Trauma Bay Podcast

Max Hastings CEN, CCRN
  • 4.9 (9)
  • MEDICINE
  • UPDATED BIWEEKLY

Talking all things trauma, critical care, and resuscitation. Maximize your impact in the room. Proud grad school drop out. Instagram: @traumabaypod

Episodes

  1. 09/28/2025

    High Dose Nitro for SCAPE and Sedation Discussion with Robert Mokszyscki PharmD, BCPS

    In this episode we welcome our first guest Rob Mokszyscki PharmD, BCPS to the podcast. We discuss high dose Nitroglycerin for SCAPE, and also have a brief discussion on sedation agents. Agrawal, N., Kumar, A., Aggarwal, P., & Jamshed, N. (2016). Sympathetic crashing acute pulmonary edema. Indian Journal of Critical Care Medicine, 20(12), 719–723. https://doi.org/10.4103/0972-5229.195710 Ashok, H., Shtembari, J., Achhami, E., Gaire, S., Shrestha, D. B., & Joshi, T. (2022). Valvular heart disease presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) phenomenon: A diagnostic and management paradigm. Cureus, 14(12), e32352. https://doi.org/10.7759/cureus.32352 Kelly, R. P., Gibbs, H. H., O’Rourke, M. F., Daley, J. E., Mang, K., Morgan, J. J., & Avolio, A. P. (1990). Nitroglycerin has more favourable effects on left ventricular afterload than apparent from measurement of pressure in a peripheral artery. European Heart Journal, 11(2), 138–144. https://doi.org/10.1093/oxfordjournals.eurheartj.a059669 Long, B., Brady, W. J., & Gottlieb, M. (2025). Emergency medicine updates: Sympathetic crashing acute pulmonary edema. The American Journal of Emergency Medicine, 90, 35–40. https://doi.org/10.1016/j.ajem.2024.12.061 Wilson, S. S., Kwiatkowski, G. M., Millis, S. R., Purakal, J. D., Mahajan, A. P., & Levy, P. D. (2017). Use of nitroglycerin by bolus prevents intensive care unit admission in patients with acute hypertensive heart failure. American Journal of Emergency Medicine, 35(1), 126–131. https://doi.org/10.1016/j.ajem.2016.10.038

    41 min

  2. 09/28/2025

    The Trauma Code - Traumatic Cardiac Arrest

    In this episode we discuss the physiology and management behind the traumatic cardiac arrest.

    31 min

  3. 05/17/2025

    ECMO in the ED? An Overview of ECPR

    In this episode we discuss the basics of ECPR and VA-ECMO. Included is a case review and discussion. Later in the episode we outline some landmark ECPR studies, and review inclusion and exclusion criteria. Bartos, J. A., Grunau, B., Carlson, C., Duval, S., Ripeckyj, A., Kalra, R., Raveendran, G., John, R., Conterato, M., Frascone, R. J., Trembley, A., Aufderheide, T. P., & Yannopoulos, D. (2020). Improved survival with extracorporeal cardiopulmonary resuscitation despite progressive metabolic derangement associated with prolonged resuscitation. Circulation, 141(11), 877–886. https://doi.org/10.1161/CIRCULATIONAHA.119.042173 Richardson, A. C., Tonna, J. E., Nanjayya, V., Abrams, D., Brodie, D., Pellegrino, V. A., Shekar, K., & Thiagarajan, R. R. (2021). Extracorporeal cardiopulmonary resuscitation in adults: Interim guideline consensus statement from the Extracorporeal Life Support Organization. ASAIO Journal, 67(3), 221–228. https://doi.org/10.1097/MAT.0000000000001344 Schmitzberger, F. F., Haas, N. L., Coute, R. A., Bartos, J., Hackmann, A., Haft, J. W., Hsu, C. H., Hutin, A., Lamhaut, L., Marinaro, J., Nagao, K., Nakashima, T., Neumar, R., Pellegrino, V., Shinar, Z., Whitmore, S. P., Yannopoulos, D., & Peterson, W. J. (2022). ECPR²: Expert consensus on percutaneous cannulation for extracorporeal cardiopulmonary resuscitation. Resuscitation, 179, 214–220. https://doi.org/10.1016/j.resuscitation.2022.07.003 Suvrein, C. G., van de Glind, E. M. M., de Bruin, S., van den Brink, F. S., van der Hoeven, J. G., & Hoedemaekers, C. W. E. (2023). Early extracorporeal CPR for refractory out-of-hospital cardiac arrest. The New England Journal of Medicine, 388(4), 299–309. https://doi.org/10.1056/NEJMoa2204511 Yannopoulos, D., Bartos, J. A., Raveendran, G., Walser, E., Connett, J., Murray, T. A., Khatri, J., O’Connor, D., Bedi, A., & Aufderheide, T. P. (2020). Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): A phase 2, single centre, open-label, randomised controlled trial. The Lancet, 396(10265), 1807–1816. https://doi.org/10.1016/S0140-6736(20)32338-2

    35 min

  4. 04/29/2025

    Intro to Cardiac Arrest and The Epinephrine Debate

    In this episode we start our dive into ACLS and managing a patient in Cardiac Arrest. We also discuss the debate surrounding giving epinephrine in cardiac arrest. Williams, C. A., Fairley, H. E., Tran, Q. K., & Pourmand, A. (2024). Use of epinephrine in cardiac arrest: Advances and future challenges. Medicina, 60(11), 1904. https://doi.org/10.3390/medicina60111904

    42 min

  5. 04/02/2025

    Optimizing the Intubation

    In this episode we take a look into some general intubation practices and principles. Also examine best practices to take during RSI and discuss some tips and tricks to optimize your practice. Reference: Baker, J., Khan, N., Singh, M., & Kuza, C. M. (2022). The efficacy of apneic oxygenation to prevent hypoxemia during rapid sequence intubation in trauma patients. Current Opinion in Anaesthesiology, 35(2), 182–188. https://doi.org/10.1097/aco.0000000000001103 Fuller, B. M., Ferguson, I. T., Mohr, N. M., Drewry, A. M., Palmer, C., Wessman, B. T., Ablordeppey, E., Keeperman, J., Stephens, R. J., Briscoe, C. C., Kolomiets, A. A., Hotchkiss, R. S., & Kollef, M. H. (2017). Lung-protective ventilation initiated in the Emergency Department (LOV-ed): A quasi-experimental, before-after trial. Annals of Emergency Medicine, 70(3). https://doi.org/10.1016/j.annemergmed.2017.01.013 Ye, N., Wei, C., Deng, J., Wang, Y., & Xie, H. (2025). PREOXYGENATION strategies before intubation in patients with acute hypoxic respiratory failure: A network meta-analysis. Frontiers in Medicine, 12. https://doi.org/10.3389/fmed.2025.1532911

    32 min

  6. 03/17/2025

    Managing the Penetrating Trauma

    In this episode we take a look into a handful of penetrating trauma cases to understand the nuances and share some tips along the way. Cothren CC, Moore EE. Emergency department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World J Emerg Surg. 2006 Mar 24;1:4. (License: CC BY-2.0)

    27 min

  7. 03/02/2025

    Cardiogenic Trauma?

    In this episode we review a trauma case that took an unexpected turn. Viewer discretion is advised. Reference: Dalal, R. (2024, November 23). Epinephrine. StatPearls . https://www.ncbi.nlm.nih.gov/books/NBK482160/#:~:text=Through%20its%20action%20on%20α1,renin%20release%20via%20β1%20receptors.  Farkas, J. (2025, January 4). Bradycardia. EMCrit Project. https://emcrit.org/ibcc/bradycardia/#3rd_degree_block  Knabben, V. (2023, July 31). Third-degree atrioventricular block. StatPearl. https://www.ncbi.nlm.nih.gov/books/NBK545199/  Robichaud L;Ross D;Proulx MH;Légaré S;Vacon C;Xue X;Segal E; (n.d.). Prehospital nitroglycerin safety in inferior st elevation myocardial infarction. Prehospital emergency care. https://pubmed.ncbi.nlm.nih.gov/26024432/  Sonne, J. (2023, July 3). Dopamine. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK535451/  Warner, M. J. (2023, February 12). Inferior myocardial infarction. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK470572/

    23 min

  8. 02/22/2025

    Deep Dive on Trauma Criteria

    In this episode, we review a handful of trauma activation criteria, and speak on their merits and potential downfalls. Viewer discretion advised. Citations: Adult trauma team activation criteria. Trauma Protocols. (2023, July 10). https://wp.uthscsa.edu/surglearning/docs/adult-trauma-team-activation-criteria/#1689019243695-de1fef58-5ce4 School, M. M. (2024, September 17). Trauma team activation policy. Surgery. https://med.uth.edu/surgery/trauma-team-activation-policy/ Trauma activation protocol. (n.d.-a). https://www.waterburyhospital.org/contentassets/97aa09c644df40b0b65000308863a0de/wh-trauma-response-protocol-7.1.19.pdf Trauma alert/activation criteria. (n.d.-b). https://www.ucdenver.edu/docs/librariesprovider74/trauma-and-acute-care-surgery-pdfs/trauma-protocols/trauma-activation-alert-criteria-checklist.pdf?sfvrsn=910abeb9_2 Trauma and burn activation criteria. (n.d.-c). https://www.vumc.org/trauma-and-scc/sites/default/files/public_files/Protocols/2024 Trauma and Burn Activation Criteria.pdf Trauma team activation criteria. (n.d.-d). https://health.mo.gov/living/healthcondiseases/chronic/tcdsystem/pdf/MU-ActivationCriteriaFinal.pdf Trauma team activation guideline. (n.d.-e). https://doh.wa.gov/sites/default/files/legacy/Documents/Pubs/689164.pdf

    37 min
  9. Dissecting Aortic Dissections

    02/12/2025

    Dissecting Aortic Dissections

    In this episode we review a case of an ascending aortic dissection and talk about the pathology and typical plan of care prior to OR. Reference: Harris KM, Nienaber CA, Peterson MD, et al. Early Mortality in Type A Acute Aortic Dissection: Insights From the International Registry of Acute Aortic Dissection. JAMA Cardiol. 2022;7(10):1009–1015. doi:10.1001/jamacardio.2022.2718 Nappi, F., Gambardella, I., Singh, S. S., Salsano, A., Santini, F., Spadaccio, C., Biancari, F., Dominguez, J., & Fiore, A. (2023). Survival following acute type A aortic dissection: A multicenter study. Journal of Thoracic Disease, 15(12), 6604–6622. https://doi.org/10.21037/jtd-23-1137  Flower L, Arrowsmith JE, Bewley J, Cook S, Cooper G, Flower J, Greco R, Sadeque S, Madhivathanan PR. Management of acute aortic dissection in critical care. J Intensive Care Soc. 2023 Nov;24(4):409-418. doi: 10.1177/17511437231162219. Epub 2023 Mar 29. PMID: 37841293; PMCID: PMC10572474.

    30 min

  10. 02/07/2025

    Introductions and choosing your first ER nursing job.

    Listener discretion advised. Medical topics and graphic descriptions may be present.

    30 min
  • 10 Episodes

Ratings & Reviews

4.9
out of 5
9 Ratings

About

Talking all things trauma, critical care, and resuscitation. Maximize your impact in the room. Proud grad school drop out. Instagram: @traumabaypod

Information

  • Creator
    Max Hastings CEN, CCRN
  • Years Active
    2K
  • Episodes
    10
  • Rating
    Explicit

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