Resident Craig McCready Places 2nd at Grady Research Day

May 2017

Emory PGY4 general surgery resident Craig McCready, MD, achieved second place in the poster competition held at Resident Research Day at Grady Memorial Hospital on May 30th. The event was hosted by the Grady Health System in collaboration with the Emory and Morehouse schools of medicine, and highlighted residents' and fellows' clinical and basic science research inclusive of patient safety and quality improvement projects based at Grady.

Dr. McCready's study evaluated the effectiveness of a web-based clinical decision-making tool in helping to predict the need for massive transfusion protocol (MTP) for trauma patients. The study was a component of his work with the Grady-based site of the multi-center, Department of Defense-funded Surgical Critical Care Initiative (SC2i), a project that is striving to translate advances in combat casualty care and surgical research resulting from military experiences with critically injured service members to civilian practice. The study's co-authors were also SC2i associates, and included SC2i national principal investigator Eric Elster, MD; clinical pathologist Michael Mina, MD, PhD, now at Massachusetts General Hospital; and Emory Department of Surgery faculty surgeons Bryan Morse, MS, MD, Rondi Gelbard, MD, and Christopher Dente, MD.

The team examined the correlation between the use of an SC2i-developed, web-based Smartphone MTP app and physician decision-making involving the implementation of MTP during the resuscitation of 283 critically injured trauma patients at Grady's Level I trauma center between September 2014-February 2016. Of those patients, 28 were identified by the app as requiring MTP, and in all but seven patients, the associated physicians followed the app's recommendations.

Dr. McCready and his team concluded that MTP activation can be accurately predicted with a Smartphone application with readily available patient data, and real-time information can aid surgeons in appropriate usage of blood products for resuscitation.

Other participants representing the Department of Surgery who presented at the event were Caitlin Fitzgerald, MD, Jessica Kramer, MD, Rashi Jhunjhunwala MD, Daniel Maxwell, DO, Amy Lin (MS I), and Cecilia Jiang (MS I).