Tag Archive: videos

John Oliver: Marketing to Doctors

A few months ago on Last Week Tonight with John Oliver, he spoke about the amount of money pharmaceutical companies spend marketing to physicians. Check out the video clip, the numbers are staggering. I am certainly not an anti-pharma type of person, but this should make you think twice about the free lunches and events provided by drug companies. 

 

Video: Empathy as a Physician

Studying your brains out for USMLE Step 1? Are you trying to keep your head above water on your surgery rotation? Are you an intern and can't remember why you ever chose medical school in the first place?

You need to watch this video put out by the Cleveland Clinic. It will help you remember.

Video: Outside Hospital

Check out this hilarious video about Outside Hospital (a.k.a OSH)

 

How to instrument tie: A video tutorial

jpatrick.net

In recent posts I highlighted some great training videos on suturing and on one and two handed knot tying. In this post I will recommend a video tutorial for instrument tying.  As with the other suturing and knot tying skills, it is very important that medical students learn early in their careers how to instrument tie.  This is the bread and butter of knot tying.  If you are proficient with the instrument tie you will impress residents and attendings and they will be much more willing to give you responsibilities in the OR.  The video below is a straight forward review and tutorial of the instrument tie.  As with all other knots, remember that a square knot is not complete until you have made two opposing throws; otherwise you are tying granny knots.

One and two handed surgical knot tying: A video tutorial

In two recent posts I recommended some great video tutorials for suturing and for instrument tying.  This post will focus on learning how to tie one and two handed knots in the operating room.  As with previous skills, it is very important that medical students learn to tie surgical knots early in their training.  Let me offer one experience from medical school to illustrate this fact.  This is a true story.

After finishing rounds with the residents on my OB rotation I was assigned to work in the OR with the chief of benign gynecology surgery at a community hospital.  He also happened to be the rotation coordinator and was responsible for my grade and evaluation.  The first case was an open tubal ligation. As the case was ending the attending turned to me and said, “hey, we have to close the fascia, can you tie knots?”  Luckily, I knew quite well how to tie.  I picked up the suture and threw a few two handed knots down.  My attending was seriously impressed and told everyone on the team.  He gave me a raving evaluation and spoke specifically about how I was “well prepared for the OR.” So, take it from me, learn these knots! Always remember Rule #1: tie square knots, not granny knots! Two throws are required to complete the knot. 

1. The two handed knot.  This is the knot that you will actually use in the OR. Most surgeons never tie one-handed knots and some even forbid them.  So, this should be your bread and butter. After watching a few tutorial videos I am convinced that this is the best.  It comes from the University of Texas at Houston and walks you through the basics. The audio is very good, so find some earphones. Always remember that a square not requires two throws to be completed.

2. The one handed knot: This is a more confusing knot and far less high yield because very few surgeons ever use it or expect it.  It is notoriously difficult to teach and to learn.  The best video I have found is shown below.  Unlike the previous video, there is not audio to walk you through the knot.  Rather, the knot is completed slowly and each difficult section is repeated.  Remember, you must tie two throws to make a complete square knot. This is important when tying a one handed knot because the two throws are completed using two different techniques.

Finally, there is more than one way to tie a square knot.  Here is one more video that demonstrates the two handed and one handed method clearly. Similar to the second video, there is no audio.  Go get some gloves and some suture and practice along with this video.

How to suture a wound: A video tutorial

Before you start your third year of medical school you absolutely need to know how to suture.  In this post I will provide some of the best video tutorials for suturing. (See my other posts to review one and two hand surgical knots and instrument tying.) During my general surgery rotation and OB/GYN countless attendings and residents would look at me as the case was ending and say, “hey med student, can you suture?  Will you close while I dictate?”  I was also asked to suture quite a few lacerations during my ED rotation.  Learn early and learn often.  Your school will likely have a suturing training course, but you need to keep fresh.  I recommend the two videos listed below as tutorials.  The first (not youtube, so you have to click on it) is the most professional and has some images to help understand the mechanics.

Video 1: From medicanalife.com

Video 2:

 

It is also very important to know a few common pimping questions (below).  The Medscape website offers a very good and very free review of all of these questions.

  1. The indications for suturing vs. glue vs. healing by secondary intention
  2. Time to removal of stitches
  3. Types of suture, and when to use each
  4. How and when to use lidocaine and/or epinephrine prior to suturing
  5. Lethal dose of lidocaine (I have been pimped on this at least 10 times)
Let me emphasis one last time.  Learn to suture, and learn well.  During my surgery rotations I was asked on the spot to sew up a panniculectomy, countless skin grafts, and some other major wounds. The residents and attendings would have never asked for my help if I did not first impress them with my suturing ability.

Homeopathic Medicine Video

Here is another fantastic video this one thanks to The Mitchell and Webb Look from Britain

Seizure in the ED

Perhaps a bit of a stretch….but funny nonetheless

Proper gowning and gloving, a training video

As I mentioned in a previous post about how important it is to know proper scrub technique, it is equally important to know how to gown and glove. Most students will receive formal training in these techniques.  However, if you are planning on being in the OR either for shadowing or elective rotations before you receive training, be sure to watch this video and the video on proper scrub technique

How to scrub for surgery, a training video

Most medical students will be required to take a crash course in scrubbing, gowning and gloving.  However this may not happen until your surgery or OB rotation during third year.  Many students will find their way into the ORs before those rotations.  My first OR case was during a urology elective.  I had no scrub training and the surgeon asked me right before the case, “Hey med student, go scrub, I need a first assistant.”  I had to find a scrub tech in the hall to help me.

So, learn how to do it now!  I have seen a lot of training videos, but this one is particularly good for scrubbing.  I also highly recommend you see this video on gowning/gloving.  You don’t want to mess that up either, the scrub nurses will kick you out.

 

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