500 episodes

Behind the Knife is the world’s #1 surgery podcast.  From high-yield educational topics to interviews with leaders in the field, Behind the Knife delivers the information you need to know.  Tune in for timely, relevant, and engaging content designed to help you DOMINATE THE DAY!

Behind the Knife is more than a podcast.  Visit http://www.behindtheknife.org to learn more.

Behind The Knife: The Surgery Podcast Behind The Knife: The Surgery Podcast

    • Health & Fitness
    • 4.9 • 20 Ratings

Behind the Knife is the world’s #1 surgery podcast.  From high-yield educational topics to interviews with leaders in the field, Behind the Knife delivers the information you need to know.  Tune in for timely, relevant, and engaging content designed to help you DOMINATE THE DAY!

Behind the Knife is more than a podcast.  Visit http://www.behindtheknife.org to learn more.

    Clinical Challenges in Trauma Surgery: Approach to Pancreatic Injury

    Clinical Challenges in Trauma Surgery: Approach to Pancreatic Injury

    Eat when you can, sleep when you can, and don’t F with the pancreas!  What happens when that third rule goes wrong, and why do people say pancreas injuries are like eating crawfish?  Whether you love the pancreas or just the mention of the P-word strikes fear in your heart, or if you just want the answer to the aforementioned questions, join Drs. Cobler-Lichter, Kwon, and Meizoso, as they guide you through all this and more! 

    Hosts:
    - Michael Cobler-Lichter, MD, PGY3, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center, @mdcobler (twitter)
    - Eugenia Kwon, MD, Trauma/Surgical Critical Care Fellow, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center
    -Jonathan Meizoso, MD, MSPH Assistant Professor of Surgery, 4 years in practice, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center, @jpmeizoso (twitter)

    Learning Objectives:
    - Describe the AAST grading system for pancreatic injuries
    - Come up with a treatment plan for each grade of pancreatic injury
    - Identify commonly associated injuries with pancreatic trauma
    -  List potential complications of pancreatic trauma and/or surgery

    Quick Hits:
    1. Pancreas injuries do not all require a trip to the operating room. Low grade injuries should be managed with a trial of nonoperative management if there are no other operative indications
    2. CT is the best initial imaging modality, although it has low sensitivity. If there is high concern for a pancreas injury based on mechanism or associated injuries, further investigation is required.
    3. Pancreas injuries are like crawfish: suck the head and eat the tail.
    4. Injuries to the left of the SMV can generally be treated with distal pancreatectomy and splenectomy, whereas injuries to the right of the SMV are usually drained.
    5. Its important to identify and address any concomitant injuries, with duodenal injuries being the most common in higher grade injuries.
    6. In the case of the dreaded grade 5 injury, the safe answer is to come back and do your reconstruction at a later time.

    References
    1.     https://www.westerntrauma.org/western-trauma-association-algorithms/management-of-pancreatic-injuries/
    2.     Bassi, Claudio et al. The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After. Surgery, Volume 161, Issue 3, 584 – 591
    https://pubmed.ncbi.nlm.nih.gov/28040257/

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

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

    • 26 min
    Global Surgery Episode 2: Trauma Care in Resource-Limited Settings

    Global Surgery Episode 2: Trauma Care in Resource-Limited Settings

    Join us for another episode of our Global Surgery series, where we have a special focus on trauma care in resource-limited settings. 

    Traumatic injury remains one of the largest burdens of disease and causes of mortality internationally. The WHO estimates that 4.4 million lives are lost to traumatic injuries per year, accounting for approximately 8% of all deaths. Notably, traumatic injuries are the top killer of children, adolescents, and young adults, compounding the patient-years lost. Trauma is ubiquitous–accidents and injuries happen all over the globe, and thus differences in trauma incidence and mortality is often a function of health systems and infrastructure. 

    Jon Williams is joined by Dr. Anthony Charles. Dr. Charles is a trauma surgeon at University of North Carolina, Chapel Hill. Additionally, he holds professorships in the medical school and school of public health at UNC, as well as serving as the director of the adult ECMO program and the director of global surgery at the UNC Institute of Global Health and Infectious Diseases. He leads the Malawian Surgical Initiative, designed to train and support local surgeons in the country of Malawi where he has established a longstanding partnership with UNC. Having been raised in Nigeria, Dr. Charles completed medical school at the University of Lagos, and subsequently underwent  general surgery residency training in London at North Middlesex University Hospital and subsequently at Charles Drew University in Los Angeles. Upon completion of trauma and critical care fellowship at University of Michigan, he took a faculty position at UNC where he has remained since and grown the global surgery presence to what it is today.

    Key Points:


    Often, the pivotal first step in developing global surgery trauma initiatives is increasing trained personnel, and so training initiatives are very meaningful and provide sustainability to the effort. 
    Growing a health system’s ability to provide trauma care helps develop improved care for all aspects of disease. The resources, training, and infrastructure required benefits healthcare at large. 
    Improvement of trauma care extends well beyond in-hospital care–injury prevention and pre-hospital care/triage/transport are even more impactful.
    It takes more than surgeons to improve trauma care globally. Thus, clinician and non-clinician training and oversight is critical, and foundational concepts of care of the trauma patient must be familiar to all. 
    Local governing bodies need to understand the importance of trauma care to invest in it. Traumatic injuries and mortality are a health burden, but even more so an economic burden to a country. This is what is compelling to investment in trauma care.



    We now have over 725 episodes!  The easiest way to find specific topics or episodes is on our website https://app.behindtheknife.org/home or on our new Apple/Android app.  You can search or browse by topic, podcast series, etc., making it much easier to navigate than podcast players.
    iOS: https://apps.apple.com/us/app/behind-the-knife/id1672420049
    Android: https://play.google.com/store/apps/details?id=com.btk.app

    PREMIUM BUNDLE:
    https://app.behindtheknife.org/bundle/95
    Please email hello@behindtheknife.org to learn more about our premium bundle and institutional discounts.

    Premium Bundle Includes:
    General Surgery Oral Board Audio Review
    Trauma Surgery Video Atlas
    Colorectal Surgery Oral Board Audio Review
    Surgical Oncology Surgery Oral Board Audio Review
    Vascular Surgery Surgery Oral Board Audio Review
    Cardiothoracic Surgery Surgery Oral Board Audio Review

    • 35 min
    Global Surgery Episode 1: How Health Infrastructure Interacts with Global Surgical Care

    Global Surgery Episode 1: How Health Infrastructure Interacts with Global Surgical Care

    Join us for a new edition of our global surgery series! On this episode, Dr. Jon Williams is joined by Dr. Sudha Jayaraman and Dr. Justina Seyi-Olajide to discuss how we define global surgery today and how health infrastructure interacts with global surgical care. 

    Dr. Jayaraman is a trauma and acute care surgeon at University of Utah, and the director of the Center for Global Surgery. After attending UC Davis for medical school, Dr. Jayaraman completed general surgery residency at UCSF, during which time she obtained a masters in public health in developing countries from the London School of Hygiene and Tropical Medicine. During this time, her efforts were dedicated to researching and implementing trauma systems development in Uganda. After residency she then completed a trauma and critical care fellowship at Brigham and Women’s, during which she received the Harvard Medical School Health Disparities Fellowship to continue her trauma systems work in Rwanda. Her ongoing work investigating injury burden and trauma systems in low and middle income countries has been well funded by the NIH, DOD, and others and published in numerous forums, as she is a well-renowned expert in this field. 

    Dr. Justina Seyi-Olajide is a pediatric surgeon at the Lagos University Teaching Hospital in Lagos, Nigeria. She completed her medical school training at the Ahmadu Bello University in Zaria, Nigeria and subsequently her general surgical and pediatric surgical training at the Lagos University Teaching Hospital, earning the Fellowship of West African College of Surgeons in Pediatric Surgery and the Alinta Nwako prize for best graduating pediatric surgical trainee. Dr. Seyi-Olajide’s vision is to provide equitable pediatric surgical care in resource-limited settings, and has been highly influential for developing initiatives such as the National Surgical, Obstetric, Anesthesia and Nursing Plan for Nigeria. Additionally, she is a member of the Global Initiative for Children’s Surgery and is well published for her original research on topics regarding access to pediatric surgical care in low and middle income countries. 

    Have any feedback for the global surgery content, or have any suggestions for future episodes? Please feel free to reach out to us at hello@behindtheknife.org.

    We now have over 725 episodes!  The easiest way to find specific topics or episodes is on our website https://app.behindtheknife.org/home or on our new Apple/Android app.  You can search or browse by topic, podcast series, etc., making it much easier to navigate than podcast players. 
    iOS: https://apps.apple.com/us/app/behind-the-knife/id1672420049
    Android: https://play.google.com/store/apps/details?id=com.btk.app

    PREMIUM BUNDLE:
    https://app.behindtheknife.org/bundle/95
    Please email hello@behindtheknife.org to learn more about our premium bundle and institutional discounts.

    Premium Bundle Includes:
    General Surgery Oral Board Audio Review
    Trauma Surgery Video Atlas
    Colorectal Surgery Oral Board Audio Review
    Surgical Oncology Surgery Oral Board Audio Review
    Vascular Surgery Surgery Oral Board Audio Review
    Cardiothoracic Surgery Surgery Oral Board Audio Review

    • 42 min
    Journal Review in Surgical Education: Artificial Intelligence

    Journal Review in Surgical Education: Artificial Intelligence

    With the increasing popularity of artificial intelligence, its uses are quickly becoming not only a part of everyday life, but also training in surgery. Those of us without much understanding of the technology might be intimidated by this nebulous topic, or worry that we won’t be able to comprehend the advancements to come to the field. Luckily, we’re joined by a leading expert in the use of AI in surgery, Dr. Dan Hashimoto. He breaks down some examples of how AI is being used in surgical education, the role surgeons should play in these advancements, and some tips for how we can critically appraise work in the field of AI if we don’t understand the technology ourselves. Join hosts Nicole Brooks, MD, Judith French, PhD and Jeremy Lipman, MD, MHPE for this exciting conversation. 



    Learning Objectives
    1.     Listeners will describe how AI is being applied to surgical education.
    2.     Listeners will identify the roles surgeons without training in AI can play in developing the use of AI in surgery. 
    3.     Listeners will explain the regulatory and ethical considerations that must be addressed with the implementation of AI in surgical education. 
    4.     Listeners will consider principles for critically evaluating research or technology in AI for application or use in their own educational or surgical practice.



    References
    Laplante S, Namazi B, Kiani P, Hashimoto DA, Alseidi A, Pasten M, Brunt LM, Gill S, Davis B, Bloom M, Pernar L, Okrainec A, Madani A. Validation of an artificial intelligence platform for the guidance of safe laparoscopic cholecystectomy. Surg Endosc. 2023 Mar;37(3):2260-2268. doi: 10.1007/s00464-022-09439-9. Epub 2022 Aug 2. PMID: 35918549.
    https://pubmed.ncbi.nlm.nih.gov/35918549/



    Hashimoto DA, Varas J, Schwartz TA. Practical Guide to Machine Learning and Artificial Intelligence in Surgical Education Research. JAMA Surg. 2024 Jan 3. doi: 10.1001/jamasurg.2023.6687. Epub ahead of print. PMID: 38170510.
    https://pubmed.ncbi.nlm.nih.gov/38170510/





    We now have over 725 episodes!  The easiest way to find specific topics or episodes is on our website https://app.behindtheknife.org/home or on our new Apple/Android app.  You can search or browse by topic, podcast series, etc., making it much easier to navigate than podcast players. 
    iOS: https://apps.apple.com/us/app/behind-the-knife/id1672420049
    Android: https://play.google.com/store/apps/details?id=com.btk.app

    PREMIUM BUNDLE:
    https://app.behindtheknife.org/bundle/95
    Please email hello@behindtheknife.org to learn more about our premium bundle and institutional discounts.

    Premium Bundle Includes:
    General Surgery Oral Board Audio Review
    Trauma Surgery Video Atlas
    Colorectal Surgery Oral Board Audio Review
    Surgical Oncology Surgery Oral Board Audio Review
    Vascular Surgery Surgery Oral Board Audio Review
    Cardiothoracic Surgery Surgery Oral Board Audio Review

    • 32 min
    Hot Topics in Trauma: Western Trauma Association 2024

    Hot Topics in Trauma: Western Trauma Association 2024

    The Fellowship of the Snow kept it interesting this year…both on and off the slopes!  On this episode, Patrick Georgoff discusses the Western Trauma Association’s updated resuscitative thoracotomy algorithm with Ron Tesoriero, the results of a WTA multicenter trial exploring chest tube irrigation for the prevention of retained hemothorax with Thomas Carver, and prehospital blood administration with Juan Duchesne.  

    ** Algorithms and papers are pending final review and are therefore not available to link to this episode.  

    Ron Tesoriero, MD: Associate Professor of Surgery, Director of the Acute Care Surgery Fellowship, and Co-Director of the SICU at UCSF.

    Thomas Carver, MD: Associate Professor of Surgery, Director of the Acute Care Surgery Fellowship, and Senior Medical Director of Critical Care Services at the Medical College of Wisconsin.  

    Juan Duchesne, MD: Professor of Surgery and Chief of Trauma and Acute Care Surgery at Tulane university. 
     
    Resuscitative Thoracotomy: The Who (Episode 475): https://app.behindtheknife.org/podcast/big-t-trauma-series-ep-14-ed-thoracotomy-the-who 

    Resuscitative Thoracotomy: The How (Episode 476): https://app.behindtheknife.org/podcast/big-t-trauma-series-ep-15-ed-thoracotomy-the-how

    Innovation Lifeflow (Episode 642): https://app.behindtheknife.org/podcast/innovations-in-surgery-lifeflow


    We now have over 725 episodes!  The easiest way to find specific topics or episodes is on our website https://app.behindtheknife.org/home or on our new Apple/Android app.  You can search or browse by topic, podcast series, etc., making it much easier to navigate than podcast players.  
    iOS: https://apps.apple.com/us/app/behind-the-knife/id1672420049
    Android: https://play.google.com/store/apps/details?id=com.btk.app

    PREMIUM BUNDLE:
    https://app.behindtheknife.org/bundle/95
    Please email hello@behindtheknife.org to learn more about our premium bundle and institutional discounts. 

    Premium Bundle Includes:
    General Surgery Oral Board Audio Review
    Trauma Surgery Video Atlas
    Colorectal Surgery Oral Board Audio Review
    Surgical Oncology Surgery Oral Board Audio Review
    Vascular Surgery Surgery Oral Board Audio Review
    Cardiothoracic Surgery Surgery Oral Board Audio Review

    • 53 min
    Clinical Challenges in Vascular Surgery: Dialysis Associated Steal Syndrome

    Clinical Challenges in Vascular Surgery: Dialysis Associated Steal Syndrome

    In this episode of Behind the Knife the vascular surgery subspecialty team discusses a few case scenarios of patients with dialysis associated hand ischemia (or steal syndrome). Although a rare, steal syndrome can be detrimental to patients with end stage renal disease and result in not only risk of losing dialysis access but even their limb.  What options do you have to fix this problem? In this episode, we will cover the who is at risk of this, and what options you have to fix it.

    Hosts: 
    Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan.
    Dr. David Schectman is a Vascular Surgery Fellow at the University of Michigan
    Dr. Drew Braet is a PGY-4 Integrated Vascular Surgery Resident at the University of Michigan

    Learning Objectives
    - Review high-yield topics regarding hemodialysis access
    - Understand the incidence of and the relevant risk factors for dialysis associated steal syndrome
    - Review the spectrum of presenting symptoms and relevant workup for dialysis associated steal syndrome
    - Understand surgical treatment options for dialysis associated steal syndrome

    References
    Please review the journal article below for helpful pictures and depictions of the operations we describe in this episode.
    - Al Shakarchi J, et al. Surgical techniques for haemodialysis access-induced distal ischaemia. J Vasc Access. 2016 Jan-Feb;17(1):40-6.
    https://pubmed.ncbi.nlm.nih.gov/26349875/

    Other helpful references
    - Kordzadeh A, Parsa AD. A Systematic review of distal revascularization and interval ligation for the treatment of vascular access-induced ischemia. J Vasc Surg 2019; 70:1364.
    https://pubmed.ncbi.nlm.nih.gov/31153703/
    - Huber TS, Larive B, Imprey PB, et al. Access-related hand ischemia and the Hemodialysis Fistula Maturation Study. J Vasc Surg 2016;64:1050.
    https://pubmed.ncbi.nlm.nih.gov/27478007/
    - Sidawy An, Spergel LM, Besarab A, et al. The Society for Vascular Surgery: clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access. J Vasc Surg 2008; 48:2S.
    https://pubmed.ncbi.nlm.nih.gov/19000589/

    ***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***

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

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

    • 37 min

Customer Reviews

4.9 out of 5
20 Ratings

20 Ratings

R Sabrina ,

challenges in caring for surgical patients

I love what you talked about many challenges in caring for surgical patients for diagnosis and treament to coding and billing.

SS we ,

Thanks

Very helpful

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