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Ram Nirula
Rating: 5.0 of 5
( out of 19 reviews )

Ram Nirula, MD, MPH, FACS

Languages spoken: English

Clinical Locations

Primary Location

Farmington Health Center

165 N. University Ave.
Farmington , UT 84025

University of Utah Hospital

General Surgery, Area E
50 N Medical Dr
Salt Lake City , UT 84132
  • Ram Nirula, MD, MPH, FACS, is a nationally recognized trauma surgeon, surgical intensivist, and academic leader in general surgery. He currently serves as the Division Chief of General Surgery and the Dr. D. Rees and Eleanor T. Jensen Presidential Endowed Chair of Surgery at the University of Utah, where he is also a Professor of Surgery with Tenure.

    Clinical Expertise

    Dr. Nirula provides advanced care in trauma, emergency general surgery, and surgical critical care. In addition to providing acute and emergency care, Dr. Nirula’s clinical expertise includes:

    • Gallbladder surgery

      • Lipoma surgery

      • Femoral

      • Inguinal

      • Epigastric

      • Umbilical

      • Incisional

      • Ventral

      • Abdominal

    • Hernia surgery

    Education and Training

    Dr. Nirula earned his Bachelor of Arts in Life Sciences from Queen’s University in Kingston, Ontario, and his Doctor of Medicine (MD) from the University of Manitoba in Winnipeg, Canada. He completed his general surgery residency at Santa Barbara Cottage Hospital in California before pursuing advanced training in Surgical Critical Care at the University of Washington Harborview Medical Center, where he also earned a Master of Public Health (MPH).

    He is board-certified in General Surgery and Surgical Critical Care, and is a certified Advanced Trauma Life Support (ATLS) Instructor, with additional certifications in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) through the American Heart Association.

    Research and Academic Contributions

    An accomplished academic surgeon, Dr. Nirula’s research is focused on advancing trauma care and improving patient outcomes. His areas of study include:

    • Traumatic brain injury (TBI): optimizing treatment strategies and improving adherence to evidence-based guidelines.

    • Thoracic trauma: pioneering studies in rib fracture stabilization and operative chest wall reconstruction.

    • Multi-institutional trauma research: leadership in national trials through the American Association for the Surgery of Trauma (AAST), where he served as Chair of the Multi-Institutional Trials Committee (MITC).

    • Injury prevention and systems of care: analyzing motor vehicle crash data to inform auto safety design and emergency response.

    • Renal and abdominal trauma: collaborative multi-center studies to guide best practices.

    His research has been published in leading journals including JAMA, JAMA Surgery, and the Journal of Trauma and Acute Care Surgery. He has also contributed to the development of trauma education innovations, including simulation and virtual reality training for surgical teams.

    Leadership and Professional Service

    Since joining the University of Utah in 2007, Dr. Nirula has advanced through the academic ranks, achieving the role of Professor of Surgery in 2017. He currently directs both the University of Utah Level I Trauma Center and its Trauma Research Program, leading efforts to improve trauma systems locally and nationally.

    Dr. Nirula has held leadership positions with major professional organizations, including:

    • Chair, Multi-Institutional Trials Committee, American Association for the Surgery of Trauma (AAST)

    • Editorial and educational roles with the American College of Surgeons and other surgical organizations

    • Active member of the Western Trauma Association and the American Association for the Surgery of Trauma

    Patient-Centered Care

    Dedicated to advancing both immediate trauma outcomes and long-term recovery, Dr. Nirula works closely with patients, families, and multidisciplinary care teams. He is committed to evidence-based, compassionate, and innovative care that helps patients return to meaningful quality of life following serious injury.

    Specialties

    Board Certification

    American Board of Surgery (Sub: Surgical Critical Care)
    American Board of Surgery (Sub: General Surgery)

    Patient Rating

    Rating: 5.0 out of 5
    5.0 /5
    ( out of 19 reviews )

    The patient rating score is an average of all responses on our patient experience survey. The rating averages scores for all questions about care from our providers.

    The scale on which responses are measured is 1 to 5 with 5 being the best score.

    Patient Comments

    Patient comments are gathered from our patient experience survey and displayed in their entirety. For the convenience of our visitors, some patient comments have been translated from their original language into English while preserving their original meaning as accurately as possible. Patients are de-identified for confidentiality and patient privacy.

    UH HOSPITALS AND CLINICS
    Rating: 5 out of 5

    First rate physician.

    UH HOSPITALS AND CLINICS
    Rating: 5 out of 5

    Dr. Nirula and his team quite literally saved my life. In this post-op visit they had the utmost concern for me and my recovery. They took the time to answer all my questions with compassion and encouragement. It is plain to me that all members of the care team exhibit a high degree of dedication to their field and level of concern for their patients.

    UH HOSPITALS AND CLINICS
    Rating: 5 out of 5

    Friendly had lots of confidence gave me confidence

    FARMINGTON HEALTH CENTER
    Rating: 5 out of 5

    Ram is excellent. I absolutely trust him with my care

    UH HOSPITALS AND CLINICS
    Rating: 5 out of 5

    Awesome I'm elated maybe temporaryly if the operation is a no go

    UH HOSPITALS AND CLINICS
    Rating: 5 out of 5

    Dr. Nirula provides precise information in a way that the patient can understand. He takes time with the patient.

    UNIVERSITY HOSPITAL
    Rating: 5 out of 5

    His assistant were great.

    UH HOSPITALS AND CLINICS
    Rating: 5 out of 5

    I appreciated the clear discussion of possible complications and did not feel rushed or dismissed about questions.

    UH HOSPITALS AND CLINICS
    Rating: 5 out of 5

    Dr Nirula was very professional, provided viable options and obviously takes his role seriously and cares for his patients.

  • Ram Nirula, MD, MPH, FACS, is a nationally recognized trauma surgeon, surgical intensivist, and academic leader in general surgery. He currently serves as the Division Chief of General Surgery and the Dr. D. Rees and Eleanor T. Jensen Presidential Endowed Chair of Surgery at the University of Utah, where he is also a Professor of Surgery with Tenure.

    Clinical Expertise

    Dr. Nirula provides advanced care in trauma, emergency general surgery, and surgical critical care. In addition to providing acute and emergency care, Dr. Nirula’s clinical expertise includes:

    • Gallbladder surgery

      • Lipoma surgery

      • Femoral

      • Inguinal

      • Epigastric

      • Umbilical

      • Incisional

      • Ventral

      • Abdominal

    • Hernia surgery

    Education and Training

    Dr. Nirula earned his Bachelor of Arts in Life Sciences from Queen’s University in Kingston, Ontario, and his Doctor of Medicine (MD) from the University of Manitoba in Winnipeg, Canada. He completed his general surgery residency at Santa Barbara Cottage Hospital in California before pursuing advanced training in Surgical Critical Care at the University of Washington Harborview Medical Center, where he also earned a Master of Public Health (MPH).

    He is board-certified in General Surgery and Surgical Critical Care, and is a certified Advanced Trauma Life Support (ATLS) Instructor, with additional certifications in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) through the American Heart Association.

    Research and Academic Contributions

    An accomplished academic surgeon, Dr. Nirula’s research is focused on advancing trauma care and improving patient outcomes. His areas of study include:

    • Traumatic brain injury (TBI): optimizing treatment strategies and improving adherence to evidence-based guidelines.

    • Thoracic trauma: pioneering studies in rib fracture stabilization and operative chest wall reconstruction.

    • Multi-institutional trauma research: leadership in national trials through the American Association for the Surgery of Trauma (AAST), where he served as Chair of the Multi-Institutional Trials Committee (MITC).

    • Injury prevention and systems of care: analyzing motor vehicle crash data to inform auto safety design and emergency response.

    • Renal and abdominal trauma: collaborative multi-center studies to guide best practices.

    His research has been published in leading journals including JAMA, JAMA Surgery, and the Journal of Trauma and Acute Care Surgery. He has also contributed to the development of trauma education innovations, including simulation and virtual reality training for surgical teams.

    Leadership and Professional Service

    Since joining the University of Utah in 2007, Dr. Nirula has advanced through the academic ranks, achieving the role of Professor of Surgery in 2017. He currently directs both the University of Utah Level I Trauma Center and its Trauma Research Program, leading efforts to improve trauma systems locally and nationally.

    Dr. Nirula has held leadership positions with major professional organizations, including:

    • Chair, Multi-Institutional Trials Committee, American Association for the Surgery of Trauma (AAST)

    • Editorial and educational roles with the American College of Surgeons and other surgical organizations

    • Active member of the Western Trauma Association and the American Association for the Surgery of Trauma

    Patient-Centered Care

    Dedicated to advancing both immediate trauma outcomes and long-term recovery, Dr. Nirula works closely with patients, families, and multidisciplinary care teams. He is committed to evidence-based, compassionate, and innovative care that helps patients return to meaningful quality of life following serious injury.

    Board Certification and Academic Information

    Academic Departments Surgery -Professor
    Academic Divisions General Surgery
    Board Certification
    American Board of Surgery (Sub: Surgical Critical Care)
    American Board of Surgery (Sub: General Surgery)

    Education history

    Undergraduate Life Sciences - Queen's University, Kingston B.A.
    Professional Medical Medicine - University of Manitoba M.D.
    Internship General Surgery - Santa Barbara Cottage Hospital Intern
    Residency General Surgery - Santa Barbara Cottage Hospital Resident
    Graduate Training University of Washington M.P.H.
    Fellowship Surgical Critical Care - University of Washington Harborview Medical Center Fellow

    Selected Publications

    Journal Article

    1. Colonna AL, Griffiths TM, Robison DC, Enniss TM, Young JB, McCrum ML, Nunez JM, Nirula R, Hardman R (2019). Cholecystostomy: Are we using it correctly?. American journal of surgery, 217(6), 1010-1015. (Read full publication)
    2. Morrow EH, Chen J, Patel R, Bellows B, Nirula R, Glasgow R, Nelson R (2018). Watchful waiting versus elective repair for asymptomatic and minimally symptomatic paraesophageal hernias: A cost-effectiveness analysis. American journal of surgery, 216(4), 760-763. (Read full publication)
    3. Emigh B, Kobayashi L, Kopp M, Daley M, Teal L, Haan J, Burlew CC, Nirula R, Moore F, Burruss S, Kaminski S, Dunn J, Carrick M, Schroeppel T, Thurston B, Quick J, Bosarge P, Brown C (2021). The AAST prospective observational multicenter study of the initial experience with reversal of direct oral anticoagulants in trauma patients. American journal of surgery, 222(2), 264-269. (Read full publication)
    4. Walker HR, Evans E, Nirula R, Hyngstrom J, Matsen C, Nelson E, Pickron B, Zurbuchen E, Morrow E (2021). "I need to have a fulfilling job": A qualitative study of surgeon well-being and professional fulfillment. American journal of surgery, 223(1), 6-11. (Read full publication)
    5. Li SR, Guyette F, Brown J, Zenati M, Reitz KM, Eastridge B, Nirula R, Vercruysse GA, O'Keeffe T, Joseph B, Neal MD, Zuckerbraun BS, Sperry J (2021). Early Prehospital Tranexamic Acid Following Injury Is Associated With a 30-day Survival Benefit: A Secondary Analysis of a Randomized Clinical Trial. Annals of surgery, 274(3), 419-426. (Read full publication)
    6. Brasel KJ, Lim HJ, Nirula R, Weigelt J (2007). Length of stay: an appropriate quality measure?. Archives of surgery (Chicago, Ill., 142(5), 461-5; discussion 465-6. (Read full publication)
    7. Brecha FS, Ozanne EM, Esplin J, Stoddard GJ, Nirula R, Huang LC, Cohan J (2021). Patient Willingness to Accept Antibiotic Side Effects to Reduce Surgical Site Infection After Colorectal Surgery. The Journal of surgical research, 261, 417-422. (Read full publication)
    8. Karmy-Jones R, Jurkovich GJ, Velmahos GC, Burdick T, Spaniolas K, Todd SR, McNally M, Jacoby RC, Link D, Janczyk RJ, Ivascu FA, McCann M, Obeid F, Hoff WS, McQuay N Jr, Tieu BH, Schreiber MA, Nirula R, Brasel K, Dunn JA, Gambrell D, Huckfeldt R, Harper J, Schaffer KB, Tominaga GT, Vinces FY, Sperling D, Hoyt D, Coimbra R, Rosengart MR, Forsythe R, Cothren C, Moore EE, Haut ER, Hayanga AJ, Hird L, White C, Grossman J, Nagy K, Livaudais W, Wood R, Zengerink I, Kortbeek J (2007). Practice patterns and outcomes of retrievable vena cava filters in trauma patients: an AAST multicenter study. The Journal of trauma, 62(1), 17-24; discussion 24-5. (Read full publication)
    9. Brasel KJ, Guse C, Gentilello LM, Nirula (2007). Heart rate: is it truly a vital sign?. The Journal of trauma, 62(4), 812-7. (Read full publication)
    10. Anderson RE, Keihani S, Moses RA, Nocera AP, Selph JP, Castillejo Becerra CM, Baradaran N, Glavin K, Broghammer JA, Arya CS, Sensenig RL, Rezaee ME, Morris BJ, Majercik S, Hewitt T, Burks FN, Schwartz I, Elliott SP, Luo-Owen X, Mukherjee K, Thomsen PB, Erickson BA, Miller BD, Santucci RA, Allen L, Norwood S, Fick CN, Smith BP, Piotrowski J, Dodgion CM, DeSoucy ES, Zakaluzny S, Kim DY, Breyer BN, Okafor BU, Askari R, Lucas JW, Simhan J, Khabiri SS, Nirula R, Myers J (2020). Current Management of Extraperitoneal Bladder Injuries: Results from the Multi-Institutional Genito-Urinary Trauma Study (MiGUTS). The Journal of urology, 204(3), 538-544. (Read full publication)
    11. Keihani S, Gross JA, Joyce RP, Wang SS, Rogers DM, Fang E, Hagedorn JC, Voelzke BB, Nocera AP, Selph JP, Rezaee ME, Moses RA, Arya CS, Sensenig RL, Glavin K, Broghammer JA, Higgins MM, Gupta S, Castillejo Becerra CM, Baradaran N, Kozar RA, Nirula R, Myers J (2021). The American Association for the Surgery of Trauma Renal Grading System-Should Segmental Kidney Infarction be Classified as a Grade IV Injury?. The Journal of urology, 205(1), 165-173. (Read full publication)
    12. McCormick BJ, Horns JJ, Das R, Paudel N, Hanson HA, McCrum M, Nirula R, Myers J (2021). Nephrectomy Is Not Associated with Increased Risk of Mortality or Acute Kidney Injury After High-Grade Renal Trauma: A Propensity Score Analysis of the Trauma Quality Improvement Program (TQIP). The Journal of urology, 207(2), 101097JU0000000000002253. (Read full publication)
    13. Armas-Phan M, Keihani S, Agochukwu-Mmonu N, Cohen AJ, Rogers DM, Wang SS, Gross JA, Joyce RP, Hagedorn JC, Voelzke B, Moses RA, Sensenig RL, Selph JP, Gupta S, Baradaran N, Erickson BA, Schwartz I, Elliott SP, Mukherjee K, Smith BP, Santucci RA, Burks FN, Dodgion CM, Carrick MM, Askari R, Majercik S, Nirula R, Myers JB, Breyer B (2021). Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS). Urology, 148, 287-291. (Read full publication)
    14. Heiner SM, Keihani S, McCormick BJ, Fang E, Hagedorn JC, Voelzke B, Nocera AP, Selph JP, Arya CS, Sensenig RL, Rezaee ME, Moses RA, Dodgion CM, Higgins MM, Gupta S, Mukherjee K, Majercik S, Smith BP, Glavin K, Broghammer JA, Schwartz I, Elliott SP, Breyer BN, Becerra CMC, Baradaran N, DeSoucy E, Zakaluzny S, Erickson BA, Miller BD, Santucci RA, Askari R, Carrick MM, Burks FN, Norwood S, Nirula R, Myers JB, in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons (2021). Nephrectomy After High-Grade Renal Trauma is Associated With Higher Mortality: Results From the Multi-Institutional Genitourinary Trauma Study (MiGUTS). Urology, 157, 246-252. (Read full publication)
    15. Parsons T, Spendlove I, Nirula R, Writer M, Carter G, Carr F, Durrant L (2004). A novel CEA vaccine stimulates T cell proliferation, gammaIFN secretion and CEA specific CTL responses. Vaccine, 22(25-26), 3487-94. (Read full publication)
    16. Carlock TC, Barrett JR, Kalvelage JP, Young JB, Nunez JM, Colonna AL, Enniss TM, Nirula R, McCrum M (2020). Telephone Follow-Up for Emergency General Surgery Procedures: Safety and Implication for Health Resource Use. Journal of the American College of Surgeons, 230(2), 228-236. (Read full publication)
    17. Hirschi R, Rommel C, Letsinger J, Nirula R, Hawryluk GW (2018). Brain Trauma Foundation Guideline Compliance: Results of a Multidisciplinary, International Survey. World neurosurgery, 116, e399-e405. (Read full publication)
    18. Keihani S, Putbrese BE, Rogers DM, Zhang C, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB, in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons (2019). The Associations Between Initial Radiographic Findings and Interventions for Renal Hemorrhage After High-Grade Renal Trauma: Results from the Multi-institutional Genito-Urinary Trauma Study (MiGUTS). The journal of trauma and acute care surgery, (Read full publication)
    19. Keihani S, Rogers DM, Putbrese BE, Moses RA, Zhang C, Presson AP, Hotaling JM, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB, in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons (2019). A nomogram predicting the need for bleeding interventions after high-grade renal trauma: Results from the American Association for the Surgery of Trauma Multi-institutional Genito-Urinary Trauma Study (MiGUTS). The journal of trauma and acute care surgery, 86(5), 774-782. (Read full publication)
    20. Keihani S, Putbrese BE, Rogers DM, Patel DP, Stoddard GJ, Hotaling JM, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB, in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons (2019). Optimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma. The journal of trauma and acute care surgery, 86(2), 274-281. (Read full publication)
    21. Keihani S, Xu Y, Presson AP, Hotaling JM, Nirula R, Piotrowski J, Dodgion CM, Black CM, Mukherjee K, Morris BJ, Majercik S, Smith BP, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Thomsen PB, Erickson BA, Baradaran N, Breyer BN, Miller B, Santucci RA, Carrick MM, Hewitt T, Burks FN, Kocik JF, Askari R, Myers JB, Genito-Urinary Trauma Study Group (2018). Contemporary management of high-grade renal trauma: Results from the American Association for the Surgery of Trauma Genitourinary Trauma study. The journal of trauma and acute care surgery, 84(3), 418-425. (Read full publication)
    22. Ley EJ, Leonard SD, Barmparas G, Dhillon NK, Inaba K, Salim A, O'Bosky KR, Tatum D, Azmi H, Ball CG, Engels PT, Dunn JA, Carrick MM, Meizoso JP, Lombardo S, Cotton BA, Schroeppel TJ, Rizoli S, Chang DSJ, de León LA, Rezende-Neto J, Jacome T, Xiao J, Mallory G, Rao K, Widdel L, Godin S, Coates A, Benedict LA, Nirula R, Kaul S, Li T, Beta Blockers TBI Study Group Collaborators (2018). Beta blockers in critically ill patients with traumatic brain injury: Results from a multicenter, prospective, observational American Association for the Surgery of Trauma study. The journal of trauma and acute care surgery, 84(2), 234-244. (Read full publication)
    23. Lombardo S, Scalea T, Sperry J, Coimbra R, Vercruysse G, Enniss T, Jurkovich GJ, Nirula (2017). Neuro, trauma, or med/surg intensive care unit: Does it matter where multiple injuries patients with traumatic brain injury are admitted? Secondary analysis of the American Association for the Surgery of Trauma Multi-Institutional Trials Committee decompressive craniectomy study. The journal of trauma and acute care surgery, 82(3), 489-496. (Read full publication)
    24. Keihani S, Putbrese BE, Rogers DM, Zhang C, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB, in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons (2019). The associations between initial radiographic findings and interventions for renal hemorrhage after high-grade renal trauma: Results from the Multi-Institutional Genitourinary Trauma Study. The journal of trauma and acute care surgery, 86(6), 974-982. (Read full publication)
    25. McCrum ML, Zhang C, Presson AP, Nirula (2020). Readmissions after nonoperative trauma: Increased mortality and costs with delayed intervention. The journal of trauma and acute care surgery, 88(2), 219-229. (Read full publication)
    26. Doucet JJ, Ferrada P, Murthi S, Nirula R, Edwards S, Cantrell E, Han J, Haase D, Singleton A, Birkas Y, Casola G, Coimbra R, AAST Multi-Institutional Trials Committee (2020). Ultrasonographic inferior vena cava diameter response to trauma resuscitation after 1 hour predicts 24-hour fluid requirement. The journal of trauma and acute care surgery, 88(1), 70-79. (Read full publication)
    27. Keihani S, Rogers DM, Putbrese BE, Anderson RE, Stoddard GJ, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller BD, Santucci RA, Carrick MM, Allen L, Norwood S, Hewitt T, Burks FN, Heilbrun ME, Gross JA, Myers JB, in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons (2020). The American Association for the Surgery of Trauma renal injury grading scale: Implications of the 2018 revisions for injury reclassification and predicting bleeding interventions. The journal of trauma and acute care surgery, 88(3), 357-365. (Read full publication)
    28. Senekjian L, Birkas Y, Buhavac M, Dayal S, Mukherjee K, Nygaard R, Pierce S, Buaza G, Sperry J, Eriksson E, Leon SM, Kopelman T, Spadafore P, Kopatsis A, Moore F, Taylor A, Colonna A, Enniss T, McCrum M, Nunez J, Young J, Nirula (2020). Stop flailing: The impact of bicortically displaced rib fractures on pulmonary outcomes in patients with chest trauma - an American Association for the Surgery of Trauma multi-institutional study. The journal of trauma and acute care surgery, 89(4), 658-664. (Read full publication)
    29. Keihani S, Wang SS, Joyce RP, Rogers DM, Gross JA, Nocera AP, Selph JP, Fang E, Hagedorn JC, Voelzke BB, Rezaee ME, Moses RA, Arya CS, Sensenig RL, Glavin K, Broghammer JA, Higgins MM, Gupta S, Castillejo Becerra CM, Baradaran N, Zhang C, Presson AP, Nirula R, Myers JB, in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons (2021). External validation of a nomogram predicting risk of bleeding control interventions after high-grade renal trauma: The Multi-institutional Genito-Urinary Trauma Study. The journal of trauma and acute care surgery, 90(2), 249-256. (Read full publication)
    30. McCrum ML, Wan N, Lizotte SL, Han J, Varghese T, Nirula (2021). Use of the spatial access ratio to measure geospatial access to emergency general surgery services in California. The journal of trauma and acute care surgery, 90(5), 853-860. (Read full publication)
    31. Moses RA, Anderson RE, Keihani S, Hotaling JM, Nirula R, Vargo DJ, Myers J (2019). High grade renal trauma management: a survey of practice patterns and the perceived need for a prospective management trial. Translational andrology and urology, 8(4), 297-306. (Read full publication)
    32. Guyette FX, Brown JB, Zenati MS, Early-Young BJ, Adams PW, Eastridge BJ, Nirula R, Vercruysse GA, O'Keeffe T, Joseph B, Alarcon LH, Callaway CW, Zuckerbraun BS, Neal MD, Forsythe RM, Rosengart MR, Billiar TR, Yealy DM, Peitzman AB, Sperry JL, STAAMP Study Group (2020). Tranexamic Acid During Prehospital Transport in Patients at Risk for Hemorrhage After Injury: A Double-blind, Placebo-Controlled, Randomized Clinical Trial. JAMA surgery, (Read full publication)
    33. Kobayashi LM, Brito A, Barmparas G, Bosarge P, Brown CV, Bukur M, Carrick MM, Catalano RD, Holly-Nicolas J, Inaba K, Kaminski S, Klein AL, Kopelman T, Ley EJ, Martinez EM, Moore FO, Murry J, Nirula R, Paul D, Quick J, Rivera O, Schreiber M, Coimbra (2018). Laboratory measures of coagulation among trauma patients on NOAs: results of the AAST-MIT. Trauma surgery & acute care open, 3(1), e000231. (Read full publication)
    34. Lombardo S, Millar D, Jurkovich GJ, Coimbra R, Nirula (2018). Factor VIIa administration in traumatic brain injury: an AAST-MITC propensity score analysis. Trauma surgery & acute care open, 3(1), e000134. (Read full publication)
    35. Chabot E, Nirula (2017). Open abdomen critical care management principles: resuscitation, fluid balance, nutrition, and ventilator management. Trauma surgery & acute care open, 2(1), e000063. (Read full publication)
    36. de Moya M, Nirula R, Biffl (2017). Rib fixation: Who, What, When?. Trauma surgery & acute care open, 2(1), e000059. (Read full publication)
    37. Harvin JA, Zarzaur BL, Nirula R, King BT, Malhotra A (2020). Alternative clinical trial designs. Trauma surgery & acute care open, 5(1), e000420. (Read full publication)
    38. Tonna JE, Johnson J, Presson A, Zhang C, Noren C, Lohse B, Bento H, Barton RG, Nirula R, Mone M, Marcus (2019). Short-Term Clinical and Quality Outcomes Have Inconsistent Changes From a Quality Improvement Initiative to Increase Access to Physical Therapy in the Cardiovascular and Surgical ICU. Critical care explorations, 1(10), e0055. (Read full publication)
    39. Colonna AL, Bellows BK, Enniss TM, Young JB, McCrum M, Nunez JM, Nirula R, Nelson R (2020). Reducing the pain: A cost-effectiveness analysis of transversus abdominis plane block using liposomal bupivacaine for outpatient laparoscopic ventral hernia repair. Surgery open science, 2(2), 75-80. (Read full publication)
    40. Knudson MM, Moore EE, Kornblith LZ, Shui AM, Brakenridge S, Bruns BR, Cipolle MD, Costantini TW, Crookes BA, Haut ER, Kerwin AJ, Kiraly LN, Knowlton LM, Martin MJ, McNutt MK, Milia DJ, Mohr A, Nirula R, Rogers FB, Scalea TM, Sixta SL, Spain DA, Wade CE, Velmahos G (2021). Challenging Traditional Paradigms in Posttraumatic Pulmonary Thromboembolism. JAMA surgery, 157, e216356. (Read full publication)
    41. Colonna AL, Robbins R, Stefanucci J, Creem-Regeh S, Patterson B, Engel BT, Fischer A, Nirula (2022). Trauma Bay Virtual Reality - A Game Changer for ATLS Instruction and Assessment. The journal of trauma and acute care surgery, 93, 353-359. (Read full publication)
    42. Place A, McCrum M, Bell T, Nirula (2022). EGS plus: Predicting futility in LVAD patients with emergency surgical disease. American journal of surgery, 224(6), 1421-1425. (Read full publication)
    43. Deeb AP, Guyette FX, Daley BJ, Miller RS, Harbrecht BG, Claridge JA, Phelan HA, Eastridge BJ, Joseph B, Nirula R, Vercruysse GA, Sperry JL, Brown J (2023). Time to early resuscitative intervention association with mortality in trauma patients at risk for hemorrhage. The journal of trauma and acute care surgery, 94(4), 504-512. (Read full publication)
    44. Mukherjee K, Schubl SD, Tominaga G, Cantrell S, Kim B, Haines KL, Kaups KL, Barraco R, Staudenmayer K, Knowlton LM, Shiroff AM, Bauman ZM, Brooks SE, Kaafarani H, Crandall M, Nirula R, Agarwal SK Jr, Como JJ, Haut ER, Kasotakis (2023). Non-surgical management and analgesia strategies for older adults with multiple rib fractures: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. The journal of trauma and acute care surgery, 94(3), 398-407. (Read full publication)
    45. Campwala I, Guyette FX, Brown JB, Yazer MH, Daley BJ, Miller RS, Harbrecht BG, Claridge JA, Phelan HA, Eastridge B, Nirula R, Vercruysse GA, O'Keeffe T, Joseph B, Neal MD, Zuckerbraun BS, Sperry J (2023). Evaluation of critical care burden following traumatic injury from two randomized controlled trials. Scientific reports, 13(1), 1106. (Read full publication)
    46. Gruen DS, Brown JB, Guyette FX, Johansson PI, Stensballe J, Li SR, Leeper CM, Eastridge BJ, Nirula R, Vercruysse GA, O'Keeffe T, Joseph B, Neal MD, Sperry J (2023). Prehospital tranexamic acid is associated with a dose-dependent decrease in syndecan-1 after trauma: A secondary analysis of a prospective randomized trial. The journal of trauma and acute care surgery, (Read full publication)
    47. Albert RK, Jurkovich GJ, Connett J, Helgeson ES, Keniston A, Voelker H, Lindberg S, Proper JL, Bochicchio G, Stein DM, Cain C, Tesoriero R, Brown CVR, Davis J, Napolitano L, Carver T, Cipolle M, Cardenas L, Minei J, Nirula R, Doucet J, Miller PR, Johnson J, Inaba K, Kao (2023). Sigh Ventilation in Patients With Trauma: The SiVent Randomized Clinical Trial. JAMA, (Read full publication)
    48. Mazzei M, Donohue JK, Schreiber M, Rowell S, Guyette FX, Cotton B, Eastridge BJ, Nirula R, Vercruysse GA, O'Keeffe T, Joseph B, Brown JB, Neal MD, Sperry J (2024). Prehospital tranexamic acid is associated with a survival benefit without an increase in complications: results of two harmonized randomized clinical trials. The journal of trauma and acute care surgery, (Read full publication)
    49. Donohue JK, Iyanna N, Lorence JM, Brown JB, Guyette FX, Eastridge BJ, Nirula R, Vercruysse GA, O'Keeffe T, Joseph B, Neal MD, Sperry J (2024). Missingness matters: a secondary analysis of thromboelastography measurements from a recent prehospital randomized tranexamic acid clinical trial. Trauma surgery & acute care open, 9(1), e001346. (Read full publication)
    50. Lombardo S, McCrum M, Knudson MM, Moore EE, Kornblith L, Brakenridge S, Bruns B, Cipolle MD, Costantini TW, Crookes B, Haut ER, Kerwin AJ, Kiraly LN, Knowlton LM, Martin MJ, McNutt MK, Milia DJ, Mohr A, Rogers F, Scalea T, Sixta S, Spain D, Wade CE, Velmahos GC, Nirula R, Nunez (2024). Weight-based enoxaparin thromboprophylaxis in young trauma patients: analysis of the CLOTT-1 registry. Trauma surgery & acute care open, 9(1), e001230. (Read full publication)
    51. Donohue JK, Gruen DS, Iyanna N, Lorence JM, Brown JB, Guyette FX, Daley BJ, Eastridge BJ, Miller RS, Nirula R, Harbrecht BG, Claridge JA, Phelan HA, Vercruysse GA, O'Keeffe T, Joseph B, Neal MD, Billiar TR, Sperry J (2024). Mechanism matters: mortality and endothelial cell damage marker differences between blunt and penetrating traumatic injuries across three prehospital clinical trials. Scientific reports, 14(1), 2747. (Read full publication)
    52. Matta R, Keihani S, Hebert K, Horns JJ, Nirula R, McCrum M, McCormick BJ, Gross JA, Joyce RP, Rogers DM, Wang SS, Hagedorn JC, Selph JP, Sensenig RL, Moses RA, Dodgion CM, Gupta S, Mukherjee K, Majercik S, Broghammer JA, Schwartz I, Elliott SP, Breyer BN, Baradaran N, Zakaluzny S, Erickson BA, Miller BD, Askari R, Carrick MM, Burks FN, Norwood S, Myers JB, in conjunction with the Trauma and Urologic Reconstruction Network of Surgeon (2024). PROPOSED REVISION OF THE AMERICAN ASSOCIATION FOR SURGERY OF TRAUMA RENAL TRAUMA ORGAN INJURY SCALE: SECONDARY ANALYSIS OF THE MULTI-INSTITUTIONAL GENITOURINARY TRAUMA STUDY. The journal of trauma and acute care surgery, 97(2), 205-212. (Read full publication)
    53. Iyanna N, Donohue JK, Lorence JM, Guyette FX, Gimbel E, Brown JB, Daley BJ, Eastridge BJ, Miller RS, Nirula R, Harbrecht BG, Claridge JA, Phelan HA, Vercruysse GA, O'Keefe T, Joseph B, Shutter LA, Sperry J (2024). Early Glasgow Coma Scale Score and Prediction of Traumatic Brain Injury: A Secondary Analysis of Three Harmonized Prehospital Randomized Clinical Trials. Prehospital emergency care, 1-9. (Read full publication)
    54. Lorence JM, Donohue JK, Iyanna N, Guyette FX, Gimbel E, Brown JB, Daley BJ, Eastridge BJ, Miller RS, Nirula R, Harbrecht BG, Claridge JA, Phelan HA, Vercruysse G, O'Keeffe T, Joseph B, Neal MD, Sperry J (2024). Characterization of adverse events in injured patients at risk of hemorrhagic shock: a secondary analysis of three harmonized prehospital randomized clinical trials. Trauma surgery & acute care open, 9(1), e001465. (Read full publication)
    55. Empey R, Nirula R, Lombardo (2025). Outcomes following hepatic angioembolization for patients with traumatic liver injury. Trauma surgery & acute care open, 10(1), e001627. (Read full publication)
    56. Empey R, Ko H, Nirula (2024). Clinical utility of routine postoperative labs in emergency general surgery patients. Trauma surgery & acute care open, 9(1), e001568. (Read full publication)

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    1. Deeb AP, Hoteit L, Li S, Guyette FX, Eastridge BJ, Nirula R, Vercruysse GA, O'Keeffe T, Joseph B, Neal MD, Sperry JL, Brown J (2022). Prehospital synergy: Tranexamic acid and blood transfusion in patients at risk for hemorrhage. The journal of trauma and acute care surgery, 93(1), 52-58. (Read full publication)