In this episode of Trauma-ing, clinical pharmacist Alex Smithers joins us to break down antibiotic management for open fractures. We cover the go-to use of cefazolin, then dig into how antibiotic choices shift based on patient risk factors and the Gustilo-Anderson classification. A practical, case-based discussion for anyone involved in the early management of traumatic injuries.

For more FOAM trauma related content head to www.trauma-ing.com

In this episode, Dr. Jason Emsley joins us to tackle one of the most challenging areas of emergency care—pediatric trauma resuscitation. Are kids just small adults, or do they require a fundamentally different approach? We explore the key differences in anatomy, physiology, and clinical decision-making, while also discussing practical strategies for high-stakes pediatric trauma situations. Whether you’re a seasoned trauma provider or new to pediatrics, this episode will challenge assumptions and sharpen your resuscitation skills.

For more FOAM trauma related content head to www.trauma-ing.com

In this episode, Dr. Safraz Mohammed joins us to break down the critical aspects of spinal cord injury—from initial presentation in the emergency department to acute management strategies. We explore key decision points, common pitfalls, and evidence-informed practices that can improve outcomes. Whether you’re at the bedside or in training, this discussion offers practical insights for managing one of trauma’s most high-stakes scenarios.

For more trauma-focused content and resources, visit www.trauma-ing.com.

In this Trauma-Pharma segment, clinical pharmacist Alex Smithers joins us again to unpack the approach to seizure prophylaxis in traumatic brain injury (TBI). She covers who actually needs seizure prevention, why Keppra (levetiracetam) is commonly used, and how to get the dosing right. Practical, evidence-based, and focused — everything you need to sharpen your trauma care.

Check out www.trauma-ing.com for more FOAM trauma related content

Join us as Lynda Foster and Dr. Leeor Sommer share innovative approaches to geriatric trauma care they’ve implemented at their hospital. From enhanced triage protocols to optimized pain management, this episode is packed with insights you won’t want to miss!

For more trauma content, check out www.trauma-ing.com

The amazingly impressive Dr. Stephanie Smith is here to talk about preparing yourself and your team for a trauma patient. She explores the stress response and how to combat that. Drawing for her experiences as am emerg doc, military doc, former trauma nurse and competitive triathlete and adventure racer. Check out her other content on YouTube: https://youtube.com/@stephaniesmith3790?si=HEi3q3EeNFsJjMrU

For more FOAM trauma related content go to www.trauma-ing.com

In this episode we chat with Alex Smithers, trauma pharmacist, about the importance of calcium in trauma care.

For more FOAM trauma related content go to www.trauma-ing.com

James reads an awesome poem to Rob, and then they talk about permissive hypotension in trauma resuscitations. What is the ideal MAP or SBP in hemorrhagic shock? what about with a head injury? What if your patient old? What if you have no blood products?

For more FOAM trauma related content head to www.trauma-ing.com or subscribe to the podcast

Rob and James chat about the uselessness of a DRE in trauma resuscitation. They cover a recent systematic review on the test characteristics of the DRE and make a strong plea to providers to abandon this invasive, unnecessary test.

For more free open access trauma related content, subscribe to the podcast and/or head to www.trauma-ing.com

James and Rob cover a paper on DSI vs RSI in trauma patients. Essentially, does giving ketamine to dissociate patients for preoxygenation of 3 minutes prior to paralytic improve incidence of peri-intubation hypoxia and other adverse events.

Take home - ketamine in this population is typically hemodynamically neutral and maintains spontaneous breathing. Its use in trauma airway management can facilitate not only adequate preoxygenation, but also patient assessment, and other resuscitative measures before intubation.

For more FOAM trauma related content head to www.trauma-ing.com