Behind The Knife: The Surgery Podcast

Hosts: Patrick Georgoff, MD and Jason Brill, MD This is part I of trauma resuscitation.  In this episode we cover transfusion medicine from a trauma surgery perspective.  Whole blood, 1:1:1, massive transfusion…it’s all here. 

Hosts: Patrick Georgoff, MD and Teddy Puzio, MD This episode covers all things REBOA, including indications, practical tips and tricks, and complications.  Don’t be shy – have a listen.  References: Joseph et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surgery 2019 (https://www.ncbi.nlm.nih.gov/pubmed/30892574) Brenner et al. Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Proximal Aortic Control in Patients With Severe Hemorrhage and Arrest. JAMA Surgery 2018 (https://www.ncbi.nlm.nih.gov/pubmed/28973104) Brenner et al. Resuscitative Endovascular Balloon Occlusion of the Aorta and Resuscitative Thoracotomy in Select Patients with Hemorrhagic Shock: Early Results from the American Association for the Surgery of Trauma's Aortic Occlusion in Resuscitation for Trauma and Acute Care Surgery Registry. J Am Coll Surg 2018 (https://www.ncbi.nlm.nih.gov/pubmed/29421694)

Neck trauma Hosts: Patrick Georgoff, MD and Jayne McCauley, MD The inaugural episode of the BIG T TRAUMA series!  This series will offer clinically oriented material that focuses on how best to care for traumatically injured and critically ill patients.  The information presented in this podcast is designed for surgical trainees but is appropriate for anyone with an interest in trauma surgery, including medical students, advanced practice providers, and nurses.    This episode will cover neck trauma, and includes important learning points related to blunt and penetrating injury.  Demystify neck trauma today!!!   References: Burlew et al, J Trauma 2012, Blunt cerebrovascular injuries: Redefining screening criteria in the era of noninvasive diagnosis (https://www.ncbi.nlm.nih.gov/pubmed/22327974) Biffl et al, J Trauma 1999, Blunt carotid arterial injuries: implications of a new grading scale (https://www.ncbi.nlm.nih.gov/pubmed/10568710) EAST guideline: Clinical Practice Guideline: Penetrating Zone II Neck Tra

Leaders in clinical and health services research discuss keys to success in this collaborative effort between BTK and The Association for Academic Surgery. In this episode, Drs. Fabian Johnston and Stephanie Bonne have an engaging conversation with Dr. Clifford Ko about improving quality of surgical care through with a robust health services research program.  

Dr. Peter Angelos is an endocrine surgeon and medical ethicist at the University of Chicago. He answers our questions regarding the ethical and moral obligations and implications during the struggles of this pandemic.

Dr. Sharmila Dissanaike discusses the stress that the surgical residents and attending are facing in this unprecedented times. Listen in for techniques that can help you and your close ones navigate through emotions and manage stress in a productive manner. 

Dr. Mayur Narayan associate professor of surgery at Weill Cornell Medical Center, describes his early experience managing a SICU full of COVID-19 + positive patients.  Dr. Patrick Georgoff, critical care fellow, and frequent Behind The Knife contributor joins us to help break down the critical care aspects of COVID-19.  Resources SCCM Covid guidelines: http://www.med.umich.edu/surgery/mcccn/documents/SSC-COVID19-Critical-Care-Guidelines.pdf DOD Covid guidelines: http://www.med.umich.edu/surgery/mcccn/documents/DoD-COVID-19-Practice-Management-Guide-V10 JAMA treatment synopsis: https://jamanetwork.com/journals/jama/fullarticle/2763879?guestAccessKey=8e645e9d-64dc-436c-8f59-d0dd83afb7d9&utm_content=weekly_highlights&utm_term=032820&utm_source=silverchair&utm_campaign=jama_network&cmp=1&utm_medium=email Michigan Critical Care Collaborative Network: http://www.med.umich.edu/surgery/mcccn/ MGH Treatment Guide: http://www.med.umich.edu/surgery/mcccn/documents/MGH-Guide-for-COVID-Patients.JPG

Behind the Knife joins Cal Walters on his podcast "Intentional Living and Leadership" to discuss leading in a healthcare crisis with two veteran physicians that have served on multiple combat tours to Iraq and Afghanistan.  If you are interested in becoming a better leader or living a more intentional life, please check out Cal's podcast. Highly recommend.  https://www.calwalters.me/ Intentional Living and Leadership    Dr. Tom Hustead graduated from West Point in the top 3% of his class and received his medical degree from Case Western University School of Medicine. As a retired Army Colonel, highlights from his distinguished career include deployments to Iraq and Afghanistan, being awarded Flight Surgeon of the Year for his service in combat, Outstanding Faculty of the Year for his medical teaching, and board selection as Department Chair for a family medicine residency department. As a result of his appointment by the Army Surgeon General to be the “face of military medicine” to recruit and share the Army

Check out Dr. Patrick Georgoff's Youtube video that describes in more detail the basics of managing a ventilator.  https://youtu.be/RHx-p5RFoaA   Some great resources tagged below: ARDSnet ventilator protocols: http://www.ardsnet.org/files/ventilator_protocol_2008-07.pdf Caring for the COVID pt from JAMA https://jamanetwork.com/journals/jama/fullarticle/2762996    

Critical information on COVID-19 and how it impacts us as surgeons, and how we can help in the fight.  Dr. Sharmila Dissanaike – Chair of the Texas Tech Department of Surgery  -Discusses preparing her department of surgery for COVID Dr. Angela Hewlett – Medical Director of the Nebraska Biocontainment Unit          -Breaks down the basics of this virus from an ID perspective Dr. Christian Jones – Director of the Acute Care Surgery Fellowship at Johns Hopkins -Discusses how we can safe when managing these patients Dr. Vahagn Nikolian – Fellow At Columbia University in Abdominal Wall Reconstruction - Discusses how to implement telemedicine into practice   Corona Virus Info https://www.cdc.gov/coronavirus/2019-ncov/index.html https://emcrit.org/ibcc/covid19/ Johns Hopkins Corona Virus Map https://coronavirus.jhu.edu/map.html How to properly put on and remove PPE (seems silly but is important) https://www.youtube.com/watch?v=CChf0-enyp0 Resources for learning about Vents Propofology.com/non-icu.html

Episode 2 of 6 of our vascular trauma series collaboration with Audible Bleeding. Kevin and Adham discuss the management of abdominal arterial vascular injuries with Dr. Rasmussen If you want to read more about vascular trauma, please refer to  Rich's Vascular Trauma https://www.elsevier.com/books/richs-vascular-trauma/9781455712618

Join us for our 14th joint Journal Club with Annals of Surgery! We discuss a brand-new set of guidelines from the American Association of Endocrine Surgeons to help keep us up-to-date on thyroid disease.   This episode's guest authors are Dr. Kepal Patel, the Director of Endocrine Surgery at NYU, and Dr Herb Chen, the Chair of Surgery at UAB. They are two of the authors of "Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults"   Access the executive summary free of charge here:  https://journals.lww.com/annalsofsurgery/Fulltext/2020/03000/Executive_Summary_of_the_American_Association_of.1.aspx   And the full set of guidelines here:  https://journals.lww.com/annalsofsurgery/Fulltext/2020/03000/The_American_Association_of_Endocrine_Surgeons.28.aspx

Recorded a few years ago for ABSITE and one of our first reviews, but these are truly your tips and tricks to get you those few extra points! Dominate the ABSITE! Check out our book: https://amzn.to/379rGtR

We review high-yield miscellaneous topics for the ABSITE, including: peritoneal dialysis catheters, sarcoma, and melanoma. Check out our book: https://amzn.to/379rGtR  

We discuss a wide range of high-yield thoracic topics for the ABSITE and General Surgery Boards.  These include anatomy, benign/malignant pathology, and trauma.   Thoracic is not currently part of our ABSITE review Podcast Companion, but will be added in future editions.   Thanks for listening!

Check out our book: https://amzn.to/379rGtR

Check out our book https://amzn.to/379rGtR

Check out our ABSITE review book. https://amzn.to/379rGtR

Quick hits for those ABSITE hernia questions.  Once again we apologize for the audio quality, but unfortunately we were recording 100s of miles apart! https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion-ebook/dp/B082MKW2VR

Another great ABSITE Review!  Dr. Martin joins us once again to review Fluids, Electrolytes, and the terrifying Acid/Base! Quick hits and tips to get you through these questions! We do apologize for the overall audio quality!  We were spread out over a couple states and sometimes talk over one another. https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion-ebook/dp/B082MKW2VR