tag:blogger.com,1999:blog-30499448.post6287730762864365260..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: TraumadramaramaSid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-30499448.post-28347062749627598382009-04-29T09:31:00.000-07:002009-04-29T09:31:00.000-07:00Well, one reason might be cosmesis: the "trap door...Well, one reason might be cosmesis: the "trap door" method, while very quick, leaves a more unpleasant scar. Truth is, I guess I don't have a complete answer. To me, it's quicker and more direct, when the need is to get at the heart in a hell of a hurry (and if there's no hurry, you shouldn't be doing it in the ER). <br /><br />On the other hand, I'm an old guy now; maybe it's like open chole. Thing of the past. Can't really say.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-81054303286798700522009-04-29T09:13:00.000-07:002009-04-29T09:13:00.000-07:00Question: if rib spreaders aren't needed to access...Question: if rib spreaders aren't needed to access the thoracic cavity in an emergency, why are they included in the standard thoracotomy trays?<br /><br />Or in other words, why doesn't everyone perform an ED thoracotomy the way you describe it?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-35363185985894780862007-07-24T22:09:00.000-07:002007-07-24T22:09:00.000-07:00Is it possible to be in awe of surgeons all over a...Is it possible to be in awe of surgeons all over again...because I am. Wow!<BR/><BR/>Years ago there was an ED doc that would often comment that he had cracked a chest the night before down in the big city hospital he worked in. I'm guessing it must be a pretty common occurrence in a city ED.<BR/><BR/>Amazingly back then I hardly paid attention to what he said because the awesomeness of it all just didn't register with me back then. He was very interesting and funny but I just didn't appreciate the surgical stuff. My loss.<BR/><BR/>When you have a big hand - how the heck does it fit in and around all that stuff never mind hold and pump something? Just wondering.SeaSprayhttps://www.blogger.com/profile/07906503090688697222noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-25662274555568060662007-07-23T10:29:00.000-07:002007-07-23T10:29:00.000-07:00"All right, I have had enough. I am buying the boo..."All right, I have had enough. I am buying the book."<BR/><BR/>You won't be disappointed.Lynn Pricehttps://www.blogger.com/profile/02958402288888144904noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-45339429797776494212007-07-19T17:58:00.000-07:002007-07-19T17:58:00.000-07:00parameddan: spoken like the clear-headed person I'...parameddan: spoken like the clear-headed person I'm sure you are...Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-33498327271235931122007-07-19T17:38:00.000-07:002007-07-19T17:38:00.000-07:00All right, I have had enough. I am buying the book...All right, I have had enough. I am buying the book.Paramedhttps://www.blogger.com/profile/03831693846052671379noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-22020715293992904172007-07-19T09:50:00.000-07:002007-07-19T09:50:00.000-07:00I'm a pathologist so I don't have trouble with exp...I'm a pathologist so I don't have trouble with exposure or bleeding. I found this post from Kevin M.D.'s blog and all I can say is, wow!! Glad you enjoy doing that kind of stuff; riveting reading.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-54581830836481131762007-07-19T06:57:00.000-07:002007-07-19T06:57:00.000-07:00Damn good posts Dr Schwab. I love hearing about yo...Damn good posts Dr Schwab. I love hearing about your experiences. It really makes me consider whether I should just say: "to hell with it" and go into surgery anyway. I get so rev'd up reading about stuff like this.MedStudentGod (MSG)https://www.blogger.com/profile/02670042423377931696noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-24244467253227779432007-07-18T15:24:00.000-07:002007-07-18T15:24:00.000-07:00Stop! Please! You guys are cracking me up here!Rea...Stop! Please! You guys are cracking me up here!<BR/><BR/>Reading this blog is better than watching ER. :-)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-70048691093755678392007-07-18T10:24:00.000-07:002007-07-18T10:24:00.000-07:00ha ha ha. that's priceless.while we are on anecdot...ha ha ha. that's priceless.<BR/>while we are on anecdotal transplant stories, i once saw a guy also on the waiting list. he had an a-v fistel to allow easy access for dialysis. he went to a gp about some trivial problem. the gp found a large 'abses' on his forearm. he didn't notice it was pulsating. he did an i and d in his rooms....<BR/>amazingly enough he got to hospital before the bleeding stopped spontaneously (as it always will do)Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-83995618480378364252007-07-18T09:50:00.000-07:002007-07-18T09:50:00.000-07:00From way back when I was on the transplant service...From way back when I was on the transplant service, in the relatively early days of transplantation, I have a somewhat vague recollection of one of our patients having been injured or ill or something, such that he was taken to an ER, where a large mass was found in his right lower belly (iliac fossa -- where transplants are placed!). Can't recall the details or rationale, but a surgeon removed the mass/tumor, and was disappointed to see the man get worse...Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-46948946183710854332007-07-18T09:18:00.000-07:002007-07-18T09:18:00.000-07:00the missing kidney scenario that they warn us abou...the missing kidney scenario that they warn us about in academia...what follows is true. hijacker in our country takes on through the kidneys, thanks to a cop who couldn't get a head shot. he comes in and has an emergency nefrectomy (no imaging because he was exsanguinating and no time). only then was it discovered they had just removed his one and only kidney. i worked with this patient when he was waiting for a transplant, on dialysis obviously. he did stop his life of crime. it seems the dialysis interfered with his holding up and shooting innocent people.<BR/><BR/>so the lesson is the cop did prevent crime by shooting him in his only kidney. however it would have been cheaper to shoot him in the head.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.com