Pharmacology for Rapid Sequence Intubation (RSI) Airway Management in Trauma Patients
UChicago Medicine
Laura Celmins, PharmD, BCPS, BCCCP
Clinical Pharmacy Specialist
Emergency Medicine
In this video, Laura Celmins, a clinical pharmacist in the emergency department at UChicago Medicine, discusses rapid sequence intubation (RSI) medications as part of the airway management for trauma patients.
Pancreatic Debridement via Sinus Tract Endoscopy
Massachusetts General Hospital
Peter Fagenholz, MD
Assistant Professor of Surgery
Massachusetts General Hospital
Harvard Medical School
This patient is a 58-year-old male who was in a motor vehicle accident and developed a persistent necrotic collection adjacent to the pancreatic tail that did not improve with percutaneous drainage. Here, Dr. Peter Fagenholz at MGH performs a pancreatic debridement using sinus tract endoscopy (STE), a minimally-invasive technique for debridement of dead or infected tissue.
STE and other minimally-invasive techniques have significantly decreased morbidity and mortality for patients undergoing intervention for infected pancreatic necrosis. Common management principles include early non-interventional management to allow the necrosis to wall off, initial intervention with minimally-invasive drainage, and minimally-invasive necrosectomy addressing clearly demarcated necrosis.
STE involves the placement of a percutaneous drain followed by fluoroscopically-guided dilation of the drain tract to allow for placement of a working sheath, through which an endoscope can be introduced to debride the peripancreatic necrosis. After debridement, a drain is then replaced through the same tract.
Trauma Resuscitation Demonstration in a Stable Patient with a Minor Perforating Wound
UChicago Medicine
Priya Prakash, MD
Assistant Professor of Surgery
Trauma, Critical Care, and Emergency Surgery
UChicago Medicine
The patient in this case is a 17-year-old male who presented in stable condition with a minor, superficial, perforating saber wound. In this video article, Dr. Priya Prakash at UChicago Medicine demonstrates a trauma resuscitation and removes the saber.
Colonic Interposition for Esophageal Atresia
Mario Catarino Rivas Hospital, Honduras
Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport
Caroll Alvarado Lemus, MD
Pediatric Surgery, Mario Catarino Rivas Hospital, Honduras
San Pedro Sula, Honduras
Domingo Alvear, MD
Founder
World Surgical Foundation
The patient in this case is a 6-year-old boy who was born with Down syndrome and esophageal atresia. In this video article, Dr. Alvear performs a colonic interposition to replace the absent esophagus with part of the patient’s colon. This was performed during a global surgical mission in Honduras with the World Surgical Foundation.
Left Mastectomy Wound Closure with Left Latissimus Dorsi Musculocutaneous Local Flap
Hospital Leonardo Martinez, Honduras
Geoffrey G. Hallock, MD
Plastic Surgery Consultant
Sacred Heart Campus, St. Luke’s Hospital
Allentown, Pennsylvania
Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport
In this case, Dr. Hallock closes the wound that was left behind following a mastectomy using a latissimus dorsi musculocutaneous local flap. This was performed during a surgical mission in Honduras with the World Surgical Foundation.
Abdominal Hysterectomy for Uterine Fibroids
Hospital Leonardo Martinez, Honduras
Col. Arthur C. Wittich, DO
Fort Belvoir Community Hospital (Retired)
World Surgical Foundation
In this case, Dr. Wittich performs an abdominal hysterectomy on a 45-year-old female with symptomatic uterine fibroids. This was performed during a surgical mission in Honduras with the World Surgical Foundation.
Intraperitoneal Mesh Repair for Incisional Hernia
Hospital Leonardo Martinez, Honduras
Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport
Shabir Abadin, MD, MPH (Operating Surgeon)
Endocrine and General Surgeon
World Surgical Foundation
The patient in this case had an emergency exploratory laparotomy and diverting colostomy several years ago for a perforated colon. Following reversal of the colostomy, she developed an incisional hernia that also involved the stomal site. Here, Dr. Abadin performs an intraperitoneal mesh repair while on a surgical mission in Honduras with the World Surgical Foundation.
Extended Focused Assessment with Sonography for Trauma (EFAST) Exam
UChicago Medicine
Daven Patel, MD, MPH
Resident Physician
Emergency Medicine
Kristin Lewis, MD, MA
Resident Physician
Emergency Medicine
Allyson Peterson, MD
Resident Physician
Emergency Medicine
Nadim Michael Hafez, MD
Assistant Professor of Medicine
Emergency Medicine
In this video, Dr. Hafez discusses and demonstrates how to perform an EFAST exam.
Pediatric Open Right Inguinal Herniorrhaphy: The Alvear Technique with High Ligation and Internal Ring Repair
St. Catarina Hospital, Honduras
Domingo Alvear, MD
Founder, World Surgical Foundation
Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport
In this case, Dr. Alvear performs an open right inguinal herniorrhaphy on a 1-year-old male using his own technique involving high ligation of the hernia sac and internal ring repair. This was filmed during a surgical mission in Honduras with the World Surgical Foundation.
Exploratory Laparotomy and Splenectomy for Ruptured Spleen Following Blunt Force Trauma
UChicago Medicine
Brian Williams, MD
Associate Professor of Trauma and Acute Care Surgery
Co-Director, Surgical Intensive Care Unit
Ashley Suah, MD
Resident Physician
General Surgery
Daven Patel, MD, MPH
Resident Physician
Emergency Medicine
Nadim Michael Hafez, MD
Assistant Professor of Medicine
Emergency Medicine
The patient in this case was assaulted and sustained blunt force trauma to the abdomen. She was intermittently hypotensive, FAST exam revealed free fluid, and CT scan showed a grade IV splenic laceration. Here, Dr. Williams and Dr. Suah at UChicago Medicine perform an exploratory laparotomy and splenectomy.