Amory de Roulet, MD MPH

@JTraumAcuteSurg Beautiful description! Makes me proud to be in this field of training.

The specialty of surgical critical care: A white paper from the American Association for the Surgery of Trauma Critical Care Committee dlvr.it/SshF8Z

@JTraumAcuteSurg What were the results with FFP based resuscitation & syndecan-1?

❇️ Best Of Basic Science ❇️ Resuscitation with WB following hemorrhagic shock reduces endothelial syndecan-1 shedding and mitigates lung injury. Aged RBC and LR fail to attenuate endothelial injury following hemorrhagic shock. journals.lww.com/jtrauma/Fullte…

ICYMI - be sure to review this new #SSRF publication - looking at TBI pts with #chestwallinjury by some terrific #CWISmembers! @EmanueleLagazzi @deRouletMD @JTraumAcuteSurg @MGHMedicine #CWISmemberresearch pubmed.ncbi.nlm.nih.gov/37079864/

@JerroldLevy I think TEG is more sensitive than traditional coagulation tests and D-dimer. Anecdotally, I have observed surgical patients with GNR septic shock have prolonged R-times with no other TEG abnormalities and normal PTT and INR. >50% mortality so very acutely ill subset of SIC pts

@deRouletMD Interesting question- plasma has many potential uses- likely also dependent if DIC. Viscoelastic testing in my view for DIC/SIC evaluation is too insensitive. There are several scoring systems for SIC/DIC but none use VET including TEG.

@JerroldLevy Thank you for MGH lecture today. I thoroughly enjoyed! Question: is there a role for [solvent detergent] plasma resuscitation in early course of GNR sepsis induced coagulopathy based on TEG (high r-time). Is high volume crystalloid resuscitation worsening SIC?

@NYGovCuomo Wow, absolutely.

Government competence can be the difference between life and death.

@Kniery_Bird @jmills1955 @DanHan @VascularMD We were doing that last week but found groin lines were interfering with proning. Now it’s standardized (we have 70 intubated patients so far and 500 in house with Covid): Left IJ Triple lumen Right IJ saved for shiley (about one third need) Rt radial a line > rt fem

Thoughts on femoral central venous access and arterial line access as first line access in high volume COVID hospitals? Less draping, faster, easier access, lower complications, maybe equivalent risk of blood stream infection? Higher DVTs? @jmills1955 @DanHan @VascularMD

@NYGovCuomo What are we doing for compensation for the frontline teams? As a resident physician, I am asked to provide frontline care but am making ~$10/hr. Is any part of the stimulus directed towards compensation for frontline providers and resident physicians? We deserve more.

@realDonaldTrump @AmCollSurgeons If residents and fellows are being asked to staff Covid ICUs it's ridiculous that we are getting paid ~10/hr. We are putting our lives on the line. This is not education, this is service. Those of us on the frontline deserve better compensation.

@jaffer_amir Agreed! Epidemiological data matter! While Korea gets a bad rap for its prevalence data clearly survivorship is impacted. I believe mortality for #coronavirus is < 1%.

Very interesting data, highlighting that with more testing across the US over the coming weeks and good public health preventive practices we too can bring our mortality rate in the US of #COVID19 down and close to that of S Korea.

Fascinating data when it matters most #epidemiology #ScienceMatters

@Skepticscalpel Our institution changed policy this week! WTG @NYPQueens !! 👍👍👍

Study of 34K pts: Surgical jackets & bouffants are neither beneficial nor cost-effective in preventing SSIs. Institutions should evaluate their data to determine whether recommendations by outside governing organizations are beneficial and cost-effective. ja.ma/37kS4Qz

@SWexner @ACSTrauma @AmCollSurgeons @pturnermd @pferrada1 @TraumaDocSF Great series about #Trauma #Research from @CoalitionNTR in @TSACO_AAST Here is link to mine w/ @vanessapho @rochelleami9 on #ImplementationScience tsaco.bmj.com/content/5/1/e0…

@laurie_punch awesome lecture on firearm injuries today. Obviously great mentorship as well although I still want to know... should we take out retained bullet fragments?? #trauma #gunviolence

@ischmieds @NYPQueens @GSEC_Surgery @DrAdora_DO Thanks Ingrid @stanford!!

Surrounded by greatness at #ASC2020! #friends #colleagues @NYPQueens @GSEC_Surgery

@mzenilman @PFSaldinger @nyphospital @FMichelassiMD @WCMSurgery @NYPBrooklyn @ColumbiaSurgery @NYPQueens Exemplary surgical care & outcomes starts with leadership. Thank you Dr. Saldinger!

Kickoff mtg for integration of Surgical Quality Metrics in the @nyphospital system. Thanks to @FMichelassiMD & @PFSaldinger for leading @WCMSurgery @NYPBrooklyn @ColumbiaSurgery @NYPQueens. Data will drive initiatives which will improve outcomes. System integration at its best

Describing our instituition’s experience with decompressive craniectomy for traumatic acute subdural hematoma. #NYP #neurotrauma #neurosurgery #asc2020 #nypqueens

@KharitonKon @DrAdora_DO @NYPQueens Awesome mentorship!! Excellent trauma surgeon! #nypqueens

Congrats to @dradora_do and @deRouletMD for excellent presentations at #ASC2020 representing @NYPQueens! Strong work!

Dr. Adora Santos, a co-resident/co-author/good friend, explain the high prevalence of sepsis in geriatric trauma patients. Awesome job!!! #asc2020 #trauma #nypq

@NYPQueens @AmCollSurgeons @ASMBS Excellent surgeons. An honor to train under Dr. Merola and Dr. Ricci.

This year, #NYPQueens achieved national accreditation for our commitment to high-quality, bariatric patient care from @amcollsurgeons & @asmbs. Learn about our comprehensive approach to weight management: nyphosp.co/2HeY2sF #NYPYearInReview