Traumacasts

Audio interviews addressing upcoming research and its application to the injured patient, education efforts related to trauma, and novel methods in the management of injury.

We want to hear your thoughts and reflections on the content produced by the Educational Resources Committee (e.g., the EAST Traumacasts and the EAST In the Arena podcast). Send us your feedback.

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Podcasts Currently Available

EAST Master Class Webinar - Correction of Coagulopathy: Factor-based vs. Plasma - #115

02/22/2019

In this special episode of Traumacast, we present the audio portion of our recent EAST Master Class Webinar. We had a pro con debate of the utility of clotting factor concentrates in resuscitation and reversal of anticoagulation, with Matt Martin and Bellal Joseph arguing in favor of factor concentrates and Macky Neal and Babak Sarani in favor of plasma-based resuscitation.

Click here to watch the webinar held on February 13, 2019.

This Traumacast and Webinar was sponsored by a grant from CSL Behring, makers of K-Centra.

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The Angel® Catheter for Prevention of Pulmonary Embolism - Podcast #84

06/08/2017

Dr. Bruce Crookes and Dr. Ronald Sing join moderator Dr. Dave Morris in discussing a new device that was developed for “bridging prophylaxis” against pulmonary embolus. “Bridging prophylaxis” doesn’t sound familiar? Listen to this episode to learn more.

This podcast was made possible by a generous grant from Bio2 Medical® .

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EAST October 2016 Literature Review - When is it Safe to Give TBI Patients DVT Chemoprophylaxis? - Podcast #70

12/22/2016

Drs. James Byrne and Amy Makley join moderator Dr. Dave Morris to discuss a very compelling recent paper that looked at the safety of early DVT chemoprophylaxis (within 72 hours of injury) to late (> 72 hrs after injury). Dr.s Byrne and Makley also discuss the protocols they use in their institutions for this difficult clinical problem and the relative lack of guidelines available to help guide trauma clinicians.

Article Abstract

EAST PMG: Evaluation and Management of Mild Traumatic Brain Injury

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EAST August 2016 Literature Review Traumacast: Pediatric Trauma - Podcast #66

10/14/2016

In this episode we discuss two issues highlighted in the August 2016 EAST Literature review concerning Pediatric Trauma: the meaning and definition of pediatric traumatic coagulopathy and what to do with an injured child with a tender c-spine and negative imaging. Drs. Barbara Gaines, David Mooney, and John Petty joing moderators Dave Morris and Matt Martin for a thought-provoking discussion that will be interesting to anyone who cares for injured children -- even providers who don't normally treat pediatric patients.

Supplemental Materials
Acute traumatic coagulopathy in a critically injured pediatric population: Definition, trend over time, and outcomes.

Outcomes of pediatric patients with persistent midline cervical spine tenderness and negative imaging result after trauma.

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A Randomized Trial of TEG versus Conventional Coagulation Tests to Guide Massive Transfusion in Bleeding Trauma Patients: Interview with Dr. Gene Moore - Podcast #62

08/19/2016

Viscoelastic assays for assessing the coagulation system have been around for decades, but have recently seen a surge in interest and research in the trauma community. Thromboelastography (TEG) and Rotational Thromboelastometry (ROTEM) provide a real-time assessment of multiple aspects and factors involved in clot initiation, development and maturation, and then breakdown or lysis. Many trauma centers have begun incorporating viscoelastic testing in the initial evaluation of injured patients, particularly among those with known or suspected active bleeding. Although TEG/ROTEM have many theoretical advantes compared to standard or conventional coagulation assays, there have been no prospective controlled trials comparing them head to head until now. We interviewed Dr. Gene Moore, the senior author and principal investigator on a recently published prospective randomized trial comparing the utility and associated outcomes of massive transfusions guided by TEG versus those guided by conventional coagulation assays. This is a must-read paper for all trauma providers, and Dr. Moore provides some great additional insights into the study design, results, and interpretation.

Supplemental Materials:
Goal-directed Hemostatic Resuscitation of Trauma-induced Coagulopathy: A Pragmatic Randomized Clinical Trial Comparing a Viscoelastic Assay to Conventional Coagulation Assays
Annals of Surgery: June 2016 - Volume 263 - Issue 6 - p 1051–1059

EAST Online Education Activity - TEG/ROTEM Testing in Trauma & Transfusion Management

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Coagulopathy Trauma TEG - Podcast #24: 12/28/2012; A discussion regarding causes of coagulopathy in trauma and the use of TEG in its diagnosis and management.; Listen Download

Screening for DVT following Trauma - Podcast #20: 08/27/2012; A discussion with Dr. Elliott Haut regarding the pros and cons of screening for DVT in asymptomatic patients following trauma.; Listen Download

Topical Hemostatics - Podcast #19: 08/26/2012; A discussion with Dr. Martin Schreiber on the various types of topical hemostatic agents that can be used either pre- or intra-operatively - their mechanisms of action, uses, and limitations.

This Traumacast is eligible for AMA PRA Category 1 Credit ^TM self-assessment credits toward Part 2 of the ABS MOC Program. Visit the EAST Education Center for details.; Listen Download

Trauma Exsanguination Protocols in Trauma - Podcast #5: 09/15/2011; A discussion regarding the evidentiary basis for trauma exsanguination protocols in trauma systems and how to go about writing and implementing them; Listen Download

Thromboelastography (TEG) in Trauma Care - Podcast #6: 09/15/2011; An in-depth discussion regarding use of TEG to diagnose both hypo- and hyper-coagulable states following injury; Listen Download

Brain Tissue Oxygen Monitoring Following TBI - Podcast #3: 09/04/2011; An interview with Dr. Peter LeRoux regarding brain tissue oxygen monitoring and the BOOST II trial, a randomized prospective multicenter trial evaluating the feasibility of this technology for TBI.; Listen Download

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