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EMCrit 385 - Eye Trauma I - Retrobulbar Hematoma, Orbital Compartment Syndrome, and Paracanthal Decompressions

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Scott D. Weingart, MD FCCM

Medicine, Health & Fitness, Science

4.82K Ratings

🗓️ 5 October 2024

⏱️ 30 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks Scott Wangard here and this is the Emcrid Podcast.

0:03.4

Today on the podcast we're going to talk about orbital compartment

0:06.8

syndrome, how to decompress it, a better method.

0:09.8

I've done lateral cathotomy and catholysis, I think five times in my career.

0:15.0

And it's doable.

0:17.0

And it's blind.

0:19.0

That's the thing you don't understand

0:21.0

from whatever similab training or visualization you've done in cow eyes or whatever.

0:25.6

It's a blind procedure. It's just like a crick.

0:29.2

As soon as you make that first cut for the canth item of you will lose your landmarks for the

0:33.3

can't the lices so you have to be willing to cut blind and that's always tough

0:36.8

you get the job done but it's not easy there's a better way that's what we're

0:40.1

going to talk about today with our guest Julia Elpers, who is an

0:43.6

ochial plastic surgeon. She has published on and teaches a better way to do this

0:49.1

for emergency folk, probably even for opt-all- for ophthalmology folk but before we get to that really rapidly the

0:57.5

recess leadership academy that is our fellowship in resuscitation that you could do within your own home without leaving your job.

1:05.6

I have offered regular resuscitation fellowships.

1:08.8

One year you have to leave wherever you're at, you come to us, you get paid a fellow's salary and it's amazing we've trained

1:15.2

and graduated some of the best people out there but there is a way to do it without

1:19.7

having to leave your current job while still staying with your family and not having to come

1:25.7

to somewhere else geographically and get near to the same amount of exposure to the ideas of

1:32.0

resuscitation. Now this is for emergency of comprehensive education in the first 24 hours of acute critical care.

...

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