference?! This week on Rounds, we have several...
05.01.2021
Episode 41 - Acute Colonic Pseudo-Obstruction (aka Ogilvie's Syndrome)
Bowel obstructions may be due to mechanical or functional causes. Although acute colonic pseudo-obstruction (ACPO) falls into the latter category, we must ALWAYS rule out mechanical causes for massive distension of the colon. In this episode, we make our way down...
04.12.2021
Episode 40 - Acute Mesenteric Ischemia
Whether due to occlusive or nonocclusive obstruction of the arterial inflow or obstruction of venous outflow, acute mesenteric ischemia (AMI) continues to be associated with high mortality rate. Early recognition based on a high index of suspicion is critical to...
04.01.2021
Episode 39 - Necrotizing Soft Tissue Infections (NSTIs)
Rare. Morbid. Lethal. NSTIs area group of infections which result in aggressive tissue destruction, systemic toxicity, and can involve any layer of the soft tissue. The key to successful management (like so many disease processes) is having a high index...
02.12.2021
Episode 38 - Cricothyrotomy Considerations with Scott Weingart
Dr. Scott Weingart joins us on Rounds to discuss a topic that's of great interest to the both of us - surgical cricothyroidotomy. Tune in to hear how Scott's approach to performing a cric has evolved over time and why...
02.06.2021
Episode 37 - Basic Mechanical Ventilation III: The Role of PEEP & LVRs
What are the determinants of mean airway pressure? Is too much PEEP ever a bad thing? In this episode, we review determinants of oxygenation in mechanically ventilated patients and discuss the benefits and risks of high versus low PEEP strategies,...
02.02.2021
Episode 36 - ARDS Fundamentals I: Classification, Pathophysiology & Initial Vent Management
Back to the basics! In this episode we review the evolving criteria, etiologies, and pathophysiology of ARDS. A brief review of ventilator induced lung lung injury and initial vent setup provide the groundwork for future episodes exploring how to troubleshoot...
01.15.2021
Episode 35 - Sleep, Wellness, and the Acute Care Surgeon
Dr. Jamie Coleman from Denver Health joins us on Rounds to share her insights and knowledge surrounding wellness, sleep, and stress among surgeons and frontline workers. From healthy pre-call preparation and tips on healthy sleep hygiene to harnessing resilience and...
01.08.2021
Episode 34 - Bowel Obstruction & the Role of the Gastrografin Challenge
Dr. Martin Zielinski from the Mayo Clinic, Rochester, MN, joins us on Rounds to discuss best practices in the management of bowel obstruction. In this episode, we review common etiologies for bowel obstruction, discuss the role of imaging, as well...
12.26.2020
Episode 33 - Harbor-UCLA Anesthesia Grand Rounds "Resuscitative Thoracotomy (and some stuff on crics)"
In this follow-up episode to our discussion with Dr. Scott Weingart of EMCrit, we review the indications for performing a resuscitative thoracotomy, together with the potential application of a circulation first resuscitation strategy, and some intricacies regarding performing a surgical...
12.17.2020
Episode 32 - Blunt Cerebrovascular Injury (BCVI)
Dr. Walt Biffl from Scripps Memorial Hospital La Jolla joins us on Rounds to discuss the evolution of BCVI management from the early 1990s to present day. Topics discussed include screening criteria, the diagnostic approach and imaging modalities for accurately...
11.16.2020
Episode 31 - Who Should Manage Vascular Trauma?
Who should be primarily responsible for managing vascular injuries? Trauma surgery? Vascular surgery? BOTH?! In this episode, we join the teams from the highly successful Behind the Knife and Audible Bleeding Podcasts to discuss the importance of a collaborative approach...
10.30.2020
Episode 30 - Acute Kidney Injury in the SICU with kidney_boy Dr. Joel Topf
Dr. Joel Topf joins us on Rounds to discuss and review key concepts in the recognition and management of acute kidney injury (AKI) in the SICU. AKI is a common and morbid complication among hospitalized patients. Further, trauma and surgical...
10.10.2020
Episode 29 - Sepsis 2020: What Surgeons Need to Know
In recognition of Sepsis Awareness Month, Dr. Matt Martin joins us once again on Rounds to discuss state-of-the-art sepsis management in 2020. Also joining us on Rounds is Dr. Vanessa Ho from MetroHealth Medical Center in Cleveland, Ohio, who authored...
10.07.2020
Episode 28 - Extremity Compartment Syndrome
What are the 5 or 6 Ps? If you answered Pain, Pain, Pain, Pain, Pain, and Pain, you can go right ahead and skip this episode. Extremity compartment syndrome is an acute surgical emergency and requires a HIGH index of...
09.25.2020
Episode 27 - Season 2: Acute Care Surgery
Over the course of 30+ episodes, we'll be discussing fundamental surgical disease processes & conditions that may prove challenging to even the most seasoned acute care surgeon. Along the way, we'll be joined on Rounds by an incredible group of...
09.11.2020
Episode 26 - Season 1 Recap
So apparently not all of the listeners of the show are on Twitter?! In this brief recap of Season 1 (yes, Season 1 is done!) we pay thanks to all of our guest professors, provide you with an update of...
08.21.2020
Episode 25 - The Past, Present, and Future of REBOA
Dr. Megan Brenner joins us on Rounds to discuss the evolving role of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the management of trauma & acute care surgery patients with non-compressible torso hemorrhage. Advances in technology, evolving indications,...
08.20.2020
Episode 24 - Hemodynamically Unstable Pelvic Fractures
Dr. Clay Burlew from Denver Health joins us Rounds to discuss the management of trauma patients with hemodynamically unstable pelvic ring fractures. Topics covered during this episode include utility and technique of preperitoneal packing (PPP), evolution of the institutional multidisciplinary...
08.18.2020
Episode 23 - Surgical Cricothyroidotomy: How I Do It
Knife. Finger. Tube. Sounds simple enough. And you read correctly....a bougie is both unnecessary and superfluous! In this episode I share you some tricks of the trade for performing a cric successfully, together with post-surgical airway considerations including hemorrhage control...
07.31.2020
Episode 22 - UCLA Grand Rounds "Endpoints of Resuscitation: Where to Begin?"
In this episode we discuss endpoints of resuscitation with a focus on the pros and cons of both passive and dynamic hemodynamic measurements including arterial pressure waveform analysis, ultrasonography, and passive leg raising. Please visit www.traumaicurounds.com and check out the...
07.24.2020
Episode 21 - The Coagulation Cascade Simplified
Dr. Eric Simms joins us on Rounds to share with us his foolproof and fun way of remembering the dreaded coagulation cascade. Supplementing this podcast is a vidcast (https://www.traumaicurounds.ca/vidcasts) that provides us with a helpful visual explanation for understanding the...
07.13.2020
Episode 20 - Reducing Venous Thromboembolism in Trauma Patients
Dr. Eric Ley from Cedars-Sinai Medical Center joins us on Rounds to discuss the recently published Western Trauma Association's Critical Decisions Algorithm for reducing VTE in trauma patients. Early risk stratification, timing and initial dose of LMWH, weight-based dosing, and...
07.07.2020
Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury
Dr. Martin Schreiber, Division Head of Trauma, Critical Care, and Acute Care Surgery at Oregon Health and Science University (OHSU) joins us on Rounds to discuss the results of his recently accepted prospective RCT of prehospital TXA use in adult...
07.03.2020
Episode 18 - Rapid Rounds: The Rapid Shallow Breathing Index (RSBI)
In this Rapid Rounds, we provide a quick and closer look at the Yang & Tobin index as originally described in the 1991 NEJM paper. Support the show
06.29.2020
Episode 17 - Discontinuing Mechanical Ventilation
Determining whether or not your intubated and ventilated patient requires ongoing ventilatory support should not be overly complicated. In this episode we review the approach to determining if our mechanically ventilated patients can be safely extubated. In addition to discussing...
06.19.2020
Episode 16 - Abdominal Compartment Syndrome
Which of your patients are at risk for developing intraabdominal hypertension (IAH) and the abdominal compartment syndrome (ACS)? In this episode, we review the classification, pathophysiology, and widespread systemic effects of this potentially fatal and, often times preventable, surgical disease...
06.12.2020
Episode 15 - Emergency Preservation & Resuscitation for Cardiac Arrest from Trauma (EPR-CAT)
Dr. Sam Tisherman from the Shock Trauma Center joins us on Rounds to discuss his ongoing, cutting-edge research in EPR-CAT. Colloquially known as "suspended animation", EPR-CAT may provide trauma & acute care practitioners with the desperately needed time that's required...
06.05.2020
Episode 14 - Circulation First: Rethinking the ABC Sequence of Initial Trauma Care...& Much, Much More!!
Dr. Paula Ferrada joins us on Rounds this week to discuss several topics ranging from a circulation first approach in hemodynamically unstable trauma patients to the importance of inclusion, diversity, and equity in surgery & medicine. Clinical pearls, invaluable insight,...
05.29.2020
Episode 13 - Shock Talk II: Diagnosis & Initial Management
Time is tissue. Early recognition of shock with immediate institution of lifesaving therapies are critical to successful patient outcomes. Establishment of functional IV access together with augmentation of cardiac output through increased preload and appropriate use of vasoactive agents are...
05.22.2020
Episode 12 - Rapid Rounds: Tracheostomy Considerations during the COVID-19 Pandemic
To trach or not to trach? That is the question we're addressing in our first Rapid Rounds. One topic. Two to three questions. All in under 10 minutes. This week's rounds is informed by 2 recent articles in the trauma...
05.22.2020
Episode 11 - National Stop the Bleed Day & Tourniquet Use in 2020
Pressure. Packing. Tourniquet. In this episode, we provide a glimpse into the American College of Surgeons Stop the Bleed Program, from inception to present day. We also discuss the increasing use of tourniquets as an adjunct to hemorrhage control in...
05.15.2020
Episode 10 - Basic Mechanical Ventilation II: Modes
In this follow-up episode to Episode 3, we discuss and review the key factors (3 Ts) that define a mode of mechanical ventilation. In addition to the Targeted control variable (volume or pressure), the other key factors determining a mode...
05.08.2020
Episode 9 - The rEVOLUTION of ECMO
What are the indications for ECMO beyond ARDS and refractory cardiogenic shock? In which patients should we consider eCPR and is this the new standard of care for patients sustaining out-of-hospital cardiac arrest? Finally, how do I work towards safely...
05.01.2020
Episode 8 - Tracheostomies Demystified
Is there an ideal time to place a tracheostomy? What factors might influence my decision to proceed with an open versus percutaneous tracheostomy? In this episode, we discuss common perioperative considerations influencing our decision to proceed with tracheostomy in critically...
04.24.2020
Episode 7 - Shock Talk I: Pathophysiology & Classification
What is shock? A clear grasp of this concept is a MUST for any practitioner taking care of patients. Shock is many things. It is dynamic. It is elusive. It is lethal. A high index of suspicion is required to...

What's Trauma ICU Rounds about?

Download our free app to listen on your phone

Trauma ICU Rounds episodes:

Episode 55: AAST 2022 Hot Topics - From Sex Dimorphisms in Coagulation to TXA, TEG, Calcium and Beyond with Drs. Bryan A. Cotton, Neil Parry, Nori Bradley, Jordan Weinberg, Joshua Brown & Alyssa MacLe

Episode 54: Frailty, Geriatric Trauma & TBI with Dr. Bellal Jospeh

Episode 53: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part II

Season 3 Trailer

Episode 52: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part I

Episode 51 - Persistent Inflammation, Immunosuppression & Catabolism Syndrome (PICS) with Dr. Scott Brakenridge

Episode 50 - Whole Blood & Modern Hemostatic Resuscitation Strategies with Dr. Bryan A. Cotton

Episode 49 - TRAUMA with Dr. Ken Mattox: Part II

Episode 48 - TRAUMA with Dr. Ken Mattox: Part I

Episode 47 - Every Deep-Drawn Breath with Dr. Wes Ely

Episode 46 - Pelvic Binders for Hemodynamically Unstable Pelvic Ring Fractures

Episode 45 - Modern Insights into an Academic Career in Trauma & Acute Care Surgery with Dr. Carlos Brown

Episode 44 - Massive Upper GI Bleeds

Episode 43 - Penetrating Cardiac Injuries with Dr. Kenji Inaba

Episode 42 - Management of the Difficult Gallbladder

Episode 41 - Acute Colonic Pseudo-Obstruction (aka Ogilvie's Syndrome)

Episode 40 - Acute Mesenteric Ischemia

Episode 39 - Necrotizing Soft Tissue Infections (NSTIs)

Episode 38 - Cricothyrotomy Considerations with Scott Weingart

Episode 37 - Basic Mechanical Ventilation III: The Role of PEEP & LVRs

Episode 36 - ARDS Fundamentals I: Classification, Pathophysiology & Initial Vent Management

Episode 35 - Sleep, Wellness, and the Acute Care Surgeon

Episode 34 - Bowel Obstruction & the Role of the Gastrografin Challenge

Episode 33 - Harbor-UCLA Anesthesia Grand Rounds "Resuscitative Thoracotomy (and some stuff on crics)"

Episode 32 - Blunt Cerebrovascular Injury (BCVI)

Episode 31 - Who Should Manage Vascular Trauma?

Episode 30 - Acute Kidney Injury in the SICU with kidney_boy Dr. Joel Topf

Episode 29 - Sepsis 2020: What Surgeons Need to Know

Episode 28 - Extremity Compartment Syndrome

Episode 27 - Season 2: Acute Care Surgery

Episode 26 - Season 1 Recap

Episode 25 - The Past, Present, and Future of REBOA

Episode 24 - Hemodynamically Unstable Pelvic Fractures

Episode 23 - Surgical Cricothyroidotomy: How I Do It

Episode 22 - UCLA Grand Rounds "Endpoints of Resuscitation: Where to Begin?"

Episode 21 - The Coagulation Cascade Simplified

Episode 20 - Reducing Venous Thromboembolism in Trauma Patients

Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury

Episode 18 - Rapid Rounds: The Rapid Shallow Breathing Index (RSBI)

Episode 17 - Discontinuing Mechanical Ventilation

Episode 16 - Abdominal Compartment Syndrome

Episode 15 - Emergency Preservation & Resuscitation for Cardiac Arrest from Trauma (EPR-CAT)

Episode 14 - Circulation First: Rethinking the ABC Sequence of Initial Trauma Care...& Much, Much More!!

Episode 13 - Shock Talk II: Diagnosis & Initial Management

Episode 12 - Rapid Rounds: Tracheostomy Considerations during the COVID-19 Pandemic

Episode 11 - National Stop the Bleed Day & Tourniquet Use in 2020

Episode 10 - Basic Mechanical Ventilation II: Modes

Episode 9 - The rEVOLUTION of ECMO

Episode 8 - Tracheostomies Demystified

Episode 7 - Shock Talk I: Pathophysiology & Classification