Secondary Logo

Trauma Loupes Podcast

Research highlights and interviews from the Journal of Trauma and Acute Care Surgery.

Subscribe to this podcast using iTunes

Creator: Jo Fields
Duration: 10:55
Journal of Trauma and Acute Care Surgery February 2017, Volume 82, Issue 2;

The first is by Dr. Clay Burlew and colleagues from Denver Health/University of Colorado who review their 11 years’ experience with preperitoneal pelvic packing for patients arriving in shock from pelvic fracture bleeding. The ensuing paper is by Dr. Andrea Lubitz et al from Temple University who report the compelling results of a sheep model in which inhales nitric oxide was employed to attenuate right heart failure following emergent pneumonectomy complicated by hemorrhagic shock. Dr. James Byrne and associates from the Sunnybrook Health Sciences Center in Toronto investigated the relative effectiveness of low-molecular weight heparin versus imfractionated heparin in preventing pulmonary embolism following major trauma. Dr. Matt Kutcher and his colleagues at the University of Pittsburgh provide an enlightening perspective on the critical role of acute care surgeons in major academic medical centers.

Transcript

Creator: Jo Fields
Duration: 11:06
Journal of Trauma and Acute Care Surgery January 2017, Volume 82, Issue 1;

The lead article is Dr. Grace Rozycki’s Presidential Address entitled “A legacy of caring”. Dr. Rozycki provides a unique resource of fundamental concepts that summarize what the older generation; aka, the dinosaurs, would convey to the newer generation for their success in pursuing a fulfilling career. The ensuing paper is the Fitts Oration by Dr. Peggy Knudson who provides a comprehensive and compelling overview of the critical need to establish an enduring collaborative relationship between military and civilian trauma communities. Dr. Ronald Tesoriero and colleagues from the Cowley Shock Trauma Center in Baltimore undertook a retrospective review of patients with pelvic fractures who underwent angiography over ten years ending in 2012 to determine its current role in the acute management of life-threatening pelvic hemorrhage. In a related paper, Dr. Jeremy Juern and colleagues from the Medical College of Wisconsin performed a retrospective review to determine the role of CT contrast extravasation in predicting the need for angioembolization in patients with pelvic fractures. Dr. Christine Leeper et al from the Children’s Hospital at the University of Pittsburgh performed a prospective study of fibrinolysis phenotypes in children.

Transcript

Creator: Jo Fields
Duration: 8:13
Journal of Trauma and Acute Care Surgery December 2016, Volume 81, Issue 6;

The lead paper is by Dr. Junichi Inoue and colleagues from the Tokyo Medical University who analyze the Japan Trauma Data Bank to determine the impact of REBOA. The next paper is by Dr. Vicente Undurraga and colleagues from the PROPPR group. In this subgroup the authors selected patients requiring emergency laparotomy, defined as within 90 minutes of hospital arrival, with the hypothesis that this high risk group would be most likely to benefit from an initial 1:1:1 transfusion strategy. The next paper by Dr. Shibani Pati and colleagues from the University of California at San Francisco and colleagues from Portland and Houston, examine the type of plasma to deliver to attenuate the endotheliopathy of trauma. Finally, I believe another timely report is by Dr. James Byrne and associates from the University of Toronto who analyze the impact of EMS prehospital times on trauma center outcome.

Transcript

Creator: Jo Fields
Duration: 7:04
Journal of Trauma and Acute Care Surgery November 2016, Volume 81, Issue 5;

The issue begins with highlighting the National Academics of Sciences, Engineering, and Medicine (NASEM), formerly the National Academy of Sciences Institute of Medicine, report published in June 2016. This massive document is entitled “A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths.” Dr. James Feeney and colleagues from St. Francis Hospital in Hartford used their Trauma Quality Improvement Project (TQR) registry to determine the impact of preinjury warfarin versus direct oral anticoagulants (including thrombin and Xa inhibitors) on outcome following blunt intracranial hemorrhage. Dr. Stefano Siboni and colleagues from LA County/USC examined the National Trauma Data Bank from 2007 to 2012 to determine outcome following isolated blunt pancreatic injury. Dr. Michael Wandling and associates from Northwestern, Sunnybrook, and Johns Hopkins provide an interesting analysis of police versus ground EMS transport for penetrating trauma using the National Trauma Data Bank from 2010 to 2012.

Transcript

Creator: Jo Fields
Duration: 10:10
Journal of Trauma and Acute Care Surgery October 2016, Volume 81, Issue 4;

The lead article is by Dr. Bryan Morse with present or former colleagues at Grady Memorial Hospital who reviewed their experience with penetrating cardiac wounds over a 36 years period. Dr. Adrian Maung et al from the Yale School of Medicine analyzed the impact of new oral anticoagulation agents versus warfarin on postinjury mortality. Dr. Jonathan Meizoso and colleagues from the Ryder Trauma Center evaluated the time to operation on mortality for patients with GSWs arriving hypotensive (less than 110 mmHg). Dr. Morgan Schellenberg et al from Los Angeles County + University of Southern California Medical Center reviewed the evaluation of patients with pelvic GSWs. Check out the Injury Free Coalition for Kids supplement, representing their 20th annual meeting and, as usual, carefully edited by Dr. Joe Tepas.

Transcript

Creator: Jo Fields
Duration: 6:47
Journal of Trauma and Acute Care Surgery September 2016, Volume 81, Issue 3;

The lead paper is by Dr. Joe DuBose and the AAST AORTA Study Group who maintain a registry representing eight Level I Trauma Centers. Dr. Howard Champion and associates from Sim Quest and colleagues from the University of Texas in Houston evaluated the US Department of Transportation Fatality Analysis Reporting System (FARS) database from 1978-2013 to determine location and time of death. Dr. Eitan Heldenberg and colleagues from the Israeli Trauma Group interrogated the Israeli National Trauma Registry to determine the incidence and impact of vascular injury on outcome in terror-related explosions. Dr. Josh Brown and colleagues from the University of Pittsburgh evaluated the role of prehospital lactate for triage in their air medical system. In a related paper, Dr. Janie Baxter et al from the Royal Infirmary in Edinburgh performed a systematic review of lactate levels in the ED predicting outcome, and concluded they are useful.

Transcript

Creator: Jo Fields
Duration: 12:55
Journal of Trauma and Acute Care Surgery August 2016, Volume 81, Issue 2;

The lead article is by Dr. Naveen Sangji and colleagues from the Massachusetts General Hospital who propose an Emergency Surgery Acuity Score. Dr. Nakul Valsangkar et al from the Indiana University analyze the academic productivity of trauma/acute surgery faculty compared to general surgery and other specialty faculty. Dr. Martha Ingram and colleagues from Emory University evaluated the significance of hepatic or splenic blush on CT in children with blunt abdominal trauma. These conclusions are consistent with an accompanying paper by Dr. Stephen Fenton et al from the University of Utah who analyzed data from 20 participating centers in the Pediatric Emergency Care Applied Research Network. Dr. Sarah Sirajuddin and colleagues from the George Washington University evaluate the significance of platelet dysfunction identified in patients admitted with minor injury.

Transcript

Creator: Jo Fields
Duration: 8:01
Journal of Trauma and Acute Care Surgery July 2016, Volume 81, Issue 1;

Dr. Ernest Moore discusses a roundup of papers first showcased at this year’s Eastern Association for the Surgery of Trauma annual meeting and published in the July 2016 issue of the Journal. The lead paper appropriately, is the presidential address by Dr. Stanley Kurek. Dr. Kurek provides a timely reflection on the challenges trauma surgeons face in maintaining their resilience. This is followed by the Oriens Lecture delivered by Dr. J. Don Jenkins. Dr. Jenkins offers a cogent perspective on leadership, reviewing the spectrum of leadership styles. Dr. Benjamin Miller et al from Vanderbilt University conducted a retrospective analysis of the impact of administering prehospital packed red cells in their helicopter service. In a related paper, Dr. Mark Yazer and colleagues from the Alleghany General Hospital review their initial ten months experience with transfusing cold-stored uncrossmatched whole blood, i.e., low titer group O positive blood that was leukoreduced with a platelet-sparing filter. Dr. David Jeffcoach et al from the University of Tennessee presented a provocative study on the role of CPR in profound hemorrhagic shock. Dr. Christine Leeper and colleagues from the Children’s Hospital at the University of Pittsburgh performed an analysis of trauma-induced coagulopathy in a pediatric group, i.e. less than the age of 18.

Transcript

Creator: Jo Fields
Duration: 7:38
Journal of Trauma and Acute Care Surgery June 2016, Volume 80, Issue 6;

This issue is dedicated to a call to action for control of gun violence in the United States. In addition, this issue contains a comprehensive review by Dr. Peter Rhee and colleagues from the University of Arizona, which addresses science relevant to gunshot wounds including weapons, bullets, and their related ballistics

Transcript

Creator: Jo Fields
Duration: 6:24
Journal of Trauma and Acute Care Surgery May 2016, Volume 80, Issue 5;

The lead article is the presidential address by Dr. Richard Falcone from the Cincinnati Children’s Hospital. Dr. Falcone’s central theme was the critical role of teamwork and team communication in caring for the injured child. The ensuing paper is the keynote lecture by Dr. Joe Tepas from the University of Florida at Jacksonville. Dr. Tepas provides an informative overview of the past, present, and future of pediatric trauma surgery. The next paper is by Dr. Sheila Hanson and colleagues from multiple pediatric surgical programs who address the ongoing debate of the appropriate prophylaxis for venous thromboembolism in the pediatric trauma patient. In a related paper, Dr. Ioannis Liras and colleagues from the University of Texas in Houston evaluated age related hypercoagulability in their rapid TEG database of greater than 7000 trauma activations from 2010-2013. I will conclude by suggesting careful reading of the AAST multi-institutional of hemorrhage from severe pelvic fractures authored by Dr. Todd Constanti and AAST members.

Transcript

Creator: Jo Fields
Duration: 8:44
Journal of Trauma and Acute Care Surgery April 2016, Volume 80, Issue 4;

Welcome to the April issue of the Journal. The lead paper is by Dr. Junichi Inoue and colleagues from the Tokyo Medical University who analyze the Japan Trauma Data Bank to determine the impact of REBOA. REBOA has been used in Japan since 1990 and the national data bank was established in 2003. The next paper is by Dr. Vicente Undurraga and colleagues from the PROPPR group. In this subgroup the authors selected patients requiring emergency laparotomy, defined as within 90 minutes of hospital arrival, with the hypothesis that this high risk group would be most likely to benefit from an initial 1:1:1 transfusion strategy. The next paper by Dr. Shibani Pati and colleagues from the University of California at San Francisco and colleagues from Portland and Houston, examine the type of plasma to deliver to attenuate the endotheliopathy of trauma. Finally, I believe another timely report is by Dr. James Byrne and associates from the University of Toronto who analyze the impact of EMS prehospital times on trauma center outcome. The authors linked EMS data from the National EMS Information System to trauma centers using ACS TQIP by destination zip code.

Transcript

Creator: Jo Fields
Duration: 13:15
Journal of Trauma and Acute Care Surgery March 2016, Volume 80, Issue 3;

The lead paper is by Dr. Kenji Inaba and colleagues from the AAST who performed a multicenter review of temporary intravascular shunts in civilian trauma centers from 2005-2013. Next, we have Dr. Rachel Russo and colleagues from the Air Force conducted studies in a swine model of controlled hemorrhage that demonstrated the concept of partial REBOA inflation in Zone I for extending the golden hour. Joining Drs. Inaba and Russo, we have Dr. Jamie Coleman and associates from the trauma services at Indiana University describe a series of traumatic abdominal wall hernias from 2002-2014. Dr. Jamie Coleman and associates from the trauma services at Indiana University describe a series of traumatic abdominal wall hernias from 2002-2014. Finally, I would highlight the paper by Dr. Thomas Schroeppel et al from the Presley Trauma Center at the University of Tennessee. This was a review of penetrating wounds from 1996 to 2014 that involve the duodenal.

Transcript

Creator: Jo Fields
Duration: 14:15
Journal of Trauma and Acute Care Surgery February 2016, Volume 80, Issue 2;

The lead article is an AAST presentation by Dr. Fred Pieracci and colleagues from Denver Health/University of Colorado who report a prospective, controlled clinical study of rib fracture stabilization. Another timely AAST presentation was by Dr. Jennifer Hubbard et al from Fresno Community/University of California who report a retrospective review of the use of endotracheal tubes with subglottic secretion drainage. Dr. Daisy Chou and associates from Cedars-Sinai in Los Angeles analyze the impact of field intubation in patients with hemorrhagic shock. Finally, I would like to highlight the systematic review of REBOA in the management of hemorrhagic shock written by Dr. Jonathan Morrison from the Glasgow Royal Infirmary and colleagues from around the world.

Transcript

Creator: Jo Fields
Duration: 14:26
Journal of Trauma and Acute Care Surgery January 2016, Volume 80, Issue 1;

As you know, we begin the year with some of the AAST presentations. Dr. L.D. Britt presented the AAST Fitz Lecture entitled acute care surgery. Is it time for a victory lap? Dr. Tom Scalea’s presidential address touched on these topics nostalgically. Dr. Josh Brown and colleagues from the University of Pittsburgh detail their AAST presentation on the impact of geographic distribution of trauma centers and their relationship to injury-related mortality. Dr. Brandon Chapman et al at Denver Health/University of Colorado described a chest CT based scoring system of rib fractures that are associated with pneumonia, mechanical ventilation, and need for a tracheostomy. Dr. Geoffrey Dobson from the James Cook University in Queensland provides a comprehensive review of a new impressive resuscitative adjunct adenosine, lidocaine, and magnesium (ALM).

Transcript

Creator: Jo Fields
Duration: 8:34
Journal of Trauma and Acute Care Surgery December 2015, Volume 79, Issue 6;

The lead article is the Presidential Address of Dr. Chris Cocanour from the UC Davis Medical Center in Sacramento. The Earl Young Awardee was Hunter Moore from the University of Colorado Denver who, with his colleagues, has shown in a rodent model of severe hemorrhagic shock that plasma versus crystalloid resuscitation attenuates systemic hyperfibrinolysis. In the ensuing paper, Dr. Hasan Alam and his colleagues from the University of Michigan continue their innovative work with histone deacetylase inhibition by employing the selective inhibition of histone deacetylase 6 in rodent models of hemorrhagic shock. Dr. Alexis Moren and his colleagues from the PROMMT Study Group who employed their database of 1245 patients to identify massive transfusion based on rate of bleeding. Dr. Joseph Lopez and associates from the Baptist Medical Center at Wake Forest enlighten us with the implication of subcapsular hematomas in the management of blunt splenic trauma. Dr. Erik Olsen and colleagues from Scripps Mercy Hospital in San Diego who compared 5000 units of unfractionated heparin every eight hours to their standard enoxaparin 30 mg every 12 hours.

Transcript

Creator: Jo Fields
Duration: 7:39
Journal of Trauma and Acute Care Surgery November 2015, Volume 79, Issue 5;

In the wake of the American College of Surgeons Committee on Trauma suggesting patient outcome is the same for Level I and Level II trauma centers, I believe a timely message is report by Dr. Jan Jansen from the Aberdeen Royal Infirmary and colleagues throughout Scotland who describe their comprehensive geospatial analysis of greater than 80,000 trauma patients over a year. Dr. Samuel Ross and associates from the Carolinas Medical Center in Charlotte, provide insight into the impact of normal saline versus Ringer’s lactate on resuscitation endpoints for hemorrhagic shock. Another interesting resuscitation paper was by Dr. Martin Ponschab et al from the Trauma Research Center in Salzburg. Dr. Elizabeth Benjamin and colleagues from the LA County Medical Center, investigate the risk of deep organ space infection after emergent bowel resection and anastomosis. The second paper is by Dr. Daniel Yeh et al from the Massachusetts General Hospital who focus on the clinical implications of gangrenous cholecystitis.

Transcript

Creator: Jo Fields
Duration: 14:04
Journal of Trauma and Acute Care Surgery October 2015, Volume 79, Issue 4;
The lead paper presented at the AAST, is authored by Dr. Laura Moore from UT Houston along with colleagues from the Cowley Shock Trauma Center in Baltimore. In a related paper, presented at EAST, Dr. Sundeep Guliani et al from Virginia Commonwealth University demonstrated the reliability of ultrasound guided central aortic wire placement, thus, theoretically avoiding, the need for fluoroscopy for REBOA placement. Dr. David Notrica and colleagues from ATOMAC (which apparently is an abbreviation for Arizona-Texas-Oklahoma-Memphis-Arkansas Consortium), a group of ACS verified Level I pediatric trauma centers, reviewed the relevant literature with respective grading their recommendations for organ injuries ATOMAC proposed practice management guideline based on hemodynamic status rather than organ injury score formally employed in the American Pediatric Surgery Association guidelines that have been considered the standard for over two decades. Dr. Carl Wahlgren and Dr. Bjorn Kagsterman from the Karolinski Institute in Stockholm provide a review of pediatric vascular injuries managed in Sweden over the past 25 years.

Transcript

Creator: Jen Crebs
Duration: 6:07
Journal of Trauma and Acute Care Surgery September 2015, Volume 79, Issue 3;
Dr. Gene Moore presents highlights from the September 2015 issue. Selected articles include an AAST 2014 plenary paper by Dr. Ben Zarzaur et al, who conducted a prospective observational trial to determine risk of splenectomy after nonoperative management. In another recommended article, Dr. Sandy Arabian and Eastern Association for the Surgery of Trauma colleagues investigated interhospital variability and accuracy in data coding and scoring by registrars. Dr. Ting Li’s team at the University of Calgary analyzed the incidence of small bowel obstruction and incisional hernia following both laparotomy and nonoperative management. Dr. Hyun Jin Cho et al’s present a retrospective review of traumatic pulmonary pseudocysts treated at their South Korea hospital.
Creator: Jo Fields
Duration: 7:54
Journal of Trauma and Acute Care Surgery August 2015, Volume 79, Issue 2;

Dr. Moore’s highlights for the August 2015 issue include: an AAST presentation by Dr. Konstantinos Chouliaras and colleagues from the LA County/USC Medical Center who analyze the need for evaluation of mediastinal air following blunt trauma. Dr. Ashley Zander et al from the Scripps Mercy Center in San Diego illuminate on the limitations of risk assessment models to determine VTE prophylaxis following injury. Dr. Dave Wisner and colleagues from a multitude of well-known institutions provide a comprehensive overview of the current management of children with solid organ injuries following blunt trauma. Dr. Kenji Inaba and colleagues review their seven years’ experience of 87 patients who had tourniquets applied; 15% of these were prehospital, 39% in the ED, and 10% in the OR.

Transcript

Creator: Jo Fields
Duration: 9:26
Journal of Trauma and Acute Care Surgery July 2015, Volume 79, Issue 1;

Dr. Moore’s highlights for the July 2015 issue include: the lead article is the presidential address by Dr. Kimberly Davis from Yale who provides an insightful overview of decision-making applied to our discipline of trauma and acute care surgery. Dr. Rebecca Schroll and the colleagues from EAST review a multi-institutional experience with prehospital use of tourniquets from 2010 to 2013. Dr. Diane Schwartz et al from the Brigham and Women’s Hospital in Boston provide compelling support for performing laparoscopic cholecystectomy within 24 hours of admission. Dr. Chethan Sathya and colleagues from the Sunnybrook Research Institute in Toronto review the challenges in assessing the quality of care provided by trauma centers caring for injured children. Dr. Marie Crandall and her EAST colleagues suggest the areas that warrant concentrated efforts include 1) car engineering advances, 2) behavioral interventions, and 3) risk screening.

Transcript

Creator: Jennifer Crebs
Duration: 11:26
Journal of Trauma and Acute Care Surgery June 2015, Volume 78, Issue 6;

Dr. Gene Moore presents recommended reading from the June 2015 issue of The Journal of Trauma, which features first papers from last year’s inaugural meeting of the Pediatric Trauma Society. Meeting highlights include the historic presidential address by Dr. Barbara Gaines, who delves into the history of the society against the backdrop of pediatric trauma systems development. On a related note, an AAST plenary paper by Dr. Robert Winchell and colleagues from the ACS Committee reassesses the effects of COT consultation on regional trauma system development. Featured research papers include Dr. Margaret Lauerman et al’s study of Grade 4 blunt cerebrovascular injuries and Dr. Paul Chestovich et al’s experience with laparoscopy for penetrating abdominal wounds. On the statistical side, Dr. Angela Sauaia highlights Dr. Lynne Moore et al’s model for evaluating the quality of trauma care as a point of departure for discussing the use of MICE for missing data.

Transcript

Creator: Jo Fields
Duration: 10:10
Journal of Trauma and Acute Care Surgery May 2015, Volume 78, Issue 5;

Dr. Gene Moore’s highlights for the May 2015 issue include the lead article by Dr. Nobuyuki Saito and colleagues from the Nippon Medical Center Chiba Hokuso Hospital, Inzai, Japan who evaluated their complications of REBOA. An AAST paper by Dr. John Harvin and colleagues from the Memorial Hermann Hospital in Houston who evaluate the impact of TXA on mortality in their patients with hyperfibrinolysis documented by TEG. Another timely issue is addressed by Dr. Diane Hale and associates from the University of San Antonio who assess whether clinical findings can be used to exclude unstable cervical spine injuries in children less than six years of age. The final paper is by Dr. Annika Blaser from Lucerne, Switzerland along with colleagues from Estonia, Sweden, and Australia. This team provides a comprehensive review of abdominal compliance and its implications in the development of intra-abdominal hypertension and compromised laparoscopic workspace.

Transcript

Creator: Jo Fields
Duration: 16:45
Journal of Trauma and Acute Care Surgery April 2015, Volume 78, Issue 4;

Dr. Gene Moore’s highlights for the April 2015 issue include: The lead articles are the AAST Presidential Address entitled “Responsibility” by Dr. Bill Cioffi and the Fitts Lecture “Genomics of Injury: The Glue Grant Experience” by Dr. Ron Tompkins. Dr. Marty Schreiber and colleagues of the Resuscitation Outcome Consortium who completed a randomized trial comparing prehospital limited crystalloid versus standard crystalloid resuscitation. Dr. Tatsuyo Norii and colleagues who examine the impact of resuscitation endovascular balloon occlusion of the aorta on survival following blunt trauma using the Japanese Trauma Data Bank from 2004-2011. Dr. Peter Rhee and colleagues from the University of Arizona and the University of Southern California who review their experience with transfusion of auto transfused whole blood from hemothoraces, The final paper to highlight is authored by Dr. Ben Howard and colleagues from the San Francisco General who fundamentally demonstrate that patients with isolated hypoxemia (Pa02/Fi02 < 300) are different from those who are hypoxemia and meet Berlin criteria for ARDS, that is, bilateral pulmonary opacities on chest x-ray collected with chest tubes and anticoagulated with CPD.

Transcript

Creator: Jo Fields
Duration: 11:55
Journal of Trauma and Acute Care Surgery March 2015, Volume 78, Issue 3;

Dr. Gene Moore’s highlights for the March 2015 issue include: The first paper by Dr. John Sharpe et al from the University of Tennessee Memphis is based on their long-term interest in ventilator-associated pneumonia. The next paper, also an AAST presentation, is by Dr. Laura Godat and colleagues from the University of California at San Diego who queried the California Statewide Hospital Discharge Database to determine the time course of VTE in high-risk trauma patients. In a related paper, Dr. Casey Allen and associates from the University of Miami review their experience with major venous injuries following penetrating trauma, 74% of these were gunshot wounds, to determine the relative risk of pulmonary embolus with repair versus ligation. The final paper that generated considerable interest was a large animal study by Dr. Mohamad Tiba and colleagues from the University of Michigan who introduced a modified pelvic binder for hemostasis.

Transcript

Creator: Jo Fields
Duration: 15:34
Journal of Trauma and Acute Care Surgery February 2015, Volume 78, Issue 2;

Dr. Gene Moore’s highlights for the February 2015 issue include: The paper that generated most discussion was the EAST guideline developed for cervical spine collar clearance in the obtunded adult blunt trauma patient, authored by Dr. Mayur Patel and a host of EAST participants. Dr. Stephanie Savage and colleagues from the University of Tennessee in Memphis who presented a prospective validation of their critical administration threshold (CAT). The third most discussed paper, gratifyingly to the editorial office, was experimental work. Dr. Stephen Davies et al from the University of Virginia designed a swine model of combined lung and brain injury to determine if airway pressure release ventilation, (APRV) improved outcome compared to the standard ARDS Net practice. Dr. Daniel McIlroy and colleagues from the John Hunter Hospital in Newcastle, New South Wales, Australia who characterize the release of mitochondrial and nuclear DNA release in 35 seriously injured patients (median ISS of 14) who required operative skeletal fixation. The preceding paper in the Journal by Dr. Haipeng Li and colleagues from the Beth Israel Deaconess Medical Center provide experimental evidence that mitochondrial DNA from fractures suppress pulmonary immune responses.

Transcript

Creator: Jo Fields
Duration: 12:04
Journal of Trauma and Acute Care Surgery 

Dr. Gene Moore’s highlights for the January 2015 issue include: Master Surgeon’s Lecture by Dr. Andy Peitzman from the University of Pittsburgh; report by Dr. Tyler Loftus and colleagues from the University of Florida addressing another common challenge for acute care surgeons; review of a common dilemma for acute care surgeons – risk of recurrence following hospitalization for acute diverticulitis by Dr. Vanessa Ho and colleagues from Jamaica, Sloan Kettering, and Cornell Medical Centers in New York; report by Dr. Brent Pottenger et al from Johns Hopkins and UC Davis; and a potentially useful technique for damage control of severe lung injuries suggested by Dr. Alberto Garcia and colleagues from Cali, Columbia.

Transcript

Creator: Jo Fields
Duration: 15:22
Journal of Trauma and Acute Care Surgery December 2014, Volume 77, Issue 6;

Dr. Gene Moore’s highlights for the December 2014 issue include: presidential address by Dr. Dave Livingston; paper by Dr. Hunter Moore and colleagues from Denver Health/University of Colorado; Dr. Lucy Kornblith et al from the San Francisco General who studied the hemostatic capacity of reconstituted whole blood variants; Dr. Sherene Shalhub and WTA colleagues’ review of abdominal aortic injuries; and Dr. Riyad Karmy-Jones with colleagues from WTA with their decision making algorithm for penetrating chest trauma.

Transcript

Creator: Jo Fields
Duration: 7:13
Journal of Trauma and Acute Care Surgery November 2014, Volume 77, Issue 5;

Dr. Gene Moore’s highlights for the November 2014 issue include: Dr. Bob Mackersie’s Presidential Address; Dr. Jim O’Conner et al from the Cowley Shock Trauma Center reviewing their experience with damage control thoracic surgery; Dr. Ben Zarzaur and colleagues from the University of Tennessee in Memphis addressing the ongoing debate of the role of angioembolization in the management of high grade splenic injuries; Dr. Nis Windelore et al from Copenhagen University and adding their part to the complex puzzle of trauma induced coagulopathy by implicating low levels of platelet-derived microparticles; Dr. Regan Berg and colleagues from USC/LA County and their review of gunshot wounds; and Drs. Howard Corwin and Lena Napolitano discussing their knowledge of erythropoietin stimulating agents in reducing red cell transfusion based on current literature.

Transcript

Creator: Jo Fields
Duration: 13:01
Journal of Trauma and Acute Care Surgery October 2014, Volume 77, Issue 4;

Dr. Gene Moore’s highlights for the October 2014 issue include: Dr. Wayne Lee and colleagues from the University of California San Francisco at East Bay providing an interesting cost analysis, Dr. Nicholas Caputo and associates from the Lincoln Health Center in the Bronx who undertook a systematic literature review to address the same question; Dr. Clay Burlew and colleagues from Denver Health/University of Colorado with a study objective to define the yield of repeat CTA at 7-10 days for blunt carotid and vertebral injuries; Dr. Paul Stahler et al from Hennepin County with an important reminder for us all: the 2006 Uniform Anatomic Gift Act; and finally, Dr. Andrea Hill and colleagues from the Sunnybrook Health Center in Toronto with an analysis of age-related trends in severe injury.

Transcript

Creator: Jo Fields
Duration: 17:04
Journal of Trauma and Acute Care Surgery September 2014, Volume 77, Issue 3;

Dr. Gene Moore’s highlights for the September 2014 issue include: Dr. Lauren Rodriquez and colleagues from the University of Michigan addressing the ongoing debate of appropriate prophylactic antibiotics for open fractures; Dr. Bellal Joseph et al from the University of Arizona who address the question of platelet administration in patients with TBI; the group from the Alfred Hospital in Melbourne and their analysis of 60 consecutive patients who underwent operative rib fixation for a flail chest; and Dr. Matthew Moorman et al from the Cleveland Clinic who update their recommendations for the management of bleeding in patients taking preinjury oral thrombin inhibitors or factor X a inhibitors.

Transcript

Creator: Jo Fields
Duration: 13:25
Journal of Trauma and Acute Care Surgery August 2014, Volume 77, Issue 2;

Dr. Gene Moore’s highlights for the August 2014 issue include Dr. Stephen Gale and colleagues from East Texas Medical Center in Tyler regarding public health burden of adult emergency general surgery; Dr. James Davis and associates from Jackson Memorial Hospital in Miami and the study objective to identify potentially survivable prehospital deaths in a large urban setting; Procedure and Technique review of laparoscopy for emergency procedures by Dr. Salomone DI Saverio from Bologna, Italy; and last is a review by Dr. Kelly Vogt and Dr. Heidi Frankel from the LA County/USC discussing the management of the inter-related issues of pain, sedation, and mobility in the surgical intensive care unit.

Transcript

Creator: Jennifer Crebs
Duration: 8:49
Journal of Trauma and Acute Care Surgery July 2014, Volume 77, Issue 1;

Dr. Gene Moore’s presents summer reading picks, selected from papers first showcased at this year’s Eastern Association for the Surgery of Trauma annual meeting and published in the July 2014 issue of The Journal of Trauma. Meeting highlights include the presidential address by Dr. Scott Sagraves and the Oriens lecture by Dr. Grace Rozycki. Research papers include Dr. Taghavi et al’s swine model of permissive hypoventilation, Dr. Hampton et al’s cryopreserved RBC study, Dr. Yanna Cao’s team work on never-frozen liquid plasma, and Dr. Ashley Walther and colleagues’ analysis of pediatric trauma outcomes.

Transcript

Creator: Jo Fields
Duration: 14:05
Journal of Trauma and Acute Care Surgery June 2014, Volume 76, Issue 6;
Dr. Gene Moore and Dr. Angela Sauaia present highlights from the June 2014 issue of The Journal of Trauma.  Highlighted articles include: AAST master surgeon Dr. Rao Ivatury from the Virginia Commonwealth University with the lead article - overview of postinjury compartment syndromes; Dr. Evan Valle and colleagues from the University of Miami with their attempt to determine the impact of early tranexamic acid administration; Dr. Leeper and associates from the University of Western Ontario adding more evidence to support early screening and pre-emptive selective angioembolization for high-grade splenic injuries; Dr. Nikolay Bugaev and colleagues from Tufts Medical Center in Boston exploring influence of hepatic cirrhosis on the ability to manage splenic injuries nonoperatively; and last Dr. Jeffrey Keenan and associates from Duke University who employed the ACS National Surgical Quality Program to ascertain the impact of delayed operative intervention for small bowel obstruction.

Transcript

Creator: Jo Fields
Duration: 13:10
Journal of Trauma and Acute Care Surgery May 2014, Volume 76, Issue 5;
Dr. Gene Moore and Dr. Angela Sauaia present highlights from the May 2014 issue of The Journal of Trauma. Highlighted articles include: Dr. Frank Castellino and collaborators of Notre Dame and the University of Colorado; Dr. Ajai Malhotra and colleagues from Virginia Commonwealth University; Dr. Christoph Schlimp, et al from Universities of Vienna and Salzburg in Austria; Dr. Kyle Remick and colleagues from the University of Pennsylvania; and Dr. Jan-Michael Van Gent and the team from Scripps Memorial Hospital in San Diego.

Transcript

Creator: Jo Fields
Duration: 13:18
Journal of Trauma and Acute Care Surgery April 2014, Volume 76, Issue 4;
Dr. Gene Moore and Dr. Angela Sauaia present highlights from the April 2014 issue of The Journal of Trauma. Highlighted articles include: Dr. Austin Porter from Arkansas Department of Health and colleagues from the University of Arkansas describing benefits of statewide trauma call systems; Robert Sise, a medical student at UCSF, in collaboration with surgeons at Scripps Mercy in San Diego and the Stanford University defining the epidemiology of trauma related mortality in the US; Dr. Carole Villamaria in collaboration with the University of Michigan and military regarding developing the endovascular skills for trauma and resuscitative surgery course (ESTARS); and finally Dr. Mark Maxfield and colleagues from Yale regarding the failure of nonoperative management of perforated appendicitis from 2004-2011.

Transcript

Creator: Jo Fields
Duration: 10:59
Journal of Trauma and Acute Care Surgery March 2014, Volume 76, Issue 3;

Dr. Gene Moore and Dr. Angela Sauaia present highlights from the March 2014 issue of The Journal of Trauma. Highlighted articles include Dr. Sirat Khan and colleagues from Queen Mary University of London; Dr. Rashna Ginwall et al from the University of Arizona; Dr. Joe Tepas and colleagues from the University of Florida in Jacksonville; and our own Dr. Angela Sauaia and her colleagues from Denver Health at the University of Colorado Denver.

Transcript

Creator: Jo Fields
Duration: 10:32
Journal of Trauma and Acute Care Surgery February 2014, Volume 76, Issue 2;

Dr. Ernest “Gene” Moore and Dr. Angela Sauaia present highlights from the February 2014 issue of The Journal of Trauma. Highlighted articles include Dr. Lucy Kornblith and colleagues from San Francisco General, Dr. Joseph Posluszny and colleagues, Dr. Steve Shackford and colleagues from the Western Trauma Association, and Dr. Verbeek et al from Amsterdam.

Transcript

Creator: Jennifer Crebs
Duration: 13:28
Journal of Trauma and Acute Care Surgery January 2014, Volume 76, Issue 1;

Dr. Ernest “Gene” Moore and Dr. Angela Sauaia present highlights from the January 2014 issue of The Journal of Trauma. Highlighted articles include a selection of studies first presented at last September’s annual meeting of the American Association for the Surgery of Trauma in San Francisco, California.

Transcript

Creator: Jo Fields
Duration: 14:38
Journal of Trauma and Acute Care Surgery December 2013, Volume 75, Issue 6;

Dr. Ernest “Gene” Moore present highlights from the December 2013 issue of The Journal of Trauma. Highlights include articles by: Dr. Mark Metzdorff reflecting on the critical role of evidence-based medicine in the wake of health care; Dr. Jason Sperry addressing penetrating neck trauma and Dr. Walt Biffl reviews the current management of pancreatic injuries. Dr. Sean McCully and colleagues on the topic of managing coagulopathy and Dr. Michael Chapman on determining the appropriate TEG threshold value to treat fibrinolysis with TXA. Dr. Nima Azarakhsf’s analysis to determine the incidence of blunt cerebrovascular injuries in children. Lastly, check out the study by Dr. Van Haren and colleagues from Florida.

Transcript

Creator: Jo Fields
Duration: 11:08
Journal of Trauma and Acute Care Surgery November 2013, Volume 75, Issue 5;

Dr. Ernest “Gene” Moore present highlights from the October 2013 issue of The Journal of Trauma. Highlights include articles by: Dr. Luciana Torres and colleagues, Dr. Jordan Weinberg and associates, Dr. Edwin Takahashi, Dr. Duilio Divisi, Dr. Evan Glazer and colleagues, and Dr. Phil Stahel and colleagues.

Transcript

Creator: Jo Fields
Duration: 11:31
Journal of Trauma and Acute Care Surgery July 2013, Volume 75, Issue 1;

Dr. Ernest “Gene” Moore and Dr. Angela Sauaia present highlights from the July 2013 issue of The Journal of Trauma. Highlights include Scott B. Frame Memorial Lecture, an article on pneumatosis intestinalis radiographically, an ongoing debate regarding pre-emptive splenic artery angioembolization, and a paper on firearm injuries.

Transcript

Creator: Jo Fields
Duration: 14:58
Journal of Trauma and Acute Care Surgery 
Dr. Ernest “Gene” Moore and Dr. Angela Sauaia present highlights from the May 2013 issue of The Journal of Trauma. Highlights include stapled versus hand-sewn anastomoses, methods of resuscitation, and a special look at principle components analysis.

Transcript
Creator: Jennifer Crebs
Duration: 11:17
Journal of Trauma and Acute Care Surgery January 2013, Volume 74, Issue 1;
Dr. Ernest “Gene” Moore and Dr. Angela Sauaia present highlights from the January 2013 issue of The Journal of Trauma. Highlighted articles include a selection of lectures and studies first presented at last September’s annual meeting of the American Association for the Surgery of Trauma in Kauai, Hawaii.

Transcript
Creator: Jennifer Crebs
Duration: 7:36
Journal of Trauma and Acute Care Surgery 
Dr. Ernest “Gene” Moore presents highlights from the November 2012 issue of The Journal of Trauma. Featured articles include a prospective cohort study of gallbladder surgeries, a review of dabigatran-induced anticoagulation, and a current opinion article regarding emergency field thoracotomy.
Creator: Jennifer Crebs
Duration: 6:00
Journal of Trauma and Acute Care Surgery October 2012, Volume 73, Issue 4;
Dr. Ernest “Gene” Moore presents highlights from the October 2012 issue of The Journal of Trauma. Featured articles include an investigation of C. difficile-associated disease, a review of the immune response to surgery, and the management of hemorrhage from graft failure in a military context.
Creator: Jennifer Crebs
Duration: 10:39
Journal of Trauma and Acute Care Surgery 
Before heading off to the AAST meeting in Hawaii, Journal editor Dr. Gene Moore presents highlights from the September 2012 issue of The Journal of Trauma. Dr. Angela Sauaia comments on two articles and emphasizes the need for statistical power in presenting results from negative studies.
Creator: Jennifer Crebs
Duration: 8:38
Journal of Trauma and Acute Care Surgery August 2012, Volume 73, Issue 2;
Dr. Ernest “Gene” Moore, editor-in-chief, presents highlights from the August 2012 issue of The Journal of Trauma. The issue contains papers presented at the 25th annual meeting of the Eastern Association for the Surgery of Trauma. Dr. Moore also discusses selected papers from this month’s Advances in Combat Casualty Care supplement.
Duration: 10:12
Journal of Trauma and Acute Care Surgery July 2012, Volume 73, Issue 1;
Dr. Ernest “Gene” Moore, editor-in-chief, presents highlights from the July 2012 issue of The Journal of Trauma. Dr. Angela Sauaia, biostatistician, discusses the role of the role of univariate and multivariate analyses.
Creator: Jennifer Crebs
Duration: 10:12
Journal of Trauma and Acute Care Surgery June 2012, Volume 72, Issue 6;
Dr. Ernest “Gene” Moore, editor-in-chief, discusses highlights from the June 2012 issue of The Journal of Trauma. Dr. Angela Sauaia, biostatistician, provides detail on the Journal’s new levels of evidence framework.
Show: