Analysis of 80 potentially futile trauma transfers – goals of care are discussed in only 10% of them! How can we be better about talking to patients / families about prognosis and goals early on?

Mackenzie Cook David Zonies #OHSUTrauma #JoTACS

journals.lww.com/jtrauma/fullte…

Was a bit concerned when 1st heard American Board of Surgery was nixing ABSITE %ile reporting.
Have since learned its a solid evidence-based move w preserves %correct & standard score w are⬆️ accurate for formative & predictive uses while removing the most misused number: the dreaded percentile.

A study in the April issue of Journal of the American College of Surgeons (JACS) examines how home call results in sleep disruption and increased feelings of burnout—even on nights during which the surgeon was never called.

🎥 Lead author Jamie Coleman, MD FACS offers additional details about the study. brnw.ch/21wIpmg

Systematic sampling used by national surgical QI programs does not provide a robust evaluation compared to universal review and may not provide stakeholders with the data needed to inform local quality improvement efforts. ja.ma/3VmaGwo

A lot of discussions about difficult cases seem to assume the existence and availability of The Best Surgeon In The World For This, who is perhaps sitting there on the shelf in a lyophilized state, ready to be rehydrated and put into action when needed.

(1/ )

Home call at night, a frequent occurrence in most surgical practices, is associated with sleep loss and burnout in acute care surgeons.

journals.lww.com/journalacs/ful…

Overwhelmed with gratitude right now. I matched into General Surgery and get to spend the next 7 years of my training right here in Milwaukee!
#match2024

⏳ #Match2024 #Generalsurgery

Where I practice, I believe academic surgeons are financially…

Steven D Wexner MD, PhD Julio Mayol Syed A. Ahmad Debby Keller, MD Gianluca Pellino Douglas B. Evans Jeff Matthews MD Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Caitlin Hicks MD, MS Lucia Oliveira,MD,PhD Paula Ferrada MD FACS FCCM MAMSE Jeff Nahmias MD MHPE FACS FCCM Nicolas Avellaneda
Eric Pauli Ron Barbosa MD FACS

#SoMe4Surgery

Surgeon compensation in academic medicine
surgjournal.com/article/S0039-…

Douglas B. Evans MCW Surgery
Steven D Wexner MD, PhD Julio Mayol Syed A. Ahmad Paula Ferrada MD FACS FCCM MAMSE Debby Keller, MD Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Lucia Oliveira,MD,PhD Scott R. Steele SAGES - Heading to Cleveland 2024 Jeff Matthews MD Ron Barbosa MD FACS Julie A Sosa, MD Caitlin Hicks MD, MS

#SoMe4Surgery

High hospital and surgeon volume was associated with lower mortality in all except low-complexity intra-abdominal emergency procedures.

Read the full article at: journals.lww.com/journalacs/ful…

Mass General Surgery MGH Trauma Emanuele Lagazzi, MD, Jefferson Proaño, MD Dias Argandykov, MD May Abiad Wardah Rafaqat

Many conditions treated by surgeons first require primary care screening and referral.

Dr. Sara Schaefer this week in Health Affairs connects primary care shortages to higher rates of emergency surgery for conditions that should be treated electively
healthaffairs.org/doi/full/10.13…

🚨 A multidisciplinary trauma PIPS team improves VTEp guideline compliance in stable TBI rachelsmorris1 MCWTraumaACS MCW Department of Surgery, Division of Research Journal of Trauma and Acute Care Surgery

That’s wrap ❄️ 🏔️ ! A great pleasure to present our work on HPTX WesternTrauma. As always, grateful to my mentor Marc deMoya and the division of trauma MCWTraumaACS MCW Surgery MCW Department of Surgery, Division of Research #WTA2024 #FellowshipOftheSnow

Ania Mydlowska presenting the right way of VTE prophylaxis. Early initiation of VTE chemoprophylaxis with initial weight-based dosing and anti-Xa monitoring is safe and effective @liliankao1 @michellekmcnutt Laura J. Moore, MD @utHealthACS @gabriellehatton
#FellowshipOfTheSnow
#WTA2024

❇️Best of Trauma❇️

This study of patients w/ blunt solid organ injuries demonstrated that VTE chemoprophylaxis initiated within 48hrs of arrival was associated w/ reduced rates of VTE without any observed increase in clinically relevant bleeding

journals.lww.com/jtrauma/fullte…

I could not be more proud of our amazing MCW Surgery General Surgery residents!! It is my absolute honor to see you all grow and thrive in your training careers. Thank you all for your loyalty and love for one another, and your passion for patients. #ThankaResidentDay

‼️ Initiation of VTEp within 72hrs of neurosurgical intervention in TBI is safe and effective. rachelsmorris1 Patrick Murphy Marc deMoya Chris Dodgion MCWTraumaACS MCW Department of Surgery, Division of Research MCW Surgery SURGERY Journal sciencedirect.com/science/articl…

Trauma patients often do NOT have satisfactory DVT prophylaxis with the commonly-used 30 mg BID dose of enoxaparin.

What if you adjusted the dose based on anti-Xa levels?
What doses do they end up on?

Check out the study by Grace Martin Niziolek et al:
➡️bit.ly/3SNUwZP

❇️Best of Trauma❇️

This study of patients w/ blunt solid organ injuries demonstrated that VTE chemoprophylaxis initiated within 48hrs of arrival was associated w/ reduced rates of VTE without any observed increase in clinically relevant bleeding

journals.lww.com/jtrauma/fullte…