Trauma ICU Rounds

Dr. Dennis Kim
  • 4.9 (657)
  • Medicine
  • Updated Biweekly

Medical education podcast dedicated to providing high-quality, concise, and clinically relevant multimedia content spanning the spectrum of surgical critical care, emergency general & trauma surgery

  1. 5d ago ·  Video

    Shock: A Physiology-First Approach | Visual Rounds

    This is a Visual Rounds episode — a more foundational crossover from the YouTube side of Trauma ICU Rounds. Shock is not simply hypotension. In this episode, we work through a physiology-first approach to shock: oxygen delivery, cardiac output, arterial oxygen content, MAP versus perfusion, compensated shock, mixed shock, and the four major shock states — hypovolemic, cardiogenic, obstructive, and distributive. The goal is to move beyond simply naming a shock category and instead understand what part of the circulation is failing, what physiology is dominant, and how that should shape the first moves in resuscitation. Topics include: Recognizing shock before profound hypotension developsOxygen delivery: DO₂ = cardiac output × arterial oxygen contentCardiac output, preload, contractility, and afterloadThe importance of hemoglobin and oxygen-carrying capacityMAP versus tissue perfusionCompensated and mixed shockHypovolemic, cardiogenic, obstructive, and distributive shockInitial resuscitation and mechanism-specific treatmentThis episode is intentionally foundational and provides the framework for deeper Trauma ICU Rounds episodes on individual shock states and resuscitation. If you find this kind of physiology-first critical care teaching useful, subscribe to Trauma ICU Rounds on YouTube for the full Visual Rounds series. More resources: traumaicurounds.ca Explore Trauma ICU Rounds: https://www.traumaicurounds.ca Follow: Instagram: https://www.instagram.com/traumaicurounds TikTok: https://www.tiktok.com/@traumaicurounds YouTube: https://www.youtube.com/@traumaicurounds Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

  2. Sep 8

    Whole Blood in Trauma Resuscitation: What Did TOWAR and SWiFT Change?

    Whole blood has made a remarkable comeback in trauma resuscitation. Physiologically, the rationale is compelling, and observational studies have suggested improved survival. But the recent randomized TOWAR and SWiFT trials have challenged the assumption that whole blood is clearly superior to component therapy. In this episode of Trauma ICU Rounds, we review the rationale for low-titer group O whole blood (LTOWB), the major observational data supporting its use, what TOWAR and SWiFT actually showed, and how these findings should influence contemporary damage-control resuscitation. Topics include:  Low-titer group O whole blood (LTOWB)  Observational versus randomized evidence  TOWAR and SWiFT  Whole blood versus balanced component therapy  Integrating whole blood into massive hemorrhage protocols  Calcium, warming, TXA and hemorrhage control  RhD considerations in females of childbearing potential The central question: whole blood clearly works as a resuscitation product—but is it actually better than excellent component therapy? Full notes, graphics and references: traumaicurounds.ca Follow @traumaicurounds on Instagram and TikTok, and subscribe on YouTube for new trauma and critical care teaching. Explore Trauma ICU Rounds: https://www.traumaicurounds.ca Follow: Instagram: https://www.instagram.com/traumaicurounds TikTok: https://www.tiktok.com/@traumaicurounds YouTube: https://www.youtube.com/@traumaicurounds Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

  3. Sep 8

    State of the Rounds

    After four years away, Trauma ICU Rounds is back. In this short relaunch episode, I reflect on the journey from California back to Canada, how my clinical and leadership roles have evolved, and why now is the right time to return to the podcast. We also share what comes next: clear, practical, evidence-informed conversations in trauma, critical care and resuscitation—designed to make complex topics easier to understand and apply at the bedside. Welcome back to Rounds. Explore Trauma ICU Rounds: https://www.traumaicurounds.ca Follow: Instagram: https://www.instagram.com/traumaicurounds TikTok: https://www.tiktok.com/@traumaicurounds YouTube: https://www.youtube.com/@traumaicurounds Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

  4. 09/20/2022

    Episode 54: Frailty, Geriatric Trauma & TBI with Dr. Bellal Jospeh

    In this episode we sit down with the Chief of Trauma, Surgical Critical Care, Burns,  & Acute Care Surgery at the University of Arizona, Dr. Bellal Joseph, who share with us his thoughts and research findings on hot topics including frailty, geriatric trauma, leadership, and more. Timestamps: 00:12  Introductions 01:30  What is frailty? Your physiologic NOT chronologic body. 06:58  Injured elderly trauma patients can have good outcomes 07:30  Trauma specific frailty index 10:48  Failure to rescue 13:57  Geriatricians and the trauma surgeons 15:08  4Ms-What Matters, Mobility, Mentation, Medication 16:48  Geriatric cohorting/wards 22:24  ACS geriatric centers of excellence 29:35  Brain Injury Guidelines (BIG) 38:17  The importance of teamwork & servant leadership 40:28  Imposter syndrome 43:19  Leadership considerations 45:25  Final thoughts References: Joseph B, Friese RS, Sadoun M, Aziz H, Kulvatunyou N, Pandit V, Wynne J, Tang A, O'Keeffe T, Rhee P. The BIG (brain injury guidelines) project: defining the management of traumatic brain injury by acute care surgeons. J Trauma Acute Care Surg. 2014 Apr;76(4):965-9. doi: 10.1097/TA.0000000000000161. PMID: 24662858. Joseph B, Obaid O, Dultz L, Black G, Campbell M, Berndtson AE, Costantini T, Kerwin A, Skarupa D, Burruss S, Delgado L, Gomez M, Mederos DR, Winfield R, Cullinane D; AAST BIG Multi-institutional Study Group. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554. Epub 2022 Mar 28. PMID: 35343931.v Joseph B, Pandit V, Haider AA, Kulvatunyou N, Zangbar B, Tang A, Aziz H, Vercruysse G, O'Keeffe T, Freise RS, Rhee P. Improving Hospital Quality and Costs in Nonoperative Traumatic Brain Injury: The Role of Acute Care Surgeons. JAMA Surg. 2015 Sep;150(9):866-72. doi: 10.1001/jamasurg.2015.1134. PMID: 26107247. Joseph B, Pandit V, Sadoun M, Zangbar B, Fain MJ, Friese RS, Rhee P. Frailty in surgery. J Trauma Acute Care Surg. 2014 Apr;76(4):1151-6. doi: 10.1097/TA.0000000000000103. PMID: 24662884. Orouji Jokar T, Ibraheem K, Rhee P, Kulavatunyou N, Haider A, Phelan HA, Fain M, Mohler MJ, Joseph B. Emergency general surgery specific frailty index: A validation study. J Trauma Acute Care Surg. 2016 Aug;81(2):254-60. doi: 10.1097/TA.0000000000001120. PMID: 27257694. Explore Trauma ICU Rounds: https://www.traumaicurounds.ca Follow: Instagram: https://www.instagram.com/traumaicurounds TikTok: https://www.tiktok.com/@traumaicurounds YouTube: https://www.youtube.com/@traumaicurounds Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

  5. 09/12/2022

    Episode 53: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part II

    In this episode, we talk all things critical care the one and only, Dr. Jean-Louis Vincent aka. JLV.  This episode is a MUST listen. We touch upon the evolution of early goal directed therapy, measures of fluid responsiveness, optimizing oxygen delivery, and the importance of integrating data points versus examining  them in isolation when caring for our critically ill and injured patients. This and MUCH MUCH more in arguably one of my favorite episodes to date!! Timestamps 00:00 Introduction 01:21 What happened to SG catheters and should we use them? 04:05 What decreases mortality in critical care patients? 05:30 When to transfuse critical care patient? Use your brain! 08:55 Measures of tissue perfusion and fluid responsiveness 09:36 JLV breaks down the Rivers trial 10:36 Recent EGDT papers 10:54 How to optimize O2 delivery? Late ScVO2, dob challenge, and fluid challenges 13:21 Dynamic measures of fluid responsiveness 13:46 CVP as a relative value 15:14 Passive leg raising (PLR) as a measure of fluid responsiveness 21:20 JLV's take on therapeutic nihilism 24:45 Don’t isolate; integrate! 26:46 Navigating the future of critical care – JLV’s thoughts on AI in the ICU 29:55 Rapid fire hot topics in the ICU – Yes or No -Metabolic cocktail -Corticosteroids for septic shock -Albumin and Lasix or Lasix alone PCT/CRP and sepsis/Abx Resources: International Symposium on Intensive Care and Emergency Medicine (ISICEM): https://www.isicem.org ISICEM Chats Platform: https://www.isicem.org/e-chat/index.asp           Articles: Passive leg raising:five rules, not a drop of fluid! https://ccforum.biomedcentral.com/articles/10.1186/s13054-014-0708-5 The fluid challenge https://ccforum.biomedcentral.com/articles/10.1186/s13054-020-03443-y Blood lactate levels in sepsis: 8 questions Vincent JL, Bakker J. Blood lactate levels in sepsis: in 8 questions. Curr Opin Crit Care. 2021 Jun 1;27(3):298-302. doi: 10.1097/MCC.0000000000000824. PMID: 33852499. We should avoid the term "fluid overload" https://ccforum.biomedcentral.com/articles/10.1186/s13054-018-2141-7 EGDT in the Treatment of Severe Sepsis and Septic Shock https://www.nejm.org/doi/full/10.1056/nejmoa010307 A Randomized Trial of Protocol-Based Care for Early Septic Shock https://www.nejm.org/doi/full/10.1056/nejmoa1401602 Explore Trauma ICU Rounds: https://www.traumaicurounds.ca Follow: Instagram: https://www.instagram.com/traumaicurounds TikTok: https://www.tiktok.com/@traumaicurounds YouTube: https://www.youtube.com/@traumaicurounds Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

  6. Season 3 Trailer

    Season 3 Trailer

    It's been a while! We are coming to you from our new studio in Victoria on Vancouver Island, BC. This Season is PACKED with incredible content, interviews and educational pearls designed to improve the quality of care that you are deliver daily at the bedside to your patients and their loved ones. Explore Trauma ICU Rounds: https://www.traumaicurounds.ca Follow: Instagram: https://www.instagram.com/traumaicurounds TikTok: https://www.tiktok.com/@traumaicurounds YouTube: https://www.youtube.com/@traumaicurounds Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

  7. 09/06/2022

    Episode 52: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part I

    In this episode, we discuss the overarching importance of AVOIDING iatrogenic harm in the ICU with arguably one of the world's leading experts in critical care medicine, the one and only, Dr. Jean-Louis Vincent aka. JLV. Tune in as Dr. Vincent shares with us the importance of having a systematic, problem-based approach to patient care delivery which, of course, involves giving our patients a FAST HUG every day! Time Stamps: 2:10 LA Critical Care and Differences between Europe versus USA 4:04 COVID, Modern tech and bedside care 5:32 ICU Rounds – How I do it 6:00 Team Based ICU Care  7:56 Modern advances in critical care 9:55 Problem-based approach in the ICU 13:18 FAST HUGS 14:00 Feeding 14:36 Analgesia & Sedation 15:46 Thromboembolic prophylaxis 16:25Head of the bed elevated 17:17Ulcer prophylaxis 19:22Glucose control 20:48 Tube feeds, yes? Ulcer ppx , no. 22:30 Outro Explore Trauma ICU Rounds: https://www.traumaicurounds.ca Follow: Instagram: https://www.instagram.com/traumaicurounds TikTok: https://www.tiktok.com/@traumaicurounds YouTube: https://www.youtube.com/@traumaicurounds Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

  8. 02/11/2022

    Episode 51 - Persistent Inflammation, Immunosuppression & Catabolism Syndrome (PICS) with Dr. Scott Brakenridge

    "Getting patients resuscitated through sepsis, septic shock, and hemorrhagic shock is not the end...it's the beginning." In this episode, Dr. Brakenridge from Harborview Medical Center joins us to discuss PICS and the impact of this syndrome on our critically ill and injured patients and their families. Also referred to as the Post-Intensive Care Syndrome, Dr. Brakenridge shares with us the evolution and results of translational research into this now well-recognized morbid condition which often occurs in the setting of chronic critical illness. From the importance of breaking  the cycle of "sepsis recidivism" to the. application of the SCCM A to F bundle, this episode is a MUST listen for those of us taking care of patients in the ICU. TIME STAMPS 00:12  Introduction 01:46  What is PICS? The role of chronic critical illness (CCI) 05:13  Phenotypes vs. endotypes 06:47  The role of biomarkers in PICS 08:50  When does acute critical illness turn into CCI? 10:14  Risk factors for PICS 15: 07  Prognostication and determining patient trajectory 18:32  The Glue Grant Experience: Genomics of Injury 22:48  Hemorrhagic shock resuscitation: Then and now 25:33  Sepsis recidivism & avoiding secondary insults  29:08 ICU delirium 31:55  The role of early mobilization 32:41  The impact of catabolism in sepsis 34:50  Is there a role for anabolic steroids to counteract PICS? 37:52  What's ahead in terms of PICS translational research? 39:44  Cytokine and immunomodulator therapies 41:49  Final thoughts RECOMMENDED READINGS Brakenridge SC, Wang Z, Cox M, Raymond S, Hawkins R, Darden D, Ghita G, Brumback B, Cuschieri J, Maier RV, Moore FA, Mohr AM, Efron PA, Moldawer LL. Distinct immunologic endotypes are associated with clinical trajectory after severe blunt trauma and hemorrhagic shock. J Trauma Acute Care Surg. 2021 Feb 1;90(2):257-267. Efron PA, Mohr AM, Bihorac A, Horiguchi H, Hollen MK, Segal MS, Baker HV, Leeuwenburgh C, Moldawer LL, Moore FA, Brakenridge SC. Persistent inflammation, immunosuppression, and catabolism and the development of chronic critical illness after surgery. Surgery. 2018 Aug;164(2):178-184. doi: 10.1016/j.surg.2018.04.011. Epub 2018 May 26. Sauaia A, Moore FA, Moore EE. Postinjury Inflammation and Organ Dysfunction. Crit Care Clin. 2017 Jan;33(1):167-191. Stortz JA, Murphy TJ, Raymond SL, Mira JC, Ungaro R, Dirain ML, Nacionales DC, Loftus TJ, Wang Z, Ozrazgat-Baslanti T, Ghita GL, Brumback BA, Mohr AM, Bihorac A, Efron PA, Moldawer LL, Moore FA, Brakenridge SC. Evidence for Persistent Immune Suppression in Patients Who Develop Chronic Critical Illness After Sepsis. Shock. 2018 Mar;49(3):249-258.  Explore Trauma ICU Rounds: https://www.traumaicurounds.ca Follow: Instagram: https://www.instagram.com/traumaicurounds TikTok: https://www.tiktok.com/@traumaicurounds YouTube: https://www.youtube.com/@traumaicurounds Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

See All (59)

Trailers

4.9
out of 5
657 Ratings

About

Medical education podcast dedicated to providing high-quality, concise, and clinically relevant multimedia content spanning the spectrum of surgical critical care, emergency general & trauma surgery

Information

  • Creator
    Dr. Dennis Kim
  • Years Active
    2020 - 2026
  • Episodes
    59
  • Rating
    Clean
  • Copyright
    © 2026 Trauma ICU Rounds
  • Show Website
    Trauma ICU Rounds

You Might Also Like