Trauma Resuscitation - Washington Manual of Surgery

Trauma Resuscitation - Washington Manual of Surgery

Let’s talk trauma resuscitation and adjuncts—Join general surgery resident Dr. José Aldana for a discussion with expert trauma surgeon, Dr. Patrick Craft. This episode of the Washington Manual of Surgery Podcast will focus on the fundamentals of trauma resuscitation using the ATLS principles, and serves as an additional companion to Chapter 5 of the 9th edition of the bestselling Washington Manual of Surgery. In this episode of the Washington Manual of Surgery Podcast, Dr. Craft discusses the assessment of patients using ATLS protocols. The discussion also covers the use of FAST ultrasound and chest imaging, tube thoracostomy, and indications for resuscitative thoracotomy. This episode offers essential guidance for surgical trainees and clinicians caring for critically injured patients. Guest Host: José Aldana, MD – Dr. Aldana was a Preliminary PGY-1 at WashU Medicine and is currently a surgical resident at the University of Rochester. Guest: Patrick Craft, DO – Dr. Craft is an Assistant Professor of Surgery at WashU Medicine and trauma surgeon specializing in surgical critical care. He has expertise in comprehensive trauma management. Show notes: ATLS: https://www.facs.org/quality-programs/trauma/education/advanced-trauma-life-support/ [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.facs.org%2Fquality-programs%2Ftrauma%2Feducation%2Fadvanced-trauma-life-support%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7C984c63281921439b5bac08dedd677037%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639191633500145319%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=2YNPTxFFQJ%2FFk4KXJnjrK5lblqcP7xHfIjriSdrVJ9Q%3D&reserved=0] GCS: Glasgow Coma Scale, evaluates three parameters: eye-opening (1-4 points), verbal response (1-5 points), and motor response (1-6 points). Scores range from 3 (deeply comatose) to 15 (fully awake). Permission hypotension in trauma: Schreiber MA, et al. A controlled resuscitation strategy is feasible and safe in hypotensive trauma patients: results of a prospective randomized pilot trial. J Trauma Acute Care Surg. 2015;78(4):687-695. https://pubmed.ncbi.nlm.nih.gov/25807399/ [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F25807399%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7C984c63281921439b5bac08dedd677037%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639191633500167222%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=Qg6Qv0y3YlihMwN3yC5zHDIEvUhh5xgIQLA3giG%2FZMk%3D&reserved=0] Whole blood versus crystalloid for resuscitation: LaGrone LN, et al. American Association for the Surgery of Trauma/American College of Surgeons Committee on Trauma: Clinical protocol for damage-control resuscitation for the adult trauma patient. J Trauma Acute Care Surg. 2024 Mar 1;96(3):510-520. https://pubmed.ncbi.nlm.nih.gov/37697470/ [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F37697470%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7C984c63281921439b5bac08dedd677037%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639191633500188311%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=gHjv3IgddCNjucoE%2FL%2F9grzQTXZmq0g0OGpWpcgFPLw%3D&reserved=0] Resuscitative thoracotomy: Moore EE, et al. Defining the limits of resuscitative emergency department thoracotomy: a contemporary Western Trauma Association perspective. J Trauma. 2011;70(2):334-339. https://pubmed.ncbi.nlm.nih.gov/21307731/ [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F21307731%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7C984c63281921439b5bac08dedd677037%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639191633500207297%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=EqTq3GPNEBmC3Pk0f65MwPcNOJaIXMDPNNomG3LoQ3U%3D&reserved=0] ------------------------------- The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]

Venous Disease - Washington Manual of Surgery

Let’s talk venous disease—Join vascular surgery resident Dr. Julia Suggs for a discussion with expert vascular surgeon Dr. Nanette Reed. This episode of the Washington Manual of Surgery Podcast will focus on the evaluation, diagnosis, and management of venous disease, and serves as an additional companion to Chapter 37 of the 9th edition of the bestselling Washington Manual of Surgery.  In this episode of the Washington Manual of Surgery Podcast, Drs. Reed and Suggs discuss the assessment of deep vein thrombosis, distinguishing the appropriateness of medical and surgical management, and thrombectomy approaches. The discussion also covers duplex imaging, anticoagulation, May-Thurner syndrome, pulmonary embolism prevention, and postoperative considerations for patients with venous disease.  Guest Host:  Julia Suggs, MD – Vascular surgery resident at WashU Medicine.  Guest:  Nanette Reed, MD – Dr. Reed is a vascular surgeon specializing in revascularization and limb preservation. She is now on faculty at the University of Iowa Carver College of Medicine. Show notes: Esmark bandage: Very elastic, rubber or polyisoprene bandage used for limb exsanguination or clot expression when it is wrapped tightly around an arm or leg. ------------------------------- The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]

Surgical Management of Obesity: Part 2 - Washington Manual of Surgery

Let’s talk considerations after bariatric surgery — Join general surgery resident Dr. Diego Polanco for a discussion with expert weight loss surgeon Dr. J. Christopher Eagon. This episode of the Washington Manual of Surgery Podcast will focus on long- and short-term complications after weight loss surgery, and serves as an additional companion to Chapter 15 of the 9th edition of the bestselling Washington Manual of Surgery.   In this episode of the Washington Manual of Surgery Podcast, Dr. Eagon discusses operative complications, including anastomotic leaks, dumping syndrome, and nutritional deficiency issues after weight loss surgery. The discussion also explores the reversal of comorbidities of obesity, the ability to preserve weight loss, and marginal ulcers.  Guest Host: Diego Polanco, MD – General surgery resident at WashU Medicine. Guest: J. Christopher Eagon, MD – Dr. Eagon is a professor of surgery and minimally invasive surgeon specializing in bariatric surgery. He has consummate expertise in minimally invasive weight loss surgery techniques. Under his direction, the weight loss surgery service received the Blue Distinction Centers designation for bariatric surgery in 2022.  Show notes: Gallstones after bariatric surgery: Sugerman HJ, et al. A multicenter, placebo-controlled, randomized, double-blind, prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss. Am J Surg. 1995 Jan;169(1):91-6; discussion 96-7. ------------------------------- The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]

Surgical Management of Obesity: Part 1 - Washington Manual of Surgery

Let’s talk surgical management of obesity—Join general surgery resident Dr. Diego Polanco for a discussion with expert weight loss surgeon, Dr. J. Christopher Egon. This episode of the Washington Manual of Surgery Podcast will focus on weight loss surgery procedures and serves as an additional companion to Chapter 15 of the 9th edition of the bestselling Washington Manual of Surgery. In this episode of the Washington Manual of Surgery Podcast, Dr. Eagon discusses patient selection criteria, preoperative evaluation, and the most common bariatric procedures. The discussion also explores recovery protocols, multimodal pain management, dietary progression after surgery, and the importance of lifelong supplementation to optimize outcomes and improve obesity-related comorbidities. Guest Host: Diego Polanco, MD – General surgery resident at WashU Medicine. Guest: J. Christopher Eagon, MD – Dr. Eagon is a professor of surgery and minimally invasive surgeon specializing in bariatric surgery. He has consummate expertise in minimally invasive weight loss surgery techniques. Under his direction, the weight loss surgery service received the Blue Distinction Centers designation for bariatric surgery in 2022.  Show notes: ERAS = Enhanced Recovery After Surgery NSAIDs = Non-Steroidal Anti-Inflammatory Drugs ASBMS = American Society for Metabolic and Bariatric Surgery [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fasmbs.org%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7C8b9bc024b1644a91f80508dec054cb53%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639159667591110539%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=zuXJM2H4TBOFowE9KglOD%2F2CEQKigeY5%2BiFtZJMinB0%3D&reserved=0] Bariatric surgery targeting opioid prescribing: a national model for effectively reducing opioid use after bariatric surgery [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F39753417%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7Cc34a8b54d65d445e74f908dec239066e%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639161747331418095%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=VejzdfRecH%2BQPBD%2BNTTFeJ1rZ1NWdHTmVGARCGYsKBs%3D&reserved=0]: Petrick AT, Shah TA, Gadaleta D, Gould J, Morton J, Smith A, Evans-Labok K, Knapp L, Ko CY, Brethauer SA. Surg Obes Relat Dis. 2025 Apr;21(4):402-410. doi: 10.1016/j.soard.2024.11.011. Epub 2024 Dec 9. PMID: 39753417 Causes of small bowel obstruction after laparoscopic gastric bypass [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F15931476%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7Cc34a8b54d65d445e74f908dec239066e%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639161747331502948%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=MCoyVg09YL5tNyZKNFFCGUXhKhaas6IfBwepWEIvRNA%3D&reserved=0]: Hwang RF, Swartz DE, Felix EL. Surg Endosc. 2004 Nov;18(11):1631-5. doi: 10.1007/s00464-004-8804-2. Epub 2004 Oct 11. PMID: 15931476 ------------------------------- The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]

Preoperative Assessment - Washington Manual of Surgery

Let’s talk preoperative management—Join general surgery resident Dr. Angela Hill for a discussion with expert trauma critical care surgeon Dr. Thoi H. Ngo. This episode of the Washington Manual of Surgery Podcast will focus on the preoperative assessment of patients and serves as an additional companion to Chapter 1 of the 9th edition of the bestselling Washington Manual of Surgery. In this episode of the Washington Manual of Surgery Podcast, Drs. Ngo and Hill discuss surgical decision-making in a "flip-the-script" Board-style (versus our usual) discussion of an elderly patient presenting to the emergency department with abdominal pain, focusing not just on the clinical management but functional status, preoperative optimization, and decision-making capacity. Guest Host: Angela Hill, MD – General surgery resident at WashU Medicine. Guest: Thoi H. Ngo, MD – Dr. Ngo is a fellowship-trained trauma surgeon. Dr. Ngo completed the two-year surgical critical care and trauma/acute care surgery fellowship at WashU Medicine before joining the faculty in the Section of Acute and Critical Care Surgery. He is now an attending trauma surgeon at Westchester Medical Center Health. Notes: FRAIL Scale: Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight - Gleason LJ, et al. FRAIL Questionnaire Screening Tool and Short-Term Outcomes in Geriatric Fracture Patients. J Am Med Dir Assoc. 2017 Dec 1;18(12):1082. Comprehensive Geriatric Assessment: Pilotto A, et al. The Comprehensive Geriatric Assessment and the multidimensional approach. A new look at the older patient with gastroenterological disorders. Best Pract Res Clin Gastroenterol. 2009;23(6):829. Prehabilitation: Hughes MJ, et al. Prehabilitation Before Major Abdominal Surgery: A Systematic Review and Meta-analysis. World J Surg. Jul 2019;43(7):1661. Decision-making information: WashU Center for Humanism and Ethics in Surgical Specialties (CHESS): https://chess.wustl.edu/ [https://chess.wustl.edu/] ------------------------------- The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]