Embedded Files
Adult Trauma
Adult Trauma
Released
Released
2025
Hosts
Hosts
Ray Pace
John Hill
Caleb Ferroni
Guest
Guest
Glen Tinkoff, MD, FACS, FCCM - System Chief for Trauma and Acute Care Surgery and Vice Chair of Surgery at University Hospitals
Links
Links
ISMP - https://home.ecri.org/pages/ismp
Glen Tinkoff, MD, FACS, FCCM
Glen Tinkoff, MD, FACS, FCCM
Glen Tinkoff, MD, FACS, FCCM is the System Chief for Trauma and Acute Care Surgery and Vice Chair of Surgery at University Hospitals in Cleveland, Ohio, a regional health care system serving northeast Ohio and a professor of surgery at the Case Western Reserve University School of Medicine. He is also served and advisory board chair and medical director of the Northern Ohio Trauma System which provides advisory services to EMS, public health, and healthcare services regarding trauma care throughout the northeast Ohio region. Prior to coming to University Hospitals in 2017, Dr. Tinkoff served as trauma medical director of the Level 1 trauma center and subsequently vice chair of surgery of the Christiana Care Health System in Newark, DE and was the Delaware Division of Public Health’s medical advisor to the State’s inclusive trauma system for 16 years. Dr. Tinkoff also served nearly two decades on the American College of Surgeons Committee on Trauma (ACSCOT) and is a lead site reviewer for ACSCOT’s trauma center Verification, Review, and Consultation program.
Dr. Tinkoff has chaired of the injury prevention committees of both Eastern Association for the Surgery of Trauma and the American Association for the Surgery of Trauma and is responsible for establishing the Trauma Prevention Coalition, a coalition of major professional organizations that address the needs of the acutely injured patient. For these efforts, he was awarded the National Safety Council’s Surgeon’s Award for Service to Safety. He is currently the president of the American Trauma Society, a national organization focused on trauma education, prevention, survivorship, and advocacy as well as active involvement locally and nationally in Military Civilian Partnerships related to sustaining military readiness. He has numerous peer reviewed publications and invited lectures on clinical issues in acute care surgery, trauma center and systems administration and management, and injury prevention and control.
Episode Videos
Episode Videos
Adult Trauma, Part 1
Adult Trauma, Part 2
Episode Audio
Episode Audio
Show Notes
Show Notes
Episode Overview: In this episode of the Pre-Hospital Paradigm Podcast, host Ray Pace is joined by special guest Dr. Glenn Tinkoff, System Chief of Trauma and Acute Care Surgery at University Hospitals, and regular panelists Caleb Ferroni and Dr. John Hill. Together, they delve into the world of trauma care, discussing everything from the origins of modern trauma systems to cutting-edge practices in pre-hospital and in-hospital trauma care.
Key Discussion Points:
Meet Dr. Glenn Tinkoff:
Career journey from EMT to trauma surgeon.
Reflections on the evolution of trauma systems and emergency medicine.
Insights into his role in advancing trauma care nationally as President of the American Trauma Society.
Trauma Systems in Ohio:
The collaboration between trauma centers in Northeast Ohio.
Differences between Level 1, 2, and 3 trauma centers and their respective capabilities.
Unique integration of adult and pediatric trauma centers at University Hospitals Cleveland Medical Center and Rainbow Babies & Children's.
The Role of EMS in Trauma Care:
Transitioning patients from pre-hospital to hospital care.
The importance of accurate trauma activations and effective communication between EMS and trauma centers.
Scene management strategies, including transport decisions (air vs. ground) and maintaining the "Golden Hour."
Trauma's Lethal Triad:
Addressing hypothermia, coagulopathy, and acidosis to improve patient outcomes.
Practical tips for EMS providers, including preventing hypothermia and utilizing tranexamic acid (TXA).
Emerging Practices and Challenges:
The use of TXA in pre-hospital settings and its integration into massive transfusion protocols.
Importance of balanced fluid resuscitation and the debate between lactated Ringer’s vs. normal saline.
Utilizing EMS data to improve trauma prevention and education efforts.
Prevention and Community Engagement:
Trauma programs' commitment to education and injury prevention.
Examples of community outreach, such as fall prevention for the elderly and ATV safety initiatives.
Key Takeaways for EMS Providers:
Communicate effectively with receiving facilities, ensuring all critical information (vitals, mechanism of injury, TXA administration) is relayed.
Emphasize rapid transport to definitive care while performing only necessary life-saving interventions on-scene.
Understand and apply trauma activation criteria to align with hospital protocols.
Collaborate with local trauma systems and participate in ongoing education initiatives to enhance patient outcomes.
From The Episode
From The Episode
Dr. Tinkoff describes best practices for trauma care
John speaks to patients who need reattachment services
Ray asks about the future of trauma care
Caleb discsses trauma triage criteria
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