Thursday, August 13, 2026

The Value of a Connected Surgical Community

Trauma surgery does not advance in isolation. It advances when the people who do the work gather, share what they have learned, and challenge one another's thinking. That is the quiet engine behind improvements in trauma care, and it is why the field's leading surgeons devote time to teaching and presenting even amid demanding clinical and research careers. Dr. Martin Schreiber is among those who understand this, and his engagement with the surgical community reflects a belief that shared knowledge is how the field moves forward.

Where Trauma Surgeons Sharpen the Field

Some of the most valuable learning in medicine happens at conferences where practitioners come together to exchange hard-won knowledge. The Trauma, Critical Care and Acute Care Surgery conference, widely known by its shorthand, is one of the premier gatherings of its kind. Held annually in Las Vegas, it has become the best-attended course of its type in the world, drawing well over a thousand attendees from across the country and around the globe, the large majority of them practicing physicians.

What sets a gathering like this apart is that its faculty are surgeons in active practice, people who face the most complex surgical challenges day after day and night after night. They are not lecturing from a distance. They are sharing what works from direct, current experience. Dr. Schreiber's participation in that community, including his recent appearance discussed in the post on the 59th TCCACS conference, places him among the practitioners who both learn from and contribute to that exchange.

Why Presenting Matters as Much as Practicing

It is a fair question why a busy trauma surgeon and researcher would take time to present at conferences at all. The clinical work alone is demanding. The answer lies in how knowledge actually spreads in medicine.

A discovery that stays in one hospital helps only the patients of that hospital. A technique shared with a room full of surgeons from fifty states and a dozen countries can change practice everywhere those surgeons return to. When a surgeon presents findings, walks through a difficult case, or explains a refined approach, that knowledge multiplies. Every attendee carries it back to their own trauma bay. For someone whose research is meant to improve patient care broadly, presenting is not a distraction from the mission. It is central to it.

The Value of Being Challenged

Conferences are not only about broadcasting knowledge. They are about testing it.

When a surgeon presents to a room of expert peers, that work gets scrutinized by people equipped to question it. Assumptions are challenged. Alternative approaches are raised. Difficult questions are asked. This is exactly the kind of rigorous exchange that strengthens medical practice, because ideas that survive that scrutiny are more trustworthy, and ideas that do not survive it are better replaced. For a researcher like Dr. Schreiber, whose work depends on evidence and rigor, that give and take is genuinely valuable rather than merely ceremonial.

Connecting Research to the Bedside

There is often a gap between what research demonstrates and what actually changes in daily clinical practice. Conferences are one of the most effective bridges across that gap.

A study published in a journal reaches those who read that journal. The same findings, presented and discussed at a major conference, reach practicing surgeons directly and in a form they can immediately apply. This translation from research to practice is one of the most important functions these gatherings serve, and it is closely aligned with the kind of work Dr. Schreiber does as a surgeon-researcher. His dual role, doing the research and engaging the community that will use it, positions him well to help close that gap.

Mentorship in a Demanding Field

These gatherings also serve a generational purpose. Each year, established experts share the platform with newer surgeons who are beginning to make their own contributions.

That mix matters. It is how a demanding, high-stakes field passes its knowledge from one generation to the next. Younger surgeons learn not only techniques but judgment, the accumulated wisdom of practitioners who have handled the hardest cases. Experienced surgeons who commit to teaching and engaging in these settings are investing in the future of trauma care, ensuring that the standard of practice continues to rise rather than plateau.

A Commitment Beyond the Operating Room

Dr. Martin Schreiber's engagement with the trauma surgery community reflects an understanding that excellence in this field is a collective effort. Individual skill matters enormously, but the overall standard of care rises only when knowledge is shared, tested, and taught.

By participating in the exchange that gatherings like these make possible, he contributes to something larger than any single case or study. He helps sustain the culture of shared learning that has driven trauma care forward, and that will continue to determine how well the field serves the patients who depend on it. That commitment, beyond the operating room and the research lab, is part of what defines a leader in the field.


Dr. Martin Schreiber is an internationally recognized trauma and critical care surgeon, a Colonel in the U.S. Army Reserve, and Director of Surgical Research at Madigan Army Medical Center on Joint Base Lewis-McChord, Washington. His research focuses on hemorrhage control, coagulation, and the care of the critically injured.

Tuesday, July 14, 2026

Dr. Martin Schreiber Tackles Trauma's Toughest Questions at the 59th TCCACS Conference

When trauma surgeons want to know what actually works when a patient is bleeding and the clock is running, they compare notes in person. In 2026, many of them did exactly that in Las Vegas at the 59th Trauma, Critical Care and Acute Care Surgery conference, better known as TCCACS. Dr. Martin Schreiber was there on the faculty, and his sessions focused on the practical questions that decide whether badly injured patients survive.

A Conference With Deep Roots

The TCCACS course carries real history. Held at Caesars Palace, it counts among the longest running medical meetings in Las Vegas, and the 2026 edition marked its 59th year. It is also one of the best attended trauma courses in the country. Each year, surgeons, intensivists, emergency physicians, medics, and nurses travel to the meeting to review real cases, share their outcomes, and update the protocols they take back to their own trauma bays.

For the 2026 meeting, Dr. Schreiber joined the faculty. He led sessions on several topics where the science is moving quickly, drawing on his work in trauma and critical care.

A Battlefield and Bedside Point of View

Dr. Schreiber brings an unusual mix of experience to these debates. He has served as a Colonel in the U.S. Army Reserve since 1984, and he spent years leading trauma care and research at Oregon Health and Science University. That background gives him a clear test for any new idea. It has to work in real life and in real time, when a patient is bleeding and the team has only minutes to act.

At the 59th TCCACS conference, he applied that test to three subjects that trauma teams are actively working through.

1. Using Drones to Get Blood to Patients Faster

The first topic looked at how drones can support trauma care and emergency response. In many settings, distance is the enemy. Roads wash out, weather grounds helicopters, and traffic slows ground transport. Every one of those delays costs time that an injured patient may not have.

Dr. Schreiber walked through how small unmanned aircraft can carry whole blood, medications, and other critical supplies to places that are hard to reach. He pointed to rural and remote communities, disaster zones, and combat environments, where a drone can often cover ground faster and more safely than a truck or a helicopter. The core idea is simple. Shorten the time between injury and access to blood, and you give the patient a better chance to live.

2. Reading the Clot in Real Time With Viscoelastic Testing

His second session focused on thromboelastometry and its role in guiding blood replacement for patients in hemorrhagic shock. Standard lab tests take time to come back, and they show only a narrow slice of the clotting system. Trauma teams cannot always wait, because they have to make fast choices about plasma, platelets, fibrinogen, and sometimes whole blood.

Viscoelastic testing gives a different kind of answer. It provides near real time feedback on how a patient forms and holds a clot, and it shows where the process is breaking down. Dr. Schreiber explained how that information lets teams tailor the resuscitation to the patient in front of them. Instead of treating every bleeding patient the same way, clinicians can target the specific problem and avoid transfusions the patient does not need. That matters for outcomes, and it also matters for supply, because blood products stay scarce and costly.

3. A Structured Debate on REBOA

The third topic came in the form of a structured debate on retrograde endovascular balloon occlusion of the aorta, known as REBOA. The technique places a balloon inside the aorta and inflates it to help control bleeding that surgeons cannot reach by pressing on it from the outside. When it works, it can slow blood loss below the balloon and protect flow to the heart and brain during a critical window.

REBOA also carries real risk, and it demands careful training and clear protocols. During the debate, Dr. Schreiber and his colleagues worked through the hard questions. When should a team consider REBOA? Which teams are ready to use it? How does it fit into an established trauma pathway without delaying the definitive care a patient needs? The conversation treated REBOA as a focused tool for selected patients, not a fix for every kind of bleeding.

Why These Sessions Matter

Each of these topics fits the character of the TCCACS course, which values clear, direct information that a team can use on its next call. Together, they also reflect a theme that runs through Dr. Schreiber's whole career. He works at the point where military and civilian medicine meet, and he keeps asking how planning, training, and new tools can change outcomes before a specific patient ever arrives.

For trauma professionals who follow resuscitation, hemorrhage control, and disaster response, sessions like these connect the ideas discussed in a Las Vegas ballroom to daily care in trauma centers across the country and around the world.

Frequently Asked Questions

What is the TCCACS conference?

TCCACS stands for Trauma, Critical Care and Acute Care Surgery. It is one of the longest running and best attended trauma conferences in the country, held annually at Caesars Palace in Las Vegas, where trauma surgeons and other clinicians review cases, share outcomes, and update their protocols. The 2026 edition marked its 59th year.

What was Dr. Martin Schreiber's role at the 59th TCCACS conference?

Dr. Schreiber joined the conference faculty and led sessions on drones for blood delivery, viscoelastic testing to guide transfusion, and REBOA. His talks drew on his experience in both military and civilian trauma care.

What is viscoelastic testing in trauma care?

Viscoelastic testing, such as thromboelastometry, gives near real time information on how a patient forms and holds a blood clot. Trauma teams use it to target transfusions to the patient's specific clotting problem instead of treating every bleeding patient the same way.

What is REBOA?

REBOA is retrograde endovascular balloon occlusion of the aorta. It uses a balloon placed inside the aorta to help control bleeding that cannot be reached by external pressure, buying time while supporting blood flow to the heart and brain. It requires careful training and clear protocols.

Where does Dr. Schreiber work now?

Dr. Schreiber serves as Director of Surgical Research at Madigan Army Medical Center on Joint Base Lewis-McChord in Washington State, and he remains an Adjunct Professor of Surgery at the Uniformed Services University.

The Value of a Connected Surgical Community

Trauma surgery does not advance in isolation. It advances when the people who do the work gather, share what they have learned, and challeng...