Traumacasts

Audio interviews addressing upcoming research and its application to the injured, critically ill or emergency general surgery patient, education efforts related to the clinical practice of acute care surgery, novel methods in the management of these patients and topics affecting providers and clinical care within the field.

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Podcasts Currently Available

EAST/AAST/AAST-AMC: SCC Review Series - Hematology I - #6

03/28/2025

Join Dr. Lauren Craugh with expert guests Dr. Brian Yorkgitis and Dr. Linda Schutzman. This is the sixth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST, and AAST-AMC. During this episode Massive Transfusion and ABC Score, Thromboelastography, and Thromboembolic Prophylaxis will be discussed.

Content preparation: Lauren Craugh, MD
Content reviewer: Linda Schutzman, MD
Moderator: Lauren Craugh, MD
Expert Guests: Brian Yorkgitis, DO, FACS & Linda Schutzman, MD

Topics covered in this episode:

Blood Component Therapy, Massive Transfusion, and Whole Blood
ABC Score
TEG/ROTEM
Thromboembolic Prophylaxis (Heparin, LMWH, Aspirin)

Supplemental Material:

ACS TQIP Massive Transfusion in Trauma Guidelines, October 2014
Holcomb JB, del Junco DJ, Fox EE, Wade CE, Cohen MJ, Schreiber MA, Alarcon LH, Bai Y, Brasel KJ, Bulger EM, Cotton BA, Matijevic N, Muskat P, Myers JG, Phelan HA, White CE, Zhang J, Rahbar MH; PROMMTT Study Group. The prospective, observational, multicenter, major trauma transfusion (PROMMTT) study: comparative effectiveness of a time-varying treatment with competing risks. JAMA Surg. 2013 Feb;148(2):127-36. doi: 10.1001/2013.jamasurg.387. PMID: 23560283; PMCID: PMC3740072. PROMMTT 2013
Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of Plasma, Platelets, and Red Blood Cells in a 1:1:1 vs a 1:1:2 Ratio and Mortality in Patients With Severe Trauma: The PROPPR Randomized Clinical Trial. JAMA.2015;313(5):471–482. doi:10.1001/jama.2015.12PROPPR Randomized Clinical Trial 2015
Meizoso JP, Cotton BA, Lawless RA, et al. Whole blood resuscitation for injured patients requiring transfusion: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma.J Trauma Acute Care Surg. 2024;97(3):460-470. doi:10.1097/TA.0000000000004327
Byrne JP, Geerts W, Mason SA, et al. Effectiveness of low-molecular-weight heparin versus unfractionated heparin to prevent pulmonary embolism following major trauma: a propensity-matched analysis. J Trauma Acute Care Surg. 2017;82(2):252-262. doi:10.1097/TA.0000000000001321
Barrera LM, Perel P, Ker K, Cirocchi R, Farinella E, Morales Uribe CH. Thromboprophylaxis for trauma patients. Cochrane Database Syst Rev. 2013;(3):CD008303. doi:10.1002/14651858.CD008303.pub2
Major Extremity Trauma Research Consortium (METRC), O'Toole RV, Stein DM, et al. Aspirin or lowmolecular-weight heparin for thromboprophylaxis after a fracture. N Engl J Med. 2023;388(3):203-213. doi:10.1056/NEJMoa2205973
Olson EJ, Bandle J, Calvo RY, et al. Heparin versus enoxaparin for prevention of venous thromboembolism after trauma: a randomized noninferiority trial. J Trauma Acute Care Surg. 2015;79(6):961-969. doi:10.1097/TA.0000000000000750
Pokrzywa CJ, Biesboer EA, Figueroa J, et al. Anti-Factor Xa Monitoring of enoxaparin thromboembolism prophylaxis in emergency general surgery patients. J Am Coll Surg. 2023;237(2):195- 203. doi:10.1097/XCS.0000000000000709
Stevens SM, Woller SC, Kreuziger LB, et al. Antithrombotic therapy for VTE disease: second update of the CHEST guideline and expert panel report. Chest. 2021;160(6):e545-e608. doi:10.1016/j.chest.2021.07.055
Verhoeff K, Raffael K, Connell M, et al. Relationship between anti-Xa level achieved with prophylactic low-molecular weight heparin and venous thromboembolism in trauma patients: a systematic review and meta-analysis. J Trauma Acute Care Surg. 2022;93(2):e61-e70. doi:10.1097/TA.0000000000003580
Pannucci CJ, Fleming KI, Varghese TK Jr, et al. Low anti-factor xa level predicts 90- day symptomatic venous thromboembolism in surgical patients receiving enoxaparin prophylaxis: a pooled analysis of eight clinical trials. Ann Surg. 2022;276(6):e682-e690. doi:10.1097/SLA.0000000000004589 [PMID: 33086312]
Yorkgitis BK, Berndtson AE, Cross A, et al. American Association for the Surgery of Trauma/American College of Surgeons-Committee on Trauma Clinical Protocol for inpatient venous thromboembolism prophylaxis after trauma. J Trauma Acute Care Surg. 2022;92(3):597-604. doi:10.1097/TA.0000000000003475 [PMID: 34797813]
Abdelfattah K, Cripps MW. Thromboelastography and rotational thromboelastometry use in trauma. Int J Surg. 2016;33(Pt B):196-201. doi:10.1016/j.ijsu.2015.09.036 [PMID: 26384835]
Da Luz LT, Nascimento B, Shankarakutty AK, Rizoli S, Adhikari NK. Effect of thromboelastography (TEG®) and rotational thromboelastometry (ROTEM®) on diagnosis of coagulopathy, transfusion guidance and mortality in trauma: descriptive systematic review. Crit Care. 2014;18(5):518. doi:10.1186/s13054-014-0518-9 [PMID: 25261079]

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EAST/AAST/AAST-AMC: SCC Review Series - Airway Management - #5

02/03/2025

Join Dr. Mohammed Bawazeer with the expert Guest Dr. Carlos Brown, and Fellows Guests Dr. Jennifer Brewer and Dr. Leah Aakjar. This is the fifth episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST, and AAST-AMC. Airway Management, Management of the Difficult Airway, and Tracheostomy will be discussed.

Content preparation: Dr. Mohammed Bawazeer and Dr. Jennifer Brewer.

Content reviewer: Dr. Alexandra Brito

Moderator: Dr. Mohammed Bawazeer

Expert Guest: Dr. Carlos Brown

Fellows Guest: Dr. Jennifer Brewer, Dr. Leah Aakjar

Topics covered in this episode:

Airway management
Management of the difficult airway
Tracheostomy

Supplemental Material:

Apfelbaum JL, Hagberg CA, Connis RT, Abdelmalak BB, Agarkar M, Dutton RP, Fiadjoe JE, Greif R, Klock PA, Mercier D, Myatra SN, O'Sullivan EP, Rosenblatt WH, Sorbello M, Tung A. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022 Jan 1;136(1):31-81. doi: 10.1097/ALN.0000000000004002. PMID: 34762729.

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EAST/AAST/AAST-AMC: SCC Review Series - Renal Failure - #3

08/22/2024

Join Dr. Josh Dilday with the expert Guest Dr. Paul McCarthy, and Fellow Guest Dr. Evelyn Coile. This is the third episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST, AAST and AAST-AMC During this episode, Renal Failure will be discussed.

Content preparation: Dr. Joshua Dilday and Dr. Mohammed Bawazeer
Moderator: Dr. Joshua Dilday

Expert Guest: Dr. Paul McCarthy
Fellows Guest: Dr. Evelyn Coile

Topics covered in this episode:
Clinical assessment of kidney function
Acute Kidney Injury, and CRRT
Fluid and volume therapy in the ICU
Sodium disorders and water metabolism (SIADH, CSW, DI)

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EAST/AAST/AAST-AMC: SCC Review Series - Hepatic Failure - #2

08/07/2024

EAST/AAST/AAST-AMC: SCC Review Series - Episode 02
Hepatic Failure

Content preparation/Moderators: Dr. Alex Brito and Dr. Adora Santos
Expert Guest: Dr. Ram Subramanian
Fellows Guest: Dr. Ted Shung and Dr. David Ritter.

Topics covered in this episode:
Portal hypertension
Hepatorenal and hepatopulmonary syndromes
Liver transplant
Hepatic encephalopathy and Fulminant Hepatic failure

Supplemental Material:

https://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Guidelines-for-the-Management-of-Adult-Acute-and-A

https://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Guidelines-for-the-Management-of-Liver-Failure-2

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EAST/AAST/AAST-AMC: SCC Review Series - Invasive & Non-invasive Hemodynamic Monitoring - #1

08/01/2024

EAST/AAST/AAST-AMC: SCC Review Series - Episode 01
Invasive & Non-invasive Hemodynamic Monitoring

Join Dr. Uzer Khan and Dr. Mohammed Bawazeer with the expert Guest Dr. Paula Ferrada and Fellows Guests Dr. Matt Elson and Dr. John Luckoski. This is the first episode of the Surgical Critical Care Review Series. This is a unique collaborative initiative between EAST and AAST. During this episode, hemodynamic monitoring will be discussed.

Topics covered in this episode:
1. Arterial lines
2. Central Venous Lines
3. PA catheters
4. Capnography
5. POCUS

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