TRAUMA-ING

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 evol...

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, b...

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 con...

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...

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) s...

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

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

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

In this episode of Trauma-ing , hosts James Gould and Rob Green are joined by Mike Rivers-Bowerman, a staff interventionalist at the QEII, for an in-depth discussion on the role of Interventional Radiology (IR) in trauma care. We explore what IR is, when and why it should be used in the trauma setting, and walk through some of the key techniques commonly employed. The conversation also covers impo...

In this Trauma-ing Resus Rewind, we replay a standout episode from The Resus Course featuring Dr. Eve Purdy on relational coordination in resuscitation. The conversation explores how high-performing resus teams depend not just on technical skill, but on shared goals, shared knowledge, and mutual respect across disciplines. Eve breaks down why communication, role clarity, and relationships matter m...

In this replayed episode from THE RESUS COURSE podcast, Dr. Sean Hurley and James Gould discuss a practical, resuscitation-focused approach to penetrating neck trauma, covering how and when to intubate, how to recognize hard and soft signs of significant injury, and strategies for investigating and managing airway, vascular, and digestive tract injuries in it’s initial resuscitation phase For more...

In this trauma-ing episode, we sit down with Dr. Paul Atkinson to explore compassionomics—the science behind why compassion matters in healthcare. Dr. Atkinson breaks down the critical differences between sympathy, empathy, and compassion, and explains how compassion goes beyond feeling to action. We discuss the growing evidence that compassionate care improves patient outcomes, strengthens trust...

James and Rob sit down with Dr. Matthew Mackin for a Trauma-ing episode that digs into his recent trauma fellowship at the legendary R Adams Cowley Shock Trauma Center in Baltimore. Now back home as one of our trauma team leaders and trauma consultants—and bringing his anesthesiology expertise with him—Matt shares what life was really like inside one of the busiest trauma centres in the world. We...

In this Trauma-ing Journal Club episode, we break down three timely studies shaping trauma care at the bedside and in the bay. First, we look at Perera et al.’s prehospital comparison of non-invasive versus arterial blood pressure monitoring, where NIBP consistently missed the mark in both shock and hypertension—who then should get art lines and when? We then dive into the TRAUMOX2 randomized tria...

In this special live episode of Trauma-ing, James and Rob sat down with Mitchell and his dad, Bob, to revisit their incredible journey following a devastating MVC five years ago that left Mitchell with a severe TBI. Initially, his injuries were so grave that organ donation was discussed—but thanks to the dedication of our trauma system and the care teams across the QEII Health Sciences Center, he’...

In this special episode of Trauma-ing with Dr. James Gould and Dr. Rob Green , we unpack the new Trauma Nova Scotia (TNS) cervical spine clearance pathway —a bold, evidence-driven initiative aimed at optimizing cervical spine assessment in trauma patients. Join Dr. Gould and Dr. Green as they walk you through the rationale behind the pathway For more FOAM trauma related content go to www.trauma-in...

In this Trauma-ing episode, Rob and I dig into the Massive Hemorrhage Protocol—when to activate, balancing blood products, and key elements like calcium, fibrinogen, and labs—along with a look at the lethal triad versus the lethal diamond and how these shape bedside decisions. Check out www.trauma-ing.com for more FOAM trauma content

Welcome to the very first Rapid Infuser episode—where we give you a fast push of trauma knowledge, straight lined into your brain. This time we’re talking about the rapid infusers themselves: the Belmont and the Level 1. We’ll hit the highlights on how they work, and drop a few clinical pearls that’ll help you keep blood moving when it matters most. Short, sharp, and just enough volume to keep you...

In this episode, Dr. James Gould and Dr. Rob Green are joined by trauma experts Dr. Luis Da Luz and Dr. Christian Malo for a lively discussion of the Top Ten Trauma Papers of 2024 . The team tackles three of the standout publications from this year’s list, diving into the clinical relevance, methodology, and controversies behind the data. This is the third installment in the podcast’s Journal Club...

In this episode, James Gould and Dr. Rob Green are joined by Steve Crocker, Critical Care Paramedic with EHS LifeFlight, for a deep dive into the world of critical care transport in Nova Scotia. Originally recorded as part of a Dalhousie University Critical Care Medicine Fellow Half-Day, this candid discussion explores how trauma patients move through our system—from the roadside to tertiary care....

In this episode of Trauma-ing, clinical pharmacist Alex Smithers joins us to break down antibiotic management for open fractures. We cover the go-to use of cefazolin, then dig into how antibiotic choices shift based on patient risk factors and the Gustilo-Anderson classification. A practical, case-based discussion for anyone involved in the early management of traumatic injuries. For more FOAM tra...

In this episode, Dr. Jason Emsley joins us to tackle one of the most challenging areas of emergency care—pediatric trauma resuscitation. Are kids just small adults, or do they require a fundamentally different approach? We explore the key differences in anatomy, physiology, and clinical decision-making, while also discussing practical strategies for high-stakes pediatric trauma situations. Whether...

In this episode, Dr. Safraz Mohammed joins us to break down the critical aspects of spinal cord injury—from initial presentation in the emergency department to acute management strategies. We explore key decision points, common pitfalls, and evidence-informed practices that can improve outcomes. Whether you’re at the bedside or in training, this discussion offers practical insights for managing on...

In this Trauma-Pharma segment, clinical pharmacist Alex Smithers joins us again to unpack the approach to seizure prophylaxis in traumatic brain injury (TBI). She covers who actually needs seizure prevention, why Keppra (levetiracetam) is commonly used, and how to get the dosing right. Practical, evidence-based, and focused — everything you need to sharpen your trauma care. Check out www.trauma-in...

Join us as Lynda Foster and Dr. Leeor Sommer share innovative approaches to geriatric trauma care they’ve implemented at their hospital. From enhanced triage protocols to optimized pain management, this episode is packed with insights you won’t want to miss! For more trauma content, check out www.trauma-ing.com