Tiger Country - Episode Eleven: Damage Control Surgery and the Open Abdomen, or, You Knew We Were Going To Need An Abthera From The Start of The Case, Kyle!

In this episode, your intrepid podsurgeons talk to the venerable and famed Martin Zielinski, lately of the Mayo Clinic and currently Chief of Trauma and Acute Care Surgery at Baylor. Dr. Zielinski talks with us about damage control surgery. For something so widely practiced and studied, there are few better examples of the art of surgery than DCS. When does one know that a patient is in a damage control state? It is physiologic derangement or the severity of the injuries? When does one know the patient's ready to go back to the OR? How has the shift away from crystalloid altered thinking and practice? That leads to a discussion about direct peritoneal resuscitation and management of the open abdomen before Dr. Zielinski talks about what it's like to move from the paradise that is the northern Midwest to Houston, where the average temperature is approximately a hundred and thirty degrees. In December.