Behind the Night, the surgery podcast, relevant and engaging content designed to help you dominate the day.

Hello BTK listeners, this is Patrick, I've got Kevin, Jason and John here with me and we are thrilled to introduce the behind the knives premium

general surgery oral board review. Today you'll hear a sample scenario from this comprehensive audio review course, which includes 92 scenarios that meticulously cover 115 score core topics.

The course has an exciting and entirely unique format. Each of the 92 scenarios includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing.

Scenarios are five to seven minutes long and include a variety of tactics and styles. If you're able to achieve this level of performance and your preparation, you are sure to pass the oral exam with flying colors.

The second part introduces high yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy to understand, teaching that covers the most confusing topics that we face as general surgeons.

We are confident you will find this unique dual format approach a highly effective way to prepare for the test.

So why did we take this on? Well, we simply were not happy with the other oral board prep courses out there. First off, they're ridiculously expensive. No one should have to pay that much.

Second, their content is subpar and out of date, so we took matters into our own hands. This oral board review course was designed to not only outperform the competitors, but also save you hundreds of dollars.

You should also know that revenue generated from this course will be put right back into behind the knife to support creation of more awesome content. It's a win-win for everyone involved.

To learn more about behind the nice premium general surgery oral board review, visit www.behindtheknife.org and click on the premium tab.

You can access additional oral board review material, including a 10-part review series and supplementary mock oral board scenarios by clicking listen, series, and then oral boards or by simply searching oral boards.

And while you're there, don't forget to sign up for our newsletter, register for a free Category 1 CME and even purchase some merchandise. For regular updates, follow us on Twitter, app behind the knife, and Instagram, app behind the knife podcast. We hope you enjoy this episode.

Alright, with that, let's get started with part A, a perfectly executed oral board scenario that mimics the real thing.

Behind the knife premium.

Scenario 69, Cardiac Trauma, developed by Patrick George Off, read by Examiner Patrick George Off and Examini John McClellan.

An 18-year-old male presents to the trauma bay following a stab wound to the left chest. He is anxious and pale but conversant. He is bilateral breast sounds.

Femeral pulses are palpable the week. GCS is 15. Heart rate is 130. Blood pressure 88 over 60. Respiratory rate 30. An auction saturation 98% on a non-rebreeder mask.

Secondary survey reveals no other injuries. How would you like to proceed? You're at a level one trauma center with full support.

Okay, yeah, I would start with a fast exam and then a chest x-ray. I'd also like to attain at least two large bore IV access, send a full set of comprehensive labs and an older blood to the bedside immediately.

Fast exam shows a large paracardal tamponon with depressed cardiac function and chest x-ray is unremarkable.

Okay, in this case, I would take this person to the operating room as soon as possible. I'd also begin a blood transfusion, either whole blood or a one-to-one balance product.

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