Department of Surgery Faculty
Ronald M. Stewart, M.D.
Professor
Chair, Department of Surgery
Jocelyn and Joe Straus Endowed Chair in Trauma Research
Division: Trauma
Email: stewartr@uthscsa.edu
Board Certifications:
American Board of Surgery - General Surgery
American Board of Surgery, added qualifications in Surgical Critical Care
Education:
MD, University of Texas Health Science Center at San Antonio, 1985
Postgraduate training:
Residency, General Surgery, 1985-1991, UT Health Science Center, San Antonio
Fellowship, 1991-1992, Surgical Critical Care, University of Tennessee Health Science Center, Memphis, TN
Fellowship, 1992-1993, Trauma, Univeristy of Tennessee Health Science Center, Memphis, TN
Research expertise:
Clinical Trauma Care - Management of destructive wounds of the colon; The role
of non-operative management in splenic injury; intensive insulin therapy and
tight glucose control in the surgical ICU; ARDS; Resuscitation
Emergency Health Care System Development
Emergency Preparedness and Disaster Response - Implementation of emergency preparedness and disaster response for large scale events
Injury Epidemiology - The effects of education and income on injury mortality rates; Public perception of the injury problem and the role of prevention; Injury prevention: the role of public policy and behavior modification
Reptile Envenomations - Pit viper envenomations (Crotalidae and Agkistrodon) in South Texas
Surgical Critical Care - Evaluation, resuscitation, care and treatment of critically ill patients
Telecommunications - Use of the internet and telecommunication technology as and education tool in trauma, injury prevention and surgical critical care
Trauma System Development - Expertise in the development of regional trauma and disaster response systems
Publications
Abstracts:
Nicholson SE, Johnson FK, Stewart RM, Johnson RA.
The role of heme oxygenase in wound healing 2009. p. 469.5. (FASEB Journal; vol. 23, no. 1).
Pfluke J, Love JD, Nicholson S, Stewart RM, Corneille MG. Laparoscopic Surgery in a Rural Guatemalan Community 2009. (Society of American Gastrointestinal and Endoscopic Surgeons: 2009 Abstracts).
Nicholson SE, Johnson FK, Stewart RM, Johnson RA. Heme derived iron reduces wound thickness 2008. p. S60. (Journal of the American College of Surgeons; vol. 207, no. 3).
Johnson RA, McGloin KE, Nicholson SE, Johnson FK, Stewart RM. Chronic heme promotes sustained elevations in CO excretion, anorexia, attenuated physical activity and circulatory collapse in rats 2008. p. 1227.1. (FASEB Journal; vol. 22, no. 1).
Johnson FK, Durante W, Stewart RM, Johnson RA. Arginase contributes to hemorrhage-induced arteriolar endothelial dysfunction 2007 Jun. p. 77. (Shock; vol. 27, no. Suppl).
Johnson FK, Durante W, Stewart RM, Johnson RA. Arginase contributes to arteriolar endothelial dysfunction following hemorrhage 2007. p. A1404. (FASEB Journal; vol. 21, no. 6).
Price MA, Frankowski RF, McAlister A, Villarreal R, Griffin LI, Begley CE, Pallonen U, Stewart RM. A preliminary process, impact and outcome evaluation of the Texas Driver Responsibility Program 2006 Nov. (57th Annual Meeting of the Society for Public Health Education).
Price MA, Stewart RM, Lopez PP, Corneille MG, Klein J, Begley CG. Legislative funding of uncompensated trauma care increases participation in the trauma system. 2006 Sep. (Annual Meeting of the American Association for the Surgery of Trauma).
Villarreal R, Stewart RM, Price MA. A Su Salud: Safety Leader Training Program. 2003 Apr. (Proceedings from the National Center for Injury Prevention and Control Conference).
Waller RC, Dent DL, Davis CP, Greene R, Williams M, Gordon DJ, Myers JG, Stewart RM, Blow O, Pullarkat RR, Root HD, Pruitt Jr BA. The negative relationship between trauma patient care and the care of an acute chest pain patient in common resuscitation areas. 2002 Jan. (Critical Care Medicine).
Book chapters:
Stewart RM, Price MA, Murdock A.
Trauma Systems and Injury Prevention.
In: Richard S. Irwin and James M. Rippe. Intensive Care Medicine, Sixth Edition. Philadelphia, PA: Lippincott Williams & Wilkins; 2008. p. 1874 - 1877.
Stewart RM, Rosenthal D. Colon Trauma In: Colon and Rectal Surgery 5th edition. Philadelphia: JB Lippincott; 2004.
Stewart RM, Dent DL, Myers JG. Wounds, Bites and Stings In: DV Feliciano, EE Moore, & KL Mattox (eds). Trauma 5th Ed. Appleton & Lange; 2003. p. 1059 - 1080.
Stewart RM, Page CP. Wounds, Bites and Stings In: Trauma 4th Edition. Stamford CT: Appleton & Lange; 2002.
Stewart RM, Myers JG, Dent DL. Wounds, Bites and Stings In: EE Moore, DV Feliciano, & KL Mattox (eds). Trauma, 3rd Edition. McGraw-Hill Medical Publishing Division; 2001. p. 1059 - 1080.
Stewart RM, Rosenthal D. Colon trauma In: Colon and Rectal Surgery. Philadelphia: JB Lippincott; 1998.
Root HD, Stewart RM. Diagnosis of hemoperitoneum In: Current Therapy of Trauma 4th edition. Chicago: Mosby; 1997.
Stewart RM, Kudsk K. Perineal injuries In: Advances in Trauma (Vol 7). Chicago: Mosby Year Book Medical Publisher; 1992.
Stewart RM, Fabian TC, Cicala R. Multisystem trauma priorities In: Trauma Anesthesia and Critical Care. Chicago: Mosby Medical Publishers; 1992.
Journal articles:
Salhanick M, Corneille M, Higgins R, Olson J, Michalek J, Harrison C, Stewart R, Dent D.
Autotransfusion
of hemothorax blood in trauma patients: is it the same as fresh whole blood?
Am J Surg. 2011 Dec;202(6):817-22.
Nicholson SE, Johnson RA, Craig T, Myers JG, Durante W, Stewart RM, Johnson FK. Transfusion-related acute lung injury in a rat model of trauma-hemorrhage. J Trauma 70: 466-471, 2011.
Daniel CO; Stewart RM; Myers JG. Full Time Trauma Service Leads to Improved Level III Trauma Center Outcomes. American Journal of Surgery 2010 Dec
Corneille MG, Villa C, Wolf SE, Michalek JE, Jung I, Wade CE, Myers JG, Dent DL, Mueller DL, Stewart RM. Time and Degree of Glycemic Derangement Are Associated with Increased Mortality in Trauma Patients in the Setting of Tight Glycemic Control. American Journal of Surgery 2010 Dec
Corneille MG, Gallup TM, Bening T, Wolf SE, Brougher C, Myers JG, Dent DL, Medrano G, Xenakis E, Stewart RM. The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. The American Journal of Surgery 2010 Sep;200(3):363-367.
Lopez PP, Arango J, Gallup TM, Cohn SM, Myers J, Corneille M, Stewart R, Dent DL. Diaphragmatic injuries: what has changed over a 20-year period? American Surgeon 2010 May;76(5):512-516.
Wiggins-Dohlvik K, Stewart RM, Babbitt RJ, Gelfond J, Zarzabal LA, Willis RE. Surgeons' performance during critical situations: competence, confidence, and composure. American Journal of Surgery 2009 Dec;198(6):817-823.
Price MA, Salazar CI, Villarreal CL, Guerra C, Villarreal R, Stewart RM. Applying behavioral theory to an innovative school-based program for preventing underage drinking and impaired driving. American Journal of Health Studies 2009 May;24(1):223-230.
Stewart RM, Park PK, Hunt JP, McIntyre RC, McCarthy J, Zarzabal LA, Michalek JE. Less is more: improved outcomes in surgical patients with conservative fluid administration and central venous catheter monitoring. Journal of the American College of Surgeons 2009 May;208(5):725-735.
Cohn SM, Arango, JI, Myers JG, Lopez PP, Jonas RB, Waite LL, Corneille MG, Stewart RM, Dent DL. Computed tomography grading systems poorly predict the need for intervention after spleen and liver injuries. American Surgeon 2009 Feb;75(2):133-139.
Shafi S, Stewart RM, Nathens AB, Friese RS, Frankel H, Gentilello LM. Significant variations in mortality occur at similarly designated trauma centers. Archives of Surgery 2009 Jan;144(1):64-68.
Moore EE, Moore FA, Fabian TC, Bernard AC, Fulda GJ, Hoyt DB, Gomez GA, Cipolle MD, Rodman GH, Malangoni MA, Hildes GA, Omert LA, Gould SA, Duane TM, Weireter LJ, Polyheme Study Group. Human Polymerized Hemoglobin for the Treatment of Hemorrhagic Shock when Blood Is Unavailable: The USA Multicenter Trial. Journal of the American College of Surgeons 2009 Jan;208(1):1-13.
Steigelman, Megan, Corneille MG, Lopez PP, Dent DL, Myers JG, Stewart RM, Cohn SM. Screening Cervical Spine MRI After Normal Cervical Spine CT Scans in Patients in Whom Cervical Spine Injury Cannot Be Excluded by Physical Examination. The American Journal Surgery 2008 Dec;194:857-863.
Cohn SM, Price MA, Stewart RM, Corneille MG, Myers JG, McCarthy J, Jonas RB, Hargis SM, Dent DL. Surgical critical care and private practice surgeons: a different world out there! Journal of the American College of Surgeons 2008 Mar;206(3):419-425.
Mejia JC, Stewart RM, Cohn SM. Emergency department thoracotomy. Semin Thorac Cardiovasc Surg 2008 Jan;20(1):13-18.
Corneille MG, Stewart RM, Cohn SM. Upper Airway Injury and Its Management. Semin Thorac Cardiovasc Surg 2008 Jan;20(1):8-12.
Stewart RM, Corneille MG. Common complications following thoracic trauma: their prevention and treatment. Semin Thorac Cardiovasc Surg 2008 Jan;20(1):69-71.
Flores HA, Stewart RM. The multiply injured patient. Semin Thorac Cardiovasc Surg 2008 Jan;20(1):64-68.
Corneille MG, Steigelman MB, Myers JG, Jundt J, Dent DL, Lopez PP, Cohn SM, Stewart RM. Laparoscopic appendectomy is superior to open appendectomy in obese patients. American Journal of Surgery 2007 Dec;194(6):877-880.
Alley JB, Corneille MG, Stewart RM, Dent DL. Pneumoperitoneum after percutaneous endoscopic gastrostomy in patients in the intensive care unit. American Surgeon 2007 Aug;73(8):765-767.
Stewart RM. Trauma system and prevention summary for injury prevention. J Trauma 2007 Jun;62(6):S46-S46.
Stewart RM. Injury prevention: why so important? Journal of Trauma 2007 Jun;62(6 Sup):47-48.
Presentations:
2011, Claude H. Organ Jr. Memorial Lecturer; The Care of the Patient: Science and Service, Southwestern Surgical Congress 63rd Annual
Meeting, Hawaii (Invited Speaker)
2010, A Risk Adjusted Mortality Analysis Of Rib Fracture patients Reveals
Important Treatment Variations Between Trauma Centers (A Reconect Study), AAST
69th Meeting, Surgery, AAST, Boston, MA (Invited Speaker)
Details: Dr. Stewart is a AAST - Discussant for David T. Harrington MD. He is
presenting A Risk Adjusted Mortality Analysis Of Rib Fracture patients Reveals
Important Treatment Variations Between Trauma Centers (A Reconect Study).
2010, Preventable Trauma Deaths, South Texas Committee on Trauma - Regional Trauma System Day, Austin, TX (Invited Speaker)
2010, Texas Trauma System and the Texas Legislature, South Texas Committee on Trauma - Regional Trauma System Day, Austin, TX (Invited Speaker)
2010, The Care of the Patient - Science & Service, General Surgery Grand Rounds, Surgery, UTHSCSA, San Antonio, TX (Sole Presenter)
2010, Surgeon's Performance During Critical Situations: A Survey of Texas Surgical Members, Texas Surgical Society Spring Meeting, Texas Surgical Society, Fort Worth, TX (Invited Speaker)
2010, Changes in Practice Due to Data Review, EMS & Trauma Registry Summit, Texas EMS, Trauma & Acute Care Foundation (TETAF), Austin, TX (Invited Speaker)
2010, Panel Discussion: Data Influencing Legislation, EMS & Trauma Registry Summit, Texas EMS, Trauma & Acute Care Foundation (TETAF), Austin, TX (Invited Speaker)
2009, CON: Damage Control Resuscitation, NTI Annual Trauma Symposium, Surgery-Trauma, National Trauma Institute, San Antonio, TX (Co-Presenter)
2009, The Texas Legislature and Trauma Related Issue in Texas, South Texas Committee on Trauma - Regional Trauma System Day, Co-Sponsored by the South Texas Chapter American College of Surgeons Committee on Trauma, El Paso, TX (Invited Speaker)
2009, Preventable Death Case Presentation, South Texas Committee on Trauma -
Regional Trauma System Day, Co-Sponsored by the South Texas Chapter American
College of Surgeons Committee on Trauma, El Paso, TX (Invited Speaker)
Details: Goal of the Conference: To identify and prioritize issues related to
access of high quality trauma and emergency surgical care in South Texas. This
program will assist in the development of a legislative agenda.
Awards:
2012, San Antonio Magazine, 'Best Doctors in America'®
2010, San Antonio Magazine 'Best Doctors'
2010, Outstanding Surgery Faculty Mentor: Awarded by Graduating Chief Residents
2008, SCCM Annual Best Paper Administration Specialty Award
2007, Best Doctors in America 2007-2010 database
2007, Leonard Tow Humanism in Medicine Award
2007, University Health System Physician of the Year
2006, University Hospital Shining Star
2006, Excellence in Resident Teaching
2006, Top 100 Physicians In San Antonio-Scene in San Antonio Monthly: 2006-2010
2005, 2005 Distinguished Alumnus UT San Antonio Medical School
2004, Health Care Heroes - Outstanding Physician Category: San Antonio Business Journal
2004, Outstanding Faculty Member, UTHSCSA - Medical Class 2004
2004, UTHSCSA Presidential Award for Clinical Excellence
2003, Outstanding Faculty Member, UTHSCSA - Medical Class 2003
2003, Legislative Champion Award from Texas Trauma Coordinators Forum
2001, America's Top Doctors: Castle Connolly Medical, Ltd., 2001-2010
2000, Governor's Appointment, Texas EMS and Trauma Advisory Council
1999, Bronze Quill: for writing the Shattered Dreams Program
1999, Faculty Member of the Year, University Health System
1996, 40 Under 40 Rising Star Award, San Antonio Business Journal
1990, International College of Surgeons Residents' Paper Competition: 1st Place
1990, Administrative Chief Surgical Resident, UTHSCSA Surgery
1989, American College of Surgeons Committee on Trauma Resident Paper Competition: 1st Place Region VI, Basic Science
1989, American College of Surgeons Committee on Trauma Resident Paper Competition: 1st Place South Texas Chapter
1989, J. Bradley Aust Surgical Society Resident Paper Competition: 1st Place
1989, Jack A. Barney Award: Outstanding Resident Paper Presentation, Annual meeting of the Southwestern Surgical Congress, Monterrey, CA
1987, Jack A. Barney Award: Outstanding Resident Paper Presentation, Annual meeting of the Southwestern Surgical Congress, San Diego, CA
1985, Paul Cutler Award for Clinical Excellence
1984, Alpha Omega Alpha: President, Texas Epsilon Chapter
Professional societies:
American Surgical Association
National Trauma Institute
Surgical Biology Club III
Southern Surgical Association
American Association for the Surgery of Trauma
Texas Surgical Society
American College of Surgeons
San Antonio Surgical Society
Bexar County Medical Society
Harwell Wilson Surgical Society
Southwestern Surgical Congress
Society of Critical Care Medicine
J Bradley Aust Surgical Society
Biostatement: Dr. Stewart graduated from medical school and completed his surgical residency at the University of Texas Health Science Center at San Antonio. He completed a 2 year Trauma and Critical Care Fellowship at the University of Tennessee in Memphis. He became the Director of Trauma at University Hospital in 1993. Dr. Stewart has been the Chairperson of the Southwest Texas Regional Advisory Council for Trauma since 1996. He received the Faculty Member of the Year Award from The University Health System in 1999. That same year he was awarded the Bronze Quill for his writings on the injury prevention program Shattered Dreams/D.E.A.D. (Drinking and Driving End All Dreams). In May 2000, Governor George W. Bush appointed him to the Texas Emergency Medical Services and Trauma Advisory Council. He has been the chair of the South Texas Chapter of the ACS Committee on Trauma and the Region VI Chief of the Committee on Trauma and currently serves on the ACS Committee on Trauma. He received the UTHSCSA Presidential Award for Clinical Excellence and has received multiple medical student and resident teaching awards. Dr. Stewart's research interests lie in the areas of injury epidemiology, clinical trauma care, and health care policy. He is the Chairman of the Department of Surgery at the University of Texas Health Science Center at San Antonio and holds the Jocelyn and Joe Straus Endowed Chair for Trauma Research. He is the Recorder for the Southwestern Surgical Congress and the Secretary of the Texas Surgical Society.
