BIG T Trauma Series Ep. 15 - ED Thoracotomy: The How

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 24 March 2022

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

A trauma patient rolls into the bay. CPR started 10 minutes ago. They are pulseless, the entire trauma team is looking to you for leadership, and the thoracotomy tray is prepped and ready. Do you pick up the knife and cut?

Welcome back to the BIG T TRAUMA series. Join Drs. Patrick Georgoff, Teddy Puzio, and Jason Brill for a high-level discussion on the one surgical procedure that trumps them all – the ED thoracotomy. This is episode 2 of 2. In episode 1 we discussed who should get an ED thoracotomy. Today, we cover how to do it.

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Transcript

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0:00.0	Behind the Knife, the Surgery Podcast, relevant and engaging content designed to help you
0:12.0	dominate the day.
0:23.6	Welcome back to Behind the Knife and another episode of the Big Data T-Trauma series.
0:28.5	Today is part two of our mini-series on the resuscitative thoracotomy.
0:32.3	If you haven't listened to part one, we highly recommend you do so.
0:35.2	My name is Patrick Georgeoff, and I'm an acute care surgeon at Wake Med Hospital in
0:39.1	Raleigh, North Carolina.
0:40.7	Joining me today are two of my good friends and former co-fellows at the home of Big
0:44.2	T-Trauma, the University of Texas in Houston.
0:46.6	If you've got Dr. Ted Depusio, who's currently faculty at UT and assistant program director
0:50.7	for the acute care fellowship, and Dr. Jason Brill, who's currently stationed in beautiful
0:57.0	Hawaii and serving with the Marine Corps, and at least part of his time is devoted to
1:01.7	the U.S. Indo-Pacific Command as his trauma medical director.
1:06.5	Let's get started.
1:07.5	All right, Patrick.
1:08.5	Yep.
1:09.5	So in part one, we covered the who, not the band, but is in who gets an ED thoracotomy.
1:15.8	Today we're discovering the how, as in how to do an ED thoracotomy.
1:21.8	After today, you should be more comfortable with this emergency procedure, and our goal
1:26.4	is for you to be better prepared if and when you're faced with this task.
1:31.3	So Teddy, think back to your first ED thoracotomy.
1:36.0	How did you prepare for this case if you want to call it that?
	...

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