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Patrick Georgoff, MD
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Patrick Georgoff, MD
@georgoff
๐Ÿฅ Surgeon + Trauma Medical Director @dukemedicine via @UThealthsurg @UmichSurgery @PennMedicine ๐ŸŽง @BehindTheKnife co-director & host ๐Ÿ™Œ๐ŸผDad of 2
Raleigh, NC
app.behindtheknife.org
Joined July 2009
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  • user avatar
    Patrick Georgoff, MD
    @georgoff
    Jun 30, 2025
    Chest tube insertion is a fundamental skill. Here, we review standard tube thoracostomy: โœ”๏ธ For traumatic hemo/pneumothorax, small bore chest tubes are non-inferior to large bore chest tubes โžก๏ธ28 Fr is the largest tube you need. โœ”๏ธ Insert at intersection of anterior axillary
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    Patrick Georgoff, MD
    @georgoff
    Jul 6, 2025
    TRAUMA LAPAROTOMY. Know it well! Standard approach: โœ”๏ธ Stem to stern (xiphoid to pubis) โœ”๏ธ Take down falciform ligament โœ”๏ธ Pack all 4 quadrants โœ”๏ธ Explore systematically โœ”๏ธ Control bleeding and contamination โœ”๏ธ Decide: Damage control? ๐Ÿงต 1/3
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    Patrick Georgoff, MD
    @georgoff
    Dec 23, 2024
    New high-yield image
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    Patrick Georgoff, MD
    @georgoff
    Dec 31, 2024
    Open inguinal anatomy v2. @BehindTheKnife
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    Patrick Georgoff, MD
    @georgoff
    Oct 16, 2023
    ๐Ÿ‘€ Thrilled to be joining @DukeSurgery
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    Patrick Georgoff, MD
    @georgoff
    Feb 21, 2023
    Replying to @OGdukeneurosurg
    A video summary (more details in full length)
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    Patrick Georgoff, MD
    @georgoff
    Jul 30, 2023
    More images from our @BehindTheKnife trauma surgery video atlas. These are from our TRAUMA LAPAROTOMY scenario ๐Ÿ“น
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    Patrick Georgoff, MD
    @georgoff
    Jun 21, 2025
    Penetrating neck trauma? Unstable or hard signs of vascular or aerodigestive injury โžก๏ธ OR, otherwise CTA neck. For lateral Zone 2 injuries: โœ”๏ธ Incision along anterior SCM โœ”๏ธ Retract SCM laterally โœ”๏ธ Ligate fascial vein (crosses anterior to carotid bifurcation) 1/2
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    Patrick Georgoff, MD
    @georgoff
    Nov 13, 2023
    Working on a presentation that discusses difficult trauma scenarios. This is what AI thinks a trauma surgeon in a pickle looks like.
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    Patrick Georgoff, MD
    @georgoff
    Jul 11, 2025
    As the surgical maxim goes, donโ€™t mess with the pancreas! But if you do, some general considerations: โœ”๏ธ Drain, drain, drain. โœ”๏ธ Consider a staged approach. โœ”๏ธ RX determined by location of injury, duct involvement, extent of parenchyma destruction, & patient stability
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    Patrick Georgoff, MD
    @georgoff
    Jun 30, 2025
    Replying to @georgoff
    โœ”๏ธ Make a ~3 cm horizontal skin incision one rib space below. โœ”๏ธ Create soft tissue tunnel w/ curved clamp. โœ”๏ธWith clamp closed, push/pop through intercostal muscles and pleural of rib above skin incision, spread open muscle/pleural โžก๏ธ stay on top of rib to avoid injury to
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    Patrick Georgoff, MD
    @georgoff
    Jun 20, 2025
    To check for bleeding after a splenectomy: โœ”๏ธ Fold a lap pad into thirds โœ”๏ธ Unroll it into the furthest reaches of the LUQ โœ”๏ธ Roll it back up slowly, identifying bleeding as you go
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    Patrick Georgoff, MD
    @georgoff
    Jun 26, 2025
    The resuscitative thoracotomy is a procedure unlike any other. Are you prepared to make a split-second decisionโฑ๏ธ?? Review @WesternTrauma adult guidelines โžก๏ธthe new gold ๐Ÿช™standard: pubmed.ncbi.nlm.nih.gov/39451159/ Deep breath... โœ”๏ธ Big problems require big incisions โžก๏ธ edge of sternum
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    Patrick Georgoff, MD
    @georgoff
    Jul 24, 2025
    Pelvic hemorrhage is deadly๐Ÿฉธโ˜ ๏ธ! You MUST have a strategy for managing these patients. โžก๏ธ Treat open book pelvic fxs w/ sheet or binder ASAP ๐ŸŸขย  An effective binder is placed over the greater trochanters (not the ASIS). This decreases pelvic volume, โฌ†๏ธ the likelihood of
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