Jared Wohlgemut @JWohlgemut Twitter profile

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Jared Wohlgemut

@JWohlgemut

3 months

Thank you @asgbi @ASGBI_MA for the opportunity! Grateful for the support from @nigeltai @CommsC4TS @NHSBartsHealth @CommsC4TS

ASGBI

@asgbi

3 months

Congratulations to Jared Wohlgemut, who has been awarded the ASGBI Moynihan Travelling Fellowship Award for 2024. We look forward to hearing about Jared’s fellowship experience in due course. @JWohlgemut

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Jared Wohlgemut

@JWohlgemut

7 months

Wondering what the diagnostic accuracy is of pre-hosp assessment of major trauma hemorrhage? Paper @TSACO_AAST Sens 70% Spec 94% Missed hemorrhage assoc w penetrating (OR 2.4) & abdominal (OR 4.0) injury Mortality 3x higher if hemorrhage is missed! 1/2

Identification of major hemorrhage in trauma patients in the prehospital setting: diagnostic...

Background Hemorrhage is the most common cause of potentially preventable death after injury. Early identification of patients with major hemorrhage (MH) is important as treatments are time-critical....

tsaco.bmj.com

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Jared Wohlgemut

@JWohlgemut

3 months

What a brilliant few days at @asgbi @ASGBI_MA ! It’s not every day you get to meet true legends of surgical education. Huge thanks @rbarbosa91 @georgoff @BehindTheKnife @Ammar_Darwish1 @NottFoundation @MattiTolon3n Your knowledge, delivery, & friendship greatly enriched all!

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Jared Wohlgemut

@JWohlgemut

4 months

#StarWars moment at a London Trauma Surgery Conference: Injured patients sometimes need blood quickly. In one hospital, the blood transfusion coordinator is called “Red Leader” When a patient is en route, they report “Red Leader Standing by” @MarkHamill isn’t this brilliant?

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Jared Wohlgemut

@JWohlgemut

6 months

I’m grateful for the opportunity, and looking forward to contributing to scholarship efforts with brilliant colleagues @traumadoctorsam @traumadoctors @TSACO_AAST @JTraumAcuteSurg

AAST Associate Members

@traumadoctorsam

6 months

Meet the new vice chair of scholarship @JWohlgemut ! He’ll be working with the Scholarship, Awards and Development committee. He’s currently a surgery resident and is obtaining his PhD in London. His research involves the use of artificial intelligence decision support

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 Grateful for the opportunity to present “Usability of an AI Clinical Decision Support System for Trauma” at @estesonline , alongside @BeccaSarahS @nigeltai @ZBPerkins @WilliamMarsh_QM @LinaKyrimi Erhan Pisirir @CommsC4TS @QMUL @RCSnews @RosetreesT @LDNairamb

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Jared Wohlgemut

@JWohlgemut

1 year

Great chats with Becky @RCSnews at #ASGBI2023 thanks so much for the Research Fellowship!

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Jared Wohlgemut

@JWohlgemut

1 year

Pleased about our latest paper: #diagnostic #accuracy of clinical exam for major #injuries in #prehospital #trauma Clinical exam alone=moderate sens & spec Clinician #uncertainty worsens #accuracy Role for diag #adjuncts & #decision support?

Diagnostic accuracy of clinical examination to identify life- and limb-threatening injuries in...

Background Timely and accurate identification of life- and limb-threatening injuries (LLTIs) is a fundamental objective of trauma care that directly informs triage and treatment decisions. However,...

sjtrem.biomedcentral.com

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Jared Wohlgemut

@JWohlgemut

3 months

Really enjoyed assisting @bengriffiths73 teaching small bowel anastomosis (hand-sewn and stapled) & stoma maturation techniques to a very capable group of FY1s and medical students @asgbi @ASGBI_MA The future of surgery really is in good hands

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Jared Wohlgemut

@JWohlgemut

3 months

So privileged to enjoy camaraderie with @ASGBI_MA & brilliant leadership from @asgbi Prof Tierney @SurgeryHPB We aim to advance excellence, collaboration & inclusion in surgery Remember, trainee member of @asgbi = @asgbi_ma member. Get involved!

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Jared Wohlgemut

@JWohlgemut

1 year

#ASGBI2023 Trauma session- great to hear one of my #PhD supervisors @ZBPerkins presenting data on >600 Resuscitative Thoracotomies @LDNairamb Effective for Cardiac Tamponade TCA Limited effectiveness for Exsanguination TCA ECG can inform decision-making and prognostication

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Jared Wohlgemut

@JWohlgemut

2 years

Fantastic conference #ECTES2022 @estesonline and grateful for the opportunity to present data on prehospital diagnostic accuracy on behalf of the #combataid research group @commsc4ts @LDNairamb @maxmarsden83 @beccasarahs @linakyrimi @zbperkins @nigeltai @WilliamMarsh_QM and more.

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Jared Wohlgemut

@JWohlgemut

4 months

I was honoured to represent @asgbi and @ASGBI_MA at the @BJSAcademy workshop in #London . Brilliant lectures from amazing faculty @ProfJACook @evanscolorectal @TejedorPat @PVaughanShaw @dnepo Great networking after! Looking forward to seeing the online content

BJS Academy

@BJSAcademy

4 months

We are pleased to welcome our Strategic Partner reps and speakers to our workshop in London!🎆 @STARSurgUK @ASiTofficial @asgbi @eurohernias @SEIQuirurgica @SISEurope #ActaChirurgicaScandinavica #ESES #SwedishSurgicalSociety #SwissSocietySurgery @asensiomd @JWohlgemut

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Jared Wohlgemut

@JWohlgemut

2 years

Thoroughly enjoyed “Stand up Science” presentations last night. Honoured to be included in the entertainment! Congrats @GreenhalghRob @ZBPerkins @DrMikeChristian et al @LDNairamb for winning the prize for their PH thoracotomy work! @CommsC4TS @LDN_TC #LTC2022

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Jared Wohlgemut

@JWohlgemut

4 months

Grateful to @NSWAmbulance @SydneyHEMS @HawkmoonHEMS for the kind invitation to speak at the Aeromedical Operations Education Day. It was an honour and a pleasure! Topic: “Identification of major haemorrhage in trauma patients” 1/3

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Jared Wohlgemut

@JWohlgemut

1 year

#ASGBI2023 Trauma session- Mr John Taylor @AintreeMTC providing operative tips for massive abdominal trauma haemorrhage. Trauma is about #decisionmaking and understanding injury patterns Read well & know manoeuvres! Top Knife and Trauma Code Red @traumakhan @McmonagleMorgan

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Jared Wohlgemut

@JWohlgemut

1 year

Honoured to be a recipient of the @TSACO_AAST prize @estesonline “accuracy of pre-hosp ID of #traumatic #haemorrhage ” Thx to chairs @elliotthaut @tinagaarder @nigeltai @ZBPerkins @WilliamMarsh_QM @LinaKyrimi @BeccaSarahS @CommsC4TS @QMUL @LDNairamb @traumadoctors @ASGBI_MA

Elliott R Haut, MD, PhD

@elliotthaut

1 year

Excellent resident research paper session sponsored by @TSACO_AAST at @estesonline #ECTES2023 meeting co-moderated w/ me by Tina Gaarder, the journal’s Deputy Editor for Global Strategy and Outreach. #OpenAccess #FOAMed

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Jared Wohlgemut

@JWohlgemut

3 months

Grateful to present work on behalf of @asgbi_ma at the @asgbi conference Who operates on EGS conditions? Who should? - some key CR and OG/HPB ops require sub-specialty training or phone a colleague How can we improve EGS posts? - elective ops, CPD, life balance & pt follow up

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Jared Wohlgemut

@JWohlgemut

4 months

NEW editorial @GOALTrauma Join 50 hospitals in >30 countries Sign up here: Why? - collaborative authorship - 30 day window - eligible with min 1 case @MikeFBath @NaTRIC_Research @estesonline

Goal Trauma

The GOAL-Trauma study will provide a global snapshot of the current mortality rates following trauma laparotomy and insight into the variation seen in the time delays in receiving care…

goaltrauma.org

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Jared Wohlgemut

@JWohlgemut

1 year

Grateful to @robfenwick @laing_simon for a fair, balanced yet enthusiastic critical review of our @SJTREM paper @CommsC4TS @nigeltai @ZBPerkins @WilliamMarsh_QM @gareth_grier @DrMikeChristian @TomHurst16 @MaxMarsden83 @BeccaSarahS @LinaKyrimi E Pisirir

TheResusRoom

@TheResusRoom

1 year

May ‘23 Papers Podcast •Intubation during CPR; does a compression pause increase first pass success •Clinical accuracy in identifying pelvis fractures •Clinical accuracy in identifying life & limb threatening injuries #FOAMed

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Jared Wohlgemut

@JWohlgemut

5 months

Major Trauma Haemorrhage: What’s Next? @wellcometrust @MaxMarsden83 showed that high-stakes DM is recognition-primed and even experts are at risk of cognitive bias.

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Jared Wohlgemut

@JWohlgemut

6 months

Thank you Dr @elliotthaut it was 💯% a group achievement! @nigeltai @ZBPerkins @WilliamMarsh_QM @TomHurst16 @DrMikeChristian @EvangeliaKyrimi @BeccaSarahS @CommsC4TS @blizard_inst @QMULBartsTheLon @QMUL @LDNairamb

Elliott R Haut, MD, PhD

@elliotthaut

6 months

@traumadoctorsam @JWohlgemut And he won the best resident paper in the #TSACO session at the @estesonline meeting last year in Slovenia. @TSACO_AAST

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Jared Wohlgemut

@JWohlgemut

5 months

Major Trauma Haemorrhage: What Now? @wellcometrust @Explorewellcome Session 1 REBOA Results from @ukreboatrial @janjansenuk Prehospital REBOA @robbielendrum Military REBOA @nigeltai The trial compared 2 treatment strategies But many questions remain! Brilliant panel discussion

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline @KateHancorn @RoyalLondonHosp @asgbi Destructive colon injury: fix or bail out? - def’n: AAST grade 3+ -Damage control -⬇️delay to theatre -Segmental resection & anastomosis (unless comorbid or ⬆️transfusion) -Relook- beware retroperitoneal injuries

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Jared Wohlgemut

@JWohlgemut

5 years

Post ST teaching drink with this handsome fellow @GalbraithN where is everyone else? @StsWos

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Jared Wohlgemut

@JWohlgemut

5 months

Trauma Haemorrhage: What Now? @wellcometrust Non-compressible haemorrhage @janjansenuk Prehosp REBOA @robbielendrum -time for a new RCT? Military REBOA @nigeltai -whole system implementation science key! Time to haemorrhage control @paulvulliamy -longer than you think! 1/2

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Jared Wohlgemut

@JWohlgemut

2 years

Very grateful to learn that our work was recognised at #MHSRS2022 with a Poster Award! Thanks to @CommsC4TS for sending me, supervisors @nigeltai @ZBPerkins @WilliamMarsh_QM , and collaborators @LinaKyrimi Erhan Pisirir @BeccaSarahS @Andrea91Ross

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@JWohlgemut

5 months

Trauma Haemorrhage: What Now? @wellcometrust Session 3 Cryo, Fibrinogen and @cryostat_2 @simonstanworth Results @cryostat_2 @nicola_curry -no benefit from early cryo. Surprised? You aren’t alone! -we’re the right patients recruited? which patients still need cryo? 1/2

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Jared Wohlgemut

@JWohlgemut

11 months

Just published! Predicting binary outcomes for blood transfusion requirements is problematic: -10 units is an arbitrary volume cut-off -treatment bias (predicting blood transfused rather than needed) -survivor bias -24hr is an arbitrary time cut-off 1/2

Enhancing the clinical relevance of haemorrhage prediction models in trauma - Military Medical...

mmrjournal.biomedcentral.com

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Jared Wohlgemut

@JWohlgemut

8 months

#EGS @ASGBI_MA Weekend Away A brilliant tour de force by the amazing @KateHancorn our @asgbi Trauma Lead Trauma decision-making is focussed on damage control resuscitation: - permissive hypotension - balanced resuscitation - damage control surgery

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Jared Wohlgemut

@JWohlgemut

7 months

Thank you @TSACO_AAST for insightful commentary by Dr. H Luu & Dr. JW Cannon @PennTrauma @Penn @pennsurgery @PennMedicine @UPennTrauma For our paper @traumadoctors @traumadoctorsam @QMUL @CommsC4TS @asgbi @ASGBI_MA @estesonline

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Jared Wohlgemut

@JWohlgemut

9 months

#EGS2023 @CleoKenington educating us ahead of an upcoming @asgbi EGS guidelines on management of pregnant patients with EGS conditions - Remember MEOWS (modified early obstetric warning score) - ATMOs score in appendicitis - diagnosis- Ultrasound first, CT if you must

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline @ShailviG @shocktrauma on #POCUS in critical care, emergency surgery, and trauma -FAST and eFAST have established roles in trauma -transthoracic echo can aid evaluation of response to resus / fluid⚖️ -an essential skill for surgeons? @salmannaeem217

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Jared Wohlgemut

@JWohlgemut

1 year

#ASGBI2023 Trauma session- interesting take on laparoscopy for (haemodynamically stable) trauma patients, by @SAGES_Updates surgeon Prof Robert Lim. Use more ports, move the table. May offer benefits, such as reduced time to mobilisation

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline Hottest debate so far was definitely regarding evidence for REBOA. Dr Demetriades: -multiple studies showing harm - @UKREBOATrial @janjansenuk @MarionKCampbell trial was stopped early due to safety concerns -For enthusiasts: Stop and think! 1/3

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ECTES2023 @bulgercot Mentors advise, guide Sponsors nominate and promote to others Coaches support for achieving specific goals Two-way street- relationships should be honest and confidential #SoMe4Surgery #SoMe4Trauma @estesonline

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Jared Wohlgemut

@JWohlgemut

1 year

Completely agree. Literally just had this conversation at #ASGBI2023 with @GeeMcLachlan @ASGBI_MA @asgbi

Trisha Elliott

@Trisha_the_doc

1 year

From last week’s @bmj_latest . @scarlettmcnally would like us to call doctors “doctors”, and drop the term “junior” and “trainee”. She’s got a point! Read more here. Link if preferred:

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Jared Wohlgemut

@JWohlgemut

11 months

@ASGBI_MA @surgeon2resus @TheTraumaSurg @KellieBatman @TheEGSurgeon @MaxMarsden83 @surgtrainee @tomxsullivan @Michael_O96 @m_chaelarogers @Emilysmith585 @Rosiesimpson @CTAbdoPelvis @GitaLingam @mciwanttoblog @elizmclen @AdiamahAlfred @scotinscrubs @dr_fuadabid @wannabehawkeye

Gary Alan Bass

@garybassmd

11 months

SnapSBO is a international snapshot audit observational study from @ESTESResearch addressing epidemiology & management of Small Bowel Obstruction. Great trainee research opportunity! Still time to sign up: @estesonline @ISTGofficial @asgbi @young_bjs

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Jared Wohlgemut

@JWohlgemut

5 months

Trauma Haemorrhage: What Now? @wellcometrust Session 4 Coagulopathy iTACTIC study @karimbrohi -negative study BUT -patients who received corrective products did better, and -time to delivery was faster when guided by visco-elastic haemostatic assays than conventional tests

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Jared Wohlgemut

@JWohlgemut

1 year

#ASGBI2023 Trauma session- fantastic cases from @asgbi #Trauma Lead @KateHancorn @RoyalLondonHosp @NHSBartsHealth to consolidate learning: Many intervention options in trauma but principles are the same: know when (and when not) to operate. Don’t be afraid to call a colleague.

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Jared Wohlgemut

@JWohlgemut

3 months

Pleased to represent @elizmclen @TheTraumaSurg & @CORESS5 at @asgbi @ASGBI_MA CORESS (confidential reporting system for surgery) cases analysed using the NOTSS framework @NOTSS_lab - sit awareness, comms & teamwork most implicated -NOTSS training may aid prevention efforts

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Jared Wohlgemut

@JWohlgemut

8 months

#EGS @ASGBI_MA Weekend Away @duncanbew providing huge insights into thoracic and junctional trauma @KingsCollegeLon -Know your anatomy (neck!) -Call your sub-specialties early -Seek broad training in surgical cavities! -Beware multiple wounds (entry/exit) @asgbi

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline @SSRazaMD @PennTrauma partial REBOA (porcine) Deflation profile is extremely variable Recommends intermittent (full inflation & full deflation) strategy, rather than pREBOA Thoughts? @robbielendrum @SamySadek8 @janjansenuk @LDNairamb @MaxMarsden83

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Jared Wohlgemut

@JWohlgemut

2 years

Grateful for the invitation @NRCM2023 ! Plan is to share @NaTRIC_Research updates incl: @tetrisstudy in collab w @ResearchPHOTON @ternfellow @tucker_harriet @LisaRamage @2022Vista in collab w @VascResearchNet @KHurndall93 @rossdavenport See you there!

NaTRIC

www.c4ts.qmul.ac.uk

NRCM 2023

@NRCM2023

2 years

Speaker announcement!! We're incredibly excited to announce that @JWohlgemut of @NaTRIC_Research will be at the NRCM2023 conference talking about the UK National Trauma Research & Innovation Collaborative Head to for tickets and abstract submissions!

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Jared Wohlgemut

@JWohlgemut

5 months

The anticipation is palpable!

Karim Brohi

@karimbrohi

5 months

Looking forward to seeing everyone in person at the Wellcome Collection & online tomorrow. We have representation from nearly every MTC and Air Ambulance in the UK & Ireland so should be a great (and quite unique) meeting! Final agenda: Online

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Jared Wohlgemut

@JWohlgemut

2 years

Absolutely awe-inspiring presentation: thoughts of a war doctor, from Professor David Nott @NottFoundation . Brilliant simulation-focussed teaching for surgeons across the globe. Well-earned applause! @LDN_TC #LTC2022

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Jared Wohlgemut

@JWohlgemut

3 months

@RaulCoimbraMD @traumadoctors @JTraumAcuteSurg impressed the audience with the awe-inspiring and monumental work that is the Emergency General Surgery Verification Programme @acsTrauma Could this be replicated in UK/ROI? @asgbi @asgbi_ma @RCSnews @RCSEd @rcpsglasgow @RCSI_Irl

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Jared Wohlgemut

@JWohlgemut

8 months

#EGS @ASGBI_MA Big bad liver and splenic bleeding with @phillpearce -know how to pack the liver -Pringle manoeuvre is a friend -control IVC (above and below) if needed -know your splenic ligamentous attachments! @asgbi

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Jared Wohlgemut

@JWohlgemut

5 months

Major Trauma Haemorrhage: What’s Next? @wellcometrust Dr Kellett gave a brilliant overview of Human-Machine Teaming. -AI cannot make decisions- only compute data and present probabilities. -AI is not ethical -As humans we must provide the wisdom that only we can have!

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Jared Wohlgemut

@JWohlgemut

1 year

How should #Bayesian Network models be explained? Proud to represent Erhan Pisirir @QMEECS at #ICHIIEEE2023 @IEEEorg @IEEEXplore A process for evaluating explanations for transparent & trustworthy AI - User-centred design - Natural language explanation - End-user eval 1/2

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Jared Wohlgemut

@JWohlgemut

2 years

Emergency General Surgery: Impact of Distance and Rurality on Mortality. Rurality & Distance ⬇️mortality except for laparotomies or transfers. @janjansenuk @watsoninverness @drbekheit et al @CommsC4TS @abdncolorectal @uabsurgery @HSRU_aberdeen @BjsOpen

Emergency general surgery: impact of distance and rurality on mortality

The aim of this study was to determine whether distance from hospital, or rurality, affects the mortality of Scottish emergency general surgery (EGS) patie

academic.oup.com

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline @Trazek on displaced ribs: Options for ribs stabilization and chest wall reconstruction -25% mortality from these injuries -many options to improve care -multidisciplinary care and early identification of high risk pts Standing room only!

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Jared Wohlgemut

@JWohlgemut

2 years

Thought-provoking Trauma Triangles from Professor @karimbrohi @CommsC4TS . How can trauma research deliver on gaps in trauma care? Need to improve knowledge. Improve decision-making. Improve prevention. Inspiring! @LDN_TC #LTC2022

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Jared Wohlgemut

@JWohlgemut

2 years

Reflecting on excellent insights provided by @Sab_CohenHatton yesterday. Situational awareness in decision making, and the impact of stress and uncertainty. Decision traps and paradoxes- fascinating! @LDN_TC #LTC2022

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Jared Wohlgemut

@JWohlgemut

7 months

@elliotthaut @TSACO_AAST @estesonline @tinagaarder @jnahmias1 @docmartin22 @bulgercot @reillyp648 @HayatoKuri67 @rbarbosa91 @CPark_MD Just published in @TSACO_AAST Dx accuracy of pre-hosp assessment of major trauma hamorrhage: sens 70%, spec 94% Thank you @estesonline and @elliotthaut @tinagaarder for chairing! @CommsC4TS @qmul @traumadoctors @traumadoctorsam @asgbi @ASGBI_MA

Identification of major hemorrhage in trauma patients in the prehospital setting: diagnostic...

Background Hemorrhage is the most common cause of potentially preventable death after injury. Early identification of patients with major hemorrhage (MH) is important as treatments are time-critical....

tsaco.bmj.com

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Jared Wohlgemut

@JWohlgemut

5 years

Excellent article highlighting a challenging health problem, and a surgeon who practices what he preaches. Thanks! ⁦ @karimbrohi ⁩ ⁦ @QMUL ⁩ ⁦ @TraumaMasters ⁩

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ECTES2023 @garybassmd @PennTrauma De-resuscitation for open abdomen. Focus on ROSE: resuscitation, optimisation, stabilisation, and evacuation. @estesonline

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Jared Wohlgemut

@JWohlgemut

2 years

Thanks @karimbrohi ! Was an honour to present research from @CommaC4TS at @traumadoctors #AAST2022 Many thanks to @nigeltai @ZBPerkins @WilliamMarsh_QM @TraumaEMC @rossdavenport for project supervision, and collaborators @AteeqAlmuwallad @LinaKyrimi @Andrea91Ross @BeccaSarahS

Karim Brohi

@karimbrohi

2 years

Strong work from the @CommsC4TS @RoyalLondonHosp #AAST2022 poster crew: @ldnvrn - Clustering of risk factors for violence @Andrea91Ross - Evaluation of the Hemosonics coagulation analyser & @JWohlgemut with ML for prehospital prediction of TXA benefit. 💪🏻💪🏻💪🏻

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ECTES2023 @tinagaarder @bulgercot @sibrundage Gender equity session: -Include and invite competent women -Mentorship and support needed -Women in Trauma Surgery has >400 members! #WITS -“Real men are feminists” #SoMe4Surgery #SoMe4Trauma @estesonline

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Jared Wohlgemut

@JWohlgemut

2 years

#ECTES2022 highlight 3: meeting old friends in amazing buildings @traumamasters @traumevoll @StOlavshospital @CommsC4TS @visitOSLO @estesonline

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Jared Wohlgemut

@JWohlgemut

2 years

Awesome talk yesterday from A/ Prof Zaff Qasim on ED Mx of gunshot wounds. @PennTrauma Velocity matters more than caliber. Point of injury care is key. Perform early rapid cavitary triage. Minimise time to definitive care. @LDN_TC #LTC2022

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ECTES2023 How to maintain surgical trauma competency: Formal training/exposure, especially thoracic, abdo, junctional and endovascular Courses Scrub with colleagues Read/update Online learning Be prepared to save a life! @estesonline

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Jared Wohlgemut

@JWohlgemut

5 months

Major Trauma Haemorrhage: What’s Next? @wellcometrust Session 2 AI Decision support in trauma haemorrhage An enormous honour to share a panel with these excellent academics! @ZBperkins @Evangeliakyrimi @beccasarahs Erhan Pisirir Rachel Summer @WilliamMarsh_QM @nigeltai 1/3

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline @rossdavenport @CommsC4TS @QMUL @NHSBartsHealth Vascular Injuries and their effects on the surgical strategy -not all vascular trauma presents as haemorrhage -not all ischaemic limbs present with the 6 Ps -avoid time delay!!

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Jared Wohlgemut

@JWohlgemut

5 months

Major Trauma Haemorrhage: What’s Next? @wellcometrust Grateful to present alongside @maxmarsden83 and Dr Suzie Kellett. I showed that prehosp assessment of injuries/bleeding are imperfect. Prehospital decision making is challenging! Clinical decision support may help!

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline @EnricoMarrano & @garybassmd Direct peritoneal resuscitation -shock ➡️ vicious cycle of splanchnic hypoperfusion -allows vasodilatation from NO release via adenosine A1 receptors -helps ⬇️ complications from open abdomen and damage control surgery 1/2

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Jared Wohlgemut

@JWohlgemut

3 months

Dr Ari Leppaniemi -many non-randomised studies used REBOA liberally: a lot of “noise”, signal may be lost Prof from Colombia -as with all new technologies- as processes improve, results will likely improve over time Amazing to be “in the room” A respectful clash of titans!

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Jared Wohlgemut

@JWohlgemut

3 years

Learned much from colleagues, and honoured to share the stage with Walt Biffl, @susanmoug @belindadesimone discussing research priorities in EGS @WSESurgery

Dimitris Damaskos

@DimDamask

3 years

@JWohlgemut on priorities in EGS research @WSESurgery @asgbi @WilsonMSJ

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ECTES2023 @garybassmd @PennTrauma Trauma AKI- KDIGO to classify Multiple potential biomarkers of renal injury- possible future for more tailored classification, #prediction and Rx? @estesonline

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline @RaulCoimbraMD @traumadoctors Retrohepatic IVC inj -high index of suspicion -Prep chin to knees -Xiphoid to Pubis incision -Aortic clamp -Pringle -Prox & distal control: above liver & intrapericardic -Opportunity favours the prepared mind!

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Jared Wohlgemut

@JWohlgemut

9 months

Excellent overview of #ERAS consensus guidelines for emergency laparotomy. #EGS2023 @asgbi This concept has transformed elective care and outcomes. This is a welcome addition to emergency surgery! Prof @PedenCarol

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights from #ECTES2023 Dr. Mitch cohen Coagulopathy in trauma- complex. Clinician thinking similar to Bayesian Networks. #Precisionmedicine using AI/ML is not replacing clinician decision making, but trying to reproduce the way expert clinicians think/predict @estesonline

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Jared Wohlgemut

@JWohlgemut

3 years

Grateful for the opportunity to present our interim work at the #ISTH2021 Assay Evaluation session today. SEER has diagnostic comparability to ROTEM in trauma. @CommsC4TS @rossdavenport @Andrea91Ross

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Jared Wohlgemut

@JWohlgemut

9 months

An excellent start to #EGS2023 @asgbi @ASGBI_MA in Glasgow! Brilliant update of TACS guidelines for emergency operating triage @Belindadesimone There is a role for #AI and clinical decision support to help triage for emergency operating!

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Jared Wohlgemut

@JWohlgemut

2 years

A True Masterclass in pre-hospital blood administration! @rossdavenport @CommsC4TS @LDN_TC #LTC2022

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Jared Wohlgemut

@JWohlgemut

2 years

Video abstract: How does distance and rurality affect mortality after Emergency General Surgery? Published here: @ASGBI_MA @roux_group @dukes_club #egs @abdncolorectal @WestOfScotland1 @UABSurgery @UABTrauma @behindtheknife

Emergency general surgery: impact of distance and rurality on mortality

The aim of this study was to determine whether distance from hospital, or rurality, affects the mortality of Scottish emergency general surgery (EGS) patie

academic.oup.com

BJS Open

@BjsOpen

2 years

#ICYMI : How does distance and rurality affect outcomes in #emergency #surgery ? Video summary from @JWohlgemut @janjansenuk @Watsoninverness read it: #some4surgery #surgicalresearch @SEIQuirurgica @asgbi @SocSARS @ASiTofficial

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Jared Wohlgemut

@JWohlgemut

1 year

New #SystematicReview & Qualitative Synthesis How to assess #Usability of mobile📱decision support in #Healthcare #Emergencies ? Multiple/Mixed methods! @JWohlgemut @LinaKyrimi @BeccaSarahS @nigeltai @ZBPerkins @WilliamMarsh @CommsC4TS @AMIAinformatics

Methods used to evaluate usability of mobile clinical decision support systems for healthcare...

AbstractObjective. The aim of this study was to determine the methods and metrics used to evaluate the usability of mobile application Clinical Decision Su

academic.oup.com

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Jared Wohlgemut

@JWohlgemut

5 years

Feeling privileged to have taken part in #LIMiT cadaveric trauma course and #GESTS2019 : brilliant faculty and interesting topics! Thanks @EuanJDickson @mcgregorjohnr @bryanacotton1 @adambrooks_AB @tinagaarder @goscar @McmonagleMorgan @rcpsglasgow and many others!

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Jared Wohlgemut

@JWohlgemut

3 months

@SAGES_Updates was on good form on and off the stage! @CEReinke Great talks on a wide range of topics- so grateful to the team for coming to @asgbi @asgbi_ma Karaoke was immense

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline Prof Maeyane (Steve) Moeng @UWitwaters7351 Hospital disaster preparedness in Africa -Johannesburg pop growing rapidly! -Use MIMMS for mass casualty incidents -In-hospital low dose Xray helps decision making -Failing to prepare is preparing to fail!

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Jared Wohlgemut

@JWohlgemut

8 months

#EGS @ASGBI_MA Weekend Away President @SurgeryHPB with duodenal/pancreatic wisdom! @asgbi Pancreatic trauma like crawfish: eat the tail, suck (drain) the head Grade: 1/2- drain? 3- distal pancreatectomy +/- splenectomy 3/4- Roux en Y pancreaticojejunostomy 5- Whipples

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 Day 1 @estesonline Prof Patrick Reilly @PennTrauma @UPennTrauma @traumadoctors Is your hospital prepared for disasters? ⁃Mass casualty incidents ⁃Infectious disease ⁃Cyber attack Use tools from @CDCgov and @EmergencyDocs to find out: 1/2

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Jared Wohlgemut

@JWohlgemut

1 year

Amazing Zipline delivers blood via autonomous drone, parachute within 30 minutes to remote locations! The future for rural trauma care? @bulgercot @zipline @ZiplineRwanda @estesonline @traumadoctors

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Jared Wohlgemut

@JWohlgemut

5 months

Fibrinogen levels and outcomes @rossdavenport -subgroup analysis suggesting damage from fibrinogen if level was already high -And that blunt and penetrating may have different results! More studies needed! 2/2

Jared Wohlgemut

@JWohlgemut

5 months

Trauma Haemorrhage: What Now? @wellcometrust Session 3 Cryo, Fibrinogen and @cryostat_2 @simonstanworth Results @cryostat_2 @nicola_curry -no benefit from early cryo. Surprised? You aren’t alone! -we’re the right patients recruited? which patients still need cryo? 1/2

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ECTES2023 Markus Huber-Lang Trauma AKI- multiple causes There is reduced vascular flow (vasoconstriction) after haemorrhage shock lasting 5 days! ?Tubular Injury? Complex renal immune-pathological process @estesonline

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Jared Wohlgemut

@JWohlgemut

5 years

Thanks to @PatrickMacgoey for the shout out at #GESTS2019 today, good to see familiar data on screen ;) @JTraumAcuteSurg @AnnalsofSurgery @janjansenuk @georamsay @rcpsglasgow

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Jared Wohlgemut

@JWohlgemut

3 months

#ECTES2024 @estesonline Top lessons learned from “nontechnical skills and handovers at transitions of clinical care” Pål Aksel Næss “In crisis we do not rise to the level of expectations, we fall to the level of our training” Archilochus 645 BCE 1/4

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Jared Wohlgemut

@JWohlgemut

2 years

@rossdavenport @Andrea91Ross @drjenross @richcarden @Paulvulliamy @MaxMarsden83 @AdiamahAlfred @lukemcelroy @ceribattle @tucker_harriet @KHurndall93 @ASGBI_MA @RouleauxClub @Dukes_Club @roux_group

NaTRIC

@NaTRIC_Research

2 years

Don't miss out on this exciting, catered, free event on 15th March: UK Trauma Collaborative Research: Past, Present and Future. @2022VISTA @tetrisstudy #trauma #traumaresearch Sign up for free here:

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Jared Wohlgemut

@JWohlgemut

4 years

Great work team! @janjansenuk @georamsay Russell Griffin. @abdncolorectal @UABSurgery @qeuh_surgery

BMJ Group

@bmj_company

4 years

Greater levels of comorbidity and, to a lesser extent, socioeconomic deprivation have an adverse impact on outcomes of patients admitted for emergency general surgery, suggests a new @TSACO_AAST study

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ECTES2023 Excellent overview of whole blood in trauma @bulgercot @traumadoctors Balanced resus saves lives, evidence 4 whole blood increasing. Need system to track women of child-bearing age who receive 0+WB to have Rhogam- avoids anti-D antibodies @estesonline

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Jared Wohlgemut

@JWohlgemut

4 years

Many thanks to Dr Martin Hennessy and Mr Keith Hussey for their guidance with this report! @qeuh_surgery @JSCR_Publishing @OxfordJournals #surgery #vascular

Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair

Abstract. A 65-year-old man developed acute arterial thrombosis with stent graft occlusion, during elective endovascular aneurysm repair, with bilateral ac

academic.oup.com

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Jared Wohlgemut

@JWohlgemut

3 months

@RaulCoimbraMD -shouldn’t use TQIP data for these studies, wrong methodology -There may be benefit if used in the right setting in the right way Dr Demetriades -cannot compare REBOA to resuscitative thoracotomy: different indications 2/3

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Jared Wohlgemut

@JWohlgemut

3 months

@rbarbosa91 @asgbi @DimDamask @ASGBI_MA @TheTraumaSurg @SurgeryHPB @KellieBatman It was entirely our pleasure to host you!! Haste ye back to Scotland next year 😃

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Jared Wohlgemut

@JWohlgemut

3 months

@asgbi @SurgeryHPB @DimDamask @bengriffiths73 @ravi__vohra @ASGBI_MA Hugely grateful to @AlisonLannigan and @mochakrabarti @NHSLanarkshire @WishawGen and for their leadership and encouragement. Hoping for a brilliant exchange with @UWitwaters7351 and @ChrisHaniBara

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ESTES2023 Elliot Haut @elliotthaut Optimising VTE prophylaxis- an important condition. NTRAP project. CNTR (). Use of anti-thrombin? @JCCardenas52 Watch this space! @estesonline

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Jared Wohlgemut

@JWohlgemut

2 years

Brilliant talk, and back to school for me, learning about Blast Injury and Physiological response from Dr. Emrys Kirkman OBE @LDN_TC #LTC2022

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Jared Wohlgemut

@JWohlgemut

5 months

Major Trauma Haemorrhage: What’s Next? @wellcometrust Session 3 From concept to implementation Dr Tobias Gauss @traumatrix @Inria @inria_grenoble Presenting amazing research on Machine Learning prediction support system for: -haemorrhaging shock -TBI -need for intervention

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Jared Wohlgemut

@JWohlgemut

1 year

Nice work team @CommsC4TS ! Important new study of #diagnostics and #prognostics , comparing ROTEM to Quantra sonorheometry in #trauma patients. @asgbi @ASGBI_MA @estesonline @traumadoctors @traumadoctorsam

Andrea Rossetto

@Andrea91Ross

1 year

Quantra and ROTEM have similar overall performance in detecting trauma-induced coagulopathy and predicting transfusion and mortality. While Quantra better predicts INR>1.2, ROTEM better predicts Fib<2g/L. @JWohlgemut @karimbrohi @rossdavenport @CommsC4TS

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Jared Wohlgemut

@JWohlgemut

3 years

Thanks for your support team! #EGS mortality in relation to hospital and surgeon case volume @janjansenuk @georamsay @Watsoninverness @DrBekheit

Journal of Trauma and Acute Care Surgery

@JTraumAcuteSurg

3 years

Emergency General Surgery: Impact of Hospital and Surgeon Admission Case Volume on Mortality. #EmergSurg

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Jared Wohlgemut

@JWohlgemut

1 year

Highlights of #ECTES2023 Prof Susan Brundage @sibrundage @shocktrauma Communication and transitions of care- a huge cause of avoidable medical errors and adverse events. Let’s handover more clearly, for our patients! @estesonline

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