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Samuel A. Tisherman
 

Samuel A. Tisherman M.D.

Academic Title: Professor
Primary Appointment: Surgery
stisherman@umm.edu
Location: R Adams Cowley Shock Trauma Center, P1G01
Phone: 410-328-9781
Cell: 410-232-1053 (Pager)
 

Personal History:

Dr. Tisherman, MD, FACS, FCCM is the Director of the Center for Critical Care and Trauma Education and the Director of the Surgical ICU of UMMC. He completed his undergraduate degree in Biology at the Massachusetts Institute of Technology, medical school, a general surgery residency, and a surgical critical care fellowship at the University of Pittsburgh. He was a faculty member at the University of Pittsburgh from 1994-2014, where he served as a Professor of Critical Care Medicine and Surgery and Director of the Neurotrauma ICU. He has been heavily involved in educational programs for medical students, residents, and critical care fellows. He was the Director of the Surgical Critical Care and Acute Care Surgery Fellowships.

From 2010-14, he served as Director of the Multidisciplinary Critical Care Training Program. He was a member of the University of Pittsburgh School of Medicine Academy of Master Educators. Dr. Tisherman's research has focused on novel approaches to management of severe hemorrhagic shock and cardiac arrest, with a special interest in therapeutic hypothermia. Along with Drs. Peter Safar and Pat Kochanek, he has worked on the development of Emergency Preservation and Resuscitation (EPR), a novel approach to the management of the exsanguinating trauma patient utilizing hypothermia to "buy time" for resuscitative surgery. He is currently conducting a clinical trial of EPR.

Research Interests:

  1. Development of strategies to improve long-term survival from prolonged uncontrolled hemorrhagic shock, with a particular interest in hypothermia.
  2. Development of hypothermic and pharmacologic strategies to enable emergency preservation for the exsanguinated organism for transport and delayed resuscitation.
  3. Advanced resuscitation techniques for victims of refractory cardiac arrest, including cardiopulmonary bypass and open-chest cardiopulmonary resuscitation.
  4. Use of simulation to teach crisis management skills.

Clinical Specialty:

Surgical critical care


Publications:

Selected Peer-Reviewed Publications

Minei JP, Schmicker RH, Kerby JD, Stiell IG, Schreiber MA, Bulger E, Tisherman S, Hoyt DB, Nichol G: Severe traumatic injury: Regional variation in incidence and outcome. Ann Surg 2010;252(1):149-57. PMID: 20531005

Bulger EM, May S, Brasel KJ, Schreiber M, Kerby JD, Tisherman SA, Newgard C, Slutsky A, Coimbra R, Emerson S, Minei JP, Bardarson B, Kudenchuk P, Baker A, Christenson J, Idris A, Davis D, Fabian TC, Aufderheide TP, Callaway C, Williams C, Banek J, Vaillancourt C, van Heest R, Sopko G, Hata JS, Hoyt DB, ROC Investigators: Out-of-hospital hypertonic resuscitation following severe traumatic brain injury: a randomized controlled trial. JAMA 2010;304:1455-64. PMC3015143. PMID: 20924011

Tisherman SA, Ivy M, Frangos S, Kirton O: Acute Care Surgery Survey: Are Surgeons Ready For This New Training Paradigm? Arch Surg 2011;146:101-106. PMID: 21242453

Bulger EM, May S, Kerby JD, Emerson S, Stiell IG, Schreiber MA, Brasel KJ, Tisherman SA, Coimbra R, Rizoli S, Minei JP, Hata JS, Sopko G, Evans DC, Hoyt DB, for the ROC investigators. Out-of-hospital Hypertonic Resuscitation After Traumatic Hypovolemic Shock: A Randomized, Placebo Controlled Trial. Ann Surg 2011;253:431-441. PMC3232054. PMID: 21178763

Drabek T, Kochanek PM, Stezoski J, Wu X, Bayr H, Morhard RC, Stezoski SW, Tisherman SA: Intravenous hydrogen sulfide does not induce hypothermia or improve survival from hemorrhagic shock in pigs. Shock 2011;35:67-73. PMID: 20523266

Kleinpell R, Ely EW, Williams G, Liolios A, Ward N, Tisherman SA: Concise Review: Web Based Resources for Critical Care Education. Crit Care Med 2011, 39:541-553. PMID: 21169819

Rittenberger JC, Tisherman SA, Holm MB, Guyette FX, Callaway CW: An early, novel illness severity score to predict outcome after cardiac arrest. Resuscitation 2011;82:1399-1404. PMC3196030. PMID: 21756969

Singbartl K, Murugan R, Kaynar AM, Crippen DW, Tisherman SA, Shutterly K, Stuart SA, Simmons R, Darby JM. Intensivist-led management of brain-dead donors is associated with an increase in organ recovery for transplantation. Am J Transplant 2011; 11:1-5. PMID: 21449934

Ward NS, Afessa B, Kleinpell R, Tisherman S, Ries M, Howell M, Halpern N, Kahn J, Members of Society of Critical Care Medicine Taskforce on ICU Staffing. Intensivist/patient ratios in closed ICUs: a statement from the Society of Critical Care Medicine Taskforce on ICU Staffing. Crit Care Med 2013;41:638-645. PMID: 23263586

Elterman J, Brasel K, Brown S, Bulger E, Christenson J, Kerby JD, Kannas D, Lin S, Minei JP, Rizoli S, Tisherman S, Schreiber MA; the Resuscitation Outcomes Consortium Investigators. Transfusion of red blood cells in patients with a prehospital Glasgow Coma Scale score of 8 or less and no evidence of shock is associated with worse outcomes. J Trauma Acute Care Surg. 2013;75(1):8-14. PMID: 23778432

Tisherman SA, Kaplan L, Gracias VH, Beilman GJ, Toevs C, Byrnes MC, Coopersmith CM: Providing Care for Critically-ill Surgical Patients: Challenges and Recommendations. JAMA Surg. 2013;148:669-74. PMID: 23754675

Tisherman SA, Alam HB, Chiu WC, Emlet LL, Grossman MD, Luchette FA, Marcolini EG, Mayglothling JA: Surgical critical care training for emergency physicians: Curriculum recommendations. J Amer Coll Surg. 2013;217:954-959.

Drabek T, Janata A, Wilson CD, Stezoski J, Janesko-Feldman K, Tisherman SA, Foley LM, Verrier JD, Kochanek PM: Minocycline attenuates brain tissue levels of TNF-α produced by neurons after prolonged hypothermic cardiac arrest in rats. Resuscitation. 2014;85(2):284-91.

Janata A, Magnet IA, Uray T, Stezoski JP, Janesko-Feldman K, Tisherman SA, Kochanek PM, Drabek T: Regional TNFα mapping in the brain reveals the striatum as a neuroinflammatory target after ventricular fibrillation cardiac arrest in rats. Resuscitation. 2014;85(5):694-701.

Zelnick LR, Morrison LJ, Devlin SM, Bulger EM, Brasel KJ, Sheehan K, Minei JP, Kerby JD, Tisherman SA, Rizoli S, Karmy-Jones R, van Heest R, Newgard CD; Resuscitation Outcomes Consortium Investigators: Addressing the challenges of obtaining functional outcomes in traumatic brain injury research: missing data patterns, timing of follow-up, and three prognostic models. J Neurotrauma. 2014;31(11):1029-38.

Tisherman SA, Schmicker RH, Brasel KJ, Bulger EM, Kerby JD, Minei JP, Powell JL, Reiff DA, Rizoli SB, Schreiber MA: Detailed description of all deaths in both the shock and traumatic brain injury hypertonic saline trials of the resuscitation outcomes consortium. Ann Surg. 2015;261(3):586-90.

Drabek T, Wilson C, Janata A, Stezoski J, Janesko-Feldman K, Garman R, Tisherman S, Kochanek P: Unique brain region dependent cytokine signatures after prolonged hypothermic cardiac arrest in rats. Ther Hypothermia Temp Manag. 2015 Mar;5(1):26-39.

Kumar RG, Diamond ML, Boles JA, Berger RP, Tisherman S, Kochanek PM, Wagner AK. Acute CSF interleukin-6 trajectories after traumatic brain injury: associations with neuroinflammation, polytrauma, and outcome. Brain Behav Immun. 2015;45:253-62.

Schreiber MA, Meier EN, Tisherman SA, Kerby J, Newgard C, Brasel K, Egan D, Witham W, Williams C, Daya M, Beeson J, McCully BH, Wheeler S, Kannas D, May S,  McKnight B, Hoyt DB, and the ROC Investigators: A controlled resuscitation strategy is feasible and safe in hypotensive trauma patients: Results of a prospective randomized pilot trial. J Trauma Acute Care Surg. 2015;78(4):687-97.

Weled BJ, Adzhigirey LA, Hodgman TM, Brilli RJ, Spevetz A, Kline AM, Montgomery VL, Puri N, Tisherman SA, Vespa PM, Pronovost PJ, Rainey TG, Patterson AJ, Wheeler DS: Critical care delivery: the importance of process of care and ICU structure to improved outcomes. An update from the American College of Critical Care Medicine Task Force on Models of Critical Care. Crit Care Med, 2015; 43:152-1525.

Books

Tisherman SA, Sterz F: Therapeutic Hypothermia. Springer, Norwell, MA, 2005.

Moore FO, Rhee PM, Tisherman SA, Fulda GJ: Surgical critical care and emergency surgery. Clinical questions and answers. Wiley-Blackwell, Oxford, UK, 2012.

Tisherman SA, Forsythe RM: Trauma Intensive Care. Oxford, New York, NY, 2013.