Trauma ICU Rounds – Details, episodes & analysis

Podcast details

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Trauma ICU Rounds

Dr. Dennis Kim

Health & Fitness

Science

Education

Frequency: 1 episode/16d. Total Eps: 56

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

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Apple Podcasts

🇨🇦 Canada - medicine
12/08/2026
#95
🇬🇧 Great Britain - medicine
12/06/2026
#98
🇨🇦 Canada - medicine
22/03/2026
#89
🇨🇦 Canada - medicine
21/03/2026
#52
🇬🇧 Great Britain - medicine
17/02/2026
#83
🇬🇧 Great Britain - medicine
16/01/2026
#87
🇨🇦 Canada - medicine
07/01/2026
#99
🇨🇦 Canada - medicine
15/12/2025
#85
🇨🇦 Canada - medicine
14/12/2025
#91
🇨🇦 Canada - medicine
13/12/2025
#55

Spotify

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https://www.patreon.com/traumaicurounds
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RSS feed quality

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Score global : 58%

Publication history

Monthly episode publishing history over the past years.

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Episode 54: Frailty, Geriatric Trauma & TBI with Dr. Bellal Jospeh

Season 3 · Episode 54

Tuesday, September 20, 2022 • Duration 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.

Timestamps:
00:12 Introductions
01:30 What is frailty? Your physiologic NOT chronologic body.
06:58 Injured elderly trauma patients can have good outcomes
07:30 Trauma specific frailty index
10:48 Failure to rescue
13:57 Geriatricians and the trauma surgeons
15:08 4Ms-What Matters, Mobility, Mentation, Medication
16:48 Geriatric cohorting/wards
22:24 ACS geriatric centers of excellence
29:35 Brain Injury Guidelines (BIG)
38:17 The importance of teamwork & servant leadership
40:28 Imposter syndrome
43:19 Leadership considerations
45:25 Final thoughts

References:
Joseph B, Friese RS, Sadoun M, Aziz H, Kulvatunyou N, Pandit V, Wynne J, Tang A, O'Keeffe T, Rhee P. The BIG (brain injury guidelines) project: defining the management of traumatic brain injury by acute care surgeons. J Trauma Acute Care Surg. 2014 Apr;76(4):965-9. doi: 10.1097/TA.0000000000000161. PMID: 24662858.

Joseph B, Obaid O, Dultz L, Black G, Campbell M, Berndtson AE, Costantini T, Kerwin A, Skarupa D, Burruss S, Delgado L, Gomez M, Mederos DR, Winfield R, Cullinane D; AAST BIG Multi-institutional Study Group. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554. Epub 2022 Mar 28. PMID: 35343931.v

Joseph B, Pandit V, Haider AA, Kulvatunyou N, Zangbar B, Tang A, Aziz H, Vercruysse G, O'Keeffe T, Freise RS, Rhee P. Improving Hospital Quality and Costs in Nonoperative Traumatic Brain Injury: The Role of Acute Care Surgeons. JAMA Surg. 2015 Sep;150(9):866-72. doi: 10.1001/jamasurg.2015.1134. PMID: 26107247.

Joseph B, Pandit V, Sadoun M, Zangbar B, Fain MJ, Friese RS, Rhee P. Frailty in surgery. J Trauma Acute Care Surg. 2014 Apr;76(4):1151-6. doi: 10.1097/TA.0000000000000103. PMID: 24662884.

Orouji Jokar T, Ibraheem K, Rhee P, Kulavatunyou N, Haider A, Phelan HA, Fain M, Mohler MJ, Joseph B. Emergency general surgery specific frailty index: A validation study. J Trauma Acute Care Surg. 2016 Aug;81(2):254-60. doi: 10.1097/TA.0000000000001120. PMID: 27257694.

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Episode 53: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part II

Monday, September 12, 2022 • Duration 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!!

Timestamps

00:00 Introduction
01:21 What happened to SG catheters and should we use them?
04:05 What decreases mortality in critical care patients?
05:30 When to transfuse critical care patient? Use your brain!
08:55 Measures of tissue perfusion and fluid responsiveness
09:36 JLV breaks down the Rivers trial
10:36 Recent EGDT papers
10:54 How to optimize O2 delivery? Late ScVO2, dob challenge, and fluid challenges
13:21 Dynamic measures of fluid responsiveness
13:46 CVP as a relative value
15:14 Passive leg raising (PLR) as a measure of fluid responsiveness
21:20 JLV's take on therapeutic nihilism
24:45 Don’t isolate; integrate!
26:46 Navigating the future of critical care – JLV’s thoughts on AI in the ICU
29:55 Rapid fire hot topics in the ICU – Yes or No
-Metabolic cocktail
-Corticosteroids for septic shock
-Albumin and Lasix or Lasix alone
PCT/CRP and sepsis/Abx

Resources:
International Symposium on Intensive Care and Emergency Medicine (ISICEM):
https://www.isicem.org

ISICEM Chats Platform:
https://www.isicem.org/e-chat/index.asp

Articles:
Passive leg raising:five rules, not a drop of fluid! https://ccforum.biomedcentral.com/articles/10.1186/s13054-014-0708-5

The fluid challenge
https://ccforum.biomedcentral.com/articles/10.1186/s13054-020-03443-y

Blood lactate levels in sepsis: 8 questions
Vincent JL, Bakker J. Blood lactate levels in sepsis: in 8 questions. Curr Opin Crit Care. 2021 Jun 1;27(3):298-302. doi: 10.1097/MCC.0000000000000824. PMID: 33852499.We should avoid the term "fluid overload"https://ccforum.biomedcentral.com/articles/10.1186/s13054-018-2141-7EGDT in the Treatment of Severe Sepsis and Septic Shockhttps://www.nejm.org/doi/full/10.1056/nejmoa010307A Randomized Trial of Protocol-Based Care for Early Septic Shockhttps://www.nejm.org/doi/full/10.1056/nejmoa1401602

Episode 45 - Modern Insights into an Academic Career in Trauma & Acute Care Surgery with Dr. Carlos Brown

Season 2

Thursday, June 24, 2021 • Duration 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.

Topics covered include: military-civilian trauma, finding one's niche in academic surgery, work-life balance, and learning from our mistakes. As I prepare to enter a new phase in my academic surgical career, the timing of this interview could not have been more perfect. This episode is packed with career pearls and words of wisdom that are not to be missed!

Time Stamps
00:12 Introduction

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

Links:
Carlos Brown is a Hero (No Matter What He Says)
https://www.texasmonthly.com/articles/carlos-brown-is-a-hero-no-matter-what-he-says/

Episode 44 - Massive Upper GI Bleeds

Season 2

Monday, June 7, 2021 • Duration 25:39

Massive upper GI bleeds can be intimidating and lethal. An expeditious, multidisciplinary approach is required to improve survival and optimize patient outcomes.

Time Stamps:

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

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Episode 43 - Penetrating Cardiac Injuries with Dr. Kenji Inaba

Season 2

Thursday, May 20, 2021 • Duration 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!
Also, remember to check out Season 1 , Episode 11 - National Stop the Bleed Day & Tourniquet Use in 2020.

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Episode 42 - Management of the Difficult Gallbladder

Season 2

Saturday, May 8, 2021 • Duration 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.

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Episode 41 - Acute Colonic Pseudo-Obstruction (aka Ogilvie's Syndrome)

Season 2

Saturday, May 1, 2021 • Duration 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.

In this episode, we make our way down the GI tract and discuss the pathophysiology, risk factors, diagnostic and therapeutic considerations for what Dr. Ogilvie coined "Large-intestine Colic" in 1948.

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Episode 40 - Acute Mesenteric Ischemia

Season 2

Monday, April 12, 2021 • Duration 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.

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Episode 39 - Necrotizing Soft Tissue Infections (NSTIs)

Season 2

Thursday, April 1, 2021 • Duration 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.

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Episode 38 - Cricothyrotomy Considerations with Scott Weingart

Season 2

Friday, February 12, 2021 • Duration 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.

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.

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Trauma ICU Rounds – Details, episodes & analysis

Podcast details

Recent rankings

Apple Podcasts

Spotify

Shared links between episodes and podcasts

RSS feed quality and score

Publication history

Latest published episodes

Related Shows Based on Content Similarities

Related Shows Based on Content Similarities

Apple Podcasts

Spotify

Trauma ICU Rounds – Details, episodes & analysis

Podcast details

Recent rankings

Apple Podcasts

Spotify

Shared links between episodes and podcasts

Patreon1

Other15

RSS feed quality and score

Publication history

Latest published episodes

Similar podcasts and content

Related Shows Based on Content Similarities

Related Shows Based on Content Similarities

Patreon1

Other15

Buzzsprout1

Apple Podcasts

Spotify