Medical Management of Severe Traumatic Brain Injury in Afghanistan at Forward Deployed Surgical Units Demonstrates a Potential Knowledge or Utilization Gap in Patient Management
G Baluh, MD, E Mann-Salinas, PhD, A Staudt, PhD, J Gurney, MD, S Shackelford, MD, J Nielsen, MD, T Becker, MD. SAMMCObjectives: Military surgeons deployed to locations with limited resources, i.e. Role 2 medical treatment facilities (MTF), are often required to care for patients sustaining severe traumatic brain injuries (sTBI). It is paramount in sTBI… Continue Reading
Outcomes following administration of tranexamic acid in military traumatic brain injury
Patrick F Walker, MD, Joseph D Bozzay, MD, Luke R Johnston, MD, Eric A Elster, MD, Carlos J Rodriguez, DO, Matthew J Bradley, MD. Department of Surgery, Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, Bethesda, MarylandOBJECTIVES: Tranexamic acid (TXA) may be a useful adjunct for military patients with… Continue Reading
Prolonged Field Care – The U.S. Air Force Pararescue Experience
Erik DeSoucy, DO1, Seth Zweben, NREMTP2, Stacy Shackelford, MD3, Joseph J DuBose, MD1, Russ S Kotwal, MD, MPH3, Harold R Montgomery, SOATP3, Sean Keenan, MD4, Stephen C Rush, MD2. 1David Grant Medical Center, 2U.S. Air Force Pararescue, 3Joint Trauma System, 4Special Operations Command, EuropeIntroduction: United States Air Force Pararescue is an elite special operations force… Continue Reading
Improving Fasciotomy Performance: A Focused Needs Assessment for Military Surgeon Simulation Training
Walter B Kucera, MD, Matthew D Nealeigh, DO, Brenton Franklin, MD, Mark Bowyer, MD, W. Brian Sweeney, MD, E. Matthew Ritter, MD. Uniformed Services University / Walter Reed National Military Medical CenterObjectives: Many injuries from the wars in Iraq and Afghanistan involve extremity trauma secondary to blasts. The wounding patterns from these blasts predispose patients to… Continue Reading
Delayed Presentations of Trauma Encountered during Large-Scale US Navy Humanitarian Aid Missions
Jason B Brill, LCDR, MC, USN, James D Wallace, LCDR, MC, USN, Romeo C Ignacio, CAPT, MC, USN. Naval Medical Center San DiegoObjectives: A 1000-bed floating hospital, USNS Mercy (T-AH 19) has provided large-scale humanitarian aid (HA) throughout Southeast Asia. As the focus of these missions, designated Pacific Partnership (PP), is to provide low risk,… Continue Reading
Mobile Forward Looking Infrared Technology Allows Rapid Assessment of Resuscitative Endovascular Balloon Occlusion of the Aorta in Hemorrhage and Blackout Conditions
Morgan R Barron, MD, John Kuckelman, DO, John McClellan, MD, Michael Derickson, MD, Cody Phillips, DO, Shannon Marko, DVM, Kyle Sokol, MD, Rowan Sheldon, MDMatthew Eckert, MD, Matthew Martin, MD. Madigan Army Medical CenterIntroduction: Objective assessment of final REBOA position and adequate distal occlusion is clinically limited, particularly in patients with hemorrhagic shock. We propose… Continue Reading
TOO FAST, OR NOT FAST ENOUGH? THE FAST EXAM IN PATIENTS WITH NON-COMPRESSIBLE TORSO HEMORRHAGE
Woo S Do, MD1, Matthew J Eckert, MD1, Ronald Chang, MD2, Erin E Fox, PhD2, Charles E Wade, PhD2, John B Holcomb2, Matthew J Martin1. 1Legacy Emmanuel Medical Center, Portland, OR, 2Center for Translational Injury Research, University of Texas Health Science Center, Houston, TXObjectives: Trauma surgeons assessing patients with non-compressible torso hemorrhage (NCTH) often rely… Continue Reading
COMBAT THORACIC SURGERY IN RECENT CONFLICTS: 2002-2016.
Zsolt Stockinger, MD, Caryn Turner, MPH, Jennifer Gurney, MD. Joint Trauma SystemObjectives: Thoracic surgery constitutes 2.5% of surgical procedures performed in theater, but these are increasingly foreign to military surgeons. This study examines thoracic surgical workload in Iraq and Afghanistan to help define surgical training gaps. Methods: Retrospective analysis of Department of Defense Trauma Registry… Continue Reading
Is it possible to train a military surgeon in 21st century America?
Zsolt T Stockinger, MD1, Paul B Roach, MD2, Caryn A Turner, MPH1. 1Joint Trauma System, 2Lovell Federal Health Care CenterBackground: Published literature suggests that skills required by deployed US Military General Surgeons are dissimilar to their CONUS practices and skills training. Furthermore, that graduating general surgery residents may have a narrower breadth and depth of… Continue Reading
EXPERIENCE IN ECMO TRANSPORT AND INPATIENT MANAGEMENT AT A MILITARY REFERRAL FACILITY
Lydia Piper, MD1, Andriy Batchinsky, MD2, Philip Mason, MD1, Matthew Read, MD1, Lloyd Tannenbaum, MD1, Christine Soohoo, MD1, James Huang, PAC1, Valerie Sams, MD1. 1SAMMC, 2USAISRIntroduction: Acute respiratory failure and acute respiratory distress syndrome (ARDS) in patients with severe thoracic or polytrauma remains difficult to treat, often resulting in high incidence of mortality or lasting… Continue Reading
Laparoscopy in penetrating trauma is a safe and effective alternative to laparotomy
Vadim Meytes, DO, Grace Chang, Kevin Bain, DO, Michael Timoney, MD. NYU Langone Hospital - BrooklynIntroduction: Diagnostic laparoscopy (DL) is an increasingly used modality when approaching penetrating anterior abdominal injury (PAAI). Historically, exploratory laparotomy (EL) for PAAI can result in a 20% negative laparotomy, 5% mortality and 20% morbidity rate. Laparoscopically trained trauma surgeons can… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
LAPAROSCOPIC VERSUS OPEN SURGERY FOR PERFORATED PEPTIC ULCER: AN ENGLISH NATIONAL POPULATION-BASED COHORT STUDY
Sheraz R Markar, Astrid Leusink, Tom Wiggins, Hugh Mackenzie, Omar Faiz, George B Hanna. Department of Surgery & Cancer, Imperial College London, United KingdomBackground: Previous randomized controlled trials have suggested a laparoscopic approach to the surgical treatment of perforated peptic ulcer (PPU) is associated with a reduced length of hospital stay and postoperative pain. However… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
Emergent Laparoscopic Sleeve Gastrectomy for Gastric Necrosis
Apurva Trivedi, DO1, Jacob A Petrosky, MD2, Jai Prasad, MD2, Ryan D Horsley, DO3. 1Geisinger Wyoming Valley, 2Geisinger Medical Center, 3Geisinger Community Medical CenterThe management of a surgical hemodynamically unstable patient is generally not managed laparoscopically. Our patient is a 47-year-old female with a past medical history of diabetes, asthma, morbid obesity and 24 pack-year… Continue Reading
- Topic:
- Acute Care Surgery
EMERGENCY LAPAROSCOPIC PARTIAL SPLENECTOMY IN PEDIATRIC BLUNT SPLENIC TRAUMA
Giancarlo Basili, MD, Dario Pietrasanta, MD, Federico Filidei, MD, Nicola Romano, MD, Aurelio Costa, MD. Pontedera General Hospital, General Surgery DepartmentIntroduction: The incidence of splenic injury in blunt abdominal trauma has been reported as high as 25% in literature. The management has undergone major changes over the past from nearly mandatory laparotomy with splenectomy, to… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic Ladd Procedure
Brian Bassiri-Tehrani, MD, Robert A Andrews, MD. Lenox Hill HospitalIntroduction: Intestinal malrotation occurs in about 1 in 200 to 1 in 500 live births. Despite this, however, not all patients present with signs and symptoms of an acute obstruction or volvulus. In fact, most patients are asymptomatic and are incidentally diagnosed later in life. Symptomatic… Continue Reading
- Topic:
- Acute Care Surgery