Positions

Overview

  • Dr. Bosarge joined the UAB Acute Care Surgery faculty in June 2012 following academic appointments at the University of South Alabama Medical Center and East Tennessee State University. Dr. Bosarge has served within the United States Army to include three combat tours in Kosovo, Iraq, and Afghanistan. He rose to the rank of lieutenant colonel prior to resigning his commission in 2014. Dr. Bosarge serves as the state vice chair for the American College of Surgeons Committee on Trauma (COT), a member at large of the Alabama Chapter of the American College of Surgeons Executive Council, in addition to serving as the Trauma/Burn Intensive Care Unit Medical Director and the Surgical Critical Care Fellowship Director at UAB.

    Dr. Bosarge’s clinical interests are related to trauma resuscitation, pre-hospital care, and surgical critical care. Dr. Bosarge has multiple areas of ongoing research related to the field of trauma. Since joining UAB, he has participated in the NIH-funded Resuscitation Outcomes Consortium (ROC) as an investigator and presently is the site principal investigator for the Tranexamic Acid Study for Traumatic Brain Injury.

    • Selected Publications

    Academic Article

    Year Title Altmetric
    2021 The AAST prospective observational multicenter study of the initial experience with reversal of direct oral anticoagulants in trauma patients 2021
    2021 Use of continuous intercostal nerve blockade is associated with improved outcomes in patients with multiple rib fractures.  Trauma Surgery and Acute Care Open.  6. 2021
    2021 Traumatic Intraparenchymal Pseudoaneurysm on Initial Imaging Predicts Injury Progression in Patients with Nonoperative Major Blunt Liver Injury.  International Surgery.  105:206-210. 2021
    2020 Contemporary management of traumatic cervical and thoracic esophageal perforation: The results of an Eastern Association for the Surgery of Trauma multi-institutional study.  Journal of Trauma and Acute Care Surgery.  89:691-697. 2020
    2020 Effect of Out-of-Hospital Tranexamic Acid vs Placebo on 6-Month Functional Neurologic Outcomes in Patients with Moderate or Severe Traumatic Brain Injury 2020
    2020 The Association Between ABO Blood Type and Mortality Among Severely Injured Trauma Patients.  Shock.  54:205-208. 2020
    2020 Impact of Glycemic Control on Risk of Mortality and Complications in Trauma Patients.  Shock.  54:30-34. 2020
    2020 Quantifying Pain Associated With Rib Fractures.  Journal of Surgical Research.  246:476-481. 2020
    2019 Outcomes in patients with gunshot wounds to the brain.  Trauma Surgery and Acute Care Open.  4. 2019
    2019 Use of extracorporeal membranous oxygenation in the management of refractory trauma-related severe acute respiratory distress syndrome: A national survey of the Eastern Association for the Surgery of Trauma.  Trauma Surgery and Acute Care Open.  4. 2019
    2019 Complications Associated With Placement of Chest Tubes: A Trauma System Perspective.  Journal of Surgical Research.  239:98-102. 2019
    2019 Older Blood Is Associated With Increased Mortality and Adverse Events in Massively Transfused Trauma Patients: Secondary Analysis of the PROPPR Trial.  Annals of Emergency Medicine.  73:650-661. 2019
    2019 The Depth of Sternal Fracture Displacement is Not Associated With Blunt Cardiac Injury.  Journal of Surgical Research.  235:322-328. 2019
    2019 Optimization of Laboratory Ordering Practices for Complete Blood Count with Differential.  American Journal of Clinical Pathology.  151:306-315. 2019
    2019 National estimates of the use and outcomes of extracorporeal membrane oxygenation after acute trauma.  Trauma Surgery and Acute Care Open.  4. 2019
    2019 Clearing the cervical spine in patients with distracting injuries: An AAST multi-institutional trial.  Journal of Trauma and Acute Care Surgery.  86:28-35. 2019
    2018 Elevated Syndecan-1 after Trauma and Risk of Sepsis: A Secondary Analysis of Patients from the Pragmatic, Randomized Optimal Platelet and Plasma Ratios (PROPPR) Trial.  Journal of The American College of Surgeons.  227:587-595. 2018
    2018 Sarcopenia Measured Using Masseter Area Predicts Early Mortality following Severe Traumatic Brain Injury.  Journal of Neurotrauma.  35:2400-2406. 2018
    2018 Geriatric traumatic brain injury-What we know and what we don't.  Journal of Trauma and Acute Care Surgery.  85:788-798. 2018
    2018 Impact of initial temporary abdominal closure in damage control surgery: A retrospective analysis.  World Journal of Emergency Surgery.  13. 2018
    2018 Platelet transfusions improve hemostasis and survival in a substudy of the prospective, randomized PROPPR trial.  Blood Advances.  2:1696-1704. 2018
    2018 Evaluation and management of traumatic diaphragmatic injuries: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma.  Journal of Trauma and Acute Care Surgery.  85:198-207. 2018
    2018 Occupational exposure during emergency department thoracotomy: A prospective, multi-institution study.  Journal of Trauma and Acute Care Surgery.  85:78-84. 2018
    2018 Diagnosis of diaphragm injuries using modern 256-slice CT scanners: Too early to abandon operative exploration.  Trauma Surgery and Acute Care Open.  3. 2018
    2018 Evaluation of a ketogenic diet for improvement of neurological recovery in individuals with acute spinal cord injury: a pilot, randomized safety and feasibility trial..  Spinal Cord Series and Cases.  4:88. 2018
    2018 Laboratory measures of coagulation among trauma patients on NOAs: Results of the AAST-MIT.  Trauma Surgery and Acute Care Open.  3. 2018
    2018 Risk factors for the development of acute respiratory distress syndrome following hemorrhage.  Shock.  50:258-264. 2018
    2018 The hyperfibrinolytic phenotype is the most lethal and resource intense presentation of fibrinolysis in massive transfusion patients.  Journal of Trauma and Acute Care Surgery.  84:25-30. 2018
    2017 Outcomes after concomitant traumatic brain injury and hemorrhagic shock: A secondary analysis from the Pragmatic, Randomized Optimal Platelets and Plasma Ratios trial.  Journal of Trauma and Acute Care Surgery.  83:668-674. 2017
    2017 Earlier Endpoints are Required for Hemorrhagic Shock Trials Among Severely Injured Patients.  Shock.  47:567-573. 2017
    2017 Operative fixation of rib fractures after blunt trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma.  Journal of Trauma and Acute Care Surgery.  82:618-626. 2017
    2017 Acute brain trauma, lung injury, and pneumonia: More than just altered mental status and decreased airway protection 2017
    2017 Novel oral anticoagulants and trauma: The results of a prospective American association for the surgery of trauma multi-institutional trial.  Journal of Trauma and Acute Care Surgery.  82:827-835. 2017
    2016 Assessing protocol adherence in a clinical trial with ordered treatment regimens: Quantifying the pragmatic, randomized optimal platelet and plasma ratios (PROPPR) trial experience 2016
    2016 Identification of Risk Factors for the Development of Pressure Ulcers Despite Standard Screening Methodology and Prophylaxis in Trauma Patients 2016
    2016 Using social media for community consultation and public disclosure in exception from informed consent trials.  Journal of Trauma and Acute Care Surgery.  80:1005-1009. 2016
    2016 Damage-control resuscitation and emergency laparotomy: Findings from the PROPPR study.  Journal of Trauma and Acute Care Surgery.  80:568-575. 2016
    2016 Discussion.  Journal of Trauma and Acute Care Surgery.  81:241-243. 2016
    2016 Management of penetrating extraperitoneal rectal injuries: An Eastern Association for the Surgery of Trauma practice management guideline.  Journal of Trauma and Acute Care Surgery.  80:546-551. 2016
    2015 Trial of continuous or interrupted chest compressions during CPR.  New England Journal of Medicine.  373:2203-2214. 2015
    2015 Making thawed universal donor plasma available rapidly for massively bleeding trauma patients: Experience from the Pragmatic, Randomized Optimal Platelets and Plasma Ratios (PROPPR) trial.  Transfusion.  55:1331-1339. 2015
    2015 Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: The PROPPR randomized clinical trial 2015
    2015 A controlled resuscitation strategy is feasible and safe in hypotensive trauma patients: Results of a prospective randomized pilot trial.  Journal of Trauma and Acute Care Surgery.  78:687-697. 2015
    2015 Mesh wrapping for severe hepatic injury: A beneficial option in the trauma surgeon's armamentarium 2015
    2015 Prospective derivation of a clinical decision rule for thoracolumbar spine evaluation after blunt trauma: An American Association for the Surgery of Trauma Multi-Institutional Trials Group Study.  Journal of Trauma and Acute Care Surgery.  78:459-467. 2015
    2015 Stress-induced hyperglycemia is associated with higher mortality in severe traumatic brain injury.  Journal of Trauma and Acute Care Surgery.  79:289-294. 2015
    2014 Pragmatic Randomized Optimal Platelet and Plasma Ratios (PROPPR) Trial: Design, rationale and implementation 2014
    2014 Resuscitation outcomes consortium-amiodarone, lidocaine or placebo study (ROC-ALPS): Rationale and methodology behind an out-of-hospital cardiac arrest antiarrhythmic drug trial.  American Heart Journal.  167. 2014
    2014 Timing and type of surgical treatment of Clostridium difficile-associated disease: A practice management guideline from the Eastern Association for the Surgery of Trauma.  Journal of Trauma and Acute Care Surgery.  76:1484-1494. 2014
    2013 Stress-induced hyperglycemia. Is it harmful following trauma?.  Advances in Surgery.  47:287-297. 2013
    2010 Arterial embolization for pelvic fractures after blunt trauma: Are we all talk? 2010
    2009 Clinical examination in complement with computed tomography scan: An effective method for identification of cervical spine injury 2009
    2006 Prophylactic inferior vena cava filter insertion for trauma: Intensive care unit versus operating room.  American Surgeon.  72:213-216. 2006

    Chapter

    Year Title Altmetric
    2017 Prevention of Postoperative Infection 2017
    2017 Nutritional Support 2017

    Education And Training

  • University of South Alabama, Internship
  • University of South Alabama, Residency
  • University of South Alabama, Residency
  • University of California San Diego Medical Center, Postdoctoral Fellowship

    • Full Name

  • Patrick Bosarge