{"podcast":{"title":"Behind The Knife: The Surgery Podcast","slug":"behind-the-knife-the-surgery-podcast-321171","podcast_index_feed_id":321171,"rss_url":"https://audioboom.com/channels/5046960.rss","website_url":"https://audioboom.com/channels/5046960","image_url":"https://audioboom.com/i/39463562.jpg","author":"Behind The Knife: The Surgery Podcast","episode_count":500,"summary":"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.","last_synced_at":null,"page_url":"https://stenobird.com/podcast/behind-the-knife-the-surgery-podcast-321171"},"episode":{"title":"BIG T Trauma Ep. 28: Retained Ballistic Fragments: What We Were Never Taught","slug":"big-t-trauma-ep-28-retained-ballistic-fragments-what-we-were-never-taught","published_at":"2026-05-28T07:00:00+00:00","page_url":"https://stenobird.com/podcast/behind-the-knife-the-surgery-podcast-321171/big-t-trauma-ep-28-retained-ballistic-fragments-what-we-were-never-taught","show_page_url":"https://stenobird.com/podcast/behind-the-knife-the-surgery-podcast-321171","url":"https://audioboom.com/posts/8908424","audio_url":"https://pdst.fm/e/arttrk.com/p/ABMA5/pscrb.fm/rss/p/dts.podtrac.com/redirect.mp3/audioboom.com/posts/8908424.mp3?modified=1779891060&sid=5046960&source=rss","summary":"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…","meta_description":"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 surv…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1640,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/behind-the-knife-the-surgery-podcast-321171/episodes/big-t-trauma-ep-28-retained-ballistic-fragments-what-we-were-never-taught/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/behind-the-knife-the-surgery-podcast-321171/big-t-trauma-ep-28-retained-ballistic-fragments-what-we-were-never-taught.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}