Trauma ICU Rounds

What makes a good surgical leader—and what happens when people are afraid to speak up? Dr. Paula Ferrada returns to Trauma ICU Rounds for a conversation about leadership in surgery, psychological safety, mentorship, and building teams that put patients first. We begin with hemorrhage-first trauma resuscitation and the difficulty of challenging established practice, then explore how surgeons earn trust, respond to mistakes, support colleagues, and develop the next generation of leaders. Topics...

This is a Visual Rounds episode — a more foundational crossover from the YouTube side of Trauma ICU Rounds. Shock is not simply hypotension. In this episode, we work through a physiology-first approach to shock: oxygen delivery, cardiac output, arterial oxygen content, MAP versus perfusion, compensated shock, mixed shock, and the four major shock states — hypovolemic, cardiogenic, obstructive, and distributive. The goal is to move beyond simply naming a shock category and instead understand w...

Whole blood has made a remarkable comeback in trauma resuscitation. Physiologically, the rationale is compelling, and observational studies have suggested improved survival. But the recent randomized TOWAR and SWiFT trials have challenged the assumption that whole blood is clearly superior to component therapy. In this episode of Trauma ICU Rounds, we review the rationale for low-titer group O whole blood (LTOWB), the major observational data supporting its use, what TOWAR and SWiFT actually ...

After four years away, Trauma ICU Rounds is back. In this short relaunch episode, I reflect on the journey from California back to Canada, how my clinical and leadership roles have evolved, and why now is the right time to return to the podcast. We also share what comes next: clear, practical, evidence-informed conversations in trauma, critical care and resuscitation—designed to make complex topics easier to understand and apply at the bedside. Welcome back to Rounds. Explore Trauma ICU Round...

In this episode we sit down with the Chief of Trauma, Surgical Critical Care, Burns, & Acute Care Surgery at the University of Arizona, Dr. Bellal Joseph, who share with us his thoughts and research findings on hot topics including frailty, geriatric trauma, leadership, and more. Timestamps: 00:12 Introductions 01:30 What is frailty? Your physiologic NOT chronologic body. 06:58 Injured elderly trauma patients can have good outcomes 07:30 Trauma specific frai...