Surgical resident bedside rescue successes

Journal of Surgical Education
Michael A Goldfarb, Mark Cavaretta

Abstract

Attempts at improvements in emergent bedside care of hospitalized patients is an ongoing process in many institutions. Recently, the development and role of rapid response teams has been well described in the literature. However, the role of surgical residents, who are typically not part of these "medical" teams, in emergent bedside care of patients, has not been well described in the literature. Surgical residents have been responsible for many bedside emergent "rescue successes," in teaching hospitals. We present 11 instances of surgical resident bedside rescues over a 1-year period at Monmouth Medical Center as a means of emphasizing their critical role in reducing adverse events and even mortalities. These cases were presented at our Morbidity and Mortality conferences and involved only surgical residents performing various technical maneuvers. Monmouth Medical Center. The 11 cases are representative and do not include multiple central lines and do include 2 of many chest tube-related cases. There was no "failure to rescue case" that involved only the surgical residents. Surgical bedside rescues included: an emergent reintubation, 2 openings of neck incisions for expanding hematomas, replacement of a dislodged tracheostomy ...Continue Reading

References

Feb 11, 2004·Archives of Surgery·Justin B DimickGilbert R Upchurch
Jan 16, 2007·Critical Care : the Official Journal of the Critical Care Forum·Ali A El Solh, Wafaa Jaafar
Feb 20, 2007·Clinical Nurse Specialist CNS·Corinne GrimesMary Viney

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Citations

Apr 25, 2013·Interactive Journal of Medical Research·Michael Juntao YuanRon Kim Johnson
Apr 1, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Michael A GoldfarbMolly Schultheis
Dec 28, 2017·Quality Management in Health Care·Alice Gallo de MoraesJeffrey B Jensen
Oct 1, 2019·Current Opinion in Critical Care·Marc LafonteMatthew E Lissauer
Mar 20, 2021·Journal of Visceral Surgery·K SlimR Amalberti

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