ABSTRACT Introduction Inadequate access to setting-relevant clinical guidance influences the implementation of evidence-based clinical practices in trauma care settings. This guidance is not optimally effective if it cannot be disseminated in settings where it is most needed, leading to substantial inequities in trauma care. To address this problem, this project developed a trauma clinical guidance repository and accompanying mobile application and sought to elicit concept feedback. Methods As part of year two of …

Objectives The American Association for the Surgery of Trauma (AAST) Critical Care Committee chose handoffs and transitions of care in the intensive care unit (ICU) as a clinically relevant topic for review. This clinical consensus document aims to provide practical guidance to the surgical intensivist on the best practices for patient handoffs and transitions of care. Methods A working group was formed from the committee-at-large to complete this work. The members of the working group were each assigned a subtopi…

ABSTRACT Background Creation of resources for evidence-based clinical guidance does not necessarily improve patient outcomes without deliberate dissemination and implementation. We sought to better understand the effectiveness of pre-recorded didactics in improving knowledge as well as the reach of various information dissemination strategies. Methods A mixed-methods study was conducted amongst all United States’ trauma care clinicians from March to August 2023. A 30-minute didactic video on anticoagulant manageme…

OBJECTIVES: To compare the effectiveness and safety of aspirin versus low-molecular-weight heparin (LMWH) for thromboprophylaxis in 11 high-risk or fracture location subpopulations. METHODS: Design: A post hoc secondary analysis of the published PREVENT CLOT trial. Setting: 21 trauma centers. Patient Selection Criteria: Adult patients with an operatively treated extremity fracture or any pelvic or acetabular fracture were enrolled from April 2017 through August 2021. Patients with only hand or foot fractures, pres…

When we think about leadership in trauma and acute care surgery, we are often reminded of the direct impact we can have beyond immediate patient care. Leadership is not just about making decisions; it’s about fostering growth within our institutions, among our colleagues and beyond the four walls of our centers. Importantly, leadership and its influence extend throughout the hospital and impact our trainees, mentees, colleagues, and peers alike. As guest speakers at the 2024 American Association for the Surgery of…