In this episode of Trauma-ing, hosts James Gould and Rob Green are joined by Mike Rivers-Bowerman, a staff interventionalist at the QEII, for an in-depth discussion on the role of Interventional Radiology (IR) in trauma care. We explore what IR is, when and why it should be used in the trauma setting, and walk through some of the key techniques commonly employed. The conversation also covers important considerations for post-IR monitoring, highlighting how IR integrates into the broader trauma pathway and improves patient outcomes.

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In this Trauma-ing Resus Rewind, we replay a standout episode from The Resus Course featuring Dr. Eve Purdy on relational coordination in resuscitation. The conversation explores how high-performing resus teams depend not just on technical skill, but on shared goals, shared knowledge, and mutual respect across disciplines. Eve breaks down why communication, role clarity, and relationships matter most when stakes are high, and how investing in these human factors improves patient outcomes and team performance. A timely reminder that great resuscitation is a team sport—and relationships are part of the resus toolkit.

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In this replayed episode from THE RESUS COURSE podcast, Dr. Sean Hurley and James Gould discuss a practical, resuscitation-focused approach to penetrating neck trauma, covering how and when to intubate, how to recognize hard and soft signs of significant injury, and strategies for investigating and managing airway, vascular, and digestive tract injuries in it’s initial resuscitation phase

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In this trauma-ing episode, we sit down with Dr. Paul Atkinson to explore compassionomics—the science behind why compassion matters in healthcare. Dr. Atkinson breaks down the critical differences between sympathy, empathy, and compassion, and explains how compassion goes beyond feeling to action. We discuss the growing evidence that compassionate care improves patient outcomes, strengthens trust in our trauma system, and enhances team performance. Importantly, he also reframes compassion as a protective strategy for clinicians, showing how it can reduce moral distress and help guard against burnout rather than contribute to it. This episode is a timely reminder that compassion is not a soft skill, but a measurable, system-level intervention that benefits patients and providers alike.

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James and Rob sit down with Dr. Matthew Mackin for a Trauma-ing episode that digs into his recent trauma fellowship at the legendary R Adams Cowley Shock Trauma Center in Baltimore. Now back home as one of our trauma team leaders and trauma consultants—and bringing his anesthesiology expertise with him—Matt shares what life was really like inside one of the busiest trauma centres in the world. We explore the practices and culture he hopes to transplant into our own system, including a renewed emphasis on subclavian lines during resuscitation, broader use of regional anesthesia, and several other high-impact habits from Shock Trauma’s playbook.

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In this Trauma-ing Journal Club episode, we break down three timely studies shaping trauma care at the bedside and in the bay. First, we look at Perera et al.’s prehospital comparison of non-invasive versus arterial blood pressure monitoring, where NIBP consistently missed the mark in both shock and hypertension—who then should get art lines and when? We then dive into the TRAUMOX2 randomized trial, which challenges our instinct to “turn the oxygen up,” showing no mortality difference between restrictive and liberal oxygen strategies but hinting at fewer pulmonary complications with moderate targets. Finally, we unpack Burt et al.’s meta-analysis on early fibrinogen replacement in traumatic haemorrhage, finding no clear mortality or transfusion benefit despite its widespread use and highlighting the need for stronger evidence in the sickest, most coagulopathic patients.

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In this special live episode of Trauma-ing, James and Rob sat down with Mitchell and his dad, Bob, to revisit their incredible journey following a devastating MVC five years ago that left Mitchell with a severe TBI. Initially, his injuries were so grave that organ donation was discussed—but thanks to the dedication of our trauma system and the care teams across the QEII Health Sciences Center, he’s now living independently. Together, we explored their experience from the moment of the crash through rehabilitation, highlighting what went well, what mattered most to them along the way, and their advice to healthcare providers caring for patients and families facing similar life-altering injuries.

In this special episode of Trauma-ing with Dr. James Gould and Dr. Rob Green, we unpack the new Trauma Nova Scotia (TNS) cervical spine clearance pathway—a bold, evidence-driven initiative aimed at optimizing cervical spine assessment in trauma patients. Join Dr. Gould and Dr. Green as they walk you through the rationale behind the pathway

For more FOAM trauma related content go to www.trauma-ing.com