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TRAUMA-ING: Daily Summaries Delivered
by James Gould
"TRAUMA-ING” a podcast where trauma docs James Gould and Rob Green dive deep into the intricate world of managing critically ill trauma patients. Join us for an exciting and educational journey, as we hear from expert guests and explore evidence-based practices, from essential procedures to the latest journal article reviews. Whether you’re a seasoned professional or new to trauma care, our mission is to equip you with the knowledge and tools you need to make a real difference in your practice. Tune in and elevate your understanding of trauma management!
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- Jun 23, 202629 min
What’s new in ATLS with Dr. Nori Bradley
In this episode, James and Rob sit down with Dr. Nori Bradley — trauma and acute care surgeon at the University of Alberta Hospital, intensivist, ATLS contributor, and one of the over 200 global experts who helped reshape the 11th edition — to break down the most clinically significant updates to the world’s leading trauma education program. The conversation digs into the headline change: the evolution of ABCDE to xABCDE, formally codifying exsanguinating hemorrhage control as the first priority before airway management, and what that shift actually means at the bedside. They explore the increased emphasis on hemodynamic optimization before RSI, the reorganization of the manual into three major sections, the entirely new Trauma Systems chapter, and how the 11th edition addresses team communication, special populations, and global applicability. Dr. Bradley offers an insider perspective on how the revision process unfolded, where the evidence drove change versus where expert consensus led, and what trauma providers — whether ATLS veterans or first-timers — most need to know before they walk into their next course.
- Jun 10, 202636 min
Top trauma papers of 2025 with Drs Christian Malo and Luis da Luz
In this episode of Trauma-ING, hosts Drs. James Gould and Rob Green welcome back Drs. Christian Malo (Quebec City) and Luiz Da Luz (Sunnybrook, Toronto) to break down the top trauma resuscitation papers of 2025, selected by surveying trauma team leaders across Canada. The four papers covered are: (1) a retrospective whole blood study showing no overall mortality benefit versus component therapy, but an intriguing signal of benefit in penetrating trauma specifically; (2) a systematic review supporting thoracic irrigation at the time of chest tube placement for traumatic hemothorax, showing reduced failure rates and infectious complications — a practice common in western North America but rarely done in the east; (3) Luiz’s own multicenter Canadian RCT comparing fibrinogen concentrate + PCC versus plasma, stopped early for futility but hinting at a mortality signal worth pursuing in a redesigned trial; and (4) an updated EAST guideline on TXA, conditionally recommending routine use both in-hospital and pre-hospital for patients at risk of hemorrhage, with a two-gram total dosefor more trauma stuff go to www.trauma-ing.com
- May 26, 202626 min
"BIG" Solutions: Disposition of Brain Injured Patients in the ED with Dr. Brian Lahiffe
In this episode, James Gould and Rob Green sit down with Dr. Brian Lahiffe to discuss the Modified Brain Injury Guidelines (mBIG) — a risk stratification tool that is changing how emergency physicians disposition patients with mild traumatic brain injury and intracranial hemorrhage on CT.Dr. Lahiffe walks us through the three-tiered mBIG framework, how it guides decisions around neurosurgical consultation, repeat imaging, and safe discharge, and the important caveats that apply — including anticoagulation and antiplatelet use. The conversation covers practical, real-world application of mBIG in the ED so you can approach your next head injury with clarity and confidence.Go to www.trauma-ing.com for more FOAM stuff on trauma
- May 8, 202630 min
Trauma team video review (TTVP) is the future of quality improvement in Trauma - with Dr. Winny Li
In this episode, we sit down with Winny Li from Sunnybrook Health Sciences Centre to explore the Trauma Team Video Review (TTVR) program and its growing role in trauma care.Winny Li is a clinician and quality improvement leader with expertise in trauma systems, simulation, and patient safety. She has been closely involved in the development and implementation of video review initiatives aimed at improving team performance and clinical outcomes.We start by breaking down what trauma video review programs are and how they work in practice. The conversation highlights how these programs create powerful opportunities for learning, system improvement, and enhanced team communication.We also dive into the real-world challenges of implementing TTVR, including concerns around privacy, medicolegal risk, cost, and cultural resistance. Importantly, we discuss practical solutions and strategies that have helped overcome these barriers, including stakeholder engagement, governance frameworks, and fostering a culture of psychological safety.Whether you're involved in trauma care, education, or quality improvement, this episode offers valuable insights into how video review can transform team learning and patient care.For more FOAM trauma stuff go to www.trauma-ing.com
- May 1, 202625 min
Is it time for the RAPTOR to evolve? with Drs. Andrew W Kirkpatrick and Shane Smith
In this episode, we sit down with Dr. Andrew W Kirkpatrick, Major (retired), trauma surgeon and critical care specialist based in Calgary, and Dr. Shane Smith, Lieutenant Colonel and vascular, trauma, and general surgeon at Western University.Dr. Kirkpatrick was a key pioneer in the development of the RAPTOR (Resuscitation with Angiography, Percutaneous Techniques, and Operative Resuscitations) suite in Calgary, one of the earliest and most influential hybrid trauma resuscitation environments in North America. Together, we explore the evolution of RAPTOR/THOR (Trauma Hybrid Operating Room) concepts and how they are reshaping the management of severely injured patients.We discuss the core benefits of these hybrid environments—most notably the ability to deliver definitive hemorrhage control faster by combining operative and endovascular capabilities in a single location, while minimizing delays and risks associated with patient transfers.We also examine an important limitation: without thoughtful, forward-looking design, these suites risk becoming outdated. Rapid advances in standalone angiography and interventional technologies can outpace earlier-generation RAPTOR builds, highlighting the importance of flexibility and future-proofing when investing in these high-resource systems.Check out www.trauma-ing.com for more FOAM trauma stuff
- Apr 18, 202653 min
How is our system preparing for mass casualty incidents? With Amber Humes and Dr. John Armstrong
We sit down with Amber Humes and Dr. John Armstrong, experts in MCI's to discuss how TNS and our health systems are preparing for these events. What is an MCI? How do we triage patients, how does the care differ from standard care?For more trauma stuff go to www.trauma-ing.com
- Apr 13, 202647 min
Are chest x-rays useless in the trauma bay? Trauma imaging with Dr. Sean Hurley
We sit down with TTL and trauma consultant Dr. Sean Hurley to discuss his approach to bedside imaging and CT scan in trauma patients. We talk about utility of POCUS and Xray at the bedside, and the various different CT imaging modalities and when to use them.For more trauma stuff go to www.trauma-ing.com
- Feb 5, 202646 min
Is the Rob-bot the future of trauma care? AMA #2 Live Trauma NS Rounds
James and Rob go live again for an Ask Me Anything episode. They tackle such questions as optimal use of TXA, permissive hypotension, hand over, and whether Rob has ever “moshed” at a Metallica concert. For more FOAM trauma stuff go to www.trauma-ing.com
About TRAUMA-ING
"TRAUMA-ING” a podcast where trauma docs James Gould and Rob Green dive deep into the intricate world of managing critically ill trauma patients. Join us for an exciting and educational journey, as we hear from expert guests and explore evidence-based practices, from essential procedures to the latest journal article reviews. Whether you’re a seasoned professional or new to trauma care, our mission is to equip you with the knowledge and tools you need to make a real difference in your practice. Tune in and elevate your understanding of trauma management!
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Frequently Asked Questions
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