OnSurg

05/11/2017

In 2010, OnSurg was introduced to foster conversation and to create and curate content for surgeons when the worldwide web was largely devoid of relevant forums. Today, we're happy to see digital communities flourishing and feeds flowing everywhere. We're stepping away now. Carry on, and thank you to our 82,000 fans!

Op Report videos will remain archived on Youtube.

11/11/2016

Op Report #87 Dr. Tom Lendvay, C-SATS Chief Medical Officer, discusses technology for appraisal of technical performance and behaviors.

11/04/2016

How did this happen?

An 86 year old Arizona man was trimming plants in his back yard and fell on his pruning shears. One of the handle grips pushed into his orbit and through his pharynx into his neck. How do you think through something like this?

10/28/2016

"A picture may be worth a thousand words, but a video is even better."

Yesterday, I described a technique for providing a secure yet short-term airway tailored to patients who can’t have a tube in their mouth or nose. Patients undergoing multiple facial fracture repair are probably the best candidates for this procedure.

10/14/2016

"Now being on the other side of medicine as a physician in training, I have gained a sense of empathy for my surgeon’s judgment call."

I was diagnosed with Juvenile Idiopathic Scoliosis when I was 8 years old. After many years of driving hours away to doctor appointments, the frustration of wearing a back brace as a teenager, and increasing back pain, the decision was finally made for me to undergo spinal correction surgery. The su...

09/30/2016

Take a look at our most popular video.
Female surgeons: what kinds of career challenges do you face?

Workplace dynamics and career challenges unique to females in surgery.

09/23/2016

Personal watercraft use exploded a decade ago, and they are still heavily used for recreation and vacation fun. However, speed and people don’t always mix well. Here’s an interesting case to ponder.

09/16/2016

Dr. David Notrica discusses a new trauma conference for surgeons which was presented as a bilingual simulcast. Website for TCI: http://traumacon.org OnSurg W...

09/09/2016

"The first order of business is to rule out problems which may prove to be life threatening."

In my previous post, I described a young man who had recovered from a stab to the heart. He did well for a week and a half but then presented to the ED with significant chest pain. It seems to be substernal and somewhat pleuritic. What should you do to work it up further? There have been a number of...

09/02/2016

A 25 year old man is involved in some sort of violent, non-productive interpersonal relationship. He sustains a stab to the left chest, and is brought to your trauma center as a trauma team activation. During the FAST exam, a moderate effusion with visible clot is seen in the pericardium.