Patrick Murphy

From exsanguination to intervention, the new EAST guidelines on REBOA helps define when, where, and how aortic occlusion can save lives in trauma and surgical patients. #TSACOTop10 #TSACOAnniversary #TSACOTop10of2025 READ HERE ➡️ bit.ly/4nsqwBG

@ameerfarooq @rbarbosa91 We also do IOCs in just over 50% as a group - selective IOCs. Still not sure how routine helps. I think the never IOCers are missing out though for when they need one

Everyone's got their own bias. However routine IOCs already had their era - we have pretty good evidence they dont help the average surgeon delineate anatomy and the data arpund IOC is about 20 years old.... Im not opposed to saving patients from unnecessary ERCPs but routine IOCs dont make sense. One of the few times I disagree with the great Ron Barbosa!

“I’m not doing more IOC’s. They cost more, take more time, and there’s no proven benefit“, says the surgeon. “They’re not going to tell me how to practice surgery.“ <turns to rep> “OK, I’m ready to dock the robot.“

@docmartin22 No clinically relevant difference in recurrence should have been the take away.

Alternative headline: analysis that captures none of the clinically relevant factors for hernia recurrence shows no difference in recurrence rates. 🤷‍♂️

@ZhiVenFongMD @georgoff It is a bad title - article says conditionally recommend.

Am I the only one who thinks that this is an absurd recommendation? Routine Intraoperative Cholangiogram for Elective Laparoscopic Cholecystectomy Is Now Recommended facs.org/for-medical-pr…

@elliotthaut Maybe this will change if the workplace standards are implemented? $/hr after 5 hrs

In shocking news, watching “death by PowerPoint” training modules is not as useful as everyone in healthcare administration thinks.

A department-wide DiSC-based initiative provided insight into communication and leadership styles and was associated with increased self-awareness and team engagement. ovid.com/jnls/annalsofs…

Most patients receiving a PEG return to oral intake at discharge, and many are done for hospital disposition. With a high complication rate requiring re-intervention, delaying placement may reduce morbidity. @AnnaTatakis;@pbatesmurphy; #MCWSurgery journals.lww.com/jtrauma/abstra…

@rbarbosa91 @bryanacotton1 And yes I realize I'm becoming @elliotthaut

@rbarbosa91 @bryanacotton1 Is it this one?! pubmed.ncbi.nlm.nih.gov/41632481/

When somebody finally publishes a study validating that thing you’ve been saying on rounds for the last 15 years, and you don’t know how to feel about that.

@ameerfarooq Fellow enthusiast!

As a nap enthusiast I approve of this message.

@MCWSurgResearch @MCWtraumaacs congrats!

@georgoff @EAST_TRAUMA So glad the work from @MCWtraumaacs was highlighted by @EAST_TRAUMA

@EAST_TRAUMA back again with a monthly lit review, this time in critical care: east.org/education-reso… Too many PEGs too soon!! Nice paper ➡️ pubmed.ncbi.nlm.nih.gov/41632481/

Is interfacility transfer a hidden risk factor? 🚑 New study from @MCWtraumaacs @MCWSurgResearch shows high-risk EGS transfers face higher odds of major complications & Failure-to-Rescue. We need targeted QI for these patients. @pbatesmurphy doi.org/10.1177/000313…

This manuscript is a narrative review of the creation of Acute Care Surgery as a specialty, the concomitant evolution of the ACS fellowship curriculum, as well as a discussion of future directions and challenges. journals.lww.com/jtrauma/abstra…

Interested in leading a multicenter trial?!? Join the Introduction to Multicenter Trials: Powering Up From Proposal to Publication webinar series from the @EAST_TRAUMA MCT Committee, in collaboration with @traumadoctorsam and @traumadoctors. Learn the practical steps to design, launch, manage, and publish a multicenter trial. For more info and to register: east.org/research/east-…

@SWexner @AmCollSurgeons What did you think of it?

@AmCollSurgeons Releases Workplace Standards Framework to Support Sustainable Surgical Careers facs.org/for-medical-pr…

@Dr_Stepheny @TomVargheseJr @WesternTrauma What was the take home?

Another great @WesternTrauma Multicenter Trial being presented. Where do patients want to be treated and recover?

@SArshiaArshad 100% agree

Devils in the details: strict selection criteria ("to enable the selection of patients most likely having a single adhesive band"), study population average BMI <25, <10% had DM, no mention of Tob. Cool study, but this doesn't reflect my average patient...give me laparoscopy!

@Herniadoc @PCSAsurg @AmCollSurgeons @UCSFSurgery Are you able to share abstract / senior author contact?

More in-line with surgeon work related issues are talks at @PCSAsurg : A large @AmCollSurgeons survey of surgeons reported by @UCSFSurgery team and medical student Saffanat Sumra addressed surgeon workload. The greatest predictor of feeling overworked or burnt out is based on years in practice (pivots at 30yrs), and then #hours worked (pivots at 66hours 😮 in under 30yrs and 45 hours in over 30yrs in practice). Anyone else agree? And why are we abusing our surgeons so much? #PCSA2026

Surgeons: Noticed you hurt after a day in the OR? @pihaigh and his team evaluated this nicely on @PCSAsurg . Results? - every part of the body hurts more after an OR day than non-OR day - robotics has more wrist pain - laparoscopy has more upper back pain - open surgery has more lower back and neck pain How can we right this wrong? #PCSA2026

Ever wonder how to communicate value to your hospital leadership as an ACS Surgeon? Well we sat down with @pbatesmurphy and @PhilKimMD from the AAST Health Economics Committee to discuss they’re latest paper on this topic on our Committee Spotlight Turnover time. Check it out! @erika_bisgaard @NajihaF @traumadoctorsam