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Does Admitting Service Matter? Comparing Trauma Versus Medicine Admission in Older Adult Trauma Patients 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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AmJSurgery retweeted
Eversion carotid endarterectomy: how to do it! @pferrada1 @SWexner @TomVargheseJr @CiruAndes2 @BJSAcademy
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AmJSurgery retweeted
We're looking for passionate members to share their ideas, talents, and expertise through committee service!
🗓️ Applications close 11/13 amr.ms/AWSvolunteer
Help shape the future of AWS. Apply today!
🗓️ Applications close 11/13 amr.ms/AWSvolunteer
Help shape the future of AWS. Apply today!
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AmJSurgery retweeted
Fascinating trauma work!
WHICH BRAIN INJURY GUIDELINES ARE REALLY BIG ON SAFETY? A RETROSPECTIVE COMPARISON AND COST ANALYSIS OF BIG CRITERIA AT A LEVEL I TRAUMA CENTER 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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AmJSurgery retweeted
LDO Staff Spotlight: With more than 33 years of leadership experience across the federal and private sectors, Steven Minkin, D.M., brings a wealth of knowledge to his role with the @uabmedicine Leadership Development Office.
Read his story: uab.edu/medicine/news/…
Read his story: uab.edu/medicine/news/…
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AmJSurgery retweeted
Surgical methods for controlling bleeding: proximal and distal vascular control is the key 🔑 ! Vessel loop, bulldogs, vascular clamps, balloon or Folley catheter and loop of silk ligature 🩸🔪💥⤵️! @pferrada1 @SWexner @CiruAndes2 @BJSAcademy @TomVargheseJr @juliomayol
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WHICH BRAIN INJURY GUIDELINES ARE REALLY BIG ON SAFETY? A RETROSPECTIVE COMPARISON AND COST ANALYSIS OF BIG CRITERIA AT A LEVEL I TRAUMA CENTER 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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“It Wasn’t Up to Me; I Trusted the Doctors”: Understanding the Perioperative Experiences of Patients with Limited English Proficiency Undergoing Emergency Surgery 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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Deaths at Level IV Trauma Centers: A Statewide Comprehensive Analysis 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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Bernini's Hand 🤚 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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AmJSurgery retweeted
An easy way to to understand the Allen Whipple procedure (Pancreaticoduodenectomy) for med students and surgery residents! The Whipple clock ⏰! @SWexner @pferrada1 @TomVargheseJr @CiruAndes2 @BJSAcademy
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Evaluating the Utility of Subtotal Cholecystectomies in the Contemporary Management of Acute Cholecystitis- Preliminary Analysis from the SWSC/SESC Collaborative 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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Are you kidneying me? Exploring management of high-grade penetrating renal trauma 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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AmJSurgery retweeted
We are excited for our next 🌹roses and thorns🌹 of academic surgery session with Dr. Williams! He has such an impressive resume and we look forward to having him join us!
Register below! ⬇️⬇️⬇️
@AmJSurgery
Register below! ⬇️⬇️⬇️
@AmJSurgery
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AmJSurgery retweeted
The I-C-E clamping order during Carotid Artery Endarterectomy!
1I – Internal Carotid Artery (ICA): Clamped first. This isolates the cerebral circulation, preventing loose emboli or plaque fragments from traveling to the brain while the other vessels are handled. This is small, gentle bulldog clamp or temporary aneurysm clip.
2C – Common Carotid Artery (CCA): Clamped second. This stops the main high-pressure blood flow coming up from the heart. Surgeons often use a larger, angled vascular clamp (such as a DeBakey clamp) for this wider vessel.
3E – External Carotid Artery (ECA): Clamped third. This stops backward blood flow (back-bleeding) entering the surgical field from the face and scalp vessels.
The Reversal Sequence (E-C-I)
Once the plaque removal (endarterectomy) and arterial patching are complete, the clamps are removed in the reverse order (E-C-I) to safely flush out any air bubbles or debris before restoring direct blood flow to the brain:
•External Carotid clamp is released first.
•Common Carotid clamp is released second. Blood from the heart is purposefully directed into the external carotid artery first to flush out any debris into the facial circulation.
•Internal Carotid clamp is released last, safely restoring clean, uncompromised blood flow back to the brain.
@pferrada1 @SWexner @TomVargheseJr @BJSAcademy @CiruAndes2
1I – Internal Carotid Artery (ICA): Clamped first. This isolates the cerebral circulation, preventing loose emboli or plaque fragments from traveling to the brain while the other vessels are handled. This is small, gentle bulldog clamp or temporary aneurysm clip.
2C – Common Carotid Artery (CCA): Clamped second. This stops the main high-pressure blood flow coming up from the heart. Surgeons often use a larger, angled vascular clamp (such as a DeBakey clamp) for this wider vessel.
3E – External Carotid Artery (ECA): Clamped third. This stops backward blood flow (back-bleeding) entering the surgical field from the face and scalp vessels.
The Reversal Sequence (E-C-I)
Once the plaque removal (endarterectomy) and arterial patching are complete, the clamps are removed in the reverse order (E-C-I) to safely flush out any air bubbles or debris before restoring direct blood flow to the brain:
•External Carotid clamp is released first.
•Common Carotid clamp is released second. Blood from the heart is purposefully directed into the external carotid artery first to flush out any debris into the facial circulation.
•Internal Carotid clamp is released last, safely restoring clean, uncompromised blood flow back to the brain.
@pferrada1 @SWexner @TomVargheseJr @BJSAcademy @CiruAndes2
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Return to Normalcy: Determinants of Decannulation and Oral Feeding Readiness in Trauma Patients with Tracheostomy and Gastrostomy Tubes 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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Pancreatic neuroendocrine carcinoma: Is surgical resection associated with improved overall survival? 🔪 @herbchen @pferrada1 @PipeCabreraV @CiruAndes2 @SWexner @TomVargheseJr @ajs_stars Link: americanjournalofsurgery.com/article/S0002-…
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RT @PipeCabreraV: The Right and the wrong way to mount the silk suture in a Halsted Mosquito clamp or Kelly clamp to perform a vessel ligat…
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AmJSurgery retweeted
Five medical students conducting research under the guidance of UAB Department of Surgery mentors earned top awards at the 2026 UAB Medical Student Research Day. Help us congratulate them! 🎉
Learn more about their work here: bit.ly/4yJzLRL
Learn more about their work here: bit.ly/4yJzLRL
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AmJSurgery retweeted
This #FoundationFriday, we’re highlighting our 2026 AWS Resident Travel Award winners! Discover how attending the Annual AWS Conference enhanced their professional growth, expanded their networks, and strengthened their commitment to surgical leadership.
amr.ms/generosityinac…
amr.ms/generosityinac…
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