BIG T TRAUMA Ep. 25: Pediatric Trauma #1

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 6 November 2025

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

Pediatric trauma hits differently—both emotionally and clinically. In this Big T Trauma episode (1 of 2), Drs. Teddy Puzio, Charles Cox, and Bhupaul Ramsuchit join Dr. Patrick Georgoff to break down real-world pediatric trauma cases that highlight the ABCs, airway pitfalls, and the art of staying one step ahead when things go sideways. From weight-based dosing and needle cricothyrotomy, to recognizing subtle signs of shock, this one’s packed with practical pearls you can use on your next pediatric activation.

UT Houston Pediatric MTP: https://med.uth.edu/surgery/pedimtp/

This episode of Big T Trauma was sponsored by Teleflex, a global provider of medical devices. Learn more at teleflex.com and at the Teleflex Trauma and Emergency Medicine LinkedIn page.

BIG T Trauma Series: https://app.behindtheknife.org/podcast-series/big-t-trauma

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Transcript

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0:00.0	Behind the Night, the Surgery podcast, relevant and engaging content designed to help you dominate the day. This episode of Big Tea Trauma is sponsored by Teleflex, a global provider of medical devices
0:27.3	that address the time-critical challenges of achieving vascular access and bleeding control.
0:32.5	Not all products are available in all regions. To learn more, visit Teleflex.com.
0:38.2	Welcome back to Behind a Knife.
0:39.8	I'm Patrick Georgoff, and I'm happy to say that this is another big T trauma episode.
0:45.7	They haven't been my favorite.
0:46.6	Today, we're taking a swing at a topic that's essential, but often anxiety provoking,
0:52.5	and that's pediatric trauma.
0:54.1	Kids are not just little adults.
0:55.7	They crash harder. They hide shock better. And they will certainly humble you. Today, we're joined by
1:01.8	my co-host, Dr. Teddy Pusio, who is staff at UT Houston. He's a regular on our Big T series.
1:08.1	And we have two special guests. First is Dr dr chuck hox professor of pediatric surgery at
1:12.0	ut Houston and a true expert in the world of pediatric trauma and dr. Paul Ramsuchet who is a second
1:19.1	near trauma fellow at UT Houston welcome you all to the show yeah thanks Patrick I've been a huge
1:26.3	fan since intern year. You guys have
1:28.5	definitely gotten me out of a ton of sticky situations. And so in today's one of two-part
1:33.5	episode, we're going to dive into pediatric trauma pitfalls. And we're going to do this through
1:39.0	some real-life case scenarios. Today, particularly, we're going to focus on the ABCs of P trauma as well as
1:46.0	some of the unique anatomy and physiology that they have. Let's get started with this first.
1:51.0	Adler's dropped off on the ambulance bay. After reportedly being involved in a high-speed rollover
1:55.3	MVC, he was unrestrained in the back seat, was ejected from the vehicle. Your vitals, Paul, heart rates 120.
2:03.0	BP is 98 over 60.
	...

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