Behind The Knife: The Surgery Podcast cover art

Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

By: Behind The Knife: The Surgery Podcast
Listen for free

Behind the Knife is the world’s #1 surgery podcast. From high-yield educational topics to interviews with leaders in the field, Behind the Knife delivers the information you need to know. Tune in for timely, relevant, and engaging content designed to help you DOMINATE THE DAY!

Behind the Knife is more than a podcast. Visit www.behindtheknife.org to learn more. Hygiene & Healthy Living Physical Illness & Disease Science
Episodes
  • Bad Day on Call: Live Case Discussion from ASGBI Conference

    Bad Day on Call: Live Case Discussion from ASGBI Conference
    Jun 4 2026

    Get a behind-the-scenes look at one of the most anticipated sessions from the Association of Surgeons of Great Britain and Ireland Annual Conference: “Bad Day on Call.”

    In this session, expert surgeons from the United States, United Kingdom, and Canada work through challenging real-world acute care and trauma cases. As each case unfolds, the panel explores key decision points while highlighting both the similarities and differences in surgical management across healthcare systems.

    This year’s panel featured an outstanding group of acute care and trauma surgeons, including Dr. Rob Lim, Dr. Courtney Collins, Dr. Michael Cripps, Dr. Caroline Reinke, Dr. Chris Schlachta, Mr. Christian Macutkiewicz, Mr. Adam Peckham-Cooper, Miss Kate Hancorn, and Mr. Dimitrios Damaskos.

    Hope you enjoy this engaging discussion filled with practical insights and international perspectives!

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
    If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen
    Behind the Knife Premium: https://behindtheknife.org/premium
    Oral Board Review: https://behindtheknife.org/oral-board
    Oral Board Simulator: https://behindtheknife.org/oral-board/simulator
    General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review
    Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas
    Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship
    Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation
    Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-review
    Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-review
    Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-review
    Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-review
    Download our App:
    Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049
    Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
    Show More Show Less
    33 mins
  • Clinical Challenges in Emergency General Surgery: C Diff - When to Pull the Operative Trigger

    Clinical Challenges in Emergency General Surgery: C Diff - When to Pull the Operative Trigger
    Jun 1 2026
    It’s hospital day five. The patient looked better yesterday… but now she’s hypotensive, on vasopressors, acidotic, and spiraling toward multi-organ failure. The CT scan doesn’t show perforation or megacolon, but your gut tells you this is going south. Do you keep pushing medical therapy… or is it time to operate?Join Drs. Rushabh Dev, Jeffrey Coughenour, Kevin Bartow, Raymond Okeke, and Desra Fletcher from the Emergency General Surgery team in Tiger Country at Mizzou as they tackle one of the deadliest and most challenging diseases acute care surgeons face: fulminant Clostridioides difficile infection. In this Clinical Challenges episode, the panel discusses diagnostic stewardship, ASCRS recommendations, timing of operative intervention and technique, subtotal colectomy versus diverting loop ileostomy with lavage, and physiology that should push surgeons toward definitive source control. Through a real-world high-risk case vignette, the team explores the hardest question in emergency general surgery: when to stop hoping medical therapy will work and pull the operative trigger.HostsDr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve Dr. Jeffery Coughenour FACS (Surgical Attending) – Professor of Surgery and Emergency Medicine, Trauma Medical Director at the University of Missouri SOMDr. Kevin Bartow FACS (Surgical Attending) –Professor of Surgery, Minimally Invasive Surgeon and General Surgery. Department of General Surgery at the University of Missouri SOMRaymond Okeke – Acute Care Surgery/Surgical Critical Care Fellow, University of Missouri School of Medicine Desra Fletcher – PGY 3 General Surgery Resident, University of Missouri School of Medicine Learning ObjectivesBy the end of this episode, listeners should be able to:Define the spectrum of Clostridioides difficile infection (CDI), including non-severe, severe, and fulminant disease, and recognize the physiologic implications of fulminant colitis. Review contemporary diagnostic stewardship for CDI, including appropriate stool testing, pitfalls of PCR/NAAT interpretation, and the role and limitations of CT imaging in fulminant disease. Describe evidence-based medical management of fulminant CDI, including high-dose enteral vancomycin, intravenous metronidazole, rectal vancomycin for ileus, and principles of antimicrobial stewardship. Recognize the high-risk clinical features that should prompt urgent surgical evaluation, including worsening shock, vasopressor dependence, lactate elevation, organ failure, and evolving abdominal exam findings. Discuss the operative indications and timing for surgery in fulminant CDI and understand why delayed intervention contributes to mortality. Compare subtotal colectomy with end ileostomy versus diverting loop ileostomy with antegrade lavage, including current evidence, patient selection, limitations of the literature, and ASCRS recommendations. Review practical operative strategies for subtotal colectomy in unstable patients, including damage-control principles and common technical pitfalls. Apply clinical reasoning to a complex, high-risk case of fulminant CDI in a patient with decompensated cirrhosis, septic shock, and multi-organ dysfunction. References ASCRS Clinical Practice Guidelines for *Clostridioides difficile* Infection (2021) Surgical Management of *Clostridium difficile* Colitis — Neal et al., 2011 (Loop Ileostomy + Lavage Protocol) Clinical Practice Guidelines for *Clostridioides difficile* Infection in Adults and Children (IDSA/SHEA, 2021 Update) Adjunctive Hyperbaric Oxygen and Surgical Outcomes in Necrotizing Soft Tissue Infections (Background discussion of severe infection physiology) Total Abdominal Colectomy Versus Diverting Loop Ileostomy for Fulminant CDI — Systematic Review & Meta-analysis Current Status of Surgical Therapy for Fulminant *Clostridioides difficile* Colitis Behind the Knife Episode 648 – Emergency General Surgery Journal Review: *Clostridioides difficile* Infection Bottom line: Fulminant C. diff is one of the few EGS diseases where the hardest decision is not what operation to perform — it’s recognizing when medical therapy has failed before the patient becomes unsalvageable.Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A ...
    Show More Show Less
    33 mins
  • BIG T Trauma Ep. 28: Retained Ballistic Fragments: What We Were Never Taught

    BIG T Trauma Ep. 28: Retained Ballistic Fragments: What We Were Never Taught
    May 28 2026

    The majority of non-fatal gunshot wound survivors walk away with a bullet still inside them. Most are discharged without a removal attempt, without a surveillance plan, and without a conversation about what comes next. This episode fills that gap.
    Dr. Patrick Georgoff is joined by BIG T co-host Dr. Teddy Puzio (UT Houston), gun violence survivor and trauma surgeon Dr. Madhu Subramanian (Duke), and Dr. Tyler Simpson (Duke ACS Fellow) for a practical, honest conversation about one of trauma's most overlooked topics.

    What we cover:

    • Epidemiology: how common retained fragments really are, and why the downstream burden is underappreciated
    • When to remove (and when not to): a framework for both index hospitalization and delayed removal
    • Forensic evidence: how to handle bullets in the OR without destroying their evidentiary value — and who to call when you don't know
    • Lead toxicity: the rare but real complication that can surface a decade later, which blood lead levels should prompt action, and when to call hematology or toxicology
    • The psychology: retained bullets are independently associated with depression and reduced return to work — and that belongs in the risk-benefit conversation

    DOMINATE THE DAY

    BIG T Trauma Full Series: https://behindtheknife.org/podcast-series/big-t-trauma

    This episode of Big T Trauma was sponsored by Teleflex, a global provider of medical devices. Learn more at teleflex.com and at the Teleflex Trauma and Emergency Medicine LinkedIn page.

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
    If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen
    Behind the Knife Premium: https://behindtheknife.org/premium
    Oral Board Review: https://behindtheknife.org/oral-board
    Oral Board Simulator: https://behindtheknife.org/oral-board/simulator
    General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review
    Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas
    Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship
    Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation
    Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-review
    Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-review
    Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-review
    Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-review
    Download our App:
    Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049
    Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
    Show More Show Less
    27 mins
adbl_web_anon_alc_button_suppression_t1
No reviews yet