Behind the knife the surgery podcast where we take a behind the scenes intimate look at surgery from leaders in the field

Before we dive into today's episode, I just wanted to ask you guys if you enjoyed this podcast

please go on iTunes in the podcast app and give us a five star review it really helps us get recognition and

and find sponsors and things like that so if you have a second just go do that you can do it from

your cell phone it really takes almost no time okay and welcome back to behind the knife today we're

doing part three of our Rich's Vascular trauma series we're here with Alec and Alexis and we're

just going to dive in today we're covering the Aorta IVC visceral vessels in the lower extremities so

a lot to cover here in a short amount of time so let's get started with an arterial injury in

the abdomen pelvis let's consider 25-year-old males inbound to your trauma bay with reports of a

gunshot wound to the abdomen what are some things you need to think about when faced with this

mechanism and location of injury so you know injury to some vessels in this area such as

making Aorta and the visceral arteries can be variable that it can be small venous injury with

you know has a stable presentation versus a larger arterial injury which can have

pre-significant rapid deterioration so time is really critical when I present

yeah like we talked about in the previous podcast it all meant depending your management depends

rely on how they're presenting if these patients are presenting unstable they're definitely

going to need to go they all are rapidly prior to any other meteor interventions

and just you know to circle back to that conversation we had around Reboa in episode one this

is a good time if the patient comes in and impure stable but they've got a penetrating injury

you know in the vicinity of concerning vessels you may want to consider pre-placing Reboa

for the kind of safety purposes absolutely so if the patient is stable enough to get to the CT

scanner these injuries are best identified with the CTA and can he categorize into zones so you

...