Explorez tous les épisodes du podcast Trauma ICU Rounds
| Titre | Date | Durée | |
|---|---|---|---|
| Shock: A Physiology-First Approach | Visual Rounds | 28 Sep 2026 | 00:13:42 | |
This is a Visual Rounds episode — a more foundational crossover from the YouTube side of Trauma ICU Rounds. Shock is not simply hypotension. In this episode, we work through a physiology-first approach to shock: oxygen delivery, cardiac output, arterial oxygen content, MAP versus perfusion, compensated shock, mixed shock, and the four major shock states — hypovolemic, cardiogenic, obstructive, and distributive. The goal is to move beyond simply naming a shock category and instead understand what part of the circulation is failing, what physiology is dominant, and how that should shape the first moves in resuscitation. Topics include:
This episode is intentionally foundational and provides the framework for deeper Trauma ICU Rounds episodes on individual shock states and resuscitation. If you find this kind of physiology-first critical care teaching useful, subscribe to Trauma ICU Rounds on YouTube for the full Visual Rounds series. More resources: traumaicurounds.ca Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| State of the Rounds | 08 Sep 2026 | 00:07:05 | |
After four years away, Trauma ICU Rounds is back. In this short relaunch episode, I reflect on the journey from California back to Canada, how my clinical and leadership roles have evolved, and why now is the right time to return to the podcast. We also share what comes next: clear, practical, evidence-informed conversations in trauma, critical care and resuscitation—designed to make complex topics easier to understand and apply at the bedside. Welcome back to Rounds. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Whole Blood in Trauma Resuscitation: What Did TOWAR and SWiFT Change? | 08 Sep 2026 | 00:18:55 | |
Whole blood has made a remarkable comeback in trauma resuscitation. Physiologically, the rationale is compelling, and observational studies have suggested improved survival. But the recent randomized TOWAR and SWiFT trials have challenged the assumption that whole blood is clearly superior to component therapy. In this episode of Trauma ICU Rounds, we review the rationale for low-titer group O whole blood (LTOWB), the major observational data supporting its use, what TOWAR and SWiFT actually showed, and how these findings should influence contemporary damage-control resuscitation. Topics include:
The central question: whole blood clearly works as a resuscitation product—but is it actually better than excellent component therapy? Full notes, graphics and references: traumaicurounds.ca Follow @traumaicurounds on Instagram and TikTok, and subscribe on YouTube for new trauma and critical care teaching. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 54: Frailty, Geriatric Trauma & TBI with Dr. Bellal Jospeh | 20 Sep 2022 | 00:47:33 | |
In this episode we sit down with the Chief of Trauma, Surgical Critical Care, Burns, & Acute Care Surgery at the University of Arizona, Dr. Bellal Joseph, who share with us his thoughts and research findings on hot topics including frailty, geriatric trauma, leadership, and more. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 53: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part II | 12 Sep 2022 | 00:34:18 | |
In this episode, we talk all things critical care the one and only, Dr. Jean-Louis Vincent aka. JLV. This episode is a MUST listen. We touch upon the evolution of early goal directed therapy, measures of fluid responsiveness, optimizing oxygen delivery, and the importance of integrating data points versus examining them in isolation when caring for our critically ill and injured patients. This and MUCH MUCH more in arguably one of my favorite episodes to date!! 00:00 Introduction Resources: Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 52: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part I | 06 Sep 2022 | 00:23:18 | |
In this episode, we discuss the overarching importance of AVOIDING iatrogenic harm in the ICU with arguably one of the world's leading experts in critical care medicine, the one and only, Dr. Jean-Louis Vincent aka. JLV. 2:10 LA Critical Care and Differences between Europe versus USA 4:04 COVID, Modern tech and bedside care 5:32 ICU Rounds – How I do it 6:00 Team Based ICU Care 7:56 Modern advances in critical care 9:55 Problem-based approach in the ICU 13:18 FAST HUGS 14:00 Feeding 15:46 Thromboembolic prophylaxis 16:25Head of the bed elevated 17:17Ulcer prophylaxis 19:22Glucose control 20:48 Tube feeds, yes? Ulcer ppx , no. 22:30 Outro Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Season 3 Trailer | 06 Sep 2022 | 00:02:16 | |
It's been a while! We are coming to you from our new studio in Victoria on Vancouver Island, BC. This Season is PACKED with incredible content, interviews and educational pearls designed to improve the quality of care that you are deliver daily at the bedside to your patients and their loved ones. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 51 - Persistent Inflammation, Immunosuppression & Catabolism Syndrome (PICS) with Dr. Scott Brakenridge | 11 Feb 2022 | 00:43:46 | |
"Getting patients resuscitated through sepsis, septic shock, and hemorrhagic shock is not the end...it's the beginning." Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 50 - Whole Blood & Modern Hemostatic Resuscitation Strategies with Dr. Bryan A. Cotton | 29 Jan 2022 | 00:43:16 | |
In this, our 50th episode, we are in Austin, TX, for the Annual EAST Scientific Meeting where we are joined by Dr. Bryan A. Cotton who shares his expertise and knowledge regarding the use of whole blood (WB) in trauma patients. From the use of whole blood in prior military conflicts to the design and successful implementation of one of the only prospective randomized controlled trials of modified whole blood use in trauma patients, Dr. Cotton provides an incredible overview of the potential benefits of whole blood or as he refers to it - "the dying blood product". Also covered in expert fashion are the role of other hemostatic products and strategies including tranexamic acid, fibrinogen concentrates, and a plasma first resuscitation strategy. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 49 - TRAUMA with Dr. Ken Mattox: Part II | 11 Jan 2022 | 00:28:36 | |
In the second episode of a two-part series, Dr. Mattox shares his insights and thoughts on hot research topics in trauma in need of investigation. Additionally, he helps us to envision what acute trauma management may look like in the future, while also sharing with us how his book (and one of my ALL-TIME fave surgery books!), Top Knife, came into being. From lessons learned to lessons in need of learning, Dr. Mattox has all of the bases (and basics) covered. 00:12 "The resuscitation is the incision." 00:44 Welcome & Announcements/Call to Action 02:24 Whole blood is good but.....what should our endpoint of resuscitation be? 03:05 Drones in the prehospital setting 08:03 Reimagining the ER 08:57 General Surgery training: Then & now 10:00 Top Knife, Trauma, Rich’s Vascular Trauma 11:33 How Top Knife came into being – Saturday mornings, coffee, Mary Allen & a tape recorder 16:57 To operate or not operate? 22:11 Mattox Vegas TCCACS 26:11 Final thoughts: ”There’s always a better way." Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 48 - TRAUMA with Dr. Ken Mattox: Part I | 07 Jan 2022 | 00:31:00 | |
We. Are. Back!! Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 47 - Every Deep-Drawn Breath with Dr. Wes Ely | 11 Sep 2021 | 00:43:04 | |
Dr. Wes Ely from Vanderbilt University School of Medicine joins us on Rounds to discuss the evolution of our understanding and the current impact of ICU-acquired brain disease on our patients and their loved ones. In addition to discussing the evidence behind current best practices in the ICU, Dr. Ely shares with us stories from his new book which highlight the importance of listening to, engaging with, and remaining vulnerable to those whom we are so fortunate and blessed to serve-our patients. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 46 - Pelvic Binders for Hemodynamically Unstable Pelvic Ring Fractures | 02 Jul 2021 | 00:24:00 | |
In follow-up to a recent pro-con debate on the use of pre-hospital pelvic binders, we explore the why, when, and how of pelvic binder placement. From the indications to post-placement considerations and importance of a multidisciplinary approach to the management of these life-threatening injuries, this episode of Rounds is a great addition to Season 1 Episode 24 Hemodynamically Unstable Pelvic Fractures with Dr. Clay Burlew. 00:12 Welcome 02:52 Learning Objectives 03:43 Introduction 05:58 Initial Assessment & Management of Patients with Suspected Hemodynamically Unstable Pelvic Fractures 09:54 Young-Burgess Classification of Pelvic Ring Fractures 12:00 Indications, Technique, and Considerations for Properly Placing a Pelvic Binder 17:30 Hemostatic Adjuncts in the Management of Patients with Hemodynamically Unstable Pelvic Fractures 22:13 Take Home Points 23:11 Outro & Call to Action Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 45 - Modern Insights into an Academic Career in Trauma & Acute Care Surgery with Dr. Carlos Brown | 24 Jun 2021 | 00:33:29 | |
In this episode, we sit down with Dr. Carlos VR Brown from the Dell Seton Medical Center at the University of Texas to discuss issues relevant to both junior and mid-career trauma & acute care surgeons. 02:37 Welcome Dr. CVR Brown 05:39 When did your interest in trauma surgery begin? 08:26 Military versus civilian trauma surgery 11:16 Carlos Brown is a Hero (No Matter What He Says) 13:18 Military & advances in clinical knowledge 14:29 Research & the importance of mentorship 15:04 The path to academic surgery: LAC-USC 2002-2007 17:45 Mentorship and research 20:31 Coming home & the opportunity to build 23:33 What is really important in a job? People, place, and family 26:32 “If you build it, they will come” BUT you need to surround yourself with REALLY GOOD people. Oh, and time management is also essential! 28:08 If you don’t have to be at work, leave! And go do the things that bring pleasure to you outside of work. 30:25 “We all make mistakes….” 31:36 Ask yourself, “What’s the best fit for both your career and family?” 32:51 Outro and call to action Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 44 - Massive Upper GI Bleeds | 07 Jun 2021 | 00:25:39 | |
Massive upper GI bleeds can be intimidating and lethal. An expeditious, multidisciplinary approach is required to improve survival and optimize patient outcomes. 00:12 Welcome & Introduction 01:55 Goals & Objectives 02:29 Common Etiologies & Differential Diagnosis for UGIBs 05:15 Initial Evaluation 10:52 Initial Management 15:38 Indications & Timing of Endoscopic and Non-Endoscopic Interventions 18:19 Forrest Classification of Peptic Ulcers 20:43 Indications & Timing of Surgical Interventions 21:30 Surgical management of Bleeding Peptic Ulcers 23:40 Take Home Points 25:10 CTA Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 43 - Penetrating Cardiac Injuries with Dr. Kenji Inaba | 20 May 2021 | 00:56:03 | |
Our first in-person interview since the start of the COVID pandemic! Join us for National Stop the Bleed Day as Dr. Kenji Inaba from LAC+USC joins us to discuss management of penetrating cardiac injuries, the Los Angeles County Hospital Emergency Response Team (HERT), and recent updates to the Stop the Bleed campaign. From the utility of FAST to the diagnostic (and potentially therapeutic?!) role of subxyphoid windows, this episode has it all and is not to be missed! Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 42 - Management of the Difficult Gallbladder | 08 May 2021 | 00:57:00 | |
Join us as we discuss surgical management options for the difficult gallbladder. Is it better to open or proceed with a laparoscopic subtotal cholecystectomy? If the latter, fenestrated or reconstituted? What's the difference?! This week on Rounds, we have several guest professors join us to discuss their perspectives and experience on managing patients with a difficult gallbladder. Joining us from Texas (and favoring subtotal cholecystectomy) are Drs. Sharmila Dissanaike and Michael Truitt. Drs. Angela Neville and Jessica Keeley from California discuss the merits of converting to an open cholecystectomy for patients with a difficult gallbladder. Also, joining us is Dr. Christian de Virgilio, who co-moderates this lively and educational podcast episode alongside me. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 41 - Acute Colonic Pseudo-Obstruction (aka Ogilvie's Syndrome) | 01 May 2021 | 00:20:00 | |
Bowel obstructions may be due to mechanical or functional causes. Although acute colonic pseudo-obstruction (ACPO) falls into the latter category, we must ALWAYS rule out mechanical causes for massive distension of the colon. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 40 - Acute Mesenteric Ischemia | 12 Apr 2021 | 00:26:15 | |
Whether due to occlusive or nonocclusive obstruction of the arterial inflow or obstruction of venous outflow, acute mesenteric ischemia (AMI) continues to be associated with high mortality rate. Early recognition based on a high index of suspicion is critical to early diagnosis and intervention, particularly among patients presenting with pain out of proportion to physical exam findings. In this episode, we discuss the pathophysiology of AMI, together with common causes, the initial clinical presentation, and management strategies for patients with this life-threatening and elusive surgical disease process. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 39 - Necrotizing Soft Tissue Infections (NSTIs) | 01 Apr 2021 | 00:28:02 | |
Rare. Morbid. Lethal. NSTIs area group of infections which result in aggressive tissue destruction, systemic toxicity, and can involve any layer of the soft tissue. The key to successful management (like so many disease processes) is having a high index of suspicion together with administration of early, broad-spectrum antibiotics and surgery. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 38 - Cricothyrotomy Considerations with Scott Weingart | 12 Feb 2021 | 00:38:11 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 37 - Basic Mechanical Ventilation III: The Role of PEEP & LVRs | 06 Feb 2021 | 00:16:55 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 36 - ARDS Fundamentals I: Classification, Pathophysiology & Initial Vent Management | 02 Feb 2021 | 00:22:17 | |
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 Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 35 - Sleep, Wellness, and the Acute Care Surgeon | 15 Jan 2021 | 00:49:50 | |
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". Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 34 - Bowel Obstruction & the Role of the Gastrografin Challenge | 08 Jan 2021 | 00:43:23 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 33 - Harbor-UCLA Anesthesia Grand Rounds "Resuscitative Thoracotomy (and some stuff on crics)" | 26 Dec 2020 | 00:28:08 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 32 - Blunt Cerebrovascular Injury (BCVI) | 17 Dec 2020 | 00:48:04 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 31 - Who Should Manage Vascular Trauma? | 16 Nov 2020 | 00:40:28 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 30 - Acute Kidney Injury in the SICU with kidney_boy Dr. Joel Topf | 30 Oct 2020 | 01:05:03 | |
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). Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 29 - Sepsis 2020: What Surgeons Need to Know | 10 Oct 2020 | 01:14:28 | |
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". Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 28 - Extremity Compartment Syndrome | 07 Oct 2020 | 00:31:43 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 27 - Season 2: Acute Care Surgery | 25 Sep 2020 | 00:03:08 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 26 - Season 1 Recap | 11 Sep 2020 | 00:06:13 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 25 - The Past, Present, and Future of REBOA | 21 Aug 2020 | 00:44:23 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 24 - Hemodynamically Unstable Pelvic Fractures | 20 Aug 2020 | 00:32:35 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 23 - Surgical Cricothyroidotomy: How I Do It | 18 Aug 2020 | 00:28:26 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 22 - UCLA Grand Rounds "Endpoints of Resuscitation: Where to Begin?" | 31 Jul 2020 | 00:53:28 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 21 - The Coagulation Cascade Simplified | 24 Jul 2020 | 00:53:27 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 20 - Reducing Venous Thromboembolism in Trauma Patients | 13 Jul 2020 | 00:52:43 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 19 - Prehospital Tranexamic Acid (TXA) in Patients with Traumatic Brain Injury | 07 Jul 2020 | 00:36:24 | |
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. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 18 - Rapid Rounds: The Rapid Shallow Breathing Index (RSBI) | 03 Jul 2020 | 00:10:19 | |
In this Rapid Rounds, we provide a quick and closer look at the Yang & Tobin index as originally described in the 1991 NEJM paper. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 17 - Discontinuing Mechanical Ventilation | 29 Jun 2020 | 00:46:26 | |
Determining whether or not your intubated and ventilated patient requires ongoing ventilatory support should not be overly complicated. In this episode we review the approach to determining if our mechanically ventilated patients can be safely extubated. In addition to discussing readiness for spontaneous breathing trial (SBT) criteria, we also discuss the potential utility of "weaning" criteria, choice of method of SBT, and considerations when removing the endotracheal tube. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 16 - Abdominal Compartment Syndrome | 19 Jun 2020 | 00:34:01 | |
Which of your patients are at risk for developing intraabdominal hypertension (IAH) and the abdominal compartment syndrome (ACS)? In this episode, we review the classification, pathophysiology, and widespread systemic effects of this potentially fatal and, often times preventable, surgical disease process. We also discuss key diagnostic and therapeutic strategies as outlined by the WSACS - The Abdominal Compartment Society. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 15 - Emergency Preservation & Resuscitation for Cardiac Arrest from Trauma (EPR-CAT) | 12 Jun 2020 | 00:39:15 | |
Dr. Sam Tisherman from the Shock Trauma Center joins us on Rounds to discuss his ongoing, cutting-edge research in EPR-CAT. Colloquially known as "suspended animation", EPR-CAT may provide trauma & acute care practitioners with the desperately needed time that's required to repair lethal exsanguinating injuries through the induction of profound hypothermia after traumatic arrest. During Rounds, we discuss everything from indications for EPR-CAT to the role of selective aortic arch perfusion, integration of resuscitative endovascular techniques, and common ethical considerations that arise when performing resuscitation research. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 14 - Circulation First: Rethinking the ABC Sequence of Initial Trauma Care...& Much, Much More!! | 05 Jun 2020 | 00:44:42 | |
Dr. Paula Ferrada joins us on Rounds this week to discuss several topics ranging from a circulation first approach in hemodynamically unstable trauma patients to the importance of inclusion, diversity, and equity in surgery & medicine. Clinical pearls, invaluable insight, and career advice for learners at different stages of their careers round out a fantastic episode that you'll want to share with your friends and colleagues. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 13 - Shock Talk II: Diagnosis & Initial Management | 29 May 2020 | 00:33:15 | |
Time is tissue. Early recognition of shock with immediate institution of lifesaving therapies are critical to successful patient outcomes. Establishment of functional IV access together with augmentation of cardiac output through increased preload and appropriate use of vasoactive agents are key aspects in the initial management of sick patients. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 12 - Rapid Rounds: Tracheostomy Considerations during the COVID-19 Pandemic | 22 May 2020 | 00:09:20 | |
To trach or not to trach? That is the question we're addressing in our first Rapid Rounds. One topic. Two to three questions. All in under 10 minutes. This week's rounds is informed by 2 recent articles in the trauma critical care literature published in Trauma Surgery Acute Care Open (TSACO) and the Journal of Trauma and Acute Care Surgery (JTACS). Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 11 - National Stop the Bleed Day & Tourniquet Use in 2020 | 22 May 2020 | 00:18:04 | |
Pressure. Packing. Tourniquet. In this episode, we provide a glimpse into the American College of Surgeons Stop the Bleed Program, from inception to present day. We also discuss the increasing use of tourniquets as an adjunct to hemorrhage control in patients with severe extremity injuries. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 10 - Basic Mechanical Ventilation II: Modes | 15 May 2020 | 00:28:31 | |
In this follow-up episode to Episode 3, we discuss and review the key factors (3 Ts) that define a mode of mechanical ventilation. In addition to the Targeted control variable (volume or pressure), the other key factors determining a mode include the Type of breath and Timing of breath delivery. In addition to discussing what defines a mode, we also review when and why one particular mode might be selected over another. Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||
| Episode 9 - The rEVOLUTION of ECMO | 08 May 2020 | 01:09:29 | |
What are the indications for ECMO beyond ARDS and refractory cardiogenic shock? In which patients should we consider eCPR and is this the new standard of care for patients sustaining out-of-hospital cardiac arrest? Finally, how do I work towards safely and efficiently weaning my patient from VV or VA ECMO? These are just a few of the questions that we address on Rounds with our guest faculty member and Director of the UCLA Adult ECMO Program, Dr. Peyman Benharash. In this comprehensive review of ECMO we also explore the regionalization of ECMO care here in Los Angeles County, as well as the day-to-day considerations that you want to bear in mind when assessing and caring for your patients requiring extracorporeal life support. Learning Objectives 1. Understand the indications & contraindications to VV and VA ECMO support 2. Describe the basic components of an ECMO circuit 3. Describe the role of eCPR in the management of adult patients with out-of-hospital cardiac arrest 4. Discuss key management strategies to safely wean patients from ECMO 5. Describe common complications of ECMO and strategies to mitigate them Take Home Points
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Explore Trauma ICU Rounds: Follow: Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols. | |||