In this traumacast, Dr. Howard Champion, EAST Founding Member and 1991 EAST President, and surgical simulation expert shares his experience and vision for simulation in surgery training.  Dr. Champion is a seasoned surgical educator, serving as Chief of Trauma at Washington Hospital Center for many years.  In 2001, he founded SimQuest, a leading simulation platform provider.  Dr. Champion not only discusses his views on the utility of simulation in competency based assessment, but also offers encouragement for those interested in a career in simulation-based surgical education.  Drs. Kevin Pei and Matt Martin serve as co-moderators.Supplemental MaterialsMinimizing Surgical Error by Incorporating Objective Assessment into Surgical EducationSimQuest Website

The 29th EAST Annual Scientific Assembly took place January 12-16, 2016 in San Antonio, Texas. The meeting once again had record attendance, and boasted a wide array of educational, scientific, career development, and social programs. And of course - dodgeball! The 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 the 29th EAST President,  Dr. Stan Kurek, then covers the highlights from the entire meeting, and closes with an interview with the 30th EAST President, Dr. Nicole Stassen.Supplemental MaterialsSummary and downloads from the 29th EAST Annual Scientific AssemblyMake your plans now for the 30th EAST Annual Scientific Assembly - January 10-14, 2017Video highlights and interviews from the 29th EAST Annual Scientific Assembly - See what it is all about!

One of the most well known and attended trauma conferences in the world is the Trauma, Critical Care, and Acute Care Surgery Conference, held annually in Las Vegas. Also known as the “Mattox Meeting”, this conference attracts a large and diverse group of attendees with an interest in trauma and emergency surgical care. For the 49th annual meeting we joined forces with the “Behind the Knife” podcast team to cover the conference and bring you interviews and discussions with the incredible group of expert faculty assembled by Dr. Mattox. We also had the opportunity to sit down and interview the Behind the Knife team about their experience and insights from starting a new surgical podcast that has become one of the top medical podcasts in the country. Interviewees include: The Behind the Knife team (Scott Steele, Jason Bingham, John McClellan), Kenneth Mattox, Ali Salim, Marty Schreiber, Kenji Inaba, Scott Steele, Mike Sise, and Raul Coimbra.Supplemental MaterialsBehind the Knife: www.behindtheknife.org/Trauma, Critical Care, and Acute Care Surgery Conference: www.trauma-criticalcare.com

In this EAST Traumacast, the state of Early Goal Directed Therapy is discussed with two dynamic speakers, Dr. Donald Yealy who is the lead author on the PROCESS trial , and Dr. Ruby Skinner who is a busy SICU director.  This and two other studies prompted changes in the Surviving Sepsis Campaign Guidelines.  Drs. Yealy and Skinner give insight into how early goal directed therapy has changed since the original studies and how the changes have impacted their patient care.  The discussion is moderated by Dr. Kevin Pei and Dr. Matt Martin.

Social media plays an increasingly important role in all aspects of personal and professional life, and can have profound impacts both positive and negative. Having a solid basic understanding of the mechanics and “rules of the game” is critical to successfully adopting and using social media. EAST as an organization has embraced social media, and for the 2016 Annual Scientific Assembly made a concerted effort to increase the social media presence of the meeting on Twitter. We were able to sit down with the core group of EAST Twitter users, aka the “EAST Twitterati”, and discuss how to get started on social media, practical tips and advice for optimizing the experience, key potential pitfalls to be aware of, and how the use of social media has impacted their personal lives and careers.Interviewees: Elliott Haut, Joe Sakran, Christian Jones, Paula Ferrada, Rob Winfield, Jason Smith, Brad Dennis, Alex Eastman, Jamie Coleman, and Tareq KheirbekSupplemental Materials:Twitter 101 tip sheet

In this episode, we have a lively discussion about the papers reviewed by Dr. Niels Martin in the February EAST literature review.  We were also very fortunate to have Dr. Bob Martindale, who was one of the lead authors for the 2016 ASPEN/SCCM ICU nutrition guidelines, join us to discuss the key issues of importance to Trauma/ICU providers.  We also discuss the effect of age of stored red blood cells with Dr. Martin Schreiber.  Also joining in this discussion were EAST members Dr. Kevin Schuster and Dr. Andrew Bernard.  The discussion is moderated by Dr. Dave Morris and Dr. Matt Martin.Supplemental Materials2016 ASPEN/SCCM ICU Nutrition Guidelines

In this podcast we discuss the process of professional peer review, and how this process can be used or mis-used for a variety of reasons. Our guest is Dr. Larry Huntoon, who has become a recognized national expert in the area of “sham peer review”, and who was written and lectured extensively about common themes in techniques and tactics that are used in these proceedings. He gives some great advice about recognizing, reacting to, and even preventing this type of adverse professional action for surgeons. This interview was done as a “Town Hall” session, and Dr. Huntoon takes questions from the attendees after the formal moderated interview. The discussion is moderated by Dr. Matthew Martin and Dr. Andrew Bernard. Supplemental Materials: Editorial: Tactics Characteristic of Sham Peer Review by Larry Huntoon, MD, PhD Recognizing the Tactics of Sham Peer Review: a 3-part video series presented by Dr. Larry Huntoon

In this podcast we discuss small bowel obstruction – a common problem that can be challenging to treat appropriately – with Dr. Martin Zielinski, Associate Professor of Surgery at Mayo Clinic in Rochester, MN.  Dr. Zielinski  discusses several aspects of small bowel obstruction: which patients need an operation?  Which will resolve with time?  How long should nonoperative management be attempted before taking a patient to surgery?  We also discuss how to utilize the Gastrografin® challenge into the clinical decision making process. The discussion is moderated by Dr. David Morris and Dr. Levi Procter.Supplemental Materials:CT image showing small bowel feces sign and article references

This podcast is from the second EAST Town Hall Debate session, where two panels of experts discuss and compare the Hartford Consensus Conference guidelines and the Emergency Tactical Casualty Care recommendations and program for improving outcomes from active shooter and other intentional mass casualty events. The debate is moderated by Dr. Andrew Bernard.Pro Hartford Consensus ConferenceAlexander Eastman, MDEric Campion, MDPro Tactical Emergency Casualty CareBabak Sarani, MDE. Reed Smith, MDGene Reilly, MDSupplemental MaterialsACS Bulletin with the Hartford Consensus III ReportTECC 2015 updated guidelinesTECC website

This podcast is the recording of the first inaugural EAST Town Hall Debate session, on the topic of treating patients with an “Antibiotics-only” approach for acute appendicitis versus the standard treatment of surgical appendectomy. This has become a particularly controversial topic recently following publication of the APPAC Trial in JAMA (link to article below). The program started with two teams in a standard debate format, followed by additional expert commentary from two invited guest speakers: Dr. Edward Livingston, Deputy Editor of JAMA and Dr. Elliott Haut, author of an invited commentary on the APPAC Trial. The debate was then opened up to questions and comments from any listener during the live session.The Foes:  EAST Emergency General Surgery Section (Pro Appendectomy) vs. EAST Online Education Section (Pro Antibiotics-only)Moderated by Dr. Levi ProcterSupplemental Materials:APPAC Trial - JAMA website. This page also contains links to multiple related commentaries, as well as a podcast interview with the study authors by Dr. Livingston.