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The optimal management of pediatric patients with high-grade blunt pancreatic injury involving the main pancreatic duct remains controversial. 🎥 Drs. Kazuhide Matsushima and Morihiro Katsura discuss their recent Journal of the American College of Surgeons (JACS) article on the topic. brnw.ch/21wK9AI

Early advanced resuscitative care within a fast-paced urban EMS system is not only feasible but may also mitigate physiologic derangements, reduce the need for prehospital advanced airway management & improve patient mortality following penetrating trauma journals.lww.com/jtrauma/fullte…

⁦Jessica Rauh, MD⁩ presenting compelling data on ☢️ exposure with fluoroscopy during LCBDE in children ⁦IPEG⁩. Terrific study showing ALARA principles & benefit of LCBDE first! Irving J. Zamora ⁦Luke Neff, MD FACS⁩ ⁦Children's at VUMC⁩

More great work at #IPEG2024, this time from Jessica Rauh, MD on LCBDE and fluoro exposure, representing the CARES Working Group. Join us in promoting a “Surgery First” approach to pediatric choledocholithiasis and check out our toolkit QR code! IPEG Luke Neff, MD FACS

Congrats to faculty Dr. Jennifer Check and Dr. Jennifer Helderman Jennifer Helderman Pediatrics at Wake Forest Atrium Health Levine Children's Brenner Children's Wake Forest University School of Medicine jamanetwork.com/journals/jaman… JAMA Network Open

Hard to compare LCBDE techniques and success rates unless we are comparing apples to apples and oranges to oranges. Check out our IOC classification system to help further research efforts in this domain 👇 Luke Neff, MD FACS WFSM-Surgery Education WashU Medicine Department of Surgery @OHSUsurgery journals.sagepub.com/eprint/QMEUJFD…

This study was carried by the amazing Jessica Rauh, MD and Maximilian Forssten. Once again what guidelines and “experts” advocate is not always how it is carried out in real world practice and surprisingly with same/better outcomes 🤔 Babak Sarani Luke Neff, MD FACS Journal of Trauma and Acute Care Surgery Raul Coimbra, MD, PhD

Rodrigo Gerardo, M.D. 🟧 Dr. Yancey's 1952 publication describing the submucosal colonic dissection

More evidence in favor of WB use in resuscitation of injured children! WB was independently associated w reduced mortality and higher WB:TTV increased survival. 🩸huge thanks to Ander Dorken Gallastegi Philip Spinella, MD Joshua Brown @ChristineLeeper journals.lww.com/jtrauma/abstra…

Go to the supply room and *get the supplies yourself*. And this isn’t just to be nice… it’s also almost always faster. You will save yourself time in the long run by knowing where things are.

Doing the Lords work

Our data suggest that prioritization of prehospital transfusion improves survivability in patients with severe hemorrhage despite a modest increase in transport time. Tulane - Department of Surgery @MarkPiehl Jacob Broome journals.lww.com/jtrauma/abstra…

Inviting a trauma patient and their parents back to speak about their experience is such a special moment with trauma conferences. Thank you for including this sweet patient and his family Pediatric Trauma Soc

On #VeteransDay2024, we honor the brave and selfless military pediatric surgeons who have not only dedicated their lives to healing and caring for our youngest heroes, but have also answered the call to serve our nation in times of need. Thank you for your service!

Today is #NationalDoctorsDay ! We are so grateful for the group of doctors in our department! We never say it enough, but Thank You!!! @FabianJohnston

Updated APSA Guidelines for Managing Blunt & Spleen Injuries🩺 This summarizes the updated APSA guidelines for managing blunt liver & spleen injuries (BLSI) in pediatric trauma, focusing on care based on hemodynamics rather than injury grade. Read more🔗 aast.org/news-letter-de…

So impressive 🔥🔥 Canadian physician, Dr. Danielle Martin

Very few faculty 1 year out of training can teach this course with confidence and experience. Lucky to have Maggie Bosley, MD teaching our trainees how to perform CBDE and interpret IOC. 50+ LCBDEs 1 year into practice. Shiva Jayaraman Eric Knauer Ron Barbosa MD FACS

Massive moment in Medicine. nejm.org/doi/full/10.10…