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ECG Case: Pulmonary Embolism

ECG Case: Pulmonary Embolism

ECG findings in Pulmonary Embolism: -Sinus Tachycardia (only 30-50%) -SIQIII or SIQIIITIII , a.k.a. Rightward Axis (not sensitive or specific) -New RBBB or incomplete RBBB -Superventricular tachydysrhythmias -Ventricular dysrhythmias -ST-segment elevations or depressions -T-wave inversions

Operating Room Teaching

Operating Room Teaching

Rocky Vista University College of Osteopathic Medicine (RVU) in Parker, Colorado conducted its annual Intensive Surgical Skills Course (ISSC) at Strategic Operations' U.S. Navy designated Simulated Ambulant Lab the week of 4-9 May 2014. Overhead catwalks and video camera systems enabled live viewing and after action review. Thirty-nine live-action, Hyper-Realistic™ simulations of both medical and surgical problems were created, immersing the participants from point-of-injury all the way through the ER and OR. Trauma scenarios included overturned cars, active shooters, improvised explosive devices, industrial accidents, and fires. All occurred at Strategic Operations on the back lot of Stu Segall Productions TV/film studio and the emergency and operating rooms were simulation labs where surgeries were performed on live humans – wearing Strategic Operations simulators called “Cut Suits.” The following video, one of twenty-one surgeries simulating various pathologies and trauma, is titled: “Teaching Open Damage Control Surgery through Simulated Hyper-Realistic Laparotomy, Thoracotomy, and External Pelvic Fixation.” Twenty-one RVU second-year medical students, many teaching faculty and visiting surgeons and physicians, as well as surgical and ER residents and staff from Balboa Naval Hospital participated. Since the end of the "see one, do one, teach one" era, physicians in training have had significantly less hands-on experience in which they have been allowed to make decisions and be responsible for the consequences of those decisions. Success is often born of failure. But being allowed to make mistakes - to fail - is no longer permissible in surgical education, for obvious and good reasons: patient safety. This is surgical simulation as you have never seen it before. It is truly a return to the "see one, do one, teach one" method. Participating Surgeons, Medical Students, and Physicians: Mark Lee MD FACS; Anthony J. LaPorta MD FACS; Tuan Hoang CDR MC USN, MD FACS; Reggie Francoise MD FACS; Jonathan R. Gower MD, LT MC USN; Chelsea Zahler MS3; Ryan Slattery MS3; Douglas Robinson MS3

Traumatic Hyphema - Anterior Chamber Washout

Traumatic Hyphema - Anterior Chamber Washout

This video demonstrates anterior chamber washout for traumatic hyphema. Video by Bradford J. Shingleton, MD.

Retracted Eardrum

Retracted Eardrum

Ear congestion is a common complaint. Often it's from an upper respiratory infection. This may result in middle ear fluid and a change in position of the eardrum. If this persists, diagnostic nasal endoscopy should be performed to rule out obstruction of the eustachian tube. Treatment includes decongestants, antibiotics and sometimes surgical drainage.

Extraperitoneal Laparoscopic Radical Prostatectomy Part 2

Extraperitoneal Laparoscopic Radical Prostatectomy...

Video presents extraperitoneal laparoscopic radical prostatectomy by Christopher Eden.

GIT Physiology@ Swallowing Reflex

GIT Physiology@ Swallowing Reflex

Swallowing phases as a part of git physiology. I hope you will enjoy learning.

Periodontal-Endodontic Considerations

Periodontal-Endodontic Considerations

The video shows a case of an endo-perio lesion of endodontic origin. Proper root canal therapy was sufficient for the symptoms to resolve. Video by Dr. Antonis Chaniotis.

Total Arch Repair in Type A Aortic Dissection

Total Arch Repair in Type A Aortic Dissection

Dr. Jeng Wei, director of Heart Center of Cheng-Hsin General Hospital, Taipei, Taiwan presented total arch repair (ascending aorta, aortic arch, and upper portion of the descending aorta with Dacron grafts) with four vascular ring connectors in type A aortic dissection.

Dealing with Extreme Root Canal Anatomy

Dealing with Extreme Root Canal Anatomy

The video shows the way of dealing with extreme root canal anatomy. The video presents diagnostics, shaping and obturation of the root canals. Video by Dr. Antonis Chaniotis.

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Head, Microsurgery Training, Dept. of Plastic Surgery Cleveland Clinic

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