Dinesh Bagaria

Was back last weekend at my alma mater, PGI—this time not as a trainee, but as faculty. Teaching trauma vascular skills on cadavers reminded me how much of surgery is shaped in these halls. A commendable initiative. #Trauma #PGIMER #VascularSurgery @docbagaria @PShivanesandr

👀 #wholeblood #trauma

Towards universal reporting standards in vascular trauma registries - Journal of Vascular Surgery jvascsurg.org/article/S0741-…

TRAUMA FACT TUESDAY: The estimated global cost of trauma injuries is $518 billion!

Are you taking about this?

Thrilled to share @JSurgRes special issue on Innovative Statistical Approaches & Study Designs in Surgical Research. More to come!! Grateful to work with incredible contributors and huge thanks to Drs @scottlemaire @Zenatims @LakshikaTennak3 @3amrogram sciencedirect.com/special-issue/…

What Is the Need for and Access to Trauma Surgery in Low‐ and Middle‐Income Countries? A Scoping Review - Edmiston - 2025 - World Journal of Surgery - Wiley Online Library onlinelibrary.wiley.com/doi/10.1002/wj…

@drskyind Very well said sir. Need your permission to use a few thoughts in an international presentation.

The Ivory Tower Paradox: When Tertiary Care Meets the Frontlines At the recent academic conference, one of my residents presented our work from Netaji Subhash Chandra Bose Medical College, Jabalpur. During the discussion, an important question was raised: “How can you call yours a low-resource setting when it is a tertiary health center?” It’s a question that cuts to the heart of the Ivory Tower Paradox: the assumption that a prestigious title or a large building automatically equals an abundance of resources. The reality tells a different story. A "Tertiary Center" defines our capability. It means we are one of the first government institute in India to perform advancedsurgeries. It means we do research that impacts the lives of our patients and publish in Q1 journals. But "Low-Resource" defines our reality. In public health, a setting is defined by the gap between the needs of the people and the tools at hand. We are an LRS not because we lack talent, but because: The Weight of Millions: We are the final safety net for the tribal belts and rural heartlands of Madhya Pradesh. Our resources aren't stretched; they are thin-filmed across a population larger than many European nations. The Battle Against Time: We don't just fight biology; we fight the 300km journey a patient took to reach us. By the time they arrive at our "Ivory Tower," their disease is often far more advanced than what is seen in high-resource centers. The Innovation Mandate: When we brought high-fidelity simulators from the UK to teach our residents, it wasn't for "prestige." It was a necessity. In an LRS, your skill must be higher because your margin for error is smaller. I told my resident: Calling ourselves "low-resource" isn't an admission of weakness. It is a badge of extraordinary resilience. It means we are delivering internationally endorsed standards to those who have the least. It means we are proving that Health Equity isn't about where you work, it’s about who you refuse to leave behind. Innovation in the Global South isn't just about the latest gadget. It’s about making that gadget work for those who have nothing but hope. That is the Ivory Tower Paradox. And we are breaking it every day. #PublicHealth #HealthEquity #Jabalpur #MedicalEducation #GlobalHealth #Oncosurgery #HealthJustice #NSCBMC #IndiaHealthcare #AcademicMedicine #GlobalSurgery #LowResourceSettings #PublicHealth #SurgicalEducation #Mentorship #ResidentLife #ValueBasedCare #LMIC #MedicalEducation

@thefighter_sm @estesonline It is, if someone themselves decide to do so.

@docbagaria @estesonline It would be not fair…

Excellent work! Most certainly reproducible in Europe as well. Despite being in the forefront of teaching, pushing for “life saving innovation/research” (Unlike introducing a new toy “robot” for the surgeon) and having worse working hours and patient life load… @estesonline

@MyaMahankaliDO @EAST_TRAUMA @PatelTrauma @TanyaAnand8 @DesertTraumaMom @elliotthaut @TopKniFe_B Many congratulations @PatelTrauma sir.

Just elected to membership in @EAST_TRAUMA drawn by the inspiring people, mentorship, and community. Proud to celebrate Dr. Mayur Patel (@PatelTrauma) as President, the first South Asian/Indian to lead EAST. Representation matters. Thank you for paving the way!

Cost analyses in randomized trials on robot-assisted surgery: systematic review ➡️doi.org/10.1093/bjsope… This systematic review of 38 randomized trials reveals that cost analyses in robot-assisted surgery are often incomplete and of poor methodological quality. Most studies failed to report key cost components, showed considerable risk of bias, and lacked standardized approaches. These findings highlight the need for standardized economic evaluation in trials of robot-assisted surgery. 👏👏👏Sterre R J Bosscha , @RawinAmiri , Faridi Jamaludin , Maroeska Rovers , @MarcBesselink , Jony van Hilst #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

This is a cool feature!

@StarSportsIndia Abhisix Sharma

💥💥💥💥 Fastest fifty by an Indian against New Zealand and it’s none other than 𝗠𝗿. 𝗠𝗔𝗫𝗜𝗠𝗨𝗠, Abhishek Sharma! 🔥👌🏻 Will he keep going & reach the three figure mark? 👍🏻 OR 👎🏻 #INDvNZ | 1st T20I | LIVE NOW 👉 hotstar.onelink.me/UsKp/cwr8eygl

PTS/AAST Virtual International Case Conference, Jan. 12, 2026, at noon EST. Zoom Meeting at: zoom.us/j/93003989518, Meeting ID: 930 0398 9518, Passcode: 604216. More Info. panamtrauma.org/page-1854883 Check your local time before joining the meeting: Visit timeanddate.com/worldclock/con…

I’m glad to see this circulating again. There is an important message here. There are hundreds of articles in the literature evaluating the effect of preoperative fasting regimes using gastric volume or pH as the primary outcome. These have been synthesized using appropriate methodology with the results published and fasting guidelines issued. Nearly all preoperative fasting guidelines are based on this literature with hardly a mention that the entire body of literature is based on surrogate outcomes. I could not find any discussion of limitations associated with surrogate outcomes. None looked into the relationship between the surrogate outcomes of gastric volume and pH with human aspiration pneumonia. I have found no evidence that these outcomes were ever tested as predictors of human aspiration pneumonia. More disturbing yet is that the criticisms of our meta analysis have been about technical limitations of how we handled study synthesis and data presentation The “experts” in this field seem blind to the fact that they have been carefully studying surrogate outcomes that don’t mean anything. I have been criticized because I dm a surgeon and not an anesthesiologist, that I am not a statistician etc. fine. What has not come through is that I’m wrong about the surrogate outcome problem. I welcome the experts to engage in debate about that.

Relationships, have become harder these days because "Conversations" become "Texting", "Arguments" become "Phone calls" and "Feelings" Become "Status".

Today's Paper of the Day is: The Basics of Ventilator Waveforms criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

Viscoelastic Hemostatic Assays in the Management of Trauma-Induced Coagulopathy: A Clinical Update CCR Journal Watch criticalcarereviews.com/latest-evidenc…

@HassanMashbari @TheSaudiHeart Many congratulations dear @HassanMashbari

🚨 Excited to announce the launch of the Saudi Trauma Life Support (STLS) Provider Course 🇸🇦 — a national initiative by the National Life Support Committee @TheSaudiHeart. STLS enhances trauma care readiness with hands-on, evidence-based training for healthcare professionals.