The scrub person and table remain sterile if there is a question of patient stability until the patient is out of the room
Indicate whether the statement is true or false.
ANS: T
During trauma, cardiac, vascular, and neurologic cases, the scrub person, as well as the table, must stay sterile. Once the patient is stable and has left the room, the scrub may breakdown the sterile table.
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Which of the following is a way to prevent accidents with power saws?
A. Use whatever saw is most convenient B. Refuel gasoline-powered saws immediately C. Store blades and cutting chains separately D. Keep blades and cutting chains well sharpened
Operative note
OPERATING SURGEON: J. D. Smith, MD ASSISTANT: W. G. Harris, MD ANESTHESIA: General. ANESTHESIOLOGIST: Scott Smith, MD PREOPERATIVE DIAGNOSIS: Small-bowel obstruction. POSTOPERATIVE DIAGNOSIS: Small-bowel obstruction secondary to intraabdominal adhesions. OPERATION PERFORMED: Exploratory laparotomy, (1)________ of adhesions, and release of small-bowel obstruction. OPERATIVE TECHNIQUE: The patient was prepped and draped in a routine manner under general anesthesia with endotracheal intubation. A (2)________ catheter was in place and draining clear urine. The patient was given 2 g of (3)________ antibiotic intravenously prior to incision. A midline incision was made from the symphysis passing to the left of the umbilicus and continuing in the midline in the (4)________ area. The subcutaneous tissue was divided with sharp dissection. Electrocautery was used to provide subcutaneous hemostasis. The abdominal fascia was divided at the midline, and the posterior (5)________ and the peritoneum were entered with sharp (6)________. There were multiple dilated loops of large bowel and small bowel. However, the small-bowel dilatation was confined to the proximal and midjejunum. Examination of the upper abdomen revealed the liver to be of normal size and consistency, the gallbladder also normal. There was no evidence of hepatic (7)________. The (8)________ spaces were negative to palpation and visualization. There was no evidence of neoplasm or obstruction in the large intestine. There was an adhesive band involving the midjejunum in the left lower quadrant from previous exploratory surgery. Using (9)________scissors, with blunt and sharp dissection, a 10 cm to 15 cm loop of midjejunum was freed up, resulting in release of the adhesive obstruction. The remainder of the small bowel was run throughout its length, and no further obstructions were seen. The (10)________ were placed in their normal position and covered with the fatty omentum. When instrument, sponge, and pack count were correct and (11)________ was satisfactory, the peritoneum was closed with a running 2-0 chromic lock suture. The anterior and posterior fascia were approximated with interrupted with 0 (12)________ suture. The subcutaneous tissue space was irrigated with saline solution and sponged dry. The skin was closed with interrupted staples and an Adaptic 4 × 4 dressing applied. Blood loss estimated at approximately 150 mL. The patient tolerated the procedure well and left the operating room in good condition.
An EMT may injure his or her back, even if it is straight, if the:
A. back is bent forward at the hips. B. force is exerted straight down the spine. C. shoulder is aligned over the pelvis. D. hands are held close to the legs.
_____ fluid prevents friction between the heart and the pericardium when the heart beats
Fill in the blank(s) with correct word