Trauma surgery

Blood cultures are most useful when sepsis, hospitalization, or resistance risks makes the likely result to change management.

The double AST Critical Care Committee consensus published in Trauma Surgery and Acute Care Open Journal is a pragmatic ICU document about fever and infection.

It reinforces short courses after source control and emphasizes that persistent illness should, should prompt investigation rather than indefinite therapy.

But it's also a clin-clinical consistent document, not a new randomized trial or a dedicated systematic IAI guideline.

But I'm a trauma surgeon by training, and I grew up in a Midwestern town, kind of blue collar.

I went through 20 years being on the front line of trauma surgery, meaning I'm a surgeon, but I also deal with people that get car wrecks, gunshot wounds, knife stab wounds, all that kind of stuff.

So my specialty is stopping people from bleeding to death.

And then during COVID, I ran our hospital response for it because I'm also board certified in critical care as part of my training.