Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2026 - Quick Hits 4
Jan 23, 2026
Nina, a Clinical Educator and ABSITE reviewer, dives into critical topics from trauma management to renal physiology. She covers the Glasgow Coma Scale, ARDS criteria, and intricate details like bladder injury types and abdominal organ preservation techniques. Dan, a Pediatric Surgery Educator, shares insights on pediatric fluid management and emergent conditions like pyloric stenosis and necrotizing enterocolitis. Together, they unravel the complexities of surgical education, providing high-yield knowledge tailored for aspiring surgeons.
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Prevent Secondary Brain Injury
- Avoid secondary brain injury by maintaining ICP <20 and normal oxygenation, CO2, blood pressure, and temperature.
- Use head elevation, sedation, CSF drains, mannitol or hypertonic saline as needed to control intracranial pressure.
Berlin Criteria For ARDS
- Diagnose ARDS with bilateral noncardiogenic opacities, PaO2/FiO2 <300, and acute onset within one week.
- Grade severity: mild 200–300, moderate 100–200, severe <100 to guide management.
Pick Burn Topicals Carefully
- Choose topical burn agents by penetration and toxicity: silver sulfadiazine has poor eschar penetration and risks methemoglobinemia in G6PD or sulfa allergy.
- Use mafenide acetate for better eschar penetration and broader coverage but watch for pain and metabolic acidosis.
