In this EAST Traumacast, Dr. Firas Madbak interviews Dr. Ben Zarzaur and Dr. Alfredo Carbonell about these rare and challenging hernias. Join us for an in-depth discussion covering optimal timing, repair approaches and management priorities.

This Traumacast contains highlights from the recent Chest Wall Injury Summit held March 28-30, 2019.  If you have an interest in chest wall injury or chest wall stabilization surgery you will probably enjoy this episode.   Click here for more information about the Chest Wall Injury Society (CWIS).

Drs. Carrie Valdez and Dave Morris interview our colleague across the pond- Dr. Mansoor Khan! We review management of penetrating injuries to the upper abdomen, how the pancreas is like a crawfish and finish up with some thoughts on when to call for help.

At the 2019 annual meeting of the Society of Critical Care Medicine, the US military Joint Trauma System (JTS) held another session of the increasingly popular "Case Records of the Joint Trauma System". This is a planned series of presentations where an expert panel is presented with interesting and challenging battlefield trauma cases drawn from the Department of Defense Trauma Registry. This registry has captured data on all wounded patients treated at forward military medical treatment facilities during combat and post-combat operations in Iraq and Afghanistan. This program has been spearheaded by Colonel Jennifer Gurney, an Army trauma surgeon and the current Chief of Trauma Systems Development with the JTS. This challenging and entertaining session focused on critical care management issues and was co-moderated by Colonel Gurney and Colonel (ret) Lee Cancio. The expert panel consisted of: LTC Jeremy Pamplin, Lt Col Jeremy Cannon, COL (ret) John Oh, COL Kevin Chung, and COL Jay Johannigman.For any questions about this program, suggestions for future venues or cases, and to submit any cases or case material, please email Dr. Jen GurneyJoint Trauma System Website

Introducing our first Traumacast guest moderator, Aditi Kapil! Join Drs. Kapil and Valdez as they interview Dr. LJ Punch, a trauma surgeon who brought the Stop the BleedSM campaign into the highest risk neighborhoods of St. Louis.www.bleedingcontrol.orgStop the BleedSM St. Louis

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