The Best Surgical Education All in One Place
CLINICAL CONGRESS 2016
OCTOBER 16–20 | WALTER E. WASHINGTON CONVENTION CENTER
The definition of “the box” has expanded to the patient’s left, so that it extends from anterior
midline, wraps around the left chest, and ends in the posterior midline.
Think outside the ‘cardiac box’
to predict cardiac injury
From the Editors:
Sic transit gloria mundi
BY TYLER G. HUGHES, MD, FACS
The email came with the words, “It is with sadness we report that Frank Moody died. …” I was instantly transported to the last time I saw the man and a flood
of emotions swept over me. The name Frank Moody will
ring a distant bell or none at all to some in our profession.
Like many of the greats of surgery, he belongs to the ages.
I remember the first time I
asked a student, “Who is Michael
DeBakey?” I was dumbfounded
to be greeted with a blank stare.
How could a student of medicine
not know of Dr. DeBakey? A few
years later, the same question
prompted a smart aleck reply that
he was the man who invented
DeBakey forceps. Well, of course
he did invent the forceps, but to
know nothing further of the man
who was the world’s expert on
ulcer disease in the 1940s, the pro-
genitor of the National Medical Library, and among the
foremost pioneers of heart surgery seemed beyond belief.
My mentor, Ernest Poulos, has long since left the active surgical scene. At times he would note the passing
of one of his heroes like Carl Moyer (look it up!) and
VOL. 12 • NO. 10
See Gloria Â page 8
Dr. Peter Angelos reflects on the
philosophical difference between “is” and
“ought” for surgeons.
A meta-analysis looks at indications
for palliative cancer surgery, and
Dr. Geoffrey P. Dunn comments.
The ACS and American Geriatrics
Society have published a best practices
guideline for treating elderly trauma patients.
Online & In-Depth
Dr. Grace Rozycki, president of the American
Association for the Surgery of Trauma, spoke
at the annual meeting about mentoring the
next generation of surgeons. Listen to the
interview at https://goo.gl/jHrE7n
BY DOUG BRUNK
Frontline Medical News
WAIKOLOA, HAWAII – For gunshot wounds,
the current “cardiac box” was the poorest
predictor of cardiac injury, results from a single-center retrospective study demonstrated.
“We determined that, from a statistical
standpoint, the cardiac box should be rede-
fined to include the area of the thorax that
extends from the clavicle to xiphoid and from
the anterior midline to the posterior midline
of the left thorax,” Bryan C. Morse, MD,
FACS, said in an interview in advance of the
annual meeting of the American Association
for the Surgery of Trauma. “The classic cardi-
ac box is inadequate to discriminate whether
See Cardiac Â page 7
History walks among us.
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