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Behind The Knife: The Surgery Podcast

BIG T TRAUMA Ep. 26: Pediatric Trauma #2

Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.81.4K Ratings

🗓️ 10 November 2025

⏱️ 33 minutes

🧾️ Download transcript

Summary

Pediatric trauma hits differently—both emotionally and clinically. In this Big T Trauma episode (2 of 2), Drs. Teddy Puzio, Charles Cox, and Tyler Simpson join Dr. Patrick Georgoff to break down real-world pediatric trauma cases. They explore how mechanism predicts injury, when imaging helps (and when it harms), and the nuances of recognizing non-accidental trauma. Packed with practical takeaways and memorable teaching points, this episode will sharpen your instincts for the next injured child you treat.

PECARN Pediatric Imaging Guidelines: https://emscimprovement.center/education-and-resources/peak/multisystem-trauma/imaging/

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

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. 
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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.

0:34.9

To learn more, visit Teleflex.com. Welcome back to Behind the Knife.

0:39.2

This is Patrick Georgoff, and I am thrilled to be back with another episode in our Big T trauma

0:43.9

series where we talk shop about trauma care. This series gets his name from the University of Texas

0:48.9

at Houston Memorial Hermon Red Duke Trauma Institute, one of the busiest trauma centers in the

0:53.5

entire country. And today, we are joined by Dr. Teddy Pousio, one of my former co-fellows and current faculty at UT Houston, pediatric trauma expert, Dr. Charles Cox, also out of UT Houston, and Dr. Tyler Simpson, a trauma fellow at Duke University. All right, Teddy, enlighten us. What is on tap for today's episode?

1:12.2

All right. So today we're going to run through a handful of case-based scenarios to highlight

1:16.0

trauma pearls and pitfalls, except this time we're sticking to pediatric pearls and pitfalls.

1:22.9

These topics are high yield. So tune in. Stay focused because, as I like to say, the eyes do not see

1:29.2

what the mind does not know.

1:30.7

Yeah.

1:31.2

Teddy, that's true.

1:32.3

Thanks for inviting me back for another episode, episode number 900 and whatever it is now.

1:39.3

Pediatric trauma is common, even in the adult trauma centers.

1:42.5

But there are some key distinctions from the adult

1:44.9

population in terms of physiology, injury patterns, decision making, and hopefully today we'll be

1:50.1

able to highlight some of these distinctions. Yeah, couldn't agree more. And beyond those distinctions,

1:55.1

pediatric trauma is particularly tough. It's emotional. It's a real gut punch when you see a child

2:00.7

injured. I think that's

2:01.7

especially true if you happen to be a parent. And that's why we're doing this episode. So you can

...

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