7:00a | Ventilators and Mechanical Ventilation
Ventilator simulator:
Associated SCORE modules:
8:00a | Morbidity & Mortality
A death in the scanner, Dr. Obieze Nwanna-Nzewunwa
A total hepatectomy, Dr. Jack Vernamonti
9:00a | Grand Rounds
A presentation by Dr. Syed Quadri, Thoracic Surgery.
10:00a | Chair Conference
TBD
Attachment | Size |
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Advanced operative techniques in the management of complex liver injury | 1.39 MB |
7:00a | Shock & Sepsis
October is upon and winter is coming. From the desk of the honorable Dr. Vernamonti:
For Monday Conference we will be talking about Shock and Sepsis. We will be filling out the infamous shock table with the swan values (medical students up/down arrows acceptable, residents get absolute values) and talking about basics of critical care management for each one. I anticipate this will take about 30 minutes, then we can talk about most recent surviving sepsis guidelines (2021). Please don't read all 90 pages, but Table 1 is helpful with the summary of recommendations. Also included Sepsis III for historical context, but don't read unless interested.
Referenced documents attached. Associated SCORE modules below:
8:00a | Melnick!
In lieu of Thursday conference we will enjoy our Fall Melnick Retreat. We will gather at Dr. Whiting's lakeside chalet for a morning of relaxation. Details will be e-mailed.
7:00a | PEC | Dana 9 or on Zoom
Program Evaluation Committee (PEC) meeting will be held on Monday in lieu of General Surgery conference. We will discuss the annual program review. Materials for PEC are below.
Attachment | Size |
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2022-2023 Annual Program Evaluation | 48.28 KB |
Slide deck for Dr. Whiting's annual program review | 1.23 MB |
PEC agenda for 09/26/2022 | 64 KB |
7:00a | Tracheostomy, upper airway obstruction
Thursday morning education conference will cover tracheostomies and upper airway obstruction. There is pre-reading, "Surgical airways: Tracheostomy and cricothyroidotomy," which is attached below. Below are the associated SCORE modules:
8:00a | Annual program review
In the Dana Auditorium. No zoom option. Coffee will be served prior to the event. There will be no additional charge for the coffee - it is complimentary with membership in the Surgery Department at MMC.
10:00a | Chair conference
From Dr. Nolan: For Chair conference tomorrow I would like you to think of a recent experience in the OR which you found enjoyable AND educational. What did you enjoy about the experience, and what did you learn? If you haven't been in the OR recently, think of any patient encounter, be it on the floor, SCU or clinic. Be prepared to share your experience.
Attachment | Size |
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Surgical Airways Tracheostomy and Cricothyroidotomy.pdf | 2.41 MB |
Monday conference will cover neck trauma as part of the Chest and Neck Trauma block. Here are the associated SCORE modules:
Dr. Shurtleff will present on rib plating exposures.
Morbidity & Mortality
Delayed recogntion of an obturator hernia, Obieze Nwanna-Nzewunwa
Prolapse, a rectal adventure, Astrid Gleaton
Acting intern presentations.
Chair Conference
TBD.
Monday conference will be a journal club about rib plating. Below are two documents for pre-reading. The groups are the same, see Canvas.
Attachment | Size |
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CWIS nonflail JOT 2020.pdf | 391.67 KB |
tignanelli_2020_Traumatic rib fractures JAMA open.pdf | 1.03 MB |
For trauma conference tomorrow at 7 AM we will plan on splitting up into 2 groups.
Students, PGY 1 and 2 should go to Dana 1. Dr. Carter will lead this session. We will start with a discussion of chest tubes and then move onto a discussion of indications for ED thoracotomy and I will bring over a thoracotomy tray for the second part of conference to get your hands on the equipment.
PGY 3 through 5 should meet in surgical Learning Center where we will discuss indications for ED thoracotomy followed by technical tips and then some more advanced exposures. This session will be led by Dr. Morse. I will go between rooms with equipment and help facilitate. I am enclosing a PDF version of the top knife chapter that was copied the old-fashioned way if you need to review.