Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2026 - Pediatric Surgery
Jan 16, 2026
Dr. Wu, a Pediatric surgeon in the Army, shares his expertise on critical topics in pediatric surgery. He discusses diagnosing hypertrophic pyloric stenosis and the nuances of managing it. The conversation dives into recognizing pediatric trauma and the importance of fluid resuscitation rules. Emesis causes across age groups are outlined, including malrotation insights and management strategies. They also cover complications from necrotizing enterocolitis and the classification of tracheoesophageal fistulas, providing essential information for medical professionals.
AI Snips
Chapters
Books
Transcript
Episode notes
Use Tachycardia As Early Shock Marker
- Watch heart rate closely because tachycardia is the earliest sign of shock in children.
- Recognize kids can compensate until they crash, so act quickly when heart rate rises.
Pediatric Resuscitation Volumes And Targets
- Bolus crystalloids at 20 mL/kg and blood at 10 mL/kg when resuscitating shocked children.
- Target urine output (2–3 mL/kg/hr in infants; 1 mL/kg/hr in older children) to judge resuscitation.
Calculate Maintenance With The 4-2-1 Rule
- Calculate maintenance fluids with the 4-2-1 rule: 4 mL/kg/hr for first 10 kg, 2 mL/kg/hr for next 10 kg, then 1 mL/kg/hr thereafter.
- Use the chart or quick math to set accurate pediatric maintenance rates.
