Gabriela Zavala

MD @MEDICINA_UPCH. MSc Implementation Science ‘27 @dartmouth Research Scientist @uchealth. Padawan in training. Passionate about trauma research! 🩸🚑🪖

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

In traumatic intracranial hemorrhage, early plasma matters: transfusion within 30 min of ED arrival was linked to improved 30-day survival. Delays beyond this threshold were associated with worse outcomes, defining a clinically actionable time window.

@CMTorres_MD

https://t.co/9ZfSwZDRMZ

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

An increased proportion of prehospital to total blood transfusion was associated with decreased incidence of acute lung injury in this analysis of 6 hemorrhagic shock trials.

@PittSurgery

https://t.co/VkEidi0HED

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Counties with longer travel times to Level I/II trauma centers have higher firearm injury death rates. Our nationwide GIS study highlights rural & underserved areas where faster trauma access could save lives.
#TraumaCare #PublicHealth #GunViolence

https://t.co/4tRaGmxu0q

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Length of stay after pediatric injury is impacted by time spent waiting for transfer to rehab. Delayed transfer prevents optimal care and harms patient flow. Optimizing care transitions and identifying commonalities with other trauma centers is warranted.

@childrensphila

https://t.co/Y9MBqb3MSK

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Counties with longer travel times to Level I/II trauma centers have higher firearm injury death rates. Our nationwide GIS study highlights rural & underserved areas where faster trauma access could save lives.
#TraumaCare #PublicHealth #GunViolence

https://t.co/4tRaGmxu0q

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

A Bayesian meta-analysis of 8,553 lower extremity vascular injuries identifies prolonged ischaemia, nerve injury, and soft tissue damage as key predictors of secondary amputation. Findings highlight differences between civilian and military trauma. #LEVT #TraumaSurgery

https://t.co/J58OXnLskK

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

❇️Best of Trauma❇️

Watch an overview of "Current management of traumatic intracranial hypertension: What you need to know"

https://t.co/BRlY9jEqLg

[Panamericanadetrauma @Panamtrauma]

PTS/AAST Virtual International Case Conference, June 8 , 2026, at noon EST.
Zoom Meeting at: https://t.co/fk6NO0l6h6, Meeting ID: 930 0398 9518, Passcode: 604216.
More Info. https://t.co/ntmHE3mZlO
Check your local time before joining the meeting: Visit https://t.co/SWw0FTl4k1

[Trauma Surgery & Acute Care Open (TSACO) @TSACO_AAST]

@elliotthaut @garybassmd @thefighter_sm @dhlivingston @DraReyValcarcel @diemar70 @estesonline Link to paper by @garybassmd @pferrada1 cited at @estesonline #ESTES2026

“Surgeon leadership in trauma resuscitation requires a competency-based multimodal training framework”

https://t.co/8YQhU506ON

[BehindTheKnife @BehindTheKnife]

Your patient was shot. They are alive. But now they have a retained bullet.

No big deal, right? They are alive after all. Lucky.

WRONG. Listen to this episode learn what you were never taught 👇🏼

🔗 https://t.co/t3NBZLC2Zn

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Appendectomy is one of the most common on-call general surgery emergencies which is usually managed with expedited surgery. Our data shows that slight delays to operation (6-24 hours) may allow for similar outcomes as expedited surgery in both children and adults.

@UAlberta; @UAlbertaSurgery; @sukhdeepjatana_

https://t.co/terlyn3Xiu

[Trauma Surgery & Acute Care Open (TSACO) @TSACO_AAST]

Trauma surgeons know the sickest patients don’t stop at one complication.

This TSACO paper on postinjury multiple organ failure helped redefine how we think about inflammation, critical illness, and the downstream consequences of severe trauma. This is years after “damage control” first entered the lexicon.

For TSACO’s 10-year anniversary, hear directly from Dr. Lisa Kodadek.

Read here https://t.co/pmh5Z8OlKj

Authors: @LisaKodadek, @scarmic8, @anu_seshadri, @AppelbaumMD

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Pediatric severe TBI study finds extraventricular drains (EVD) linked to 30% fewer surgeries and 25% lower mortality vs. intraparenchymal monitors (IPM). Highlights EVD’s potential benefits in ICP management.

@TopKniFe_B
@colstewart09
@malmaaniMD
@fcastillodiaz99

https://t.co/W6H6lcv1LF

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

In a PATCH trial secondary study, TXA 1 g bolus + 1 g drip over 8 hrs paradoxically increased complement activation at 24 hours after injury. Delayed increase in complement may reflect the dominant plasminogen activator and raises questions about optimal TXA dosing regimen.

@NicolleKB; @e_magination95; @ChrisBarrettMD; #UNMCSurgery

https://t.co/c4HrYiwoqZ

[JAMA Surgery @JAMASurgery]

Robotic-assisted groin hernia repair was associated with a higher long-term operative recurrence rate than laparoscopic or open repair among #Medicare beneficiaries, with overall recurrence rates remaining low across all methods.

https://t.co/qY9rxbfYJS

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Risk factors for geriatric trauma readmission were explored, specifically, discharge functional status. Discharge functional status does not predict geriatric trauma readmission however having 3 or more comorbidities and increasing length of stay does predict readmission.

https://t.co/zyEn4P7aGa

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

In a propensity-matched analysis of TQIP data, we found that early excess FFP (FFP:PRBC ratio >1.1) was associated with a significantly decreased odds of key complications compared to a strictly-defined balanced transfusion (FFP:PRBC ratio 0.9-1.1).

https://t.co/NaOvlF2S5q

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

TXA has important beneficial effects in trauma. In this study we demonstrate how TXA imparts differential effect in females and males after severe TBI specifically in learning, memory and brain edema in a murine TBI model.

https://t.co/nuO7iVGq0L

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Ultrasound is now essential in the ICU for managing hypotension. Point-of-care protocols rapidly identify shock type, guide targeted resuscitation, and improve outcomes. Mastery of this “ultrasound stethoscope” is key to modern critical care. #POCUS #CriticalCare

https://t.co/i8NvLglgVW

[Trauma Surgery & Acute Care Open (TSACO) @TSACO_AAST]

When the pelvis opens, the clock starts bleeding. Severe and open pelvic disruption demands speed, precision, and a fully synchronized trauma response because hemorrhage control can't wait. Read more -> https://t.co/IxgN2g6DlY

#TSACOTop10 #TSACOAnniversary