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December 18, 2014

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Trauma Anesthesiology

What is trauma anesthesiology?

Statement of Principles: Trauma Anesthesiology

Links of Interest:

Trauma Anesthesiology Society
The Trauma Anesthesiology Society has brought together over 100 academic and community practice anesthesiologists with a passion for care of the traumatized patient. A Google Group discussion has fostered discussion on topics ranging from vasopressors in trauma, to the optimal approach to regional/neuraxial anesthesia in trauma, to the ideal anesthesiology staffing model for trauma centers. Individuals can join the group by following the link above.

American College of Surgeons Committee on Trauma
The mission of the American College of Surgeons Committee on Trauma is to develop and implement meaningful programs for trauma care in local, regional, national, and international arenas. These programs must include education, professional development, standards of care, and assessment of outcomes. is an independent, non-profit organization providing global education, information and communication resources for professionals in trauma and critical care.

National Trauma Institute
The National Trauma Institute (NTI) is a 501 (C) (3) nonprofit organization dedicated to funding projects with the promise to advance clinical trauma practice, save lives and reduce disability

The Joint Theater Trauma System (JTTS) Clinical Practice Guidelines (CPGs) can be found at the webpages below. To the greatest extent possible, JTTS CPGs are evidenced-based. Where evidence is lacking or unclear, but where the need for a CPG is paramount, guidelines were developed based on the best available data and subject matter expert (SME) consensus. Routine updates of CPGs occur on approximately an annual basis. Additionally, based on new evidence or prevailing SME input, CPGs are updated in whole or part whenever the need arises. SMEs include, but are not limited to, military and civilian experts, deployed clinicians, Service trauma/surgical consultants, and other military trauma system personnel.This is a public website, no access codes required.

American Society of Anesthesiologists, Committee on Blood Management

Plasma components - An Update from COBM

Additional plasma components - ASA Transfusion Practice 2011R.1 Trauma

Trauma Anesthesiology Fellowships:

University of Washington, Harborview Medical Center
The University of Washington offers a faculty fellowship in trauma anesthesiology at Harborview Medical Center in Seattle. The program is designed to offer education and training in perioperative trauma medicine including prehospital care, emergency medicine, anesthesia and intensive care medicine."

University of Maryland, R Adams Cowley Shock Trauma Center
A trauma anesthesiology fellowship at the R Adams Cowley Shock Trauma Center in Baltimore, Maryland consists of 12 months of training split between operating rooms, electives and research.  Fellows also have the opportunity to fly with the Maryland State Police troopers to observe pre-hospital patient care and complete the Advanced Trauma Life Support course.

The main objective of the STC Anesthesia Fellowship is to gain exposure to a variety of medical and surgical conditions encountered in acutely injured patients.  Our goal for the Anesthesiology Fellow is to become an expert in the field of trauma/critical care and excel in the management of difficult traumatic airways, complicated patients, and novel techniques of resuscitation.

University of California, San Francisco

The Trauma Anesthesiology Fellowship curriculum provides in-depth training in all anesthesia relevant aspects of trauma care. It is a one-year non-ACGME program intended for physicians that have completed their residency in anesthesiology. The goal is to reach a level of competency and governance in trauma care that enables the graduates to take on a leadership role in their respective field.

The fellow will be hired as a Clinical Instructor at UCSF and will work in the SFGH main ORs for three-days per week in the role of an attending. This will provide the needed salary support. These attending shifts will focus on hand on trauma care. The fellow will always have a dedicated senior attending to provide backup and assist with highest level trauma activations so that in-time learning can occur. The additional two days per week will be focused solely on the various aspects of trauma care. This will be further divided into different components including education, clinical care, and simulation training. In addition to thee, the fellow can chose from the following elective components: critical care, leadership training, clinical research and EMS/prehospital exposure. All of the components will focus on trauma care. The requirements will be averaged out over the entire year enabling flexibility for rotations or research projects.

University of Alabama

The UAB Department of Anesthesiology is pleased to announce the establishment of the UAB Trauma and Acute Care (TAC) fellowship program effective July 2014. The program consists of 12 months of post-graduate training after successful completion of an accredited residency program in Anesthesiology. Fellows serve as part-time faculty members in the UAB Department of Anesthesiology.

Trauma Anesthesiology Curriculum:

The Committee on Trauma and Emergency Preparedness has collaborated on the creation of model curriculum goals and objectives for trauma anesthesiology that could be inserted into existing training programs. Individuals and programs are free to modify this curriculum as needed to meet their own objectives based on their training requirements and limitations.

Curriculum for CA-1 and CA-2 residents

Curriculum for CA-3 residents