1/2 ‼️TUNE IN‼️New Episode of Critical Care Time on #ICUNutrition w/ Nick Mark MD & Cyrus Askin, MD

🔎 We cover a LOT & debunk many myths:
✅-OK to start TF on pressors
✅-OK to feed proned or on neuromuscular blockers
✅-TPN does NOT increase infection!
✅-Testosterone in #ICURehab …

Amazing talk by 1️⃣ of the masters B Todd Heniford

UCI TRAUMA in full attendance to learn from this legendary surgeon and amazing speaker. 🙏 👏

As a field of hernia so much has been accomplished but still lots of room to grow

Calling all 3rd year med students! 📣 Discover what makes UCI special and how we create a supportive learning environment for all.

Join us for the 6th Annual Diversity in GME Residency Open House. RSVP now! #Residency
UCI School of Medicine UCIOfficeOfBEE

medschool.uci.edu/events/diversi…

You have my attention…
While not trauma, RCT noted ⬇️mortality and better Rankin scores with early (<24h) minimally invasive hematoma evacuation.
Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage | New England Journal of Medicineh nejm.org/doi/full/10.10…

Does your hospital have a cardiac surgery service? Gastrointestinal complications in cardiac surgical patients are associated with a considerable risk of mortality.

Find out what every ACS surgeon needs to know in our review by Schwarzova et al:

➡️bit.ly/3Je2GWP

Roberts et al put forth mindfulness-based interventions (MBIs) 🧠and review evidence 🧾 of perioperative use of MBIs. Exciting work that all surgeons should read 👏

pubmed.ncbi.nlm.nih.gov/35802881/
Jeff Nahmias MD MHPE FACS FCCM Edward Lin The Center for Mindfulness @ UMass Memorial Health University of Utah Health Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸

Study within a study:

Wanatoop et al examined the possible utility of REBOA in severely injured patients at a trauma center in Thailand.

Of note: The data include a large # of patients with motorcycle 🏍️ crashes (>50%) along w/ autopsy findings. 🧐

➡️bit.ly/4cMZXRN

Great work by UCI TRAUMA UC Irvine Surgery ⭐️ Shaina Sedighim & team

sciencedirect.com/science/articl…

👏

Pediatric trauma patients without blood pressure records in prehospital settings had higher mortality rates than those w/ BP records. The results clarified that a number of barriers might exist to obtain a BP in prehospital settings for injured children

journals.lww.com/jtrauma/fullte…

My parents came to Dallas and requested to tour the famous Parkland to see where I’m training
Dad walked around the trauma bay and, with a tear in is eye and full of pride, said “my baby is a trauma surgeon.” 🥹

#parklandtrained #parklandproud #traumasurgery UTSW Surgery

Is it safe to stop placing a drain after distal pancreatectomy?
➡️Today #PANDORINA non-inferiority trial 🇳🇱🇮🇹 The Lancet Gastroenterology & Hepatology
✅ Yes! Not only safe, but improves overall morbidity and POPF B/C rate!

Wonderful collaboration DPCG & Pancreas Verona
➡️…

Health insurance premiums are eating into workers' wages axios.com/2024/01/17/hea… SoCal Chapter - American College of Surgeons

Jeff Nahmias MD MHPE FACS FCCM Elliott R Haut, MD, PhD Satvika Kumar Ron Barbosa MD FACS Caroline Park MD, MPH Lucy Nguyen Julia R Coleman, MD MPH Elinore J. Kaufman reillyp Jamie Song, MPH UPenn Trauma Zain Hashmi We have started a series of statistical commentaries by associate editors Molly Jarman & James Byrne MD PhD related to recently published papers in TSACO.

See this one titled “Geographic information systems and spatial analysis: a statistical commentary”

tsaco.bmj.com/content/9/1/e0…

🔥WWYD Friday🔥

A 45 yo man has perforated diverticulitis and a large abscess. Operation is thought to be indicated due to sepsis and persistent SBO.

There is also an incidental 8 cm L adrenal mass (partially seen in the photo -- but it is 8 cm)

WWYD? (poll on next page)
(1/)

The Call for Abstracts for the 38th EAST Annual Scientific Assembly is open! EAST supports research in Trauma, EGS, Burn Surgery, and SCC. Submit your Abstracts today! bit.ly/3nJnYnL

#EAST2025 #TraumaSurgery #BurnSurgery #EGS #SurgicalCriticalCare #soMe4trauma

Elliott R Haut, MD, PhD Satvika Kumar Ron Barbosa MD FACS Caroline Park MD, MPH Jeff Nahmias MD MHPE FACS FCCM Lucy Nguyen Julia R Coleman, MD MPH Elinore J. Kaufman reillyp Jamie Song, MPH UPenn Trauma See invited commentary by Zain Hashmi

“Whose line is it anyway? The impact of injury transport across state lines”

tsaco.bmj.com/content/9/1/e0…

What happens when the closest trauma center is across state lines? Where are these areas located?

Which states encourage (or discourage) cross-border transport of trauma patients?

Satvika Kumar et al recently explored these issues in Trauma Surgery & Acute Care Open (TSACO) :

➡️bit.ly/3PKwcXX

❇️Best of EGS❇️

A core outcome set for appendicitis was constructed using Delphi methodology to facilitate future outcome standardization. 16 international experts achieved consensus on 17 core outcomes for incorporation into future appendicitis studies.

journals.lww.com/jtrauma/fullte…

Phenomenal job by Negaar Aryan, MD who will be applying to surgery residency next year.

Great collaborators as well CU Department of Surgery Michael Cripps Catherine Velopulos Dr. Greg Semon Tanya Egodage, MD, FACS Sharon Stein's Little Sister (Deb Stein) Clay Cothren Burlew, MD & so many others

Fragmenting projectiles may create difficult challenge s in the management of trauma patients with GSW.
Bleeding may occur in widespread and unpredictable locations.

Bernard et al described a case involving the G2 Radically Invasive Projectile:

➡️bit.ly/49fdaQf