Podcast #204: Thoracotomy

Podcast #204: Thoracotomy

Author: Aaron Lessen M.D.

Educational Pearls:

  • Thoracotomy is a potentially life-saving procedure. However, outcomes are often poor and the procedure itself poses many risks to provider and patient.
  • Chance of surviving a thoracotomy when there is no cardiac activity on ultrasound is 0%.
  • Performing a thoracotomy is unlikely to benefit patients with no cardiac activity on ultrasound or patients that lost vital signs greater than 10 minutes before starting the procedure.
  • A thoracotomy is maximally beneficial in patients with a penetrating chest injury that occurred less than 10 minutes before the procedure.

References: K. Inaba et al, "FAST Ultrasound Examination as a Predictor of Outcomes After Resuscitative Thoracotomy: A Prospective Evaluation" Ann. of Surgery, 2015. https://www.ncbi.nlm.nih.gov/pubmed/26258320

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Podcast #189: Caffeine

Podcast #189: Caffeine

Author: Donald Stader M.D. Educational Pearls: Coffee originates from Ethiopia. Its "active ingredient" is caffeine. Caffeine is a xanthine alkaloid used in medicine to control headache and as a neo...

12 Apr 20173min

Podcast #188: Monoarthritis

Podcast #188: Monoarthritis

Author: Peter Bakes M.D. Educational Pearls: Some common causes of monoarticular arthritis include: crystal arthropathies (gout and pseudogout), infection (septic joint), reactive arthritis and acute...

10 Apr 20175min

Podcast #187: Mumps

Podcast #187: Mumps

Author: Gretchen Hinson M.D. Educational Pearls: The key imaging of a mumps patient is "chipmunk cheeks" or parotitis. The swelling can extend almost to the ears and can be extremely painful - in abo...

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Podcast #186: IV Contrast

Podcast #186: IV Contrast

Author: Aaron Lessen M.D. Educational Pearls: Regularly a patient's creatinine level is an important factor in determining whether a patient will receive IV contrast with a CT because it is thought t...

21 Mars 20172min

Deep Dive #1: Travel Medicine

Deep Dive #1: Travel Medicine

Author: Peter Bakes M.D. Dr. Peter Bakes takes us through how he developed his interest in travel medicine as well as some of the more interesting aspects of the specialty.

11 Mars 201732min

Neuromuscular Blocking Agents

Neuromuscular Blocking Agents

Author: Peter Bakes Educational Pearls: The Neuromuscular Junction (NMJ) is a neuronal synapse in skeletal muscle mediated by nicotinic acetylcholine receptors. Paralytic agents, commonly used in the...

10 Mars 20174min

Syncope and PE

Syncope and PE

There are many causes of syncope and a pulmonary embolism may be a commonly missed reason.

6 Feb 20173min

Electrolyte Emergency

Electrolyte Emergency

Electrolytes it's what your bodies crave.

3 Feb 20175min

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