Thomas J. Esposito
M.D.,M.P.H., FACS
Professor
FCO Division Director, Trauma, Surgical Critical Care and Burns
Medical Director, 4ICU
Medical Director, Trauma
Trauma, Surgical Critical Care and Burns
CONTACT INFORMATION
Specialties
Injury Prevention, Surgical Critical Care, Emergency Surgery, General Surgery
Board Certifications
Surgery - General Cert: AM Board of Surgery
Surgical Critical Care - Subspecialty Cert: AM Board of Surgery
Research Summary
Interest: Injury epidemiology and prevention
<br />Dr. Thomas Esposito heads the Injury Analysis and Prevention Program at the Loyola Burn & Shock Trauma Institute. He also serves as medical director of the Injury Information System (trauma registry). Dr. Esposito's research interests revolve around the epidemiology of injury, trauma care outcome analysis, evaluation of injury prevention strategies and trauma systems.<br /><br />Past research has involved local, regional and national projects conducted with intramural and extramural funding. These have included a national survey of surgeons on trauma care issues; preventable trauma death studies in the rural, pediatric and Native American populations; analysis of trauma system triage criteria; analysis of Advanced Trauma Life Support (ATLS) training; analysis of prior health system contacts as a harbinger of subsequent fatal injury in American Indians and development of injury prevention training tools for medical students and other health care providers.
<br /><br />Proposed future projects include: Analysis of alcohol use as a the functional triage criterion for hospital admission and resource utilization; analysis of the need for immediate availability of neurosurgical services at trauma center, survey of health care providers on injury prevention issues; survey of health care providers on the effect of resident work hour restrictions; efficacy of routine chest x-ray and rectal exam in trauma patients; comparison of factors associated with malpractice suits and suit rates for trauma and non trauma patients; development of a training tool for health care providers dealing with increasing awareness and screening for alcohol use problems in the Emergency Department.
<p>View a partial list of <strong><a href=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Search&cmd_current=Limits&db=PubMed&dispmax=20&dopt=DocSum&doptcmdl=DocSum%22%28ig_db=PubMed&pmfilter_EDatLimit=No%2BLimit&term=Esposito%20T%5BAuthor%20Name%5D%20AND%20Loyola%5BAll%20Fields%5D target=_blank>Dr. Esposito's publications</a></strong> through the National Library of Medicine's PubMed online database.</p>
Publications
Analysis of preventable trauma deaths and opportunities for trauma care improvement in utah.Sanddal,T. L.; Esposito,T. J.; Whitney,J. R.; Hartford,D.; Taillac,P. P.; Mann,N. C.; Sanddal,N. D.Journal of Trauma-Injury Infection & Critical Care 2011 ;70(4):970-977
Analysis of compliance and outcomes in a trauma system with a 2-hour transfer rule.Crandall,M. L.; Esposito,T. J.; Reed,R. L.; Gamelli,R. L.; Luchette,F. A.ARCHIVES OF SURGERY 2010 ;145( ):1171-1175
Surgical resident perceptions of trauma surgery as a specialty.Hadzikadic,L.; Burke,P. A.; Esposito,T. J.; Agarwal,S.ARCHIVES OF SURGERY 2010 ;145(5):445-450
Illinois trauma centers and intimate partner violence: are we doing our share?Crandall,M.; Schwab,J.; Sheehan,K.; Esposito,T.Journal of Interpersonal Violence 2009 ;24(12):2096-2108
The transfusion trigger in traumatic brain injury: is a higher hemoglobin more advantageous? Presented at the Western Trauma Association Annual Meeting 2009.Sakai,L.; Omi,E. C.; Ton-That,H. H.; Esposito,T. J.; Schermer,C. R.Western Trauma Association Annual Meeting 2009 ; ( ):
Screening for drug use: Why aren't patients more honest? AAST Abstract # 40.Sakai,L.; Ton-That,H. H.; Omi,E. C.; Albright,J. M.; Esposito,T. J.AAST Annual Meeting 2009 ; ( ):
Invited critique: learner satisfaction with web-based learning as an adjunct to clinical experience in burn surgeryEsposito,T. J.JOURNAL OF BURN CARE & RESEARCH 2008 ;29(2):424-424
The role of alcohol and other drugs in traumaEsposito,T. J.; Gentillello,L. 2008 ; ( ):
Medicare's "Global" terrorism: where is the pay for performance?[see comment].Reed,R. L.,2nd; Luchette,F. A.; Esposito,T. J.; Pyrz,K.; Gamelli,R. L.Journal of Trauma-Injury Infection & Critical Care 2008 ;64(2):374-383
A clustering of injury behaviors.Schermer,C. R.; Omi,E. C.; Ton-That,H.; Grimley,K.; Van Auken,P.; Santaniello,J.; Esposito,T. J.Journal of Trauma-Injury Infection & Critical Care 2008 ;65(5):1000-1004
Were rules made to be broken? Analysis of compliance and outcomes in a trauma system with a two hour transfer rule. Poster # 53.Crandall,M.; Esposito,T. J.; Reed,R.; Gamelli,R. L.; Luchette,F. A.American Association for the Surgery of Trauma 2008 ; ( ):
Vehicular injury risk among burn patientsAlbright,J. A.; Esposito,T.; Kovacs,E. J.; Gamelli,R. L.; Schermer,C. R.International Society for Burn Injuries Annual Meeting 2008 ; ( ):
Research: questions and answers from academic trauma surgeons.Schreiber,M. A.; Differding,J.; Esposito,T. J.Journal of Trauma-Injury Infection & Critical Care 2008 ;64(4):1113-1117
Prehospital transport and survival from penetraing thoracic injuries: an urban trauma success story. Poster # SI-37.Straus,D.; Crandall,M.; Esposito,T. J.; Schermer,C.American Association for the Surgery of Trauma 2008 ; ( ):
American Association for the Surgery of Trauma Organ Injury Scale I: spleen, liver, and kidney, validation based on the National Trauma Data Bank.Tinkoff,G.; Esposito,T. J.; Reed,J.; Kilgo,P.; Fildes,J.; Pasquale,M.; Meredith,J. W.JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS 2008 ;207(5):646-655
Broken bones and orthopedist groans: can an acute care surgeon fix both?Endorf,F. W.; Esposito,T. J.; Reed,R. L.,2nd; Luchette,F. A.; Gamelli,R. L.Journal of Trauma 2008 ;64(3):673-680
When should pediatric head trauma be a red flag for child advocacy? Presented at the 66th Annual Meeting of the American Association for the Surgery of Trauma.Felice,P.; Gosain,A.; Luchette,F. A.; Barron,M.; Santaniello,J. M.; Esposito,T. J. 2007 ; ( ):
Clinician vs mathematical statistical models: which is better at predicting an abnormal chest radiograph finding in injured patients?.Dillard,E.; Luchette,F. A.; Sears,B. W.; Norton,J.; Schermer,C. R.; Reed,R. L.,2nd; Gamelli,R. L.; Esposito,T. J.AMERICAN JOURNAL OF EMERGENCY MEDICINE 2007 ;25(7):823-830
Comparison of routine chest radiograph versus clinician judgment to determine adequate central line placement in critically ill patients.Abood,G. J.; Davis,K. A.; Esposito,T. J.; Luchette,F. A.; Gamelli,R. L.Journal of Trauma-Injury Infection & Critical Care 2007 ;63(1):50-56
Attempted suicide and the elderly trauma patient: risk factors and outcomes.Crandall,M.; Luchette,F. A.; Esposito,T. J.; West,M.; Shapiro,M.; Bulger,E.Journal of Trauma-Injury Infection & Critical Care 2007 ;62(4):1021-1027
The open abdomen: management from initial laparotomy to definitive closure
Luchette,F. A.; Poulakidas,S. J.; Esposito,T. E. 2007 ; (Chapter 12):186-186
Luchette,F. A.; Poulakidas,S. J.; Esposito,T. E. 2007 ; (Chapter 12):186-186
Moving the cheese: a commentary on debate over the acute care surgery initiative.Esposito,T. J.SURGERY 2007 ;142(3):414-419
Predictors of the need for nephrectomy after renal trauma.Davis,K. A.; Reed,R. L.,2nd; Santaniello,J.; Abodeely,A.; Esposito,T. J.; Poulakidas,S. J.; Luchette,F. A.Journal of Trauma-Injury Infection & Critical Care 2006 ;60(1):164-169
Ventilator-associated pneumonia, like real estate: location really matters.Eckert,M. J.; Davis,K. A.; Reed,R. L.,2nd; Esposito,T. J.; Santaniello,J. M.; Poulakidas,S.; Gamelli,R. L.; Luchette,F. A.Journal of Trauma-Injury Infection & Critical Care 2006 ;60(1):104-110
Nutritional gain versus financial gain: The role of metabolic carts in the surgical ICU.Davis,K. A.; Kinn,T.; Esposito,T. J.; Reed,R. L.,2nd; Santaniello,J. M.; Luchette,F. A.Journal of Trauma-Injury Infection & Critical Care 2006 ;61(6):1436-1440
Rank and file weighs in on trauma and general surgery issues: results frow a survey of ACS Fellows.Esposito,T. J.Bulletin of the American College of Surgeons 2006 ;91(9):13-20
Socioeconomic factors, medicolegal issues, and trauma patient transfer trends: Is there a connection?Esposito,T. J.; Crandall,M.; Reed,R. L.; Gamelli,R. L.; Luchette,F. A.Journal of Trauma-Injury Infection & Critical Care 2006 ;61(6):1380-1386
The shape of things to come: results from a national survey of trauma surgeons on issues concerning their future.Esposito,T. J.; Leon,L.; Jurkovich,G. J.Journal of Trauma-Injury Infection & Critical Care 2006 ;60(1):8-16
Do we need neurosurgical coverage in the trauma center?.Esposito,T. J.; Luchette,F. A.; Gamelli,R. L.ADVANCES IN SURGERY 2006 ;40( ):213-221
Making the case for a paradigm shift in trauma surgery.[see comment]Esposito,T. J.; Rotondo,M.; Barie,P. S.; Reilly,P.; Pasquale,M. D.JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS 2006 ;202(4):655-667
Ventilator-associated pneumonia after combined burn and trauma is caused by associated injuries and not the burn wound.Eckert,M. J.; Wade,T. E.; Davis,K. A.; Luchette,F. A.; Esposito,T. J.; Poulakidas,S. J.; Santaniello,J. M.; Gamelli,R. L.JOURNAL OF BURN CARE & RESEARCH 2006 ;27(4):457-462
Trauma surgeons practice what they preach: The NTDB story on solid organ injury management.Hurtuk,M.; Reed,R. L.,2nd; Esposito,T. J.; Davis,K. A.; Luchette,F. A.Journal of Trauma-Injury Infection & Critical Care 2006 ;61(2):243-254
Combined percutaneous and angiographic thrombosis of a traumatic hepatic artery pseudoaneurysm in a child.Malaisrie,S. C.; Borge,M. A.; Glynn,L.; Santaniello,J. M.; Esposito,T. J.; Davis,K. A.; Luchette,F. A.Journal of Trauma-Injury Infection & Critical Care 2005 ;59(4):1025-1028
The impact of urgent intubation on ventilator associated pneumonia after burn injuryWade,T. E.; Eckert,M. J.; Davis,K. A.; Luchette,F. A.; Esposito,T.; Poulakidas,S. J.; Santaniello,J. M.; Gamelli,R. L.JOURNAL OF BURN CARE & RESEARCH 2005 ;26(Supplement 2):
Old fashion clinical judgment in the era of protocols: is mandatory chest X-ray necessary in injured patients?.Sears,B. W.; Luchette,F. A.; Esposito,T. J.; Dickson,E. L.; Grant,M.; Santaniello,J. M.; Jodlowski,C. R.; Davis,K. A.; Poulakidas,S. J.; Gamelli,R. L.Journal of Trauma-Injury Infection & Critical Care 2005 ;59(2):324-330
Analysis of prior health system contacts as a harbinger of subsequent fatal injury in American Indians.Sanddal,T. L.; Upchurch,J.; Sanddal,N. D.; Esposito,T. J.JOURNAL OF RURAL HEALTH 2005 ;21(1):65-69
The position of the Eastern Association for the Surgery of Trauma on the future of trauma surgery.Rotondo,M. F.; Esposito,T. J.; Reilly,P. M.; Barie,P. S.; Meredith,J. W.; Eddy,V. A.; Rabinovici,R.; Jacobs,L. M.; Cunningham,P. R.; Frykberg,E. R.; Rhodes,M.; Pasquale,M. D.; Enderson,B. L.; Locurto,J. J.,Jr; Atweh,N. A.; Ivatury,R. R.Journal of Trauma-Injury Infection & Critical Care 2005 ;59(1):77-79
The National Renal Trauma Experience: analysis of the NTDB presented at the 35th Annual Scientific Meeting of the Western Trauma AssociationReed,R. L.; Davis,K.; Luchette,F. A.; Esposito,T.; Santaniello,J.; Poulakidas,S.; Gamelli,R. L. 2005 ; ( ):
Factors affecting emergency department assessment and management of pain in children.Probst,B. D.; Lyons,E.; Leonard,D.; Esposito,T. J.PEDIATRIC EMERGENCY CARE 2005 ;21(5):298-305
Neurosurgical coverage: essential, desired, or irrelevant for good patient care and trauma center status.Esposito,T. J.; Reed,R. L.,2nd; Gamelli,R. L.; Luchette,F. A.ANNALS OF SURGERY 2005 ;242(3):364-370
Reasons to omit digital rectal exam in trauma patients: no fingers, no rectum, no useful additional information.Esposito,T. J.; Ingraham,A.; Luchette,F. A.; Sears,B. W.; Santaniello,J. M.; Davis,K. A.; Poulakidas,S. J.; Gamelli,R. L.Journal of Trauma-Injury Infection & Critical Care 2005 ;59(6):1314-1319
Half-a-dozen ribs: the breakpoint for mortality.Flagel,B. T.; Luchette,F. A.; Reed,R. L.; Esposito,T. J.; Davis,K. A.; Santaniello,J. M.; Gamelli,R. L.SURGERY 2005 ;138(4):717-723
Ventilator-associated pneumonia in injured patients: do you trust your Gram's stain?.Davis,K. A.; Eckert,M. J.; Reed,R. L.,2nd; Esposito,T. J.; Santaniello,J. M.; Poulakidas,S.; Luchette,F. A.; Gamelli,R. L.Journal of Trauma-Injury Infection & Critical Care 2005 ;58(3):462-466
Medicare's bundling of trauma care codes violates relative value principles.Reed,R. L.,2nd; Luchette,F. A.; Davis,K. A.; Esposito,T. J.; Poulakidas,S.; Santaniello,J.; Silver,G.; Pyrz,K.; Gamelli,R. L.Journal of Trauma-Injury Infection & Critical Care 2004 ;57(6):1164-1172
The management of splenic trauma
Santaniello,J. M.; Davis,K. A.; Esposito,T. J. 2004 ; ( ):1343-1343
Santaniello,J. M.; Davis,K. A.; Esposito,T. J. 2004 ; ( ):1343-1343
Ten year experience of burn, trauma, and combined burn/trauma injuries comparing outcomes.Santaniello,J. M.; Luchette,F. A.; Esposito,T. J.; Gunawan,H.; Reed,R. L.; Davis,K. A.; Gamelli,R. L.Journal of Trauma-Injury Infection & Critical Care 2004 ;57(4):696-700
Urgent airways after trauma: who gets pneumonia?.Eckert,M. J.; Davis,K. A.; Reed,R. L.,2nd; Santaniello,J. M.; Poulakidas,S.; Esposito,T. J.; Luchette,F. A.Journal of Trauma-Injury Infection & Critical Care 2004 ;57(4):750-755
Mechanism of injury does not predict acuity or level of service need: field triage criteria revisited.Santaniello,J. M.; Esposito,T. J.; Luchette,F. A.; Atkian,D. K.; Davis,K. A.; Gamelli,R. L.SURGERY 2003 ;134(4):698-703
Reducing trauma payment denials with computerized collaborative billing.Reed,R. L.,2nd; Davis,K. A.; Silver,G. M.; Esposito,T. J.; Tsitlik,V.; O'Hern,T.; Gamelli,R. L.Journal of Trauma-Injury Infection & Critical Care 2003 ;55(4):762-770
Effect of a voluntary trauma system on preventable death and inappropriate care in a rural state... includes discussionEsposito,T. J.; Sanddal,T. L.; Reynolds,S. A.; Sanddal,N. D.Journal of Trauma 2003 ;54(4):663-670
A comparison of the abilities of nine scoring algorithms in predicting mortality.Meredith,J. W.; Evans,G.; Kilgo,P. D.; MacKenzie,E.; Osler,T.; McGwin,G.; Cohn,S.; Esposito,T.; Gennarelli,T.; Hawkins,M.; Lucas,C.; Mock,C.; Rotondo,M.; Rue,L.; Champion,H. R.Journal of Trauma-Injury Infection & Critical Care 2002 ;53(4):621-628
Reducing trauma payment denials with collaborative billingReed,R.; Davis,K.; Silver,G.; Esposito,T.; Tsitlik,V.; O'Hern,T.; Gamelli,R. L. 2001 ; ( ):
Injury to the spleenEsposito,T. J.; Gamelli,R. L. 2000 ; (Chapter 31):683-712
Trauma surgeon vs mathematical/statistical models: which is better at predicting abnormal chest x-ray?
Dillard,E.; Sears,B. W.; Esposito,T. J.; Norton,J.; Davis,K. A.; Santaniello,J. M.; Poulakidas,S. J.; Luchette,F. A. ; ( ):
Dillard,E.; Sears,B. W.; Esposito,T. J.; Norton,J.; Davis,K. A.; Santaniello,J. M.; Poulakidas,S. J.; Luchette,F. A. ; ( ):
Car crashes and the elderly: Safety devices save lives...but who's not using them?Crandall,M.; Luchette,F. A.; Bugler,E.; Esposito,T.; Sharpio,M.; Wuermser,L.; West,M. ; ( ):
Never too old: risk factors and outcomes of US elderly hospitalized for assultCrandall,M.; Nathens,A.; Luchette,F. A.; Bugler,E.; Esposito,T. J.; Sharpio,M.,; West,M. ; ( ):
Trauma surgeons practice what they preach: the NTDB story on non-operative management of solid organ injuriesHurtek,M.; Reed,R. L.; Esposito,T. J.; Santaniello,J. M.; Poulakidas,S. J.; Luchette,F. A. ; ( ):
C-Spine Clearance: Don't Be Distracted - Just Trust Your JudgementKamenetsky,E.; Esposito,T. J.; Schermer,C. ; ( ):
The ribs or not the ribs: which influences mortality? Presented at the American College of Surgeons Clinical Congress. 2008Jones,K.; Reed,R. L.; Esposito,T. J.; Luchette,F. A. ; ( ):
Recalibration of the AIS using the NTDB Improves Mortality PredictionReed,R. L.; Eachempati,R. L.; Luchette,F. A.; Esposito,T. J.; Fildes,J.; Barie,P. S.; Gamelli,R. L. ; ( ):
Neurosurgical Needs in the Pediatric Trauma Population
Nance,M. L.; Weike,D. J.; Esposito,T. J.; Luchette,F. A. ; ( ):
Nance,M. L.; Weike,D. J.; Esposito,T. J.; Luchette,F. A. ; ( ):
The 80 Hour Work Week: Surgical vs. Non-surgical Viewpoint of Residents and AttendingsEsposito,T. J.; Ingraham,A.; Klitz,G. ; ( ):
Preventable Trauma Death Studies, Acute Care Surgery in America.Esposito,T. J. ; ( ):
Can we dodge the boomerang? Analysis of trauma patient unplanned re-admissionEsposito,T. J.; Clark,Kula, E.; Crowe,M.; Ton-That,H.; Thomas,C. ; ( ):
Socioeconomic factors, medicolegal issues and trauma patient transfer trends: Is there a connection?Esposito,T. J.; Crandall,M.; Reed,R. L.; Tanahill,M. B.; Gray,B. S.; Gamelli,R. L.; Luchette,F. A. ; ( ):
An Update of trauma surgeon compensation: survey of AAST and EASTFakhry,S. M.; Robinson,L.; Peitzman,A.; Esposito,T. ; ( ):
Nutritional gain vs financial gain: the role of metabolic carts.
Davis,K. A.; Esposito,T. J.; Reed,R. L.; Santaniello,J. M.; Poulakidas,S. J.; Luchette,F. A. ; ( ):
Davis,K. A.; Esposito,T. J.; Reed,R. L.; Santaniello,J. M.; Poulakidas,S. J.; Luchette,F. A. ; ( ):
Education
Medical School
Georgetown University School of Medicine
Residency
St. Elizabeth's Medical Center of Boston, Surgery: General Surgery
Fellowship
Harborview Medical Center/University of Washington, Injury Prevention
Maryland Institute of Emergency Medical Services Systems, Traumatology and Critical Care
Biography
Thomas J. Esposito, M.D., M.P.H. is a Professor of Surgery at Loyola University, Stritch School of Medicine in Maywood, Illinois. He is the Director of the Division of Trauma, Surgical Critical Care and Burns in the Department of Surgery at Loyola University Medical Center. Additionally, he serves as the Director of Injury Analysis and Prevention Programs at the Loyola University Burn & Shock Trauma Institute. He is an attending surgeon at Loyola University Medical Center.
Dr. Esposito received his medical degree from Georgetown University School of Medicine in Washington, D.C. and a masters degree in Public Health from the University of Washington School of Public Health and Community Medicine in Seattle, Washington. He did his surgical training at St. Elizabeths Hospital in Boston, Massachusetts. Following his residency, Dr. Esposito completed fellowships in Critical Care and Traumatology at the Maryland Institute for Emergency Medical Services Systems, and in Injury Prevention at Harborview Injury Prevention and Research Center in Seattle.
A Diplomate of the American Board of Surgery, Dr. Esposito also holds a Certificate of Added Qualifications in Surgical Critical Care. He is a Fellow of the American College of Surgeons and Vice-Chair of the Chicago Committee on Trauma of the ACS. He is also a member of the national ACS/COT.
Dr. Espositos past and current professional organization memberships include, The American Surgical Association, the American Tr