What happens to surgical resident operative autonomy during off-hours? Residents are given more autonomy during off-hours than weekdays & more autonomy on nights & weekends. ACS has more autonomy on weekdays than off-hour. Implications for ACS staffing

journals.lww.com/jtrauma/Abstra…

ICU facts:

Acute pulmonary embolism cannot be ruled out with echocardiography

EMS shock index and delta SI remain important markers of patient outcomes, even in a rural environment with prolonged transport

#ARC_Trauma shows data from multiple rural, ACS level 1 trauma centers. This is how we get to 0

Jim Bardes Zach Warriner

journals.lww.com/jtrauma/Fullte…

Data is in: ⬆️ gallbladder remnant complications from reconstituting STC versus fenestrating STC in this single center series from 2021

When I was burning out in medicine, I was full of “Once I…” statements

Once I…

… pay off my loans
… buy the doctor house
… get that leadership position
… create a successful side gig
… get promoted

THAT is when I’ll be happy

This is called an arrival fallacy

1/…

'There's only so many times you can walk into a room and tell someone they're not coming home tomorrow. It breaks your heart when you hear someone screaming mommy or daddy. It just becomes too hard day in and day out.'
- Dr. Jason Smith on the toll of gun violence in Louisville

We developed an artificial intelligence system to identify ribs and pleura and determine if a pneumothorax is present on point of care ultrasound.

Sean P. Montgomery, MD #JoTACS #TraumaSurg #SurgTwitter #MedEd #SoMe4Surgery #MedTwitter #MedStudent

journals.lww.com/jtrauma/Fullte…

#ACSCOT released great news! ABCs of trauma is now in the ATLS XABCs. We need to continue to talk about non compressible exsanguinating hemorrhage. So we can really #stopthebleed and save patients .AIS Channel .Sharmila Dissanaike .TAnand .Bellal Joseph . Lenworth Jacobs .…

Toward improved reporting and use of race, ethnicity, sex, and gender: An editorial dlvr.it/SkTmmV

In this study, patients w/ traumatic intracranial hemorrhage who would have qualified as Brain Injury Guidelines class 1 if not for low-dose aspirin use experienced in-hospital mortality or need for neurosurgery at similar rates to other BIG 1 patients

journals.lww.com/jtrauma/Fullte…

This conversation with Jon Stewart is a brilliant demonstration of how some of our elected officials lack a data-driven or even logical approach to policy solutions they support. The Problem With Jon Stewart

AAST Associate Members Please join us tomorrow for our business meeting + happy hour. 📝 🍸

Sneak peak: AAST mtg proposals + so many ways to get involved!

Ryan P. Dumas MD Matt Strickland Michael Vella Julia R Coleman, MD MPH @goliroward Jonathan Meizoso, MD, MSPH, FACS Jeff Choi 최재영 Paul Albini Navpreet K Dhillon

In 2018, 'Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial' was published in the British Medical Journal.

It sought to determine if wearing a parachute when jumping from a plane had any impact on survivability.

It did not.

More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient. Julie Hallet Antoine Eskander MD ScM Angela Jerath MD, MSc ja.ma/3SprsqY

It is with sadness that we share the loss of our friend and colleague Dr. J. Randall Curtis. J Randall Curtis was not only a revered physician and researcher UW PulmCritCareSleep but also an inspirational mentor to many throughout his career. Please join us in remembering his legacy.

We just got approval for a 9th trauma surgeon, so:

If anyone is interested in :
- Level 1 center w/good trauma operative volumes
- Portland!
- tertiary hospital with ECMO, robot, etc.
- 8 partners who get along well, and the schedule (holidays etc) is equal from the start

(1/ )

Yesterday, Randy Curtis J Randall Curtis passed away, leaving behind a lasting legacy. To honor his memory, I suggest reading his insightful article on ICM Intensive Care Medicine titled 'Life lessons after a career in intensive care medicine' Free read rdcu.be/c44G5

BehindTheKnife Podcast featuring the EAST “Papers that should change your practice” session is out today!

Check it out here:
audioboom.com/posts/8239978-…

Julia R Coleman, MD MPH Laura R. Brown, MD, PhD Patrick Georgoff, MD

Working on an interesting study looking at blood transfusions in trauma and how me might improve! Log on tomorrow at 10 to uab-mc.zoom.us/j/85164092151 to hear more! @medtwitter The Warren Alpert Medical School Brown Gen Surg Residency

It’s quite the juxtaposition to take care of patients all day in the name of health while completely failing to fill my own prescriptions or make overdue doctors appointments, eating garbage, and forgetting what exercise feels like.