Trauma ICU Rounds

About this podcast

Medical education podcast dedicated to providing high-quality, concise, and clinically relevant multimedia content spanning the spectrum of surgical critical care, emergency general & trauma surgery

Trauma ICU Rounds

Episodes

2021
Episode 38 - Cricothyrotomy Considerations with Scott Weingart
Dr. Scott Weingart joins us on Rounds to discuss a topic that's of great interest to the both of us - surgical cricothyroidotomy. Tune in to hear how Scott's approach to performing a cric has evolved over time and why "trauma surgeons are the worst people to learn crics from?!" From 3 strikes and your out to the use of bougies, this episode covers all things cric. Also check out Episode 23 of Rounds "Surgical Cricothyroidotomy: How I Do It". Even better go to: https://emcrit.org/emcrit/surgical-airway/ and review the FANTASTIC content that has been put together by Scott and his team at EMCrit.
February 12, 2021
39 min
Episode 37 - Basic Mechanical Ventilation III: The Role of PEEP & LVRs
What are the determinants of mean airway pressure? Is too much PEEP ever a bad thing? In this episode, we review determinants of oxygenation in mechanically ventilated patients and discuss the benefits and risks of high versus low PEEP strategies, as well as the utility of lung volume recruitment maneuvers. Check out our previous related episodes 1, 3, 6, 10, and 36.
February 6, 2021
17 min
Episode 36 - ARDS Fundamentals I: Classification, Pathophysiology & Initial Vent Management
Back to the basics! In this episode we review the evolving criteria, etiologies, and pathophysiology of ARDS. A brief review of ventilator induced lung lung injury and initial vent setup provide the groundwork for future episodes exploring how to troubleshoot the vent and therapies for ARDS that have been shown to improve oxygenation and mortality. Please check out Episodes
February 2, 2021
23 min
Episode 35 - Sleep, Wellness, and the Acute Care Surgeon
Dr. Jamie Coleman from Denver Health joins us on Rounds to share her insights and knowledge surrounding wellness, sleep, and stress among surgeons and frontline workers. From healthy pre-call preparation and tips on healthy sleep hygiene to harnessing resilience and measuring the burden of unacknowledged mental health disorders on health care professionals, this episode is a MUST listen for all of us who need to be reminded that sometimes, "It's okay not to be okay".
January 15, 2021
50 min
Episode 34 - Bowel Obstruction & the Role of the Gastrografin Challenge
Dr. Martin Zielinski from the Mayo Clinic, Rochester, MN, joins us on Rounds to discuss best practices in the management of bowel obstruction. In this episode, we review common etiologies for bowel obstruction, discuss the role of imaging, as well as the significance of clinical and radiographic findings on the likelihood of operative intervention. Dr. Zielinski also shares with us the Gastrografin swallow protocol that has been successfully developed and implemented at the Mayo Clinic in the management of patients with small bowel obstruction.
January 8, 2021
44 min
2020
Episode 33 - Harbor-UCLA Anesthesia Grand Rounds "Resuscitative Thoracotomy (and some stuff on crics)"
In this follow-up episode to our discussion with Dr. Scott Weingart of EMCrit, we review the indications for performing a resuscitative thoracotomy, together with the potential application of a circulation first resuscitation strategy, and some intricacies regarding performing a surgical cricothyroidotomy.
December 26, 2020
29 min
Episode 32 - Blunt Cerebrovascular Injury (BCVI)
Dr. Walt Biffl from Scripps Memorial Hospital La Jolla joins us on Rounds to discuss the evolution of BCVI management from the early 1990s to present day. Topics discussed include screening criteria, the diagnostic approach and imaging modalities for accurately identifying these injuries in our blunt polytrauma pateints. Grading criteria, antithrombotic therapies, and the use of endovascular stents round out this informative discussion with one of the world's leading experts on the topic. Check out the Show Notes at www.traumaicurounds.com Also, you can find the updated 2020 EAST BCVI PMG here: https://www.east.org/education/practice-management-guidelines/blunt-cerebrovascular-injury-evaluation-and-management-of
December 17, 2020
49 min
Episode 31 - Who Should Manage Vascular Trauma?
Who should be primarily responsible for managing vascular injuries? Trauma surgery? Vascular surgery? BOTH?! In this episode, we join the teams from the highly successful Behind the Knife and Audible Bleeding Podcasts to discuss the importance of a collaborative approach to the management of vascular trauma in an era marked by a decrease in general surgery resident experience with operative vascular trauma cases, together with an increase in the number of programs offering an integrated vascular surgery residency. Drs. Tanya Zakrison and Matt Martin (Team Trauma) debate Drs. Benjamin Starnes and Wesley Ohman (Team Vascular) on a topic that has brought about some "heated" exchanges on social media platforms such as Twitter.
November 16, 2020
41 min
Episode 30 - Acute Kidney Injury in the SICU with kidney_boy Dr. Joel Topf
Dr. Joel Topf joins us on Rounds to discuss and review key concepts in the recognition and management of acute kidney injury (AKI) in the SICU. AKI is a common and morbid complication among hospitalized patients. Further, trauma and surgical patients, in particular, are at an increased risk for AKI due to the myriad of pre-, intra-, and postrenal insults that commonly occur at the time of injury, during resuscitation, surgery,, as well as from iatrogenic insults including IV contrast, NSAIDs, antibiotics (aminoglycosides and the infamous Pip/Tazo/Vanco ice cream sandwich). From the use of a DDAVP clamp in patients with severe hyponatremia to the use of balanced solutions in critically ill patients, kidney_boy breaks it down for us as only a true salt whisperer can!
October 30, 2020
66 min
Episode 29 - Sepsis 2020: What Surgeons Need to Know
In recognition of Sepsis Awareness Month, Dr. Matt Martin joins us once again on Rounds to discuss state-of-the-art sepsis management in 2020. Also joining us on Rounds is Dr. Vanessa Ho from MetroHealth Medical Center in Cleveland, Ohio, who authored a recently published review paper in Surgical Infections earlier this year, "Sepsis 2019: What Surgeons Need to Know".
October 10, 2020
75 min
Episode 28 - Extremity Compartment Syndrome
What are the 5 or 6 Ps? If you answered Pain, Pain, Pain, Pain, Pain, and Pain, you can go right ahead and skip this episode. Extremity compartment syndrome is an acute surgical emergency and requires a HIGH index of suspicion in order to make the diagnosis. Therapy consists of fasciotomy. If left untreated, numerous complications and sequelae may develop including AKI and even death.
October 7, 2020
32 min
Episode 27 - Season 2: Acute Care Surgery
Over the course of 30+ episodes, we'll be discussing fundamental surgical disease processes & conditions that may prove challenging to even the most seasoned acute care surgeon. Along the way, we'll be joined on Rounds by an incredible group of guest professors who will share their experiences, expertise, and results of recent research investigations with us.
September 25, 2020
4 min
Episode 26 - Season 1 Recap
So apparently not all of the listeners of the show are on Twitter?! In this brief recap of Season 1 (yes, Season 1 is done!) we pay thanks to all of our guest professors, provide you with an update of where we are in terms of the Season 2 launch, and, as usual, invite you to engage with me, the show, and our social media account.
September 11, 2020
7 min
Episode 25 - The Past, Present, and Future of REBOA
Dr. Megan Brenner joins us on Rounds to discuss the evolving role of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the management of trauma & acute care surgery patients with non-compressible torso hemorrhage. Advances in technology, evolving indications, and controversies regarding the appropriate and safe deployment of REBOA are but a few of the topics covered in this episode.
August 21, 2020
45 min
Episode 24 - Hemodynamically Unstable Pelvic Fractures
Dr. Clay Burlew from Denver Health joins us Rounds to discuss the management of trauma patients with hemodynamically unstable pelvic ring fractures. Topics covered during this episode include utility and technique of preperitoneal packing (PPP), evolution of the institutional multidisciplinary pathway for the management of unstable pelvic fractures at Denver Health, and use of REBOA as an adjunct to hemorrhage control in patients with these potentially devastating injuries.
August 20, 2020
33 min
Episode 23 - Surgical Cricothyroidotomy: How I Do It
Knife. Finger. Tube. Sounds simple enough. And you read correctly....a bougie is both unnecessary and superfluous! In this episode I share you some tricks of the trade for performing a cric successfully, together with post-surgical airway considerations including hemorrhage control and the decision to convert to a formal tracheostomy.
August 18, 2020
29 min
Episode 22 - UCLA Grand Rounds "Endpoints of Resuscitation: Where to Begin?"
In this episode we discuss endpoints of resuscitation with a focus on the pros and cons of both passive and dynamic hemodynamic measurements including arterial pressure waveform analysis, ultrasonography, and passive leg raising. Please visit www.traumaicurounds.com and check out the Vidcast for this episode.
July 31, 2020
54 min
Episode 21 - The Coagulation Cascade Simplified
Dr. Eric Simms joins us on Rounds to share with us his foolproof and fun way of remembering the dreaded coagulation cascade. Supplementing this podcast is a vidcast (https://www.traumaicurounds.ca/vidcasts) that provides us with a helpful visual explanation for understanding the key factors, steps, and intricacies of the coagulation cascade.
July 24, 2020
54 min
Episode 20 - Reducing Venous Thromboembolism in Trauma Patients
Dr. Eric Ley from Cedars-Sinai Medical Center joins us on Rounds to discuss the recently published Western Trauma Association's Critical Decisions Algorithm for reducing VTE in trauma patients. Early risk stratification, timing and initial dose of LMWH, weight-based dosing, and surveillance screening are just a few of the key topics we discuss on this episode.
July 13, 2020
53 min
Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury
Dr. Martin Schreiber, Division Head of Trauma, Critical Care, and Acute Care Surgery at Oregon Health and Science University (OHSU) joins us on Rounds to discuss the results of his recently accepted prospective RCT of prehospital TXA use in adult patients with traumatic brain injury. In addition, we discuss the rise of hemostatic adjuncts, balanced resuscitation, and the potential challenges associated with publishing research in one of the top medical journals - JAMA.
July 7, 2020
37 min

Trauma ICU Rounds

About this podcast

Categories

About this podcast

Categories

Trauma ICU Rounds

Episodes

Episode 38 - Cricothyrotomy Considerations with Scott Weingart

Episode 37 - Basic Mechanical Ventilation III: The Role of PEEP & LVRs

Episode 36 - ARDS Fundamentals I: Classification, Pathophysiology & Initial Vent Management

Episode 35 - Sleep, Wellness, and the Acute Care Surgeon

Episode 34 - Bowel Obstruction & the Role of the Gastrografin Challenge

Episode 33 - Harbor-UCLA Anesthesia Grand Rounds "Resuscitative Thoracotomy (and some stuff on crics)"

Episode 32 - Blunt Cerebrovascular Injury (BCVI)

Episode 31 - Who Should Manage Vascular Trauma?

Episode 30 - Acute Kidney Injury in the SICU with kidney_boy Dr. Joel Topf

Episode 29 - Sepsis 2020: What Surgeons Need to Know

Episode 28 - Extremity Compartment Syndrome

Episode 27 - Season 2: Acute Care Surgery

Episode 26 - Season 1 Recap

Episode 25 - The Past, Present, and Future of REBOA

Episode 24 - Hemodynamically Unstable Pelvic Fractures

Episode 23 - Surgical Cricothyroidotomy: How I Do It

Episode 22 - UCLA Grand Rounds "Endpoints of Resuscitation: Where to Begin?"

Episode 21 - The Coagulation Cascade Simplified

Episode 20 - Reducing Venous Thromboembolism in Trauma Patients

Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury