Jay Doucet

@AmCollSurgeons @BurrussSigrid Congratulations Dr Burruss! @JohnMaaMD @amyliepert @theduncmaster @jnahmias1 @SoCalSurgeons @UCIrvineSurgery

Congratulations to @BurrussSigrid, our Advocate of the Year! #ACSLAS26

@DesertTraumaMom @amyliepert surgjournal.com/article/S0039-…

@amyliepert surgical health policy is so important for young surgeons

@rbarbosa91 May also just be his honest reporting of the outcomes of very risky surgeries for that time - Bilroth had also high mortality in his early gastrectomies, there are apocryphal stories of Bilroth almost being stoned in the streets of Vienna after early gastrectomy patient deaths.

The (notoriously slow) William Halsted was 'not as successful' at stomach or colon surgery as he was in other fields. Operating in an era without neuromuscular blockade or antibiotics, his slow speed may have been much of the reason why he was not as good with the GI tract.

@docmartin22 @EAST_TRAUMA @IntuitiveSurg @BruceCrookes @SammyRossTrauma @traumadoctors @WesternTrauma @JTraumAcuteSurg @TSACO_AAST @Me4Trauma @YaleSurgery @DeptSurgeryCS Great course!

Great day of hands-on training at the first @EAST_TRAUMA robotics workshop for acute care surgery! And thanks to @IntuitiveSurg for hosting. #EAST2026 #ResistanceIsFutile

@bryanacotton1 @joyofmedicine 😳 Wow! Big “T” Trauma = little “t” trauma?

If ever there was a call 4 more aggressive follow-up w/ mental services following trauma... 9-fold higher risk of suicide following injury. And this from Norway w/ universal health care @joyofmedicine Risk of Suicide in Patients With Traumatic Injuries jamanetwork.com/journals/jaman…

@rbarbosa91 Big difference in the nature of injuries / system effects though. Handgun wounds and stabbings have a 30% OR rate: SA hospitals do lots of non-op management, they’re inventors. One bad blast injury can overwhelm a surgical team - while the hospital gets a surge/ is locked down.

In a 2013 paper, authors at a South African trauma center noted that during the Boston Marathon bombings, the busiest trauma center in Boston only received about half the patients that the South African trauma center gets on 'a typical Saturday'.😬 Note the quotation marks...😳

@AmCollSurgeons @SurgeonsVoice @nccacs @SDCACS @SoCalSurgeons @BurrussSigrid @amyliepert @theduncmaster @TSACO_AAST @TomVargheseJr @acsJACS

@AmCollSurgeons @SurgeonsVoice @nccacs @SDCACS @SoCalSurgeons @BurrussSigrid @amyliepert @theduncmaster @TSACO_AAST #caleg #surgicalhealthpolicyadvocacy

Worthwhile news article on e-Bike injuries and the need for a more considered legislative approach to e-Bike safety, featuring a injured trauma survivor story, @JohnMaaMD and surgeon advocacy. nbcbayarea.com/investigations…

Using YOUR Voice, as Advocate Health Policy Advocacy: Navigating personal, professional, and organizational politics - The American Journal of Surgery americanjournalofsurgery.com/article/S0002-… @DesertTraumaMom #surgicalhealthpolicyadvocacy @traumadoctors @WesternTrauma @acsYFA @jaydoucet

@PipeCabreraV @AmJSurgery @pferrada1 @TomVargheseJr @SWexner @CiruAndes2 Nice! In the rare cases where the 1:3:1 (one hitch, three winds, one lock) Roeder knot isn’t holding (greasy gloves, monofilaments) you can upgrade to the 2:3:2 Meltzer knot. Both of these work well in extracorporeal laparoscopic surgery too, good to know when robot deficient…

Step by step friday: the Roeder’s knot! A self locking 🔐 knot 🪢! @pferrada1 @TomVargheseJr @SWexner @CiruAndes2

@myaprana @TSACO_AAST @annehhoekman @AlikhanSukaina @elliotthaut @CPark_MD @jnahmias1 @rbarbosa91 Thanks - this was work done by our student (at the time) @souma_kundu and led by Dr Allison Berndtson at @UCSDTrauma

Gracias @jaydoucet for highlighting such a crucial topic in @TSACO_AAST. @annehhoekman @AlikhanSukaina @elliotthaut @CPark_MD @jnahmias1 @rbarbosa91

@rbarbosa91 doi.org/10.1258/jrsm.2…

@rbarbosa91 Those in practice >17 years have lived the “~17 year” period of that pendulum. I was a junior resident when my ICU patients were in TRICC (tranfuse for Hgb 7-10), published in ‘98. In 2017 we published how to set up an EHR to gain 100% transfusion compliance. Change is hard.

Students and residents often wonder why our practice patterns on ’Issue X’ are not always in direct agreement with whatever the latest study on Issue X says. Usually, this is because opinions on Issue X are not static, but instead are swinging on a pendulum over the years.

@rbarbosa91 @elliotthaut @TSACO_AAST @EAST_TRAUMA @jnahmias1 @CPark_MD @docmartin22 @annehhoekman @myaprana @AlikhanSukaina @MaxwellPresser Agree Dr Ron. We’re being told we must ensure the stable door is doubly locked, even though the horse has long since fled.

@jaydoucet @elliotthaut @TSACO_AAST @EAST_TRAUMA @jnahmias1 @CPark_MD @docmartin22 @annehhoekman @myaprana @AlikhanSukaina @MaxwellPresser Meaning it should not immediately assume an exalted status, where you get seen as ignorant for even questioning the idea, as seems to have happened in some places? Seems like I’ve seen this phenomenon happened before in SCI…🤷‍♂️

MAP therapy for spinal cord injury has become much more popular in recent years. It does lead to many SCI patients staying in the ICU longer for pressors. But is MAP therapy worth it? Check out the latest @EAST_TRAUMA multicenter trial in TSACO: ➡️bit.ly/47ZwmV6

@EricKnauerMD @rbarbosa91 @SAGES_Updates @ericpaulimd @jlberistain @EmorySurgery @SWexner It’s an IVC clip - that model is the Adams-Deweese, used for partial interruption of the IVC to prevent pulmonary embolism via open surgery. Based on the Miles clip, which President Nixon had placed for a ilio-femoral clot in 1974. Nixon almost died from hemoperitoneun postop.

What’s this medical device? @rbarbosa91 @SAGES_Updates @ericpaulimd @jlberistain @EmorySurgery @SWexner

@jnahmias1 @SESC_AmSurg @JosephSakran @JoeCoolMD1 @RandiSmithMD @theduncmaster @ericpaulimd @DanaTelem @drdevirgilio @UCI_Trauma Trauma-ACS and advocacy go together- it’s how trauma systems were built. Some legends have had years of success - @DavidHoytFACS was a true surgeon-advocate-leader. New expertise is visible in others like @amyliepert - who sponsored successful bills in California and elsewhere

@SESC_AmSurg @JosephSakran @JoeCoolMD1 @RandiSmithMD @theduncmaster @ericpaulimd @DanaTelem @drdevirgilio I think so. Amazing people in SoCal like some of those tagged from @UCI_Trauma and @jaydoucet amongst others who are successful

Can we as surgeons be successful with advocacy? @JosephSakran @JoeCoolMD1 @RandiSmithMD @jnahmias1 @theduncmaster @ericpaulimd @DanaTelem @drdevirgilio Success in Advocacy: The Georgia ASMBS Story pubmed.ncbi.nlm.nih.gov/40401815/

@Jason_R_Burt @colour_history That was far more likely to be plasma - the fluid should have been straw colored after colorization. The western allies made extensive use of plasma and freeze-dried plasma in WWII, which is more effective than saline in hemorrhage.

81 years ago today, a 4th Medical Battalion Corpsman administers a saline drip to a fellow medic of the 4th Infantry Division wounded on Utah Beach. 🪖 @colour_history on the colorization 🎨