Clinical Challenges in Trauma Surgery: Penetrating Cardiac Trauma

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 14 June 2021

⏱️ 38 minutes

🔗️ Recording | iTunes | RSS

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Summary

Clinical Challenges in Trauma Surgery: Penetrating Cardiac Trauma

A patient presents with a stab wound to the THE BOX. What do you do? X-ray? FAST? Heal with steel? In this episode, the BTK trauma team discusses your options and gives you a few pro tips along the way.

Join Drs. Haut, Feinman, and Sigmon for a high-yield clinical challenge.

Hosts:

Elliott Haut, MD, PhD, a senior, nationally recognized name in trauma and acute care surgery at Johns Hopkins University. Dr. Haut is a past president of The Eastern Association for the Surgery of Trauma (EAST).

Marcie Feinman, MD, MEHP, the current program director of General Surgery Residency at Sinai Hospital of Baltimore and editorial board member of SCORE. She received her Masters in Education in the Health Professions from Johns Hopkins.

David Sigmon, MD, MMEd, a PGY-5 resident at the University of Illinois at Chicago who plans on going into trauma surgery. He did two years of research in surgical education at the University of Pennsylvania where he also received his Master’s in Medical Education.

Papers:

Inaba K, Chouliaras K, Zakaluzny S, et al. FAST ultrasound examination as a predictor of outcomes after resuscitative thoracotomy: a prospective evaluation. Ann Surg. 2015;262(3):512-518; discussion 516-518.
https://pubmed.ncbi.nlm.nih.gov/26258320/

Teeter W, Haase D. Updates in traumatic cardiac arrest. Emerg Med Clin North Am. 2020;38(4):891-901.
https://pubmed.ncbi.nlm.nih.gov/32981624/

Israr S, Cook AD, Chapple KM, et al. Pulseless electrical activity following traumatic cardiac arrest: Sign of life or death? Injury. 2019;50(9):1507
1510. https://pubmed.ncbi.nlm.nih.gov/31147/183/

Transcript

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0:00.0	Debt has a family, no kids is married and divorced.
0:03.5	It's a school run grand, a key worker, a father in the force.
0:06.9	Debt's a fumbuff, a football fan, a good cook and a gardener.
0:10.1	It's a flat chair, got a mortgage, lives alone and with a partner.
0:13.6	Debt's 23, 41 and even 92.
0:16.5	It's stressed out, can't sleep and wondering what to do.
0:19.9	Debt can happen to anyone.
0:21.7	We've helped millions leave it behind.
0:24.0	Visit stepchange.org to get help now.
0:26.7	Stepchange is authorized and regulated by the Financial Conduct Authority.
0:30.0	Behind the Knife, the Surgery Podcast,
0:33.2	where we take a behind the scenes intimate look at surgery from leaders in the field.
0:52.0	Welcome to Behind the Knife, Trauma Edition.
0:54.5	This is our team's first podcast and we are excited to bring our expertise in trauma
0:58.7	to behind the Knife over the next two years.
1:01.4	My name is Marcy Feiman and I am a trauma and acute care surgeon in Baltimore,
1:05.1	Maryland, as well as the General Surgery Residency Program Director at Sinai Hospital.
1:10.4	I am joined by Dr. David Sigmund, PGY3 resident at University of Illinois at Chicago
1:15.7	and Education Guru, as well as Dr. Elliot Hout.
1:19.3	Trauma surgeon extraordinaire from Johns Hopkins and past president of the Eastern
1:23.2	Association for the Surgery of Trauma.
1:25.4	Together, we will be your hosts in this episode as we discuss the management of
	...

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