Some endovascular trauma procedures are relatively uncommon. Given that fact, a robust quality assurance strategy is an essential part of any endovascular trauma program. Risk mitigation for endovascular trauma “The best way to mitigate the risks is to prepare and plan for them,” said Megan Brenner, MD. For REBOA and other endovascular procedures, it is…
Author: Robert Fojut
Since many trauma surgeons and trauma nurses have little or no training in endovascular techniques, new endovascular trauma programs must make education a priority. Endovascular training for trauma surgeons For many trauma surgeons today, the focus of endovascular training is learning to perform REBOA. “The most challenging part of REBOA training is common femoral artery…
Once you’ve determined who will lead and take part in the endovascular trauma program, the next step is to plan and secure the program’s physical resources and equipment. One big question is whether or not to create a dedicated trauma hybrid room. Melanie Hoehn, MD, believes that hybrid rooms are useful but not essential to…
The first step to establishing a new endovascular trauma program is to identify the clinicians who will lead and staff the program. “The people issue is probably the one thing that hospitals don’t spend enough time focusing on,” said Melanie Hoehn, MD, a University of Maryland School of Medicine vascular surgeon. “The success of an…
Trauma leaders worldwide show a growing interest in using endovascular tools in trauma resuscitation, hemorrhage control and definitive injury management. This interest is driven in part by the development of new endovascular devices designed specifically for injured patients. In addition, the emergence of resuscitative endovascular balloon occlusion of the aorta (REBOA) has increased overall awareness…
Trauma surgeon Eileen Metzger Bulger, MD, FACS was recently appointed chair of the American College of Surgeons Committee on Trauma (COT). Dr. Bulger is the chief of trauma at Harborview Medical Center in Seattle, where she directs both the adult and pediatric trauma programs. As the 20th chair of the COT, she brings a diverse…
A group of U.S. researchers recently launched a series of studies exploring the concept of trauma surgeons as high-performance athletes. Their goal is to build a model that links physiologic markers to functional performance measures. Ultimately, they hope to identify modifiable targets that can be used to protect trauma surgeon function and help ensure peak…
Trauma teams are showing increasing interest in resuscitative endovascular balloon occlusion of the aorta (REBOA) and other techniques of minimally invasive resuscitation. In response to the growing enthusiasm, the Endovascular Resuscitation & Trauma Management (EVTM) Symposium is delivering cutting-edge educational programs to an international audience of trauma professionals and related specialists. The first EVTM Symposium…
In April a broad coalition of trauma stakeholders met in Bethesda, Md., to begin implementing the recommendations of the landmark Zero Preventable Deaths report. The report, which was developed by the National Academies of Sciences, Engineering and Medicine (NASEM), proposes the creation of a joint civilian-military trauma system in the U.S. The goals are to…
Abusive head trauma (AHT) is the leading cause of infant death from physical abuse in the United States. According to researchers, clinicians miss approximately 30% of AHT diagnoses, often because clinical signs of trauma are unclear. Last week in JAMA Pediatrics, a group of Pittsburgh researchers described a system for diagnosing AHT using a rapid…