USAF Colorectal surgeon. I don’t just tweet about medicine. @floridastate @USUhealthsci @washusurgery alum. Intuitive proctor
Aug 31, 2019 • 7 tweets • 9 min read
@Me4Trauma Another great question. Starts with a mindset. For surgeons in uniform, no matter how subspecialized you are, you will be called upon to deploy and be a facile trauma surgeon #Q5#SoMe4Trauma#SoMe4Surgery@Me4Trauma First step was alluded to in #Q4. Training must be high quality but brief. To that end, the Emergency War Surgery course has undergone significant revision in recent years. Still work to do there though #Q5#SoMe4Trauma#SoMe4Surgery
Aug 31, 2019 • 6 tweets • 8 min read
@Me4Trauma Absolutely! My predeployment training pipeline was 5 months, I was deployed for 7, and had a month after returning before I resumed practice. Skill atrophy is a real phemonenon. #Q4#SoMe4Trauma#SoMe4Surgery@Me4Trauma Several of us have a grant to look at this as it applies to robotics for military surgeons (who are already lower volume than private sector). Proud to be working with Rob Lim, @Averywalker21@Doc_Brown44 and others on this project #Q4#SoMe4Trauma#SoMe4Surgery
Aug 31, 2019 • 5 tweets • 5 min read
@Me4Trauma Great question! The military actually developed some of our robotic technology that has evolved into robotic surgery as we know it today #Q3#SoMe4Trauma#SoMe4Surgery@Me4Trauma As we’d all agree, there’s essentially no role for robotics in damage control trauma surgery. That isn’t the time for small incisions and finesse #Q3#SoMe4Trauma#SoMe4Surgery
Aug 31, 2019 • 5 tweets • 6 min read
@Me4Trauma I think being a high volume CR surgeon helps with trauma, given that I am frequently in all 4 quadrants of the abdomen and still do many trauma mobilizations routinely in my elective practice #Q2#SoMe4Trauma#SoMe4Surgery@Me4Trauma Although, the majority of my deployed cases were orthopedic in nature. Much of this comes down to judgement, anatomy, and sound technique. Pre-deployment courses incorporating good splinting principles and ex-fix use for non-ortho also important #Q2#SoMe4Trauma#SoMe4Surgery
Aug 31, 2019 • 6 tweets • 8 min read
@Me4Trauma Military subspecialty surgeons are often low volume compared to our private sector peers. Luckily the military also has Training Affiliation Agreements (TAAs) my partner @Doc_Brown44 and I have which let’s us work in private sector to ⬆️ volume #Q1#SoMe4Trauma#SoMe4Surgery@Me4Trauma@Doc_Brown44 I think the single best way for surgeons to be prepared for deployed trauma is to be busy when not deployed #Q1#SoMe4Trauma#SoMe4Surgery
