The Department of Surgery at the University of Texas Medical School at Houston
Department of Surgery
MHH Life Flight

Faculty Biography

Department of Surgery,
Division of Acute Care Surgery,
Trauma and Critical Care


Bryan Alan Cotton, MD, MPH

Associate Professor of Surgery
Division of Acute Care Surgery
Department of Surgery
The University of Texas Medical School at Houston

Physician Scientist in Coagulation Research
Center for Translational Injury Research (CeTIR)

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Education:

Postgraduate Training and Fellowship Appointments

7/02-6/04 Fellowship in Trauma & Surgical Critical Care, Hospital of the University of Pennsylvania &
Children’s Hospital of Philadelphia, Philadelphia, PA

7/01-6/02 Chief Resident in General Surgery,
University of Missouri Hospital & Clinics, Columbia, MO

7/98-6/01 Second, Third, & Fourth Year Resident in General Surgery
University of Missouri Hospital & Clinics, Columbia, MO

7/97-6/98 Internship in General Surgery, University of Missouri Hospital & Clinics, Columbia, MO

Undergraduate

2007-2009 M.P.H. Vanderbilt University, Nashville, TN

1993-1997 M.D. Ross University School of Medicine, New York, NY

1988-1993 B.S. Baylor University (Biology), Waco, TX

Faculty Appointments

2009 - Present
Associate Professor of Surgery,
Trauma and Critical Care Section - Division of Acute Care Surgery, Department of Surgery,
The University of Texas Medical School at Houston, Houston, Texas

2009 - Present
Physician Scientist in Coagulation Research
Center for Translational Injury Research (CeTIR)
Houston, Texas

7/06-02/09
Director of Surgical Critical Care and Staff Surgeon
Division of General Surgery, Tennessee Valley VA Medical Center, Nashville, TN

7/04-02/09 Assistant Professor of Surgery, Department of Surgery
Division of Trauma-Emergency Surgery, Surgical Critical Care, Vanderbilt University Medical Center

7/03-6/04 Clinical Instructor in General Surgery, Department of Surgery,
Division Traumatology & Surgical Critical Care,
St. Luke’s Hospital, Bethlehem, PA

7/02-6/04 Clinical Instructor in General Surgery, Department of Surgery,
Division Traumatology & Surgical Critical Care, Hospital of the University of Pennsylvania

7/02-06/04 Clinical Instructor in Surgery, Department of Surgery,
Division of Pediatric Trauma, Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine

Certifications

2005 American Board of Surgery certification, Surgical Critical Care (2194)
2005 Fundamentals of Critical Care Support, Instructor
2004 American Board of Surgery specialty certification, General Surgery (49597)
2004 Advanced Trauma Operative Management, Instructor
2002 Advanced Trauma Life Support, Instructor (expires 2010)
2002 Basic Cardiac Life Support (expires 2010)
2001 Advanced Cardiac Life Support (expired 2008)
2000 Advanced Solid Organ Laparoscopy (SAGES course)

Licensure

2002-2006 (inactive) Pennsylvania, MD 420624
2004 - Present Tennessee, MD 38646

Awards and Honors

2008 Promising Investigator Award, American Society for Parenteral and Enteral
Nutrition: Anti-oxidants reduce mortality in critically injured patients
2007 Department of Oral and Maxillofacial Surgery Resident Lecture Series
Award (Awarded by the residents and faculty for outstanding contribution to
resident education by non-OMFS faculty)
2007 25th Annual Housestaff Research Forum, Clinical Science Judge (selected
by Vanderbilt Medical Center Housestaff as one of 6 Faculty judges)
2006 CANDLE Award (Vanderbilt University School of Medicine award for
faculty devoted to teaching and mentoring)
2006 24th Annual Housestaff Research Forum, Clinical Science Judge (selected
by Vanderbilt Medical Center Housestaff as one of 6 Faculty judges)
2006 Peri-operative Innovation Award (for development of trauma exsanguination
protocol)
2005 Physician Paper Award, 18th Annual Southern Region Burn Conference
2005 Clinical Faculty- Educator of the Year Award, Department of Emergency
Medicine
2002 General Surgery In-service Exam Award (greater than 90th percentile)
2001 Resident Educator of the Year Award (University of Missouri School of
Medicine award for excellence in medical student teaching)
2000 Resident Educator of the Year Award (University of Missouri School of
Medicine award for excellence in medical student teaching)
2000-2003 HIKIDS (Helping Inner City Kids in Danger), Board of Directors
1999 Resident Educator of the Year Award (University of Missouri School of
Medicine award for excellence in medical student teaching)
1998 General Surgery In-service Exam Award (greater than 90th percentile)

Memberships in Professional and Scientific Societies

National Societies

2008-present Coller Society
2007-present American Association for the Surgery of Trauma
2007-2009 Association of VA Surgeons
2006-present Shock Society
2006-present Neuro-critical Care Society
2006-present Southeastern Surgical Congress
2004-present Association for Academic Surgery
2002-present Society of Critical Care Medicine
2002-present Eastern Association for the Surgery of Trauma
2002-2006 American College of Chest Physicians
2002-2006 Association for Surgical Education
2001-present American College of Surgeons

State & Local Societies

2004-present Nashville Academy of Medicine
2004-present Tennessee Medical Association
2002-2004 Pennsylvania Medical Society
2002-2004 Philadelphia County Medical Society
2002-2004 Missouri Surgical Society

Professional Activities

2009-present Military and Civilian Collaborative for Research Involving Transfusions
in Trauma patients (MC-CRITT), Civilian Researcher
2009-present Neurotrauma, Reviewer
2008-present Expert Review of Hematology, Reviewer
2008-present Educational Initiative on Critical Bleeding in Trauma; An
International, Multidisciplinary Committee on Trauma Associated Coagulopathy
2008-present Hemostasis Summit-Advisory Committee, Trauma Consultant
2007-2009 Veteran’s Administration Expert Panel on Traumatic Brian Injury and
Post-traumatic Stress Disorder (Defining the problem, estimating the
prevalence, and determining the optimal management of soldiers
injured in the Afghanistan and Iraq conflicts)
2007-2008 Trauma Surgeon Consultant/Quality Improvement Reviewer for Multi-
Institutional, International randomized trial on the efficacy of Factor VIIa in hemorrhagic shock
2007-present Society Critical Care Medicine, Reviewer
2007-present Journal of the American College of Surgeons, Reviewer
2007-present Intensive Care Medicine, Reviewer
2007-2008 Eastern Association for the Surgery of Trauma, Fluid Resuscitation
Practice Management Guideline, Chairman
2006-present Eastern Association for the Surgery of Trauma, Future of Trauma
Committee
2004-present Eastern Association for the Surgery of Trauma, Practice Management
Guidelines for Trauma Care
2004-present ICU Delirium and Cognitive Impairment Group
(http://www.icudelirium.org)

Academic and Administrative Committees at Vanderbilt University Medical Center

2006-2009 Trauma Exsanguination Protocol-PI committee, Chair
2004-2009 Blood Utilization Review Committee
2005-2008 Recombinant Factor VIIa Utilization Committee
2004-2008 Multi-disciplinary Surgical Critical Care Committee
Academic and Administrative Committees at Tennessee Valley VA Medical Center
2007-2009 Institutional Review Board member
2006-2009 Multi-disciplinary Joint Critical Care Committee
2006-2009 Surgical ICU Practice Management Guideline Development, Chair
Major Teaching and Clinical Responsibilities for Vanderbilt University School of Medicine
Vanderbilt University Medical Center

Medical Students

2007-2009 Faculty Preceptor for third year medical students, “Surgery Clerkship
Inter-session: History and Physical Examination Skills in Surgery.”
2005-2009 Faculty Mentor and Preceptor for fourth year medical students,
“Research in Trauma and Critical Care” elective rotation
2005-2009 Faculty Mentor and Preceptor for first and second year medical students,
“Introduction to Surgery and Trauma” elective rotation
2004-2009 Assistant professor in Trauma and Emergency General Surgery
2004-2009 Assistant professor in Surgical Critical Care, Trauma and Burn ICUs
2004-2009 Third year medical student Surgery Clerkship Lecture Series, Trauma II:
Evaluation & Management of Specific Injuries
2004-2009 Oral examiner for third year Surgery Clerkship
General Surgery and Emergency Medicine Residency Programs-
2007-2009 Faculty Mentor and Advisor for Surgical Education Group charged with
the development of a “residency-wide” revision of the General Surgery
Weekly Resident Teaching Conference. Restructuring of this conference
To improve resident education, test-taking skills through structured
Reading schedule supplemented with aggressive Faculty input
And guidance on both high-yield facts, test taking skills.
2006-2009 Faculty Mentor and Advisor to PGY-2 through PGY-4 residents on
academic probation. Development of individually tailored teaching and
examination programs for improving ABSITE scores.
2004-2009 Assistant professor in Trauma and Emergency General Surgery
2004-2009 Assistant professor in Surgical Critical Care, Trauma and Burn ICUs
2004-2009 Faculty examiner for General Surgery Mock Oral Boards (PGY-4 and 5)
2004-2008 ATLS and ATOM course instructor
Fellowship in Trauma, Emergency Surgery, and Surgical Critical Care-
2004-2009 Assistant professor in Trauma and Emergency General Surgery
2004-2009 Assistant professor in Surgical Critical Care, Trauma and Burns
2004-2008 Faculty Mentor for Fellows Conference on Operative Trauma
2005-2008 Faculty Mentor for Daily Trauma Patient Sign-out (Morning Report)
Tennessee Valley VA Medical Center

Medical Student

2006-2009 Assistant professor and Staff Surgeon, General Surgery
2006-2009 Assistant professor in Surgical Critical Care
2006-2009 Faculty Mentor and Clerkship Coordinator, fourth-year Surgical Critical Care elective and Sub-internship

General Surgery and Anesthesiology Residency

2006-2009 Assistant professor of Surgery and Staff Surgeon in General Surgery
2006-2009 Assistant professor in Surgical Critical Care

Major Teaching and Clinical Responsibilities for the University of Pennsylvania
  1. Clinical Instructor in General Surgery
  2. Problem Based Learning, Surgery/Trauma Instructor
  3. Surgery Clerkship Lecture Series, Initial Evaluation & Management of the Trauma Patient
Academic Committees at the University of Missouri

2000-2002 Member, Trauma Committee
2001-2002 Member, Surgical Pathology Case Review

Major Teaching and Clinical Responsibilities for the University of Missouri

1. Advanced Trauma Life Support Instructor (2002)
2. Surgery Clerkship Lecture Series, Acute Abdomen Evaluation (1999-2002).
3. Surgery Clerkship Lecture Series, Initial Evaluation & Management of the
Trauma Patient (1999-2002)
4. Surgery Clerkship Suture Lab (1999-2002)

Research Supervision and Mentoring

Medical Students
  1. Clinton D. Kemp (2005-2006). Evaluation of the non-neurological causes of death following traumatic brain injury. Presented at Annual Housestaff Research Forum 2006 and the American College of Surgeons, Surgical Forum 2006. Manuscript published in the American Surgeon 2008.
  2. Clinton D. Kemp (2005-2006). Evaluation of donation patterns, conversion, and organ yield in traumatic brain injury patients. Presented at the Annual Housestaff Research Forum 2006, World Transplant Congress 2006, and the American Society of Transplant Surgeons 2007. Manuscript published in the Journal of Trauma 2008.
  3. Charles M. Madigan (2006-2007). Identifying risk factors for developing secondary abdominal compartment syndrome in patients with isolated extremity injuries. Presented at 2007 Annual Meeting of the American Association for the Surgery of Trauma. Manuscript published in Journal of Trauma 2008.
  4. Aviram M. Giladi (2006-2007). Identifying risk factors for developing Secondary abdominal compartment syndrome in patients with isolated thermal injuries. Presented at Annual Housestaff Research Forum 2007.
  5. Brigham K. Au (2006-2007). Evaluation of the Vanderbilt Trauma Exsanguination Protocol (TEP) impact on blood utilization and patient outcomes following implementation. Presented at Annual Housestaff Research Forum 2007, the American Association for the Surgery of Trauma 2007, and at
    The American College of Surgeons, Surgical Forum 2007. Manuscript published in the Journal of Trauma 2008.
  6. Igor Voskresensky (2007-2008). Evaluating the impact of neuromuscular blockade and sedative use by aero-medical personnel on Trauma Related Injury Severity Scores (TRISS) predicted mortality. More specifically, we are evaluating the potential of replacing TRISS at our institution with the “TRISSlike” methodology. Presented at the Academic Surgery and Society of University Surgeons Annual Academic Surgical Congress 2008.Manuscript published in the Journal of Surgical Research 2008.
  7. Aviram M. Giladi (2007-present). Evaluation of the implementation of a Highdose Anti-oxidant protocol on trauma patient morbidity and mortality. Presented at the American Society for Parenteral and Enteral Nutrition Annual Meeting 2008. Manuscript published in the Journal Parenteral and Enteral Nutrition 2008.
  8. Brigham K. Au (2006-2008). Evaluation of the impact of specific blood component ratios on blood utilization and patient outcomes following implementation. Presented at the Eastern Association for the Surgery of Trauma Annual Scientific Meeting 2008. Manuscript published in the Journal of Trauma 2008.
  9. Aviram M. Giladi (2007-2009). Investigation of the impact of heart control and beta-receptor selectivity on survival in patients with traumatic brain injury. Presented at the Society of Critical Care Medicine Annual Critical Care Congress 2007. Manuscript submitted to the Journal of Trauma.
  10. Igor V. Voskresensky (2008-2009). Critical evaluation of a newly developed predictor of need for “massive transfusion.” The Trauma Associated Severe Hemorrhage (TASH) score was developed to rapidly identify patients at risk of requiring >10 units packed red blood cells in the initial 12-24 hours. Presented at the 2008 Annual Meeting of the American Association for the Surgery of Trauma. Manuscript published in the Journal of Trauma.
  11. Aviram M. Giladi (2008-2009). Evaluation of the impact of a highdose anti-oxidant protocol on pulmonary failure, catheter-related infections, and abdominal wall complications in trauma patients. Presented at the American College of Surgeons' 94th Annual Clinical Congress Meeting, October 12-16, 2008. San Francisco, CA and the Society of University Surgeons 4th Annual Academic Surgical Congress, February 3-6, 2008. Ft. Myers, FL. Manuscript submitted to the journal Surgery.
  12. Ricky Shinall (2008-2009). Validation of existing scoring methods to predict the need for massive transfusion and comparison to the Assessment of Blood Consumption (ABC) score. Each of these scores was developed to rapidly identify patients at risk of requiring >10 units packed red blood cells in the initial 12-24 hours. Presented at the 2008 Annual Meeting of the American Association for the Surgery of Trauma. Manuscript published in the Journal of Trauma.
Residents
  1. Dorsha James (2006-2008). Emergency Medicine Resident. Defining patterns and community standards for emergency airway management in the pre-hospital setting by aero-medical transport teams. Presented at the 2008 Southeastern Surgical Congress. Submitted to the journal Resuscitation.
  2. Megan Jack (2006-2008). Emergency Medicine Resident. Evaluating the impact of neuromuscular blockade and sedative use by aero-medical personnel on initial Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and Trauma Related Injury Severity Scores (TRISS).
  3. Lesly Dossett (2007-2009). General Surgery Resident. Cost-effectiveness analysis of obtaining routine intra-operative radiographs to detect retained surgical sponges versus using sponge counts and prn radiographs in trauma and emergency surgery cases. Accepted for Oral Presentation at the Society of University Surgeons 2008 Academic Surgical Congress. Manuscript published in the journal Surgery 2008.
Fellows
  1. Oliver D. Gunter (2005-2007). Trauma-Surgical Critical Care Fellow. Development of a Performance Improvement process for and evaluation of the impact of implementation of a Trauma Exsanguination Protocol on patient outcomes and blood product utilization. Presented at the 2007 Annual Meeting
    of the American Association for the Surgery of Trauma. Manuscript published in the Journal of Trauma 2008.
  2. Nathan Mowery (2007-2008). Trauma-Surgical Critical Care Fellow. Evaluation of the hospital’s Trauma Exsanguination Protocol on patient outcomes based on predefined blood product ratios. To be presented at the 2008 Annual Scientific Meeting of the Eastern Association for the Surgery of
    Trauma. Manuscript published in the Journal of Trauma 2008.
  3. Timothy Nunez (2007-2009). Trauma-Surgical Critical Care Fellow. Evaluation of the incidence of ventilator dependent respiratory failure, systemic inflammatory response syndrome, sepsis, multiple organ dysfunction syndrome, and abdominal compartment syndrome following TEP implementation. Presented at the 2008 Annual Meeting of the American Association for the Surgery of Trauma. Manuscript published in the Journal of Trauma 2008.
  4. Timothy Nunez (2007-2009). Trauma-Surgical Critical Care Fellow. Multicenter retrospective analysis of transfusion practices correlated with injury severity and outcomes in trauma patients. This study is being conducted and sponsored by the U.S. Army Institute of Surgical Research. The purpose of this study is to correlate the current individual transfusion practices and ratios at 25
    of the leading trauma centers in the US with standard clinical outcomes.
  5. Timothy Nunez (2007-2009). Trauma-Surgical Critical Care Fellow. Critical evaluation of a newly developed predictor of need for “massive transfusion.” The score was developed to rapidly identify patients at risk of requiring >10 units packed red blood cells in the initial 12-24 hours. Presented
    at the 2008 Annual Meeting of the American Association for the Surgery of Trauma. Manuscript published in the Journal of Trauma.
Pharmacy Residents
  1. Lindsay A. Dyer (2006-2007). Evaluation of the implementation of a High-dose Anti-oxidant protocol on trauma patient morbidity and mortality. Presented at the Southeastern Pharmacology Residency Congress 2007 and the American Society for Parenteral and Enteral Nutrition Annual Meeting 2008. Manuscript published in the Journal of Parenteral and Enteral Nutrition 2008
  2. Kimberly B. Kelly (2005-2006). Investigation of the impact of beta-blocker exposure on survival in patients with traumatic brain injury. Presented at the Southeastern Pharmacology Residency Congress 2006, Annual Meeting of the American Association for the Surgery of Trauma 2006. Manuscript published in the Journal of Trauma.2007.
  3. Shivani Patel (2004-2006). Evaluation of the pharmacological risk factors for developing adrenal insufficiency after severe injury. Specifically investigated the impact of etomidate. Presented at the Southeastern Pharmacology Residency Congress 2005, Society of Critical Care Medicine Annual Critical Care Congress 2006. Manuscript published in the Archives of Surgery 2008.
  4. Kimberly B. Kelly (2005-2006). Investigation of the impact of heart control and beta-receptor selectivity on survival in patients with traumatic brain injury. Presented at the Society of Critical Care Medicine Annual Critical Care Congress 2007. Manuscript submitted to the Journal of Trauma.

Presentations

February 2009 “The use of antioxidant supplementation in critically injured patients” The London and Barts Hospital Surgery Grand Rounds London, England
February 2009 “Incorporating a massive transfusion protocol into damage control surgery”
Specialty Skills in Trauma and Emergency Surgery The Royal College of Surgeons
London, England
January 2009 “Room for (performance) improvement: provider factors associated with poor outcomes in massive transfusion.” Eastern Association for the Surgery of Trauma
Twenty-second Annual Scientific Meeting Orlando, Florida
October 2008 “Treatment of acutely injured patients with high-dose anti-oxidants is associated with a significant reduction in post-trauma complications. The American College of Surgeons' 94th Annual Clinical Congress San Francisco, California
September 2008 “Predefined massive transfusion protocols are associated with a reduction
in organ failure and post-injury complications” American Association for the Surgery of Trauma
Sixty-seventh Annual Scientific Meeting Maui, Hawaii
March 2008 “Exsanguination Protocols- Impact on Patient Outcomes” Keynote Address: The Annual Symposium on Trauma Colorado Springs, Colorado
March 2008 “Pre Hospital Fluid Resuscitation Guidelines” The Annual Symposium on Trauma
Colorado Springs, Colorado
February 2008 “Impact of early coagulopathy on outcomes in critically injured patients” National Trauma Institute Symposium: Endpoints Initiative Dallas, Texas
January 2008 “Practice management guidelines for pre-hospital fluid resuscitation.” Eastern Association for the Surgery of Trauma Twenty-first Annual Meeting, Oral Presentations Amelia Island, Florida
January 2008 “Optimizing outcomes in damage control resuscitation: Identifying blood product ratios associated with improved survival.” Eastern Association for the Surgery of Trauma Twenty-first Annual Meeting, Oral Presentations Amelia Island, Florida
October 2007 “Damage control resuscitation with a Trauma Exsanguination Protocol reduces overall blood component wastage.” American Association of Blood Bank Medicine. Annual Scientific Meeting, Anaheim, CA
October 2007 “Innovative life-saving treatments to correct massive bleeding in trauma” American College of Surgeons' 93rd Annual Clinical Congress Meeting, New Orleans, LA
September 2007 “Impact of an established exsanguination protocol on mortality” American Association for the Surgery of Trauma Sixty-sixth Annual Scientific Meeting, Oral Presentation
Las Vegas, NV
June 2007 “Damage control resuscitation: translating military experience to the civilian bedside and back again 4203rd U.S. Army Hospital 12th Annual Medical Conference
March 2007 “Time to turn off the faucet: Putting an end to aggressive and unnecessary resuscitation strategies” Medical-Surgical Grand Rounds Penrose-St. Francis Health Center Colorado Springs, Colorado
March 2007 “The hyper-adrenergic state following TBI: Is there a role for beta-blockers? The Annual Symposium on Trauma Colorado Springs, Colorado
March 2007 Delirium in the surgical and trauma population: Defining the scope of the problem and identifying potential treatment strategies. Keynote Address: The Annual Symposium on Trauma
Colorado Springs, Colorado
October 2006 “How we die: impact of non-neurological dysfunction on mortality following traumatic brain injury” American College of Surgeons' 92nd Annual Clinical Congress Meeting, Chicago, Illinois
September 2006 “Beta-blocker exposure is associated with improved survival following traumatic brain injury” American Association for the Surgery of Trauma Sixty-fifth Annual Scientific Meeting, Oral Presentation New Orleans, Louisiana
July 2006 “Donor conversion and yield in traumatic brain injury patients” World Transplant Congress, Biennial International Meeting Boston, MA
April 2006 “Fluid resuscitation injuries: Re-thinking our current resuscitation strategies The Annual Symposium on Trauma Colorado Springs, Colorado
August 2005 “How much is enough: Excluding intra-abdominal injury in children” Pediatric Emergency Medicine Grand Rounds Departments of Pediatrics and Pediatric Emergency Medicine
Monroe Carrell Jr. Children’s Hospital
January 2005 “Respiratory complications & mortality risk after thoracic spine injury” Eastern Association for the Surgery of Trauma Eighteenth Annual Meeting, Oral Presentations Fort Lauderdale, Florida
November 2004 “Pitfalls, pearls, and patterns of injury” 4th Annual Vanderbilt University Emergency Care Conference Nashville, Tennessee
June 2004 “Improving outcomes with strict patient selection in ED thoracotomy”
2003-2004 Trauma Lecture Series Pennsylvania Hospital, Philadelphia, Pennsylvania
January 2004 “A critical analysis of emergency department thoracotomy” General Surgery Grand Rounds, Guest Lecture Series University of Missouri, Columbia, Missouri
October 2003 “The same, only different: Pediatric trauma essentials” Special Populations Trauma Nursing Symposium University of Pennsylvania School of Nursing Philadelphia, Pennsylvania
September 2003 “Goniometry predicts inadequate flexion-extension radiographs and identifies patients at high risk for cervical spine injury” American Association for the Surgery of Trauma
Sixty- Second Meeting, Poster Presentations Minneapolis, Minnesota
September 2003 “So much for selective management: Evaluation & treatment of penetrating neck injuries in 2003
2003-2004 Trauma Lecture Series Pennsylvania Hospital, Philadelphia, Pennsylvania
April 2003 “Penetrating neck injury in 2003” General Surgery Grand Rounds, Guest Lecture Series
University of Missouri, Columbia, Missouri
December 2002 “High velocity penetrating torso & extremity injuries” Annual Day of Trauma: A Surgery/Critical Care Symposium The Union League of Philadelphia, Philadelphia, Pennsylvania
November 2002 “Use of goniometry to limit inadequate flexion-extension radiographs in the trauma patient” Pennsylvania Committee on Trauma Harrisburg, Pennsylvania
June 2002 “An unusual cause of Pneumoperitoneum: Oro-vaginal insufflation” American College of Surgeons-Missouri Chapter Lake of the Ozarks, Missouri
July 2000 “Evaluation & management of intra-abdominal injury in the pediatric trauma patient”
Symposium on Pediatric Emergencies Department of Pediatrics & Emergency Medicine
University of Missouri School of Medicine
June 2000 “Screening parameters for intra-abdominal injury in the pediatric blunt trauma patient”
American College of Surgeons-Missouri Chapter Lake of the Ozarks, Missouri Continuing Medical Education Presentations
October 2008 “Initial evaluation and management: What trauma surgeons do before we call the consultants” ‘Resident’s Choice’ Grand Rounds Lecture Series Department of Oral and Maxillo-facial Surgery Vanderbilt University Medical Center
September 2008 “Systemic implications of current resuscitation strategies” Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference Division of Trauma & Surgical Critical Care
Vanderbilt University Medical Center
August 2008 “Defining priorities in patients with multi-cavity penetrating injuries” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
April 2008 “Where have all the cowboys gone? How less of use of ED thoracotomy has lead to more survivors” Acute Care Surgery Conference Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
March 2008 “Chicken or the egg?: Triage and assessment of the ‘Medical’ trauma patient’’
Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care
Vanderbilt University Medical Center
February 2008 “Penetrating neck injury diagnosis and management in 2008” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
January 2008 “Mis-management of sleep in the ICU: consequences of sleep deprivation” Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference Vanderbilt University Medical Center
September 2007 “Passing the ABSITE, written boards, and oral exams: the impact of academic intervention and test taking skills on resident performance” Department of Surgery Grand Rounds
Vanderbilt University Medical Center
August 2007 “Defining priorities in patients with multi-cavity penetrating injuries” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
August 2007 “Killing me, killing me salty: How the resuscitation pendulum was broken” Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference Vanderbilt University Medical Center
February 2007 “Pitfalls, pearls, and patterns of injury: What trauma surgeons do before we
call the consultants” ‘Resident’s Choice’ Grand Rounds Lecture Series Department of Oral and Maxillo-facial Surgery Vanderbilt University Medical Center
January 2007 “Penetrating neck injury diagnosis and management in 2007” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
December 2006 “The impact of aggressive fluid resuscitation strategies” Department of Surgery Grand Rounds Vanderbilt University Medical Center
August 2006 “How less of use of ED thoracotomy has lead to more survivors” Acute Care Surgery Conference Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
May 2006 “Evaluation and initial management of the ‘Medical’ trauma patient’’ Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
April 2006 “(Mis) management of sleep in the ICU” Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference Vanderbilt University Medical Center
March 2006 “Respect my PRIORIT-IE: defining triage priorities in patients with Multi-cavity penetrating injuries” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care
Vanderbilt University Medical Center
January 2006 “Damage control hematology: evolution of an exsanguination protocol” Department of Pathology/Transfusion Medicine Vanderbilt University Medical Center
November 2005 “Calming the storm: Diagnosis and treatment of sympathetic hyperactivity following severe traumatic brain injury” Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference
Vanderbilt University Medical Center
September 2005 “Evidence-based trauma care: Emergency department thoracotomy” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
August 2005 “Systemic implications of current resuscitation strategies” Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
May 2005 “Re-thinking trauma resuscitation fluid strategies” Emergency Medicine Grand Rounds
Vanderbilt University Medical Center
April 2005 “Medical illnesses and co-morbidities leading to acute injury Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
February 2005 “Defining priorities in patients with multi-cavity penetrating injuries” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
January 2005 “Evidence-based trauma care: penetrating neck injuries” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
December 2004 “Evidence-based trauma care: Emergency department thoracotomy” Fellows Conference in Operative Trauma Division of Trauma & Surgical Critical Care Vanderbilt University Medical Center
December 2004 “Put all the crystalloid in the (trash) bag and nobody gets hurt” Department of Surgery Grand Rounds Vanderbilt University Medical Center
October 2004 “Prevention and management of sleep disturbances in the ICU” Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference Division of Trauma & Surgical Critical Care
Vanderbilt University Medical Center
July 2004 “Paroxysmal sympathetic storms following severe traumatic brain injury.” Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference Department of Surgery Vanderbilt University Medical Center
June 2004 “Wake-up & go to sleep: (Mis) Management of sleep in the ICU Surgical Critical Care Grand Rounds/ Critical Care Fellows Conference Department of Surgery University of Pennsylvania School of Medicine
January 2004 “Optimizing outcomes & resource utilization in patients undergoing emergency department thoracotomy” Trauma Grand Rounds- Department of Surgery University of Pennsylvania School of Medicine
November 2003 “Calming the storm: Diagnosis and treatment of sympathetic hyper-activity following severe traumatic brain injury” Trauma Grand Rounds- Department of Surgery University of Pennsylvania School of Medicine
July 2003 “The times they’re a-changin’: Impact of the 80-hour work ‘weak’ on trauma surgical education ” Trauma Grand Rounds- Department of Surgery University of Pennsylvania School of Medicine
April 2003 “Utility of DPL in 2003: What have you done for me lately?” Trauma Grand Rounds- Department of Surgery University of Pennsylvania School of Medicine
March 2003 “Inhalation injury: How a ripple becomes a wave” Pulmonary Critical Care Conference
Department of Pulmonary/ Critical Care Medicine University of Pennsylvania School of Medicine
January 2003 “Optimal care of penetrating injuries in adolescents: PTC vs. ATC” Trauma Grand Rounds- Department of Surgery University of Pennsylvania School of Medicine
December 2002 “Missed injuries and delays in diagnosis in trauma” Trauma Grand Rounds- Department of Surgery University of Pennsylvania School of Medicine
September 2001 "Empyema thoracis: a late complication of inhalation injury" Visiting Professor Lecture Presentation (Basil Pruitt) Department of Surgery Grand Rounds University of Missouri School of Medicine
April 2001 "Management of penetrating lower extremity injuries" Department of Surgery, Trauma Grand Rounds University of Missouri School of Medicine
March 2001 "The use of antibiotics in penetrating abdominal injuries" Department of Surgery, Trauma Grand Rounds University of Missouri School of Medicine
February 2001 "Indications for antibiotics in open fractures" Department of Surgery, Trauma Grand Rounds University of Missouri School of Medicine
December 2000 "Indications for thoracotomy in the trauma patient" Department of Surgery, Trauma Grand Rounds University of Missouri School of Medicine
November 2000 "The injured heart" Department of Surgery, Trauma Grand Rounds University of Missouri School of Medicine
January 2000 "Hepato-biliary physiology" Department of Surgery, Basic Science Conference
University of Missouri School of Medicine
August 1999 "Anesthesia and It's Effects on the General Surgery Patient" Department of Surgery, Basic Science Conference University of Missouri School of Medicine
March 1999 "Abdominal Compartment Syndrome" Department of Surgery, Critical Care Grand Rounds University of Missouri School of Medicine
December 1998 “Catheter Related Infections" Department of Surgery, Critical Care Grand Rounds
University of Missouri School of Medicine
November 1998 "Clostridia Difficile Colitis" Department of Surgery, Critical Care Grand Rounds
University of Missouri School of Medicine

Publications

Manuscripts
  1. Losanov J, Cotton BA, Metzler M, Jones J. Necrotizing chest wall infection after blunt trauma. Journal of Trauma 2002; 53:787-789
  2. Cotton BA, Beckert B, Smith MK, Burd RS. The utility of clinical and laboratory data for predicting intra-abdominal injury among children. Journal of Trauma 2004; 55: 931-934.
  3. Cotton BA, Nance ML. Penetrating trauma in children. Seminars in Pediatric Surgery. 2004, 13:87-97.
  4. Cotton BA, Lieber K, Metzler M. Pneumoperitoneum from oro-vaginal insufflation resulting in non-therapeutic laparotomy. Journal of Trauma. 2005:58; 406-409
  5. Cotton BA, Liao JG, Burd RS. The utility of clinical and laboratory data for predicting intra-abdominal injury among children. Journal of Trauma 2005; 58:1306-7.
  6. Cotton BA, Gracias VH, Insko ER, Gupta R, Born C, Schwab CW. Goniometry predicts inadequate flexion-extension radiographs and identifies patients at high risk for cervical spine injury. Journal of Trauma 2005: 59; 396-401.
  7. Cotton BA, Pryor JP, Chinwalla I, Wiebe DJ, Reilly PM, Schwab CW. Respiratory complications and mortality risk associated with thoracic spine injury. Journal of Trauma 2005: 59; 1400–1409.
  8. Cotton BA, Guy JS, Morris JA Jr, Abumrad NN. The cellular, metabolic, and systemic consequences of aggressive fluid resuscitation. Shock 2006; 26: 111-116.
  9. Kemp CD, Johnson JC, Weaver K, Cotton BA. How we die: impact of nonneurological dysfunction on mortality following traumatic brain injury. J Am Coll Surg 2006; 203: S36.
  10. Biswas S, Gray KD, Cotton BA. Intestinal obstruction in pregnancy: a case of small bowel volvulus and review of the literature. American Surgeon 2006; 72: 1218-1221.
  11. Snodgrass KB, Fleming SB, Cotton BA. Survival benefit of beta-blockers in severe TBI is associated with a reduction in heart rate. Crit Care Med. 2006;34:A53.
  12. Cotton BA, Girard T, Ely EW. Brain injury in critically ill patients – Broadening our understanding. Shock 2007; 27: 338-42.
  13. Cotton BA, Kemp CD, Johnson JC, Pinson CW. Donor conversion and yield in traumatic brain injury patients. Am J Transplant 2006; 6: 473.
  14. Cotton BA, Snodgrass KB, Fleming SB, Carpenter RO, Morris JA Jr, Kemp CD Arbogast PG. Beta-blocker exposure is associated with improved survival following severe traumatic brain injury. J Trauma 2007; 62: 26-35.
  15. Jackson JC, Obremskey WT, Bauer R, Greevey R, Cotton BA, Anderson V, Song Y, Ely EW. Long-term cognitive, emotional and functional outcomes in trauma intensive care unit survivors without intra-cranial hemorrhage. J Trauma 2007; 62: 80-88.
  16. Pandharipande P, Cotton BA, Shintani A, Thompson J, Costabile S, Pun BT, Dittus R, Ely EW. Motoric subtypes of delirium in mechanically ventilated surgical and trauma intensive care unit patients. Intensive Care Med 2007; 33: 1726-1731.
  17. Cotton, BA. Adrenergic mechanisms, brain trauma, and blood-brain barrier permeability. J Trauma 2007; 62: 1537-39.
  18. Burda T, Cotton BA. Straight for the jugular! Pre-hospital management of penetrating and blunt injuries to the neck. Journal of Emergency Medical Services 2007; 32: 40-49.
  19. Riordan WP, Cotton BA, Norris PR, LR Waitman, Morris JA Jr. Exposure to beta-blockers is associated with improved survival in severe TBI patients with early cardiac uncoupling. J Trauma 2007; 63:503–511.
  20. Collier BR, Guillamondegui OD, Cotton BA, Donahue R, Conrad A, Richman J, Vogel TR, Diaz JJ. Feeding the open abdomen. J Parenter Enteral Nutr 2007; 31 (5): 410-415.
  21. Au BK, Gunter OL, Isbell, J, Cotton BA. Damage control hematology: Impact of an exsanguination protocol delivered in a continuous manner with predefined blood component therapy. J Am Coll Surg 2007. 205 (3): S33-34.
  22. Cotton BA, Gunter OL, Robertson A, St. Jacques P, Young PP. Damage control resuscitation with a Trauma Exsanguination Protocol reduces overall blood component usage. Transfusion 2007; 47: 39A.
  23. Cotton BA, Pryor JP. Respiratory complications and mortality following thoracic spine injury. Yearbook Respiratory Care Clinics and Applied Technology 2008; 679-682.
  24. Cotton BA, Guillamondegui OD, Patel S, Fleming S, Carpenter RO, Morris JA Jr. Etomidate use in the critically injured patient is associated with increased risk of adrenal insufficiency. Arch Surg 2008; 143(1): 62‐67.
  25. Madigan MC, Kemp CD, Johnson JC, Cotton BA. Secondary abdominal compartment syndrome in patients with severe extremity injuries: are aggressive resuscitation strategies to blame? J Trauma 2008; 64:280-285.
  26. Soja SL, Pandharipande PP, Fleming SB, Cotton BA, Miller LR, Weaver SG, Lee BT, Ely EW. Implementation, reliability testing, and compliance monitoring of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) in trauma patients Intensive Care Med 2008; 34: 1263-1268.
  27. Cotton BA, Gunter OL, Isbell J, Au BK, Robertson A, Morris JA, St. Jacques P, Young PP. Damage control hematology: impact of a defined exsanguination protocol on mortality and blood utilization. J Trauma 2008; 64:1177-118
  28. Kemp CD, Cotton BA, Johnson JC, Ellzey M, Pinson CW. Donor conversion and organ yield in traumatic brain injury: Missed opportunities and missed organs. J Trauma 2008; 64: 1573-158
  29. Pandharipande P, Cotton BA, Shintani A, Thompson J, Pun BT, Morris JA, Dittus R, Ely EW. Prevalence and risk factors for development of delirium in surgical and trauma patients. J Trauma 2008; 63: 34-41.
  30. Dossett LA, Dittus R, Speroff T, May AK, Cotton BA. Cost-effectiveness of routine intra-operative radiographs in emergent open cavity procedures. Surgery 2008; 144: 317-321.
  31. Collier BR, Giladi A, Dossett LA, Fleming SB, Dyer L, Cotton BA. Impact of high-dose anti-oxidants on outcomes in acutely injured patients. J Parenter Enteral Nutr 2008; 32:384-88.
  32. Cotton BA, Guillamondegui OD Evidence for adrenal insufficiency after single-dose etomidate. Arch Surg 2008 143: 808-809.
  33. Kemp CD, Johnson JC, Riordan WP, Cotton BA. How we die: impact of nonneurological dysfunction on mortality following traumatic brain injury. Am Surg 2008; 74: 866-872.
  34. Idowu R, Guy JS, Cotton BA. CDC diagnostic criteria do not identify burn patients at risk for ventilator-acquired pneumonia. J Burn Care Resear 2008; 29(2): S51
  35. Gunter OL, Au BK, Isbell JA, Mowery NT, Young PP, Cotton BA. Optimizing outcomes in damage control resuscitation: Identifying blood product ratios associated with improved survival. J Trauma 2008; 63: 527-534.
  36. Brywczynski JJ, Barrett TW, Cotton BA. Management of penetrating neck injury in the emergency department: a structured literature review. Emerg Med J 2008; 25:711–715.
  37. Voskresensky I, Rivera-Tyler T, Dossett LA, Riordan WP, Cotton BA. Use of scene vital signs improves the ability of TRISS to predict survival in intubated trauma patients. J Surg Research 2009; on-line
  38. Cotton BA, Au BK, Nunez TC, Gunter OL, Robertson A, Young PP. Predefined massive transfusion protocols are associated with a reduction in organ failure and post-injury complications. J Trauma 2009; 66:41-49.
  39. Nunez TC, Voskresensky IV, Dossett LA, Shinall R, Cotton BA. Prediction of massive transfusion in trauma: Simple as ABC? J Trauma 2009; 66: 346-352.
  40. James DN, Voskresensky IV, Jack M, Guy JS, Cotton BA. Emergency airway management in critically injured patients: A survey of U.S. aero-medical transport programs. Resuscitation (in press)
  41. Cotton BA, Jerome R, Collier BR, Khetarpal S, Holevar M, Kurek S, Mowery NT, Riordan WP Jr, Shah K, Bromberg W, Gunter OL. Practice management guidelines for pre-hospital fluid resuscitation of the injured patient. J Trauma (in press).
  42. Zaydfudim V, Cotton BA, Kim B. Pancreatic transection after sports injury. J Trauma 2008 (in press)
  43. Guillamondegui OD, Gunter OL, Patel S, Fleming SB, Cotton BA, Morris JA. Acute adrenal insufficiency may affect outcome in the trauma patient. Am Surg 2009 (in press).
  44. Marshall GT, Landman MP, Cotton BA, O’Neill PJ, Hansen EK, Morris JA Jr, May AK. Pentobarbital coma for refractory intracranial hypertension: Indications and one year outcomes in 55 trauma patients. Crit Care Med (submitted)
  45. Giladi AM, Snodgrass KB, Fleming SB, Cotton BA. Survival benefit of betablockers in severe traumatic brain injury is associated with a reduction of heart rate. Pharmacotherapy. (submitted)
  46. Cotton BA, Dossett LA, Au BK, Nunez TC, Robertson AM, Young PP. Room for (performance) improvement: provider related factors associated with poor outcomes in massive transfusion. J Trauma (submitted)
  47. Morris JA Jr, Francois C, Olson PK, Cotton BA, Summar M, Jenkins JM, Norris PR, Moore JH, Williams AE, McNew BS, Canter JA. Genetic Variation in Complement Component 2 of the Classical Complement Pathway is Associated with Increased Mortality and Infection: A Study of 627 Trauma
    Patients. J Trauma (in press)
  48. Haut EH, Kalish B, Chang DC, Haider AH, Efron DT, Cotton BA, Cornwell EE, III. Pre-hospital intra-venous fluid (IVF) administration is associated with decreased survival in severely injured trauma patients: An NTDB analysis. J Trauma (submitted)
  49. Giladi AM, Dossett LA, Fleming SB, Abumrad NA, Cotton BA. High-dose antioxidant administration is associated with a reduction in post-injury complications. Surgery (submitted)
  50. Au BK, Dutton WD, Zaydfudim V, Young PP, Cotton BA. Hyperkalemia following massive transfusion in trauma. J Surg Research (submitted)
  51. Glass NE, Kaltenbach LA, Arbogast P, Cotton BA. The impact of betablocker therapy on anemia after traumatic brain injury. J Surg Research (submitted)
  52. Giladi AM, Dolinak J, Guy JS, Cotton BA. Use of ideal body weight in the Parkland formula identifies the resuscitation threshold for the development of secondary abdominal compartment syndrome in burn patients. Burns (submitted)
  53. Idowu R, Guy JS, Cotton BA. CDC diagnostic criteria do not identify burn patients at risk for ventilator-acquired pneumonia. J Burn Care Resear (submitted)
Abstracts:
  1. Cotton BA, Beckert B, Smith MK, Burd RS. Utility of clinical and laboratory data for predicting intra-abdominal injury in children. Presented at the Missouri Chapter-American College of Surgeons Annual Meeting. May 25, 2001.
  2. Cotton BA, Lieber K, Metzler M. Pneumo-peritoneum from oro-vaginal insufflation resulting in non-therapeutic laparotomy. Presented at the American College of Surgeons-Missouri Chapter Annual Meeting. May 27, 2002. Lake of the Ozarks, Missouri.
  3. Cotton BA, Gracias VH, Insko ER, Gupta R, Born C, Schwab CW. Goniometry Predicts Inadequate Flexion-Extension Radiographs and Identifies Patients at High Risk for Cervical Spine Injury. Presented at the American College of Surgeons- Committee on Trauma, Pennsylvania Chapter Annual Meeting. Nov 3, 2002. Harrisburg, PA.
  4. Cotton BA, Gracias VH, Insko ER, Gupta R, Born C, Schwab CW. Goniometry Predicts Inadequate Flexion-Extension Radiographs and Identifies Patients at High Risk for Cervical Spine Injury. Presented at the Sixty Second Annual Meeting of The American Association for the Surgery of Trauma. September 10-13.
  5. Cotton BA, Pryor JP, Chinwalla I, Wiebe DJ, Reilly PM, Schwab CW. Respiratory Complications and Mortality Risk Associated with Thoracic Spine Injury. Presented at the Eighteenth Annual Meeting of the Eastern Association for The Surgery of Trauma. January 11-15, 2005. Fort Lauderdale, Florida.
  6. Dolinak J, Guy JS, Cotton, BA. Use of ideal body weight in the Parkland formula identifies the resuscitation threshold for the development of secondary abdominal compartment syndrome in burn patients. Presented at the Eighteenth Annual Southern Region Burn Conference. November 07-08, 2005. Nashville, TN.
  7. Pandharipande P, Cotton BA, Costabile S, Frizzell J, Renfrew JW, Shintani A, Fraley M, Truman-Pun B, Morris JA Jr, Ely EW. Prevalence and risk factors for delirium in trauma and surgical ICU patients using the confusion assessment method (CAM-ICU). Presented at the Society of Critical Care Medicine’s 35th Annual Critical Care Congress. January 7-11, 2006. San Francisco, CA.
  8. Cotton BA, Guillamondegui OD, Patel S, Fleming S, Carpenter RO, Morris JA Jr. Etomidate use in the critically injured patient: The strongest risk factor for development of adrenal insufficiency. Presented at the Society of Critical Care Medicine’s 35th Annual Critical Care Congress. January 7-11, 2006. San Francisco.
  9. Guillamondegui OD, Cotton BA, Patel S, Fleming S, Carpenter RO, Morris JA Jr. Adrenal insufficiency in critically ill trauma patients. Presented at the Society of Critical Care Medicine’s 35th Annual Critical Care Congress. January 7-11, 2006. San Francisco, CA.
  10. Kemp CD, Johnson JC, Weaver K, Cotton BA. How we die: impact of nonneurological dysfunction on mortality following traumatic brain injury. Presented at the American College of Surgeons' 92nd Annual Clinical Congress Meeting, October 8-12, 2006, in Chicago, Illinois.
  11. Cotton BA, Snodgrass KB, Fleming SB, Carpenter RO, Morris JA Jr, Kemp CD Arbogast PG. Beta-blocker exposure is associated with improved survival following severe traumatic brain injury. Presented at the Sixty Fifth Annual Meeting of the AAST, September 28-30, 2006. New Orleans, Louisiana.
  12. Obremskey WT, Bauer R, Jackson J, Cotton BA, Morris JA, Ely EW. Cognitive impairment in multiple trauma patients. Presented at the Sixty Fifth Annual Meeting of the AAST, September 28-30, 2006. New Orleans, Louisiana.
  13. Cotton BA, Kemp CD, Johnson JC, Pinson CW. Donor conversion and yield in traumatic brain injury patients. Presented at the World Transplant Congress, Biennial International Meeting, July 22-28, 2006. Boston, MA.
  14. Riordan WP, Cotton BA, Norris PR, LR Waitman, Morris JA Jr. Beta-blockers improve survival in TBI patients with cardiac uncoupling. Presented in oral form at the Twentieth Annual Scientific Meeting of the Eastern Association for the Surgery of Trauma, Fort Myers, Florida, January 16-20, 2007.
  15. Sojia S, Fleming SB, Cotton BA, Ely EW, Pandharipande P. Implementation and reliability testing of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) in trauma patients. Presented at the Presented at the Society of Critical Care Medicine’s 36th Annual Critical Care Congress, February 17-22, 2007. Orlando, FL.
  16. Snodgrass KB, Fleming SB, Cotton BA. Survival benefit of beta-blockers in severe brain injury patients is associated with a reduction of heart rate. Presented at the Society of Critical Care Medicine’s 36th Annual Critical Care Congress, February 17-22, 2007. Orlando, FL.
  17. Marshall GT, Landman MP, Cotton BA, O’Neill PJ, Morris JA Jr, May AK. Pentobarbital coma for refractory intracranial hypertension. Presented at the Society of Critical Care Medicine’s 36th Annual Critical Care Congress, February 17-22, 2007. Orlando, FL.
  18. Collier BR, Guillamondegui OD, Cotton BA, et al. Feeding the open abdomen. Presented at the American Society for Parenteral and Enteral Nutrition’s Annual Scientific Meeting. January 28-31, 2007. Dallas, TX.
  19. Cotton BA, Kemp CD, Johnson JC, Pinson CW. Missed organs and missed opportunities: Donor conversion and yield in traumatic brain injury patients. Presented at the American Society of Transplant Surgeons Annual Scientific Meeting, January 12-14, 2007. Marco Island, FL.
  20. Collier BR, Guillamondegui OD, Cotton BA, Donahue R, Conrad A, Richman J, Vogel TR, Diaz JJ. Feeding the open abdomen is associated with quicker abdominal wall closure and less fistulae. Presented at the World Congress for Abdominal Compartment Syndrome. March 22-26, 2007. Antwerp, Belgium.
  21. Cotton BA, Gunter OL, Au BK, Isbell J, Robertson A, St. Jacques P, Young PP. Damage control hematology: impact of an established exsanguination protocol on mortality and blood utilization. Presented at the Sixty Sixth Annual Meeting of the AAST, September 27-29. Las Vegas, NV
  22. Madigan MC, Kemp CD, Johnson JC, Cotton BA. Secondary abdominal compartment syndrome in patients with severe extremity injuries: unavoidable or unforgivable? Presented at the Sixty Sixth Annual Meeting of the AAST, September 27-29. 2007. Las Vegas, NV.
  23. Au BK, Isbell J, Gunter OL, Cotton BA. Improved survival and reduced blood product utilization following implementation of a trauma exsanguination protocol. Presented at the American College of Surgeons' 93rd Annual Clinical Congress Meeting, October 7-11, 2007. New Orleans, LA.
  24. Cotton BA, Gunter OL, Robertson A, St. Jacques P, Young PP. Damage control resuscitation with a Trauma Exsanguination Protocol reduces overall blood component usage. Presented as an oral presentation at Annual Scientific Meeting of the American Association of Blood Bank Medicine. October 20-23. 2007. Anaheim, CA.
  25. Gunter OL, Au BK, Isbell J, Mowery N, Cotton BA. Optimizing outcomes in damage control resuscitation: Identifying blood product ratios associated with improved survival. Presented at the Twenty-first Annual Scientific Meeting of EAST, Amelia Island Plantation, Florida January 15-19, 2008.
  26. Dossett LA, Dittus R, Speroff T, May AK, Cotton BA. Cost-effectiveness of routine intra-operative radiographs in emergent open cavity procedures. Presented as an Oral Presentation at the Third Annual Academic Surgical Congress-Society of University Surgeons, 2008. Huntington Beach, CA.
  27. Voskresensky I, Rivera-Tyler T, Carpenter RO, Riordan WP, Cotton BA. Use of scene vital signs improves the ability of TRISS to predict survival in intubated trauma patients. Presented as an Oral Presentation at the Third Annual Academic Surgical Congress, 2008. Huntington Beach, CA.
  28. James DN, Jack M, Cotton BA. Emergency airway management in critically injured patients: A survey of U.S. aeromedical transport programs. Presented at the Southeastern Surgical Congress’ Annual Scientific Meeting, 2008. Birmingham, AL.
  29. Riordan WP, Gunter OL, Conquest AM, Cotton BA, Wu YC, Donahue RP, Diaz JJ. Traumatic Gastric Injury and Intra-abdominal Abscess: Review of 275 Patients. Presented at the Southeastern Surgical Congress’ Annual Scientific Meeting, 2008. Birmingham, AL.
  30. Cotton BA, Giladi A, Dyer L, Fleming SB, Dossett LA, Collier BR. Impact of high-dose antioxidants on outcomes in acutely injured patients. American Society for Parenteral and Enteral Nutrition Annual Meeting 2008. Chicago, IL
  31. Idowu R, Guy JS, Cotton BA. CDC diagnostic criteria do not identify burn patients at risk for ventilator-acquired pneumonia. Oral presentation at the 40th Annual Meeting of the American Burn Association 2008. Chicago, IL
  32. Girard T, Carson SS, Pandharipande PP, Schmidt GA, Wright PE, Pun BT, Cotton BA, Ely EW. Modifying the INcidence of Delirium (MIND) Trial: A Randomized Controlled Trial of the Feasibility, Efficacy, and Safety of Antipsychotics for the Prevention and Treatment of ICU Delirium. The
    American Thoracic Society 2008 Annual Meeting. Toronto, Canada.
  33. Giladi A, Dyer L, Fleming SB, Dossett LA, Collier BR, Cotton BA. Treatment of acutely injured patients with high-dose anti-oxidants is associated with a significant reduction in pulmonary failure, catheter-related infections, and abdominal wall complications. Presented at the American College of Surgeons' 94th Annual Clinical Congress Meeting, October 12-16, 2008. San Francisco
  34. Enker M, Au BK, Robertson A, Cotton BA. Impact of a trauma exsanguination protocol on vasoactive drug administration at a level trauma 1 center. Presented at the 34th Annual Gulf Atlantic Anesthesiology Research Conference, April 27-29, 2008. New Orleans, LA.
  35. Norris PR, Carnevale RJ, Miller RA, Cotton BA, Jenkins JM, Morris JA. Early loss of complexity is associated with ventilator-associated pneumonia in 2032 trauma patients. Presented at the Annual Shock Congress June 28-July2, 2008. Cologne.
  36. Cotton BA, Au BK, Isbell JA, Gunter OL, Nunez TC, Robertson A, Young PP. Predefined massive transfusion protocols are associated with a reduction in organ failure and post-injury complications. Presented in oral form at the Sixty-Seventh Annual Meeting of the American Association for the Surgery
    of Trauma to be held in Maui, Hawaii on September 24-27, 2008.
  37. Nunez TC, Voskresensky IV, Dossett LA, Shinall R, Dutton WD, Cotton BA. Prediction of massive transfusion in trauma: Simple as ABC? Presented at the Sixty-Seventh Annual Meeting of the American Association for the Surgery of Trauma to be held in Maui, Hawaii on September 24-27, 2008.
  38. Robertson A, Enker M, Cotton BA. Impact of an exsanguination protocol on intraoperative fluid, blood product and vasopressor requirements. Presented at the Annual Meeting of the American Society of Anesthesiology October 18- 22, 2008. Orlando, FL.
  39. Cotton BA, Au BK, Dossett LA, Kaltenbach L, Gunter OL, Robertson A, Arbogast P, Young PP. Room for (performance) improvement: provider related factors associated with poor outcomes in massive transfusion. Presented at the Twenty-second Annual Scientific Meeting of EAST, Disney Island Resort & Yacht Club, Florida January 15-19, 2009.
  40. Haut EH, Kalish B, Chang DC, Haider AH, Efron DT, Cotton BA, Cornwell EE III. Pre-hospital intra-venous fluid (IVF) administration is associated with decreased survival in severely injured trauma patients: An NTDB analysis. Presented at the Twenty-second Annual Scientific Meeting of EAST, Disney Island Resort & Yacht Club, Florida January 15-19, 2009.
  41. Au BK, Dutton WD, Zaydfudim V, Nunez TC, Young PP, Cotton BA. Hyperkalemia following massive transfusion in trauma. Presented in oral form at the 4th Annual Academic Surgical Congress; February 3-6, 2009, Fort Myers, Florida.
  42. Glass NE, Kaltenbach LA, Arbogast P, Cotton BA. The impact of beta-blocker therapy on anemia after traumatic brain injury. Presented in oral form at the 4th Annual Academic Surgical Congress; February 3-6, 2009, Fort Myers, Florida.
  43. Giladi AM, Dossett LA, Fleming SB, Abumrad NA, Cotton BA. High-dose antioxidant administration is associated with a reduction in infectious and abdominal wall complications in critically injured patients. Presented in oral form at the 4th Annual Academic Surgical Congress; February 3-6, 2009, Fort Myers, Florida.
  44. Zaydfudim V, Dutton W, Feurer ID, Au BK, Pinson CW, Cotton BA. Exsanguination Protocol Improves Survival After Major Hepatic Trauma. Presented in oral form at the Fifteenth Annual Meeting of the American Hepato-Pancreato-Biliary Association. March 12 – 15, 2009, Miami Beach, Florida.
Book Chapters:
  1. Cotton BA, Pryor JP. Neck Injuries. In: Schwab, C.W. et al, eds. Ballistic Trauma- A Practical Guide, 2nd ed. London, Springer-Verlag 2005.
  2. Cotton BA. Sleep disturbances in the ICU. In: Marcucci L. et al, eds. Avoiding Common ICU Errors. Lippincott Williams & Wilkins, Philadelphia, 2006.
  3. Cotton BA. Enteral Nutrition in the ICU. In: Marcucci L. et al, eds. Avoiding Common ICU Errors. Lippincott Williams & Wilkins, Philadelphia, 2006.
  4. Cotton BA. Achieving Adequate Pain Control in Patient’s with Rib Fractures. In: Marcucci L. et al, eds. Avoiding Common ICU Errors. Lippincott Williams& Wilkins, Philadelphia, 2006.
  5. Cotton BA. Neck Injuries. In: Brooks, A.B. et al, eds. Churchill’s Pocketbook of Major Trauma, Edinburgh, UK, Elsevier 2007.
  6. Brooks AB, Cotton BA. Penetrating Torso Injuries. In: Brooks, A.B. et al, eds. Churchill’s Pocketbook of Major Trauma, Edinburgh, UK, Elsevier 2007.
  7. Cotton BA. Blunt Abdominal Trauma. In: Brooks, A.B. et al, eds. Churchill’s Pocketbook of Major Trauma, Edinburgh, UK, Elsevier 2007.
  8. Sweeney S, Cotton BA. Tubes, drains, and ostomies. In: Pryor JP et al, eds. Clinician’s Guide to Care of the Surgical Patient. McGraw-Hill, New York, 2008.
  9. Cotton BA, May AK. Sedation and Analgesia. In: Gracias VH et al, eds. Acute Care Surgery. McGraw-Hill, New York, 2008.
  10. Cotton BA, Schwab CW. The ICU Phase of Damage Control: From door to door. In: Pape HC et al, eds. Damage Control Surgery in Orthopedics and Trauma. Springer, London, 2009.
  11. Cotton BA, Holcomb JB. Acute trauma related coagulopathy. In: Rabinovici R et al, eds. Trauma, Surgical Critical Care, and Surgical Emergencies. Informa, New York, 2009. (in press)
  12. Giladi A, Cotton BA. Analgesia, Sedation, Delirium and Alcohol Withdrawal. In: Rabinovici R et al, eds. Trauma, Surgical Critical Care, and Surgical Emergencies. Informa, New York, 2009. (in press)
  13. Giladi A, Cotton BA. Operative and non-operative management of abdominal injuries. In: Brooks A, Tai N, Cotton BA, Mahoney P, eds. Emergency Surgery. Blackwell, London, 2009. (in press)
  14. Dossett LA, Cotton BA. Abdominal trauma evaluation and decision making. In: Brooks A, Tai N, Cotton BA, Mahoney P, eds. Emergency Surgery. Blackwell, London, 2009. (in press)
  15. Voskresensky IV, Nunez, TC, Cotton BA. Damage control surgery. In: Brooks A, Tai N, Cotton BA, Mahoney P, eds. Emergency Surgery. Blackwell, London, 2009. (in press)
  16. Zaydfudim V, Cotton BA. Trauma laparotomy. In: Brooks A, Tai N, Cotton BA, Mahoney P, eds. Emergency Surgery. Blackwell, London, 2009. (in press)
  17. Voskresensky IV, Cotton BA. Large bowel obstruction. In: Brooks A, Tai N, Cotton BA, Mahoney P, eds. Emergency Surgery. Blackwell, London, 2009. (in press)
  18. Borkon M, Cotton BA. Neck Injuries. In: Brooks A et al, eds. Ballistic Trauma- A Practical Guide, 3rd ed. London, Springer-Verlag 2009. (in press)
  19. Riordan Jr. WP, Cotton BA. How should patients with thoracic trauma be managed in the ICU? In: Deutschman CL et al, eds. The Evidenced Based Practice of Critical Care. Edinburgh, UK, Elsevier 2009. (in press)
Medical book

Emergency Surgery. Brooks AB, Tai N, Cotton BA, Mahoney PM, Eds. Blackwell,
London, 2009. (in press)

Medical Web page Designs:
  1. Cotton BA, Pryor JP: Understanding and Coping With Traumatic Brain Injury, 2003; UPHS, Department of Surgery, Division of Traumatology and Surgical Critical Care, Patient Information Web pages
  2. Cotton BA, Pryor JP: A Patient’s Guide to Rib Fractures, 2003; UPHS, Department of Surgery, Division of Traumatology and Surgical Critical Care, Patient Information.
  3. Cotton BA. Diabetes Insipidus Following Traumatic Brain Injury, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  4. Cotton BA. Evaluation and Management of Traumatic Brain Injury, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  5. Cotton BA. Brain Death Algorithm, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  6. Cotton BA. Emergency Department Thoracotomy, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  7. Cotton BA. Management of Rib Fractures and Achieving Pain Control, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care.
    http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  8. Cotton BA. Evaluation and Management of Atrial Fibrillation Following Traumatic Injury, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care, http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  9. Cotton BA. Venous Thrombo-embolism Prophylaxis, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  10. Cotton BA. Management of Sedation, Pain, Sleep, and Delirium in the Trauma Patient, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  11. Cotton BA. Anti-oxidant Therapy in the Acutely Injured Patient, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  12. Cotton BA. Damage Control Hematology Following Trauma, 2005. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  13. Cotton BA. Diabetes Insipidus Following Traumatic Brain Injury, 2007. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care.
    http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  14. Cotton BA. Evaluation and Management of Traumatic Brain Injury, 2007. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care.
    http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  15. Cotton BA. Brain Death Algorithm, 2007. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  16. Cotton BA. Emergency Department Thoracotomy, 2007. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  17. Cotton BA. Management of Sedation, Pain, Sleep, and Delirium in the Trauma Patient, 2007. VUMC, Department of Surgery, Division of Trauma and Surgical
    Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  18. Cotton BA. Anti-oxidant Therapy in the Acutely Injured Patient, 2007. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care.
    http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  19. Cotton BA. Damage Control Hematology Following Trauma, 2007. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.mc.vanderbilt.edu/surgery/trauma/mdprotocolstyle.htm
  20. Pandharipande PP, Cotton BA, Ely EW. Management of delirium and agitation through a RASS and CAM-ICU based algorithm, 2007. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.icudelirium.org/delirium/training-pages/DeliriumProto%2001_30_07.pdf
  21. Cotton BA. Anemia and transfusion guidelines for critically injured patients, 2008. VUMC, Department of Surgery, Division of Trauma and Surgical Critical Care. http://www.traumaburn.com/Protocols/2007/2007AnemiaPMG.pdf
  22. Cotton BA. Initial fluid resuscitation in trauma. 2008. Med Talk Network Audio File/CME. http://www.medtalknetwork.com/2008/04/29/fluid-resuscitation/
  23. Cotton BA, Collier BR, Khetarpal S, Holevar M, Tucker B, Kurek S, Mowery NT,
    Shah K, Bromberg W, Gunter OL, Riordan WP. http://www.east.org/tpg/FluidResus.pdf

Research & Areas of Interest

  1. Effect of intravenous fluid solutions on increased hemorrhage following injury, as well as post-trauma and post-operative complications.
  2. Prevention and management of delirium in the ICU.
  3. Management of hyper-adrenergic “storm” in patients with traumatic brain injury and the impact of adrenergic blockade on morbidity and mortality following TBI.
  4. Creation and implementation of a Trauma Exsanguination Protocol (TEP) to allow the trauma team to expeditiously access large quantities of blood products for those patients with injuries that have resulted in rapid and massive blood loss.
  5. Development of a “Morning Report” sign-out process to improve quality of patient information transferred, enhance resident efficiency, provide an open forum for discussing the diagnostic work-up and management of the acutely injured patient, and improve the quality of the resident didactic experience.
  6. Development of a curriculum for the second-year of a trauma and emergency surgery fellowship.

Research grants/extra-mural funding

  1. NIH/NIA- RO1: BRAIN-ICU Project. ICU-Delirium group. $3.9 million. Five year funding (July 2006-June 2011). To identify to what degree delirium and potent sedatives and analgesics are risk factors for long-term cognitive impairment and functional decline following critical illness.
  2. VA LO1 Merit Award: MIND-ICU Project. Four year funding (July 2007-June 2011). To identify to what degree delirium and potent sedatives and analgesic and to what extent peri-operative hypoxia and hypotension are risk factors for long-term cognitive impairment and functional decline following critical illness.
  3. Orthopedic Research and Education Foundation (OREF). Obremskey WT, Bauer R, Jackson J, Cotton BA, Ely EW. $100,000. Two year funding (Jan 2007- Dec 2009). To determine if patients who have had multiple trauma with an Injury Severity Score greater than 25, but did not have a closed head injury, have long-term cognitive deficits in the domains of mental processing speed, memory, executive function, and visuo-construction abilities.
Investigator for non-industry funded research
  1. Site Principal Investigator for the Tennessee Valley VA Medical Center for the MIND-ICU Study (Monitoring the incidence of delirium in ICU patients). A VA Merit Award funded four (4) year multi-site, observational cohort study, whose aim will be to identify potentially modifiable risk factors of post-ICU
    dementia such as development of delirium and exposure to sedative and analgesic medications. This study includes three (3) VA medical centers and 3 academic medical centers, with numerous ICUs being evaluated. We will quantify the independent contribution of these risk factors to the incidence of
    dementia, controlling for other established risk factors including age, preexisting cognitive impairment, and apo E4 genotype. Quantifying the contributions of these modifiable risk factors will pave the way for
    development of preventive and/or treatment strategies to reduce incidence, severity, dementia duration and improve functional recovery of these patients.
  2. Principal investigator for Vanderbilt University Medical Center for a Multicenter Retrospective Analysis of Transfusion Practices Correlated with Injury Severity and Outcomes in Trauma Patients. This study is being conducted and sponsored by the U.S. Army Institute of Surgical Research. The purpose of this study is to correlate the current individual transfusion practices and ratios at 25
    of the leading trauma centers in the US with standard clinical outcomes. These data are readily available in the required trauma registry and blood bank databases. This study will define the current ratios transfused in the US for predominately blunt injured population and their outcomes. These data will be the baseline data for a future prospective study.

Contact Information

Bryan Alan Cotton, MD, MPH
  • Bryan Alan Cotton, MD, MPH

  • Associate Professor of Surgery
    Division of Acute Care Surgery
    The University of Texas Medical School at Houston

    Physician Scientist in Coagulation Research
    Center for Translational Injury Research (CeTIR)

  • Department of Surgery

  • Center for Translational Injury Research
    6410 Fannin Street
    UPB 1100.20
    Houston, Texas 77030

  • phone: (713) 500-7354
    Fax: (713) 521-7135
    e-mail: bryan.a.cotton@uth.tmc.edu

Executive Assistant:
Serena Cooper