Clinical Challenges in Trauma Surgery: Penetrating Great Vessel Injury

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 15 August 2022

⏱️ 26 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

We are facing a difficult case tonight: stab wound to the base of the left neck. Hope you know your anatomy well and are ready for a ride. Let’s see how one manages a patient whose injury is life threatening, a challenge to correctly diagnose, approach and repair.

Join Drs. Urréchaga, Neeman, and Rattan from Ryder Trauma Center in Miami as they go through a real case trying to save a life and dominate the day.

Learning Objectives:

Reviewing thoracic outlet anatomy.
Simplifying primary survey and immediate care for penetrating great vessel injuries.
Discussing possible surgical approaches for various great vessel injuries, incisions, extensions, tips and tricks.

References
1) Feliciano DV, DuBose JJ. Cardiac, great vessel, and pulmonary injuries. In: Rasmussen TR, Tai NRM, eds. Rich’s Vascular Trauma. 4th ed. Philadelphia: Elsevier, 2022: 171-198.
2) Karmy-Jones R, Namias N, Coimbra R, et al. Western Trauma Association critical decisions in trauma: penetrating chest trauma. J Trauma Acute Care Surg. 2014;77(6):994-1002.
3) Sperry JL, Moore EE, Coimbra R, et al. Western Trauma Association critical decisions in trauma: penetrating neck trauma. J Trauma Acute Care Surg. 2013;75(6):936-940.
4) Wall MJ, Ghanta RK, Mattox KL. Heart and thoracic vessels. In: Feliciano DV, Mattox K L, Moore EE, eds. Trauma. 9th ed. New York: McGraw-Hill, 2021: 599- 628.

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

If you liked this episode, check out our Big T Trauma Series here: https://behindtheknife.org/podcast-series/big-t-trauma/

Transcript

Click on a timestamp to play from that location

0:00.0	Try to secure across that slice it just wider the post.
0:05.0	How have they done enough?
0:07.0	Can they pull it out the back?
0:09.0	Does the ref have a clue?
0:11.0	When you're shouting at the screen, blow your whistle!
0:16.0	There's no feeling like live TV.
0:19.0	However you watch, a TV licence is your must-have pass to over 400 live TV channels
0:25.0	and it also funds the BBC, such TV licence.
0:30.0	Behind the Night, the surgery podcast.
0:39.0	Relevant and engaging content designed to help you dominate the day.
0:52.0	For all those board eligible listeners out there,
0:55.0	the next general surgery oral board exam is coming up
0:58.0	and is coming up quick in November.
1:00.0	Now is the time to develop your study strategy.
1:03.0	Behind the Night, I'll help you out with our oral board audio review.
1:06.0	Our review contains 92 scenarios covering 115 score core topics.
1:11.0	The entire project contains more than 25 hours of content.
1:16.0	Each scenario includes two parts.
1:18.0	The first part is a perfectly executed oral board scenario that mimics the real thing.
1:23.0	Scenarios are five to seven minutes long and include a variety of tactics and styles.
1:28.0	Now if you're able to achieve this level of performance in your preparation,
1:32.0	you are sure to pass the oral boards with flying colours.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Behind The Knife: The Surgery Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Behind The Knife: The Surgery Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.