About the ads

What is Halstedian principles?

Discussion in 'Surgery and Surgical Subspecialties' started by watermen, May 31, 2007.

  1. SDN is a nonprofit organization. Services are made possible through the generous support of SDN members and sponsors. Thank you.
  1. watermen

    watermen Member

    Joined:
    Mar 1, 2005
    Messages:
    216
    Status:
    Medical Student
    SDN 5+ Year Member

    SDN Members don't see this ad. (About Ads)
    Can anyone kindly explain to me what is Halstedian principles all about? I tried to google it, but can find anything useful. Thanks in advance.
  2. MediCane2006

    MediCane2006 Living the dream

    Joined:
    Feb 16, 2004
    Messages:
    2,180
    Location:
    Right where I want to be
    Status:
    Fellow [Any Field]
    Physician SDN 10+ Year Member
    (1) the gentle handling of tissues; (2) the aseptic technic; (3) sharp anatomic dissection of tissues; (4) meticulous hemostasis, using fine, non-irritating suture material in minimal amounts; (5) the obliteration of dead space in the wound; (6) avoidance of tension; and (7) the importance of rest. These tenets are the basis of modern surgical craftsmanship.

    These are known as Halsted's principles of surgery.
  3. SLUser11

    SLUser11 CRS

    Joined:
    Feb 22, 2005
    Messages:
    2,657
    Status:
    Attending Physician
    SDN 7+ Year Member
    (8) Cocaine is a hell of a drug. (jk)

    He also created the concept of the "House Officer" (which I think he kind of stole from the Germans if I remember correct), and is the father of modern residency......not a big believer in the 80 hour work week, though......
  4. taXi

    taXi

    Joined:
    May 30, 2007
    Messages:
    85
    Status:
    MD/PhD Student
    SDN 2+ Year Member
    "Morphine" would have made the joke funnier--though incredibly irreverent.;)
  5. SLUser11

    SLUser11 CRS

    Joined:
    Feb 22, 2005
    Messages:
    2,657
    Status:
    Attending Physician
    SDN 7+ Year Member
    I'm not sure I understand why that would have been funnier.

    Halsted was a big time coke addict way before he fell in love with morphine.
  6. taXi

    taXi

    Joined:
    May 30, 2007
    Messages:
    85
    Status:
    MD/PhD Student
    SDN 2+ Year Member
    I concede that logical progression makes the cocaine reference a better fit. I was just thinking that the morphine was what made his behavior shockingly unlike that of a well respected surgeon--the sort of "funny" chairman of a department of surgery--the character that neophytes chuckle at when reading a historical account. So, in that regard I was suggesting that a morphine reference would have fired up those areas of association cortex storing known information on Halsted (which may themselves evoke cheerfulness), thus contributing to a more pronounced experience of hilarity for the reader.

    But if the cocaine use coincided with the peak of his technical accomplishments, it does provide for a smoother transition from 7 to 8.

    This conversation really is making me feel uncomfortably irreverent.
  7. Chronic Student

    Chronic Student So Fresh, So Clean

    Joined:
    Feb 7, 2006
    Messages:
    818
    Status:
    Non-Student
    SDN 5+ Year Member
    Please specify who the quote came from : )

    "Cocaine is a hell of a drug" - Thats Rick James, B****.

    -Mike
  8. SoulRFlare

    SoulRFlare Senior Member

    Joined:
    Oct 20, 2003
    Messages:
    658
    Location:
    Ohio
    SDN 7+ Year Member
    He apparently got hooked on morphine as a way to detox from the coke. Friends of his intervened when the coke habit got out of control, arranged for him to go on a cruise and provided him morphine as a "reasonable alternative" to the coke.
  9. So he was the "index case" in the development of methadone treatment....interesting. He has obviously had a career that impacts accross all socio-economic lines:smuggrin:
    Last edited by a moderator: Aug 29, 2008
  10. jdm51

    jdm51 New Member

    Joined:
    Mar 17, 2006
    Messages:
    17
    Status:
    Resident [Any Field]
    SDN 5+ Year Member
    I recently heard James Cameron speak on Dr. Halstead- and thought I could clarify. Halstead, when a medical student at Columbia, along with several med student colleagues were actually researching with cocaine as an anesthetic. Several of his colleagues actually died in the process. Halstead and one other survived, but yes, transitioned to morphine to wean his addiction. Although Halstead's physician had originally reported that he was completely weaned of his addiction, it is now believed that he was in fact still using it up until his death. I found this a very sobering account of addiction.

Share This Page


About the ads