The mission of the AAST Critical Care Committee is to conduct, promote, and disseminate research, education, and best practices related to the critical care of critically injured trauma and emergency general surgery patients to the membership, highlight the specialty of surgical critical care and advocate for the specialty within the AAST and beyond.
The Critical Care Committee holds monthly meetings by video and meets in person at the AAST Annual Meeting. The Committee engages in several recurrent initiatives, ad hoc projects, and research. These include writing of Clinical Consensus Documents for journal publication, Journal Article Reviews for CME credit on AAST’s website, participation in AAST Virtual Grand Rounds, and conducting research within the committee or in collaboration with other AAST committees. At the AAST Annual Meeting the committee often hosts lunch sessions, moderates the critical care paper session, and selects the Critical Care award and Resident award for oral presentations.
Critical Care Committee Journal Article Review
The AAST’s Critical Care Committee has a CME activity, the AAST Critical Care Committee Journal Article Review, which takes place several times throughout the year. This activity is a brief review of a recent important article relevant to surgical critical care that has been reviewed and approved by the AAST Critical Care Committee.
The Critical Care Committee has conducted several journal article reviews to date, including:
- Early Sedation with Dexmedetomidine in Critically Ill Patients (review done by Dr. Christopher Michetti)
- Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome (review done by Dr. David Zonies)
- Early propranolol after traumatic brain injury is associated with lower mortality by Ara Ko, et al (review done by Dr. Sonlee West)
- Hydrocortisone, Vitamin C and Thiamine for the Treatment of Severe Sepsis and Septic Shock: A Retrospective Before-After Study by Paul E. Marik, et al. (review done by Dr. Ronald Simon)
- Balanced Crystalloids veresus Saline in Critically Ill Adults by Matthew W. Semler et al (review done by Dr. John Agapian)
- Effect of Vitamin C, Hydrocortisone, and Thiamine vs Hydrocortisone Alone on Time Alive and Free of Vasopressor Support Among Patients with Septic Shock: The VITAMINS Randomized Clinical Traial (review done by Dr. Jeffry Nahmias)
- Effect of Stress Ulcer Prophylaxis with Proton Pump Inhibitors vs Histamine-2 Receptor Blockers on In Hospital Mortality Among ICU Patients Receiving Invasive Mechanical Ventilation: The PEPTIC Randomized Clinical Trial (Review done by Dr. Melvin E. Stone, Jr.)
- See more on the Education Courses page!
The reviews of the articles are available on AAST’s web page for 1 AMA PRA Category 1 Credit™. Please visit the AAST’s Education e-Learning/CME page here to conduct the journal review for CME. Simply filter by course type “Critical Care Journal Review” to see this educational activity.
RESEARCH & PUBLICATIONS
Publications from CCC 2019-2020
1. Michetti CP, Burlew CC, Bulger EM, Davis KA, Spain DA; Critical Care and Acute Care Surgery Committees of the American Association for the Surgery of Trauma. Performing tracheostomy during the Covid-19 pandemic: guidance and recommendations from the Critical Care and Acute Care Surgery Committees of the American Association for the Surgery of Trauma. Trauma Surg Acute Care Open. 2020 Apr 15;5(1):e000482.
a. #1 most downloaded article in 2020 from TSACO as of July; 15,626 HTML + PDF downloads
2. Pieracci FM, Burlew CC, Spain D, Livingston DH, Bulger EM, Davis KA, Michetti CP. Performing tube thoracostomy during the COVID-19 pandemic: guidance and recommendations from the AAST Acute Care Surgery and Critical Care Committees. Trauma Surg Acute Care Open 2020;5:e000498.
a. #2 most downloaded article in 2020 from TSACO as of July; 4,857 HTML + PDF downloads
3. Martin ND, Codner P, Greene W, et al on behalf of the AAST Critical Care Committee. Contemporary hemodynamic monitoring, fluid responsiveness, volume optimization, and endpoints of resuscitation: an AAST critical care committee clinical consensus. Trauma Surg Acute Care Open 2020;5:e000411.
a. #3 most downloaded article in 2020 from TSACO as of July; 2,031 HTML + PDF downloads
4. Kim DY, Lissauer M, Martin N, Brasel K, and the Critical Care Committee of the AAST. Defining the surgical critical care research agenda: results of a gaps analysis from the Critical Care Committee of the American Association for the Surgery of Trauma. J Trauma Acute Care Surg 2020;88(2):320-329.
5. Michetti CP, Fakhry SM, Brasel K, Martin ND, et al. Structure and function of a trauma intensive care unit: a report from the Trauma ICU Prevalence Project. J Trauma Acute Care Surg 2019;86(5):783-790.
6. Michetti CP, Fakhry SM, Brasel K, Martin ND, et al. Trauma ICU Prevalence Project : the diversity of surgical critical care. Trauma Surg Acute Care Open 2019.18;4(1):e000288