Lance Stuke

@rbarbosa91 In New Orleans we’ve implemented an ED bypass policy for selected patients (GSW abdomen, etc) where EMS slows down in the hallway long enough for the patient to get an armband. Then we just go to the OR on the EMS stretcher and do everything up there. It’s been great.

❓for the Trauma attendings: A severely injured patient is getting resuscitated and needs an operation. No one is doing anything explicitly wrong…but everything is just moving too slowly. How do you get the team to start moving faster (without getting yourself written up)?

❇️Best of Trauma❇️ eFAST exam shows high specificity, but low sensitivity in most pathologies in penetrating thoracic trauma. Urgent interventions were frequently required in patients with false negative studies. journals.lww.com/jtrauma/abstra…

Great crowd for the @acsTrauma presentation at #EMSWorldExpo2024 @SurgeryUTHSC @RegOneHealthFDN @LanceStuke

Congratulations, Dr. Smith! You are constantly raising the bar in surgical research!🔬🌡️

Congrats @MdFlori -Looking forward to watching this project develop to give us a better understanding of gut-brain communication. This is the future of diabetes and obesity treatment! #obesity #diabetes #gutbrain @ASMBS @lsusurgerydept @PBRCNews eurekalert.org/news-releases/…

Enjoyed presenting today at the annual McSwain Trauma Education Project prehospital trauma conference in Cancun

What a beautiful way to start the last day of hurricane season!

the saints in the redzone derek carr:

Geaux Tigers🐯 #ACSCC2023

Great dinner with the residents at the @AmCollSurgeons Clinical Congress.

It seems that so many wonderful people are leaving this world, and now Jimmy Buffett is one of them. I’ve known Jimmy for some time and found him to be one of the kindest and most generous people.  I remember once on holiday when I had forgotten to bring my guitar and was itching to play. He said he would get me one of his, but I said, ‘I’m left-handed’. So, Jimmy had his roadie restring one of his guitars which he loaned me for the duration of the holiday. He then followed this act of generosity by giving me my own beautiful left-handed guitar that had been made by one of his guitar-making pals. It’s a beautiful instrument, and every time I play it now it’ll remind me of what a great man Jimmy was.  He had a most amazing lust for life and a beautiful sense of humour. When we swapped tales about the past his were so exotic and lush and involved sailing trips and surfing and so many exciting stories that it was hard for me to keep up with him.  Right up to the last minute his eyes still twinkled with a humour that said, ‘I love this world and I’m going to enjoy every minute of it’.  So many of us will miss Jimmy and his tremendous personality. His love for us all, and for mankind as a whole.  Last, but not least, is his songwriting and vocal ability. If someone made an interesting remark he repeated it in his gorgeous Louisiana drawl and said, ‘That’s a good idea for a song’. Most times it didn’t take too long for that song to appear. I was very happy to have played on one of his latest songs called ‘My Gummy Just Kicked In’. We had a real fun session and he played me some of his new songs. One, in particular, I loved was the song, ‘Bubbles Up’. And I told him that not only was the song great but the vocal was probably the best I’ve heard him sing ever. He turned a diving phrase that is used to train people underwater into a metaphor for life when you’re confused and don’t know where you are just follow the bubbles - they’ll take you up to the surface and straighten you out right away.  So long, Jim. You are a very special man and friend and it was a great privilege to get to know you and love you. Bubbles up, my friend.  Love, Paul

@xaviation 747 all day long

@BARTisDEKONING @elliotthaut @TSACO_AAST @rochelleami9 @dhlivingston @bulgercot @benzarzaur @DrJtrauma @fourmiracles101 @DavidASpain @reillyp648 @RaulCoimbraMD Yes. I usually have EMS quickly stop in the hallway of the ED outside the trauma room for me or my chief resident to confirm the injuries, get a portable CXR on the EMS stretcher, and let the nurses put an armband on (the patient can’t go anywhere without one of those these days)

@LanceStuke @elliotthaut @TSACO_AAST @rochelleami9 @dhlivingston @bulgercot @benzarzaur @DrJtrauma @fourmiracles101 @DavidASpain @reillyp648 @RaulCoimbraMD Interesting solution as well. So you just skip the trauma bay and let EMS just immediately go to the OR and then immediately start surgery?

Why don’t we routinely operate in the trauma bay in the United States? Our Japanese hosts at #WTC2023 have shown some amazing examples of how the system can make this happen.

@md_moreci did an outstanding job presenting today at the Association of Program Directors in Surgery annual meeting. Well done! @ValNfonsam @lsusurgerydept @jessicazagory @LSUHealthNO

@PipeCabreraV @pferrada1 @SWexner @juliomayol @docmartin22 @RaulCoimbraMD @rbarbosa91 @LiangRhea @traumakhan @MISIRG1 @Cirbosque @DissanaikeMD Suture w/ 4-0 Prolene

Surgical real life situations 🧨💥🔥🪡🪢: WWYD 🫀 ? Suture it or not to suture it! That’s the question! #SoMe4Surgery @pferrada1 @SWexner @juliomayol @docmartin22 @RaulCoimbraMD @rbarbosa91 @LiangRhea @traumakhan @MISIRG1 @Cirbosque @DissanaikeMD

@ValNfonsam @jdimick1 @UMichSurgery Totally agree. Palming is the way to go

@jdimick1 @UMichSurgery I am all for palming. It is impossible to enter tissue at 90 degrees if you don’t palm. Just saying!

Interesting @UMichSurgery history here, as the Frederick Coller Professor I found this thread fascinating, thank you.

@AnnalsofSurgery PGY-2

What is the ideal time to have trainees deeply involved with robotic surgery (operating at the console)? PGY2? PGY4? What are people's thoughts? #AnnalsRoundTable