John Fildes, M.D., FACS, FCCM
Professor of Surgery
Vice Chair, Department of Surgery
Program Director, Gen. Surgery Residency
Chief, Division of Trauma & Critical Care

Department of Surgery
University of Nevada School of Medicine
2040 West Charleston Blvd., Suite 301
Las Vegas, Nevada 89102
Telephone (702)671-2273
FAX (702)385-9399

NAME:  John Fildes

POSITION/TITLE:
Chair, Department of Trauma
Chief, Division of Trauma & Critical Care

BIOGRAPHICAL SKETCH

Dr. Fildes earned his Bachelor of Science degree in biomedical engineering at Union College in Schenectady, NY, in 1977. He graduated from the University of Santo Tomas Medical School in Manila, Philippines, in 1982. Dr. Fildes was an intern (1982-1983), resident (1983-1986), chief resident (1986-1987), and fellow (1987-1988) in general surgery at Bronx-Lebanon Hospital in Bronx, NY. Following his work at Bronx-Lebanon, Dr. Fildes received fellowship training in surgical critical care and trauma (1988-1989) at Cook County Hospital, Chicago, IL.

Dr. Fildes began his academic career as an assistant professor of surgery at the University of Illinois at Chicago College of Medicine (1989-1995), at which time he was also a lecturer (1990-1992) and visiting assistant professor in general surgery (1992-1995) at Rush Medical College in Chicago. He is currently (1996- present) a professor of surgery at the University of Nevada.

Among the awards and honors Dr. Fildes has received are the White House Medical Unit Certificate of Appreciation (1998), and the Las Vegas Chamber of Commerce’s Community Achievement Award (1998).

He has received numerous awards for excellence in teaching. Dr. Fildes was named the 2006 Physician of the Year by the Nevada State Medical Association.

Dr. Fildes has been a Fellow in the American College of Surgeons since 1992. He has been a member of the Committee on Trauma since 2001. Dr. Fildes’ committee work includes Trauma Registry and the National Trauma Data Bank® (NTDB®). He is a State Advocacy Representative and a member of the executive committee of the Nevada Chapter. Dr. Fildes is also co-author of the Bulletin’s monthly column about the NTDB. In 2006, Dr. Fildes was appointed the Chair of the Committee on Trauma. His term will run through 2010.

Currently, Dr. Fildes is professor and vice-chair of the Department of Surgery, University of Nevada School of Medicine. He is the Program Director of General Surgery and Surgical Critical Care. He is the chief of the Division of Trauma & Surgical Critical Care.

POSITIONS AND HONORS
Positions and Employment
1982-1983 Internship, General Surgery, Bronx-Lebanon Hospital, Bronx, NY
1983-1987 Residency, General Surgery, Bronx-Lebanon Hospital, Bronx, NY
1986-1987 Chief Resident, General Surgery, Bronx-Lebanon Hospital, Bronx, NY
1987-1988 Fellowship Training, General Surgery, Bronx-Lebanon Hospital, Bronx, NY
1988-1989 Fellowship Training, Cook County Hospital, Chicago, IL
1989-1996 Attending Surgeon, Trauma and Critical Care, Cook County Hospital, Chicago, IL
1991-1996 Attending Surgeon, General Surgery, University of Illinois Hospital, Chicago, IL
1989-1995 Assistant Professor of Surgery, University of Illinois, College of Medicine, Chicago, IL
1995-1996 Assistant Professor in General Surgery, Rush Medical College, Chicago, IL
1996-Present Professor of Surgery, University of Nevada School of Medicine, Las Vegas, NV
1996-Present Chair, Department of Trauma, University Medical Center, Las Vegas, NV
2002-Present Vice Chair, Director, General Surgery Residency Program, University of Nevada School of Medicine, Las Vegas, NV

Other Experience and Professional Memberships
1990-1992 Lecturer in General Surgery, Rush Medical College, Chicago, IL
1990-2001 Instructor, Advance Burn Life Support Instructor
1992-1995 Visiting Assistant Professor in General Surgery, Rush Medical College, Chicago, IL
1992-1996 Lecturer in Health Sciences and Professional Studies, Malcolm X College, Chicago, IL
1997-2002 State Chairman, American College of Surgeons, Nevada Committee on Trauma
1997-2001 Council Member, American College of Surgeons, Nevada Chapter
1998-2003 State Councilor, Southwest Surgical Congress
2000-Present Member, Executive Committee, American College of Surgeons, National Committee on Trauma
2000-Present Chair, National Trauma Data Bank, American College of Surgeons
2001-Present Injury Prevention Task Force, Nevada State Health Division
American Association for the Surgery of Trauma
America Burn Association

Honors
1999, Outstanding Teaching Award, University of Nevada School of Medicine
2000, ACS COT Millennium Commitment Award, American College of Surgeons
2001, Outstanding Clinical Teacher

Selected peer-reviewed publication (in chronological order)

1. Friedman Y, Fildes JJ, Mizock B, Patel S, Samuel J, Appavu S, Roberts RR, O'Neill CM: Comparison of percutaneous and surgical tracheostomies. Chest 1996;110:480-485.
2. Sheaff CM, Fildes JJ, Keogh P, Smith RF, Barrett JA: Safety of 65°C/149°F intravenous fluid for the treatment of hypothermia. Am J Surg 1996;172:52-55.
3. Mahr CC; Fildes JJ; Becker EJ; Nagy KK; Krosner SM; Roberts RR; Smith RF; Jospeh K; O'Neill, CM; Barrett JA: Recovery rate of candidiasis in critically ill trauma patients with unresolved sepsis. Complications in Surgery 1997; 16(4)
4. Nagy, KK, Brenneman, FD, Krosner, SM, Fildes, JJ, Roberts, RR, Joseph, KT, Smith, RF, Barrett, J: Routine preoperative “one-shot” intravenous pyelography is not indicated in all patients with penetrating abdominal trauma. J Am Coll Surgery 1997: 185:530-533
5. Nagy KK, Brenneman FD, Krosner SM, Fildes JJ, Roberts RR, Joseph KT, Smith RF, Barrett J.: Routine preoperative “one-shot” intravenous pyelography is not indicated in all patients with penetrating abdominal trauma. J Am Col Surgery 1997: 185:530-533
6. Fildes JJ, Fisher S, Sheaff CM, Barrett JA: Effects of short heat exposure on human red and white blood cells. J Trauma, 1998;45:479-84.
7. Rogers FB, Rozycki GS, Osler TM, Shackford SR, Fildes JJ, et al: A multi-institutional study of factors associated with fetal death in injured pregnant patients. Arch Surg, 1999, 134:1274-7
8. Nagy KK, Perez F, Fildes JJ, Barrett J: Optimal prosthetic for acute replacement of the abdominal wall. J Trauma, 1999;47:529-32
9. Fildes JJ, Inabnet WB, Barrett JA: Perfusion patterns in uncontrolled haemorrhagic shock and resuscitation. Brunei International Medical Journal, 1999; 1:139-146.
10. Sanddal ND, Fildes JJ, Sanddal TL, Berman AL, Flaherty JG, Shires GT: Establishment of a suicide prevention research center in a high risk region of the United States. Proceedings of the 5th World Congress on Injury Prevention and Control, 2000
11. Curry JD, Snavely E, Stewart TH, Ryan SA, Fildes JJ, Shires GT. Addition of injury location to a trauma registry (NTRACS) for injury surveillance and control: methodology for creation of latitude and longitude designations for trauma event locations. Proceeding of the National Traffic Records Forum, 2000.
12. Mazolewski PJ, Curry JD, Fildes JJ: Computed tomography can be used for surgical decision making in zone II penetrating neck injuries. J Trauma, 2001; 51:315-9
13. Cohen M, Morales R, Fildes JJ, Barrett J: Staged reconstruction after gun shot wounds to the abdomen. Plast. Reconstr. Surg. 2001; 108: 83-92.
14. Curry JD, Recine CA, Snavely E, Orr M, Fildes JJ: Periaortic hematoma on abdominal CT as an indicator of thoracic aortic rupture in blunt trauma. J Trauma, 2002;52:699-702.
15. Kuhls DA, Landry VA, Rabaeu JA, Fildes JJ: Hispanic ethnicity, male gender and age are determinants of restraint use and hospital resource untilization in Nevada pediatric trauma patients. J Trauma 2002.
16. Browder TD, Fildes JJ, Fisher S, Sheaff CM, Barrett JA: Effects of hypothermia on neutrophil function. Accepted for publication by J Trauma.
17. Fantus, RJ, Fildes, JJ: How national is the trauma data bank? Bulletin of the Am Col of Surg, 88, 5:37, 2003.
18. Fantus, RJ, Fildes, JJ: Who pays for trauma care? Bulletin of the Am Col of Surg, 88, 6:34, 2003.
19. Fantus, RJ, Fildes, JJ: How do trauma centers compare? Bulletin of the Am Col of Surg, 88, 7:53, 2003.
20. Fantus, RJ, Fildes, JJ: The blunt majority? Bulletin of the Am Col of Surgeons, 88, 8:42, 2003.
21. Fantus, RJ, Fildes, JJ: The critical aspect of blunt trauma. Bulletin of the Am Col of Surg, 88, 9:43, 2003.
22. Fantus, RJ, Fildes, JJ: The he driving Force behind injury. Bulletin of the Am Col of Surg, 88, 10:32, 2003.
23. Fantus, RJ, Fildes, JJ: To drive or not to drive? Bulletin of the Am Col of Surg, 88, 11:43, 2003.
24. Fantus, RJ, Fildes, JJ: To ride or not to ride. Bulletin of the Am Col of Surg, 88, 12:51, 2003.
25. Fantus, RJ, Fildes, JJ: Same cover, but new version 3.0. Bulletin of the Am Col of Surg, 89,1:50, 2004.
26. Fantus, RJ, Fildes, JJ: The Graying of America. Bulletin of the Am Col of Surg, 89, 2:32, 2004
27. Fantus, RJ, Fildes, JJ: “I didn’t mean to”. Bulletin of the Am Col of Surg, 89, 3:43, 2004.
28. Fantus, RJ, Fildes, JJ: “The Lethality of Intent”. Bulletin of the Am Col of Surg, 89, 4:70, 2004.
29. Fantus, RJ, Fildes, JJ: “Easy Rider”. Bulletin of the Am Col of Surg, 89, 5:43, 2004
30. Fantus, RJ, Fildes, JJ: “I’ll drink to that”. Bulletin of the Am Col of Surg, 89, 6:49, 2004.
31. Fantus, RJ, Fildes, JJ: “Small package, big problem” Bulletin of the Am Col of Surg, 89, 7:61, 2004.
32. Steljes TPV, Fullerton-Gleason L, Fildes JJ: Epidemiology of suicide and the impact on Western Trauma Centers, J. Trauma, 2004 56:461.

RESEARCH SUPPORT
Ongoing Research Support
U49-CCU915983-06   October 1998-September 2005
Centers for Disease Control
Suicide Prevention Research Center
Regional characterization of coroner’s diagnosis and institutionalization and analysis of suicide prevention research.
Role: Co-PI

HRSA 03-070     March 1998-February 2006
Health Resources and Services Administration
Emergency Medical Services for Children Partnership Demonstration (EMSCP)
Build infrastructure and analyze and report pediatric Prehospital data.
Role: Co-PI

CFDA #93-952   September 2002-September 2005
Health Resources and Services Administration
Trauma-Emergency Medical Services Systems Implementation Grant
To establish trauma system EMS infrastructure and improve access to quality services.
Role: Co-PI

N00014-14-M-0281   August 2004-May 2005
Office of Naval Research, Code 341
Portable Trauma Patient Warming Blanket and Heat Source
Development of heat exchange with portable thermal blanket for use in combat.
Role: Co-PI

PE0603    October 2004-October 2005
United States Navy
Warfighter Protection Advanced Technology
Better rapid delivery of fluids and blood substances in combat setting.
Role: Co-PI

Completed Research Support
Stop Violence Against Women Act of 2000   September 1997-September 2001
Nevada Office of the Attorney General
Domestic Violence Data Initiative
Collect data for subsequent interventions based on a data driven process.
Role: PI

DTNH22-00-H-07012   October 1997-June 2003
National Highway Traffic Safety Administration (NHTSA)
CODES-Crash Outcome Data Evaluation System
Coordinate studies with leading state agencies to characterize automotive crash data.
Role: PI

Selected Bibliography
Recent peer reviewed articles:

Mazolewski PJ, Curry JD, Fildes JJ: Computed tomography can be used for surgical decision making in zone II penetrating neck injuries. J Trauma, 2001; 51:315-9

Cohen M, Morales R, Fildes JJ, Barrett J: Staged reconstruction after gun shot wounds to the abdomen. Plast. Reconstr. Surg. 2001; 108: 83-92.

Curry JD, Recine CA, Snavely E, Orr M, Fildes JJ: Periaortic hematoma on abdominal CT as an indicator of thoracic aortic rupture in blunt trauma. J Trauma, 2002;52:699-702.

Ikossi DG, Lazar AA, Morabito D, Fildes J, Knudson MM: Profile of mothers at risk: an analysis of injury and pregnancy loss in 1,195 trauma patients. J Am Col Surg. 2005 Jan;200(1):49-56.

Steljes TP, Fullerton-Gleason L, Kuhls D, Shires GT, Fildes J: Epidemiology of suicide and the impact on Western trauma centers. J Trauma. 2005 Apr;58(4):772-7.

Kuhls DA, Rathmacher JA, Musngi, MD, Frisch D, Nielson J, Barber A, MacIntyre AD, Coates JE, Fildes JJ: B-hydroxy-B-methylbutyrate improves nitrogen balance in critically injured adult trauma patients. In press, J Trauma, 2006.

Davis AK, Kuhls DA, Wulff R, Fildes JJ, MacIntyre AD, Coates JE, Zamboni WA: Heterotopic ossification following blunt abdominal trauma. In press, J Trauma.

Recent books and book chapters:

Fildes JJ, Editor: National Trauma Data BankTM Annual Reports for 2001, 2002, 2003, 2004, and 2005. Published by the American College of Surgeons.

Fildes JJ and Browder T: Trauma in Pregnancy. Demetriades, D and Asencio, JA eds. Trauma Management. Landes Bioscience, 2000.

Fildes JJ: Trauma Registry. Resource for Optimal Care of the Injured Patient. Committee on Trauma, American College of Surgeons 2006