Archive for March, 2018

David B. Hoyt, MD, FACS

Looking forward – March 2018

Dr. Hoyt outlines how the ATLS course has become a foundation of care for the injured patient by providing physicians around the world with a common language and a common approach to trauma care.

ATLS 40 Year Anniversary

ATLS at 40: Distinguished past, bright future

The evolution of early editions of the ATLS course are described, including significant changes introduced in the eighth edition and the expanded content provided in the 10th edition of the course.

When passion and curiosity collide: The beginnings of the ATLS program

ATLS program origins are summarized, including the College’s role in developing the course, and an update on the early developers of the course is provided.

ATLS world map

Bringing ATLS to an international audience: Background and a Region Chief’s experience

This article outlines the global evolution of the ATLS course and provides the perspective of the first chief serving the Middle East and North Africa.


ACS CQGS introduces course on care of the complex older patient

The development of the Management of the Complex Older Surgical Patient: Geriatric and Palliative Care course is described as are best practices for geriatric surgical care.

QPP 2018 MIPS performance category weights

Quality Payment Program year two: Information to help you succeed in 2018

Factors determining MIPS applicability are examined as are 2018 reporting options for the Quality Payment Program.

Vegas Figure 1

Southern Nevada Trauma System uses proven techniques to save lives after 1 October shooting

A review of the Las Vegas trauma system response to the mass casualty shooting on October 1, 2017, is provided and opportunities for improvement in future trauma system disaster planning are described.

Doctor with file

Test your CPT coding knowledge for penetrating trauma

This column describes several penetrating trauma clinical scenarios to test the reader’s CPT coding knowledge.

NSQIP Case Studies

Improving high-value care of ileocolic intussusception in a pediatric ED

This column describes an ileocolic intussusception quality improvement program launched at Seattle Children’s Hospital, WA.

surgeons in caps in the OR

Retired surgeons as peer teachers in resident medical education: An underused resource

A viable solution to the surgical workforce shortage could include retired surgeons who often seek out post-retirement teaching opportunities.


Improving surgical care and outcomes through the OPTI-Surg toolkit

The OPTI-Surg study evaluates an efficient screening and optimization tool for improving outcomes after major cancer surgery.

Guy de Chauliac

Guy de Chauliac and “What the Surgeon Ought to Be”

The origin of the “What the Surgeon Ought to Be” prints, distributed to young surgeons in the mid-1950s, is summarized.

wash your hands

Joint Commission now citing individual hand hygiene failures

Whenever Joint Commission surveyors observe an individual’s failure to perform hand hygiene in the process of direct patient care they now must cite the incident as a deficiency.

Figure 1. Mechanism of injury

Baby on board: Trauma in pregnancy

This month’s column examines the occurrence of injured patients who were pregnant at the time of injury in the National Trauma Data Bank® (NTDB®) research dataset.

Dr. Bulger

Eileen Metzger Bulger, MD, FACS, is new Chair of the ACS Committee on Trauma

Eileen Metzger Bulger, MD, FACS, who was appointed the next ACS Committee on Trauma Chair in October 2017, begins serving in this role in March.

Dr. Williams (right foreground) teaching tube thoracostomy insertion at the ATLS demonstration course

U.S. Army and Navy surgeons collaborate to offer ATLS demonstration course in Afghanistan

The background and course design of an Advanced Trauma Life Support demonstration program in Kandahar, Afghanistan is described.

ACS delegation shapes policy at AMA HOD meeting

This report summarizes the topics addressed by the College’s delegation to the American Medical Association House of Delegates meeting in November 2017.

Optimal Resources for Surgical Quality and Safety

Making quality stick: Optimal Resources for Surgical Quality and Safety: Using data analytics to improve patient care

This excerpt from Optimal Resources for Surgical Quality and Safety summarizes the essential role of registries in providing clinically relevant data necessary to improve patient care.

surgeons with tablets

Register for 2018 ACS Residents as Teachers and Leaders Course

Registration is open for the 12h annual ACS Residents as Teachers and Leaders Course, April 13−15 at the College’s headquarters in Chicago, IL.


Coming next month in JACS and online now: One thousand pediatric liver transplants during thirty years: Lessons learned

A study published in an upcoming issue of JACS presents lessons learned from the largest reported single-center experience of pediatric liver transplants.


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