About the TBSCC/EGS Program
The Division of Trauma, Burn, Surgical Critical Care, and Emergency General Surgery at Brigham and Women’s Hospital provides expert, compassionate care to trauma, emergency surgery, and burn patients. With a multidisciplinary team of outstanding physicians and surgeons, nurses, and support staff, the division is dedicated to ensuring patients receive the best treatments—24 hours a day, seven days a week—at every step along their journey from injury to recovery.
To improve quality of care and outcomes for acutely sick and injured patients by developing superior clinical practices and policies through innovative, interdisciplinary research and provider education.
The wealth of exciting research projects at TBSCC generally fall into several categories:
- Emergency General Surgery (EGS): EGS patients represent a unique population of the most at-risk surgical patients who face a disproportionate burden of medical errors, complications and death. Research focuses on identifying factors that affect morbidity and mortality from EGS and evaluating ways to modify those factors to improve outcomes. As a group we have defined the emergency procedures that cause the greatest societal burden. Projects include the creation and testing of a pre-operative checklist and intra-operative huddle specific to EGS patients and developing optimal resource guidelines for institutions that conduct emergency general surgery
- Nutrition: Critically ill patients are often nutritionally compromised, which leads to poorer health outcomes. Research in this area includes description of patients at greatest risk of postoperative aspiration and evaluation of routine screening procedures, characterization of infectious complications in immunosuppressed patients who have received total parenteral nutrition, and a randomized clinical trial to evaluate the safety and effectiveness of an aggressive feeding protocol in critically ill surgical patients.
- Geriatrics: Research in this area focuses on improving care for traumatically injured geriatric patients, with an emphasis on integration of palliative care for this population. Projects include evaluating the efficacy of using preoperative muscle volume to predict postoperative outcomes in elderly emergency abdominal surgery patients, assessment of palliative care needs of older adults undergoing surgery, and creation of best practice guidelines for the treatment of older injured patients.
- Surgical Infection: Decreasing the incidence of infection can improve care for all surgical patients, particularly in trauma patients who are already acutely ill. Research in this area includes a retrospective study evaluating surgical interventions for Diff infection, a phase 3 clinical trial evaluating the efficacy of a new drug to improve outcomes in patients with necrotizing soft tissue infection (NSTI), and studies exploring the relationship between NSTI and nutrition.
- Traumatic Injury & Organ Donation: Our division also studies the management and outcomes of many types of traumatic injury in the service of advancing knowledge and improving patient care. This includes genitourinary trauma, rectal trauma, and traumatic brain injury, as well as assessment of different types of trauma systems and workforces. We also have a focus on improving rates of organ donor registration, particularly among Hispanic Americans.
- Scott JW, Olufajo OA, Brat GA, Rose JA, Zogg CK, Haider AH, Salim A, Havens JM. Use of National Burden to Define Operative Emergency General Surgery. JAMA Surg. 2016 Jun 15;151(6):e160480.
- Salim A, Ley EJ, Berry C, Schulman D, Navarro S, Zheng L, Chan LS. Increasing organ donation in Hispanic Americans: The role of media and other community outreach efforts. JAMA Surg. 213: November 13, 2013.
- Rangel EL, Cooper Z, Olufajo OA, Reznor G, Lipsitz SR, Salim A, Kwakye G, Calahan C, Sarhan M, Hanna JS. Mortality after emergency surgery continues to rise after discharge in the elderly: Predictors of 1-year mortality. Journal of Trauma and Acute Care Surgery. 2015 Sep; 79(3):349-358.
- Sawyer RG, Claridge JA, Nathens AB, Rotstein RD, Duane TM, Evans HL, Cook CH, O’Neill PJ, Mazuski J, Askari, R, et al. Trial of Short-Course Antimicrobial Therapy for Intraabdominal Infection. N Engl J Med 2015; 372:1996-2005.
- Olufajo OA, Tulebaev S, Javedan H, Gates JD, Duarte M, Wang J, Lilley E, Kelly E, Salim A, Cooper Z. Integrating geriatric consults into routine care of older trauma patients: one-year experience of a level I trauma center. Journal American College of Surgery. 2016 Jun;222(6):1029-35.
- CBS News: “7 emergency surgeries you don’t want to have to get”
- Reuters: “Seniors with hip fractures do worse in trauma centers”
- Medical News Today: “Geriatric consultation with trauma surgeons improves outcomes for elderly accident victims”
This page was last modified on 12/27/2016