8. Trauma Basics

8. Trauma Basics

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440. The Fiberoptic Breakthrough: Hopkins, Hirschowitz, and the Flexible Scope

By the mid-20th century, endoscopy and laparoscopy were ready for major advancement. Although instruments had evolved into semi-flexible designs, visualization was still limited by glass optics and heat-producing light sources. A breakthrough toward fully flexible, high-resolutio ...  Show more

439. The Semiflexible Era: Schindler and the Pre-Fiberoptic Revolution

By the early 20th century, endoscopy had evolved from candle-lit brass tubes into electrically illuminated rigid instruments. The decisive shift toward flexibility — the stage upon which Rudolf Schindler would make his contribution — was the product of several converging advances ...  Show more

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Episode 32 - Blunt Cerebrovascular Injury (BCVI)
Trauma ICU Rounds

Dr.  Walt Biffl from Scripps Memorial Hospital La Jolla joins us on Rounds to discuss the evolution of BCVI management from the early 1990s to present day. Topics discussed include screening criteria, the diagnostic approach and imaging modalities for accurately identifying these ...  Show more

Episode 36 - ARDS Fundamentals I: Classification, Pathophysiology & Initial Vent Management
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Back to the basics! In this episode we review the evolving criteria,  etiologies, and pathophysiology of ARDS. A brief review of ventilator induced lung lung injury and initial vent setup provide the groundwork for future episodes exploring how to troubleshoot the vent and therap ...  Show more

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This is the first of two episodes looking at pneumothoraces. In this episode we're going to start out by taking a look at traumatic pneumothoraces.

Traumatic pneumothoraces are present in about a fifth of multiple trauma patients, so it's not infrequent to come across t ...

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In this main episode podcast we discuss the conservative management of large spontaneous pneumothorax, when a pigtail chest tube with Heimlich valve is indicated, detection of persistent air leak, removal of chest tube, surgical indications for spontaneous pneumothorax, managemen ...  Show more