Traumacast

Join us as Pam Bixby, Drs. Don Jenkins, Joseph Dubose and Eileen Bulger explain NTI, NTRR and CNTR – and how these organizations can take your research to the next level! The National Trauma Institute (NTI) is a nonprofit, national coordinating center for trauma-related research and a strong advocate for an increased federal investment in trauma research. Projects under NTI’s management have engaged more than 70 investigators across the U.S. and drawn nearly $90 million in federal and state funding since its start in 2006. NTI is the organizing force behind the Coalition for National Trauma Research (CNTR), which includes EAST, AAST, ACS-COT and WTA. Dr. Donald Jenkins is a founding board member of NTI and Principal Investigator on the National Trauma Research Repository (NTRR) project, a comprehensive web platform for sharing research data among trauma investigators. Dr. Joseph Dubose is the Principal Investigator on the Prospective Observational Vascular Injury Trial (PROOVIT), a study managed by NTI. Dr. Eileen Bulger is an NTI and CNTR board member and the Principal Investigator on the National Trauma Research Action Plan (NTRAP) project, managed by CNTR. NTRAP is a large-scale effort to establish a national research agenda that spans the continuum of care. The NTRR launched in 2018 and is now accepting clinical trials data.National Trauma InstituteCNTR - Coalition for National Trauma ResearchNTRR - National Trauma Registry Repository

In this special episode of Traumacast, we present the audio portion of our recent EAST Master Class Webinar.  We had a pro con debate of the utility of clotting factor concentrates in resuscitation and reversal of anticoagulation, with Matt Martin and Bellal Joseph arguing in favor of factor concentrates and Macky Neal and Babak Sarani in favor of plasma-based resuscitation.Click here to watch the webinar held on February 13, 2019.  This Traumacast and Webinar was sponsored by a grant from CSL Behring, makers of K-Centra.

The 32nd  EAST Annual Scientific Assembly took place January 15-19, 2019 in Austin, TX. The assembly boasted a wide array of educational, scientific, career development, and social programs. EAST Traumacast was there to cover it all and bring you highlights, interviews, and summaries from this great meeting. This Traumacast starts out with an interview with EAST President (2018), Dr. Andrew Bernard, then covers the highlights from the entire meeting, and closes with an interview with EAST President (2019), Dr. Elliott Haut. Those interviewed include  Drs. Bernard, Kuckelman, Ghneim, Isola, Ferrada, Callcut, Do, Scantling, and Haut.

Join us for an intimate conversation with Dr. Joe Sakran, EAST Injury Control and Violence Prevention Committee Chair as he updates us on the #ThisIsOurLane movement and Dr. Eileen Burger, Chair of the American College of Surgeons-Committee on Trauma, to preview the importance of the upcoming summit. Freedom with Responsibility: A Consensus Strategy for Preventing Injury, Death, and Disability from Firearm Violence.  JACS 2018

Is the era of damage control surgery over? Moderators Dr. Dave Morris and Dr. Carrie Valdez talk with Drs. John Harvin and John Holcomb about the role for DCS in the era of hemostatic resuscitation.  Perhaps it is time to shift our paradigm back to definitive surgery as the default plan now that that we are inducing less edema and coagulopathy with huge doses of crystalloid.Articles/Protocols referenced:The effect of damage control laparotomy on major abdominal comlications : A matched analysis. Am J Surg. 2018 Jul;216(1):56-59. doi: 10.1016/j.amjsurg.2017.10.044. Epub 2017 Nov 11.Decreasing the Use of Damage Control Laparotomy in Trauma: A Quality Improvement Project.J Am Coll Surg. 2017 Aug;225(2):200-209. doi: 10.1016/j.jamcollsurg.2017.04.010. Epub 2017 Apr 23.Direct Peritoneal Resuscitation Nursing Protocol

Dr. Ted Pappas, Professor and Chief of the Division of Advanced Oncologic and GI Surgery in the Department of Surgery at Duke Medicine and Vice Dean for Medical Affairs joins us for an overview of surgical emergencies due to peptic ulcer disease. Do you patch perforations and get out? When is an antiulcer procedure necessary?How do you manage the perforated giant duodenal ulcer? Do you leave a drain? Is a postoperative imaging study needed? When do you operate on a patient with a bleeding duodenal ulcer? We go over these questions and more. This is not a Traumacast you want to miss.

Join our panel of trauma surgeons to discuss @ThisIsOurLane, why surgeons are so enraged and what solutions are possible.  @carrievaldezmd @saranimd @scrubbedin #bloodyscrubs #ThisIsOurLane.Supplemental materials: ACP position statementNRA position statementNational Network of Hospital Based Violence Intervention ProgramsOct 2017 ACS Bulletin Views and opinions expressed in this Traumacast are those of the individuals and not EAST.

The Traumacast you've been waiting for! Join your moderators and Dr. Dan Holena as we dive into how to set up research projects and what the stats really mean. Plus Dan explains why you should watch The Blob and what exactly is a statophile?!

Authors Drs. Jason Sperry and Mark Yazer discuss the PAMPer trial — recently published in the New England Journal.  This important study adds randomized prospective evidence to the benefit of using blood products, and specifically plasma in the pre-hospital resuscitation of injured patients.  They discuss the overview of the trial and how it fits into the larger body of research into best resuscitation practices.Correction: In the original recording, Dr. Morris erroneously referred to Dr. Sperry as “assistant professor.”  Dr. Sperry is a full professor of surgery.  Apologies to Dr. Sperry for this mistake.

Acute mesenteric ischemia of all types is still associated with high mortality rates, despite advances in diagnostic modalities and supportive care, largely due to delay to initiate the appropriate therapy. Dr. Michael Sise joins us to discuss this relatively uncommon but challenging problem confronting the acute care surgeon. This is a comprehensive review you don’t want to miss.