sutures newsletter


P and T Approvals, Tramadol Change, Warnings About Promacta and Sporanox

Pharmacy Focus

See highlights of the June 3 meeting of the Pharmacy and Therapeutics Committee. Also, tramadol is now being managed as a controlled substance, and the federal government has released a warning about Promacta and a list of contraindications for Sporanox.

Mark Your Calendar

Surgery Grand Rounds

Click the "read more" to see information about upcoming Surgery Grand Rounds.

Grand Rounds

Click here to view a schedule of all upcoming grand rounds.

Education Schedule

Click the PDF link below to see the Department of Surgery's educational schedule.

Educational Schedule - August 2014 (PDF)

Surgery Scheduling

Click the "read more" for hours and contact information for surgery scheduling.

Share Your News

Know an interesting colleague we should profile? A story we should tell? Submit your ideas, meetings and events for consideration.

Click here to submit your news to Sutures

Resident Credits Great Teaching in Car-Crash Response

When Danielle Thomas, MD, saw a car roll over on the freeway, she ran to help the driver, and her training took over.

Danielle Thomas, MD, had no idea that a drive to her parents in San Diego would suddenly lead to a chance to use her training from the Cedars-Sinai Orthopaedic Surgery Residency program. But that's what happened, as she found herself leaping into action at the scene of a car crash.

Thomas was able to act instantaneously to aid an injured driver before other help arrived. She credited the teaching of Guy Paiement, MD, director of the Orthopaedic Surgery Residency, and Donald A. Wiss, MD, director of the Orthopaedic Trauma Program, as well as the skills she picked up during trauma rotations. 

"Even though we're specialists and know a very narrow area of the body, we are doctors first — trained to respond in an emergency, trained to respond in trauma," said Thomas, who recently completed her first year in the program, which included trauma and orthopedic rotations.

In the middle of a May afternoon, Thomas was driving south on the 5 Freeway near Camp Pendleton when she saw a car traveling the opposite direction lose control. The vehicle rolled several times before hitting the center divider and landing upside down.

Still wearing scrubs, Thomas stopped her car, hopped the divider and ran to the crash scene to help. Then her training took over. Thomas started by checking the "ABCs" of the injured driver: airway, breathing and circulation.

"I gave her chest compressions in cycles and checked for a pulse," she said. "When she regained a pulse, I stopped. By then, other people had arrived on the scene."

Paiement said he was not surprised by Thomas' immediate reaction. He described Thomas as knowledgeable, mature and down to earth, and said she had the ideal combination of aptitude and attitude.  "I wouldn't be surprised if she reaches a leadership position in national or international orthopedic societies," he said.

Paiement said physicians in training should, like Thomas, strive to be good doctors first and good specialists second.

"It's really hard, when you're young and enthusiastic about the field that you have chosen, to take a step back and look at the whole picture and the whole patient, but we're really trying to teach the residents to look at the big picture," he said.