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Table 1 Siriraj Surgical Trauma Skills (SSTS) Workshop agenda

From: Efficacy of a perfused cadaver model for simulated trauma resuscitation in advanced surgical skills training

Scope

Procedure

Life-threatening and damage control surgery (DCS)

Cricothyroidotomy

Emergency resuscitative thoracotomy

DCS in chest: pulmonary hilar twist, tractotomy, cardiac injury

DCS in abdomen: packing, aortic clamping, retrohepatic IVC injury, hilar control for spleen and kidney

DCS in vessel injury: vascular shunt, fasciotomy

Demonstrations: resuscitative endovascular balloon of the aorta (REBOA), intraoperative angiography

Thorax

Cardiac box injury: subxiphoid window, median sternotomy, cardiac repair, exposure of great vessels

Diaphragmatic repair

Proximal control for aortic injury (optional)

Abdomen

Preperitoneal pelvic packing (PPPP)

Supra-celiac aortic cross clamp

Exposure: Lesser sac exploration, retroperitoneal hematoma zone, intra-abdominal aorta

Solid organ: splenorrhaphy, splenectomy, kidney-nephrectomy, liver-hepatic bleeding control hollow viscus organ: stomach/duodenum/colon repair (optional)

Vascular

Peripheral vascular exposure:

Neck—carotid vessel

Upper—subclavian, brachial

Lower—iliac, femoral, popliteal

Intra-abdominal aorta

  1. DCS damage control surgery; IVC inferior vena cava; REBOA resuscitative balloon occlusion of the aorta; PPPP pre-peritoneal pelvic packing