Surgery Grand Rounds 2020-2021

Date ​Session Title ​Discussion Topics ​Speaker
7/6/2020 ​No Conference - 4th of July Observed
7/13/2020 ​No Conference, General Surgery Residency Grand Rounds
7/20/2020 Opioid Prescriptions 1) Overview of the Opioid Epidemic
2) Current Opioid Prescribing Practices within our Surgical Residency
3) Best Practices in Opioid Prescribing​		 Victoria Huynh, M.D., and
Joshua Billings, M.D.​
Ultrasound Procedures ​​1) Principles
2) FAST
3) ECHO		 Nicole Werner, M.D.​
7/27/2020 Trauma I 1) Arterial Injuries: Use of Tourniquets, ABIs
2) Indications and Timing of Fasciotomy
3) Indication for Shunt
4) Mangled Extremity		 John Eun, M.D.
Trauma II 1) Initial Assessment of the Trauma Patient
2) Airway Management
3) CXR, Pelvic X-ray, eFAST/DPL
4) C Spine Clearance
5) Indications and Use CTS		 Robert McIntyre, Jr., M.D.​
8/3/2020 Trauma III 1) EDT
2) Indications for Thoracotomy
3) Operative Management of Cardiopulmonary Injuries
4) Rib Fracture Plating		 Fred Pieracci, M.D.
Trauma IV 1) TBI Management Principles (AANS Guidelines)
2) Penetrating Neck Injury
3) BCVI
4) Penetrating Chest Injury, Transmediastinal Wounds
5) Hemo-Pneumothorax VATS		 Eric Campion, M.D.
8/10/2020 Trauma V 1) Penetrating Abdominal Injury GSW vs Stab Wounds (Abdominal vs Thoracoabdominal), Work up, Indications for Operation
2) Management of Colon/Rectal Injuries - When to Repair/Resect/Anastomose vs Divert
3) Retroperitoneal Hematoma
4) Diaphragm
5) Laparoscopy?		 Juan-Pablo Idrovo, M.D.
Trauma VI 1) Blunt Abdominal Trauma
2) NOM Solid Organ Injuries Especially Liver and Spleen
3) Operative Management Liver Spleen
4) Intra-Abdominal Hypertension and Compartment Syndrome
5) Closing the Open Abdomen
6) Component Separation 		Catherine Velopulos, M.D.
8/17/2020 Trauma VII Pelvic Fracture Hemorrhage: Management of the Unstable Patient (Binder, REBOA, Embolization, Elvic Packing, R/O other Sources) Ernest Moore, M.D.
Trauma VIII 1) Damage Control Resuscitation
2) Damage Control Surgery (When, Why, How)
3) Massive Transfusion Protocol - Indications, Ratios, TEG
4) Antifibfinolytics, TXA
5) When to Return to OR		 Jonathan Meizoso, M.D.
8/24/2020 Critical Care I - Shock/Sepsis 1) 4 Types of Shock (Cardiogenic, Septic, Neurogenic, Hypovolemic)
2) Transfusion Triggers But Not Massive Transfusion Protocol
3) Sepsis Guideline, Definitions, Quality Metrics
4) Monitoring with PAC-Just Basics		 Franklin Wright, M.D.
Critical Care II - Infections 1) Primarily Intra-Abdominal Infection, SIS Antibiotic Guidelines 2010
2) Soft Tissue Infection, MRSA
3) C Dif Colitis
4) CLABSI
5) VAP		 Lisa Ferrigno, M.D.
8/31/2020 Critical Care III - Organ Failure I 1) Acute Respiratory Failure
2) Initial Ventilator Setting
3) Weaning
4) Multiple Organ Failure (Definition, Causes and Outcomes from MSOF)		 Lauren Steward, M.D.
Critical Care IV - Nutrition 1) Parenteral, Enteral (Feed Open Abdomen)
2) Tube Complications (Tube-Feeding Types)
3) TPN and Enteral Nutrition
4) Evidence-Based Feeding Protocols (Prokinetics, Diarrhea, Probiotics)		 Ryan Lawless, M.D.
9/7/2020 ​No Conference - Labor Day
9/14/2020 ​No Conference - Schultz Lectureship
9/21/2020 Critical Care V- Organ Failure II 1) Acute Respiratory Failure
2) Initial Ventilator Setting
3) Weaning
4) Multiple Organ Failure (Definition, Causes and Outcomes from MSOF)		 Jamie Colman, M.D.
9/28/2020 Critical Care VI - VTE/Anticoagulation 1) VTE Prophylaxis
2) PE
3) NOAC
4) HIT		 Robert McIntyre, M.D.
10/5/2020 ​No Conference - American College of Surgeons Annual Meeting
10/12/2020 Burn and Wound Care Management I 1) Burn Care
2) Inhalation Injury, CO Poisoning
3) Wound Management		 Arek Wiktor, M.D.
10/19/2020 Burn and Wound Care Management II 1) SJS/TENS
2) Chemical Injury
3) Electrical Injury
4) Friction Burns		 Patrick Duffy, M.D.
10/26/2020 ​No Conference
11/2/2020 Cold Injury 1) Hypothermia
2) Frostbite		 Anne Wagner, M.D.
11/9/2020 Perioperative Care I - Pain Pain Matthew Lyman, M.D.
11/16/2020 ​No Conference - Lilly Lectureship
11/23/2020 ​No Conference - Thanksgiving Week​
11/30/2020 Perioperative Care II - Fluids & Electrolytes Fluids and Electrolytes Robert McIntyre Jr., M.D.
12/7/2020 Perioperative Care III - Infection 1) Antibiotics Stop IT Trial
2) Prophylaxis
3) Mechanical Bowel Prep
4) Invasive Fungal Infection		 Lisa Ferringo, M.D.
12/14/2020 Perioperative Care IV - Cardiopulmonary 1) Periop Pulmonary Risk Assessment
2) Postoperative Care
3) Cardiac Assessment
4) BB / Statins / Bridge Anticoagulation		 Lauren Steward, M.D.
12/21/2020 ​No Conference - Holiday Break​
12/28/2020 ​No Conference - Holiday Break​