Under Pressure

Under Pressure Studios
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Dive into the fast-paced world of trauma care, where every second counts. Explore how surgeons leverage data and technology to stay cool under pressure while saving patients' lives.

  1. When Compartment Syndrome Isn’t Textbook: Hard Decisions in Trauma Care

    ١٧ يونيو

    When Compartment Syndrome Isn’t Textbook: Hard Decisions in Trauma Care

    In this episode, Dr. William Obremskey joins us for a discussion on how compartment syndrome actually presents in practice, the realities of surgical decompression, and the difficult scenarios surgeons rarely talk about, including what happens when a compartment is no longer viable. We also explore knee dislocations, scapula fractures, and infection prevention strategies with MSK implants. __________________ Comparing the Effects of Age, Sex, and Extremity Fracture Location on Continuous Intra-compartmental Pressure (ICP) Measurements in Trauma Patients Visit our landing page!

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  2. The Weight of Doubt: Acute Compartment Syndrome, Dogma, and Diagnostic Uncertainty

    ٢٦ مايو

    The Weight of Doubt: Acute Compartment Syndrome, Dogma, and Diagnostic Uncertainty

    Acute compartment syndrome is one of the most feared diagnoses in orthopaedic trauma, yet despite decades of teaching, controversy and uncertainty remain. In this episode, Dr. Andrew Schmidt joins us for a thoughtful and refreshingly candid discussion on why compartment syndrome continues to generate anxiety among surgeons, the limitations of traditional diagnostic thinking, and how dogma, research challenges, and medicolegal pressures have shaped the field. We explore what fasciotomy truly represents, why defining a diagnostic “gold standard” remains elusive, and what the future of multimodal treatment strategies might look like. ________________ Visit our landing page!

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  3. After the Fasciotomy: Recovery, Function, and the Long Road Back

    ١٥ أبريل

    After the Fasciotomy: Recovery, Function, and the Long Road Back

    When surgeons talk about compartment syndrome, the focus is often on diagnosis and surgical urgency. Far less attention is given to what happens next for the patient. In this episode, Dr. Christopher Doro joins us for a conversation on the downstream realities of acute compartment syndrome, recovery timelines, functional challenges, and the physical and psychological hurdles patients face following fasciotomy or limb loss. We also discuss real cases, the implications of false-positive pressure findings in ACS, and how multidisciplinary care impacts patients’ lives. _____________________ Do one-time intracompartmental pressure measurements have a high false-positive rate in diagnosing compartment syndrome?Intracompartmental Pressure Monitoring Using a Handheld Pressure Monitoring System_____________________ Visit our landing page!

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  4. Beyond the X-Ray: Where Trauma Care, DNA, and Reality Meet

    ١٠ مارس

    Beyond the X-Ray: Where Trauma Care, DNA, and Reality Meet

    Trauma care doesn’t happen in a vacuum, and neither does innovation. In this episode, Dr. Jonathan Sackier sits down with Dr. Sandip Tarpada, orthopaedic trauma surgeon at Harlem Hospital Center, to explore how cutting-edge science meets real-world constraints. From his work on DNA methylation as a predictor of trauma outcomes to implementing new technologies in underserved communities, Dr. Tarpada shares what it actually takes to move the needle on patient care. Blood and Bone-Derived DNA Methylation Ages Predict Mortality After Geriatric Hip Fracture: A Pilot Study Visit our landing page!

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  5. Growing Bones, Subtle Signs: The Complexities and Quiet Clues of Pediatric Trauma Care

    ٢٩ يناير

    Growing Bones, Subtle Signs: The Complexities and Quiet Clues of Pediatric Trauma Care

    Pediatric trauma brings a unique set of challenges, from subtle clinical signs to children who can’t always articulate what hurts, and injury patterns that behave differently than those of adults. In this episode, Dr. Jonathan Sackier sits down with Dr. Kristin Livingston, pediatric orthopaedic surgeon at Boston Children’s Hospital and faculty at Harvard Medical School, to explore the complexity of acute compartment syndrome in kids, why it’s so different, and what makes timely diagnosis so difficult. Visit our landing page!

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  6. Beyond the OR: How Big Trials Are Rewriting Orthopaedic Trauma Protocols

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    Beyond the OR: How Big Trials Are Rewriting Orthopaedic Trauma Protocols

    In this episode of Under Pressure, Dr. O’Toole takes us inside landmark studies like VANCO and PREVENT CLOT, explaining what they mean for infection prevention, VTE prophylaxis, and real-world surgical protocols. He also shares why research consortia like METRC are so critical for answering big clinical questions and discusses emerging topics like continuous compartment pressure monitoring, perfusion data, and evolving tools for trauma decision-making. VANCO Trial PREVENT CLOT _______________ Visit our landing page!

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  7. From Battlefield to Major Trauma Centre: Compartment Syndrome and Saving Limbs

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    From Battlefield to Major Trauma Centre: Compartment Syndrome and Saving Limbs

    In this episode of Under Pressure, host Dr. Jonathan Sackier speaks with Mr. Dafydd “Taff” Edwards, Consultant Orthopaedic Trauma Surgeon, Clinical Director, and former Army surgeon whose career spans conflict zones, UK major trauma centres, and cutting-edge elective upper limb surgery. Mr. Edwards shares powerful real-world experiences, from managing polytrauma patients in austere environments to leading teams at one of the busiest trauma centers in the UK, and dives into the evolving role of continuous pressure monitoring, training the next generation, and what it takes to make the right call when seconds count.

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  8. From Newsrooms to the Skies: A Life, A Limb, and a Legacy in Science Journalism

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    From Newsrooms to the Skies: A Life, A Limb, and a Legacy in Science Journalism

    Award-winning journalist and pilot Miles O’Brien has spent over three decades bringing science, space, and technology stories to the public through CNN, PBS NewsHour, NOVA, and more. In this episode of Under Pressure, Miles shares his remarkable career journey, from covering shuttle launches to flying planes, and the story of how a seemingly minor injury turned into acute compartment syndrome, ultimately costing him his left arm. ______________ Follow Miles' Podcast on Spotify: Miles To Go

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Dive into the fast-paced world of trauma care, where every second counts. Explore how surgeons leverage data and technology to stay cool under pressure while saving patients' lives.

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    Under Pressure