John Harvin

Trauma surgeon, husband, father #ForTheH

[John Harvin @johnaharvin]

@QuikTrip has some delicious taquitos. The fact that the Royals have their logo on their sleeve makes me hate the Yankees more. Go blue.

[UTHealthACS @UTHealthACS]

The ⁦@UTHealthHouston⁩ group at the inaugural Trauma Research and Combat Casualty Care (TRC4) symposium! ⁦Exciting to hear about all the research and opportunities to collaborate across the UT system! @bryanacotton1⁩ ⁦@johnaharvin⁩ ⁦@LillianKao1⁩

[John Harvin @johnaharvin]

@topknife @bryanacotton1 First, love that they did a clinical trial of it! I’m sure that was a tremendous effort. Second, not sure we can be definitive in a small study stopped early. A 9% increase in abdominal closure sounds great to me.

[John Harvin @johnaharvin]

@kjkwinger6 @topknife Money. In some way that may or may not be entirely clear, money.

[John Harvin @johnaharvin]

October isn't going to feel the same without beating the Yankees.

[John Harvin @johnaharvin]

Home plate umpire for Astros Mariners game sucks.

[UTHealthACS @UTHealthACS]

Great job by ⁦@JamesKlughMD⁩ in presenting the results of our RCT comparing our multimodal pain regimen with and without a ketamine drip! Congrats to the PI ⁦@johnaharvin⁩ #CeTIR

[John Harvin @johnaharvin]

@rwinfield11 @topknife @docmartin22 @karimbrohi @Me4Trauma @kmattox1 @rbarbosa91 @pferrada1 @juliomayol @A160186 @julianita206 @HassanMashbari @hayfarani @RichLesperance @mj_pucci @DissanaikeMD @bryanacotton1 @_TylerLoftus @UFSurgery I now question if a short lived open abdomen is that big of a deal anymore, other than not being needed and increasing resource utilization.

[John Harvin @johnaharvin]

@rwinfield11 @topknife @docmartin22 @karimbrohi @Me4Trauma @kmattox1 @rbarbosa91 @pferrada1 @juliomayol @A160186 @julianita206 @HassanMashbari @hayfarani @RichLesperance @mj_pucci @DissanaikeMD @bryanacotton1 @_TylerLoftus @UFSurgery When I started down my “reduce DCL” path, the open abdomens we saw were different than what we see now. With @bryanacotton1 and John Holcomb’s changes in resuscitation, we don’t really have issues closing people anymore. Different groups.

[John Harvin @johnaharvin]

@_TylerLoftus @rwinfield11 @topknife @docmartin22 @karimbrohi @Me4Trauma @kmattox1 @rbarbosa91 @pferrada1 @juliomayol @A160186 @julianita206 @HassanMashbari @hayfarani @RichLesperance @mj_pucci @DissanaikeMD @bryanacotton1 @UFSurgery It was @bryanacotton1’s idea. I just ran with it. I like to disrupt things (see TXA and levetiracetam ABC). Works great. I still question if it’s the hypertonicity or the fact that maintenance fluids aren’t needed. 🤷‍♂️

[Ching-Wei D. Tzeng @CDTzeng]

4 Pillars of Periop Opioid Reduction: (1) patient/provider education, (2) limit peak inpatient and total exposure with routine non-opioid bundle, (3) purposeful opioid weaning to zero/near-zero by last 24hrs, (4) patient-centered “5x-multiplier” discharge Rx
@MDAndersonNews

[Mike Van Gent @MikeVanGent1]

Calling all trauma surgeons!!!

Help us better understand practice variations nationwide regarding VTE chemoprophylaxis initiation in patients with TBI!

Please take this 5 min survey/help spread the word!

https://t.co/RMN75xQmgf

@bryanacotton1

[John Harvin @johnaharvin]

@DeAngelisCorey Lol.

[John Harvin @johnaharvin]

@smuramed It’s a Bayesian analysis. They aren’t confidence intervals, but credible intervals. Crossing 1 doesn’t mean what it means in a frequentist analysis. The posterior probability is used to interpret.

[Annals of Surgery @AnnalsofSurgery]

Randomized Controlled Trial of Surgical Rib Fixation to Non-Operative Management in Severe Chest Wall Injury
@johnaharvin
@LillianKao1

#AmerSurg23

[Lillian Kao @LillianKao1]

A Bayesian re-analysis of the STOP-IT trial helps clinicians put the results in perspective (in our humble opinion). Nice job by ⁦@JamesKlughMD⁩ in explaining Bayesian stats! ⁦@UTH_CSTEP⁩

[John Harvin @johnaharvin]

@KhaledBeydoun @topknife Isn’t France secular?

[John Harvin @johnaharvin]

@ryanweather If only the Tea Party and Occupy Wall Street Groups knew they had the same enemy.

[John Harvin @johnaharvin]

@evanhill @beinlibertarian It was.

[UTHealthACS @UTHealthACS]

More data that our current multimodal pain regimen is effective in high risk groups for opioid use. ⁦@JamesKlughMD⁩ ⁦@johnaharvin⁩ @memorialhermann⁩ ⁦@McGovernMed⁩ #CeTIR #ASC2023