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What is Halstedian principles?

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

  1. watermen

    watermen Member 5+ Year Member

    Mar 1, 2005
    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.
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  3. MediCane2006

    MediCane2006 Living the dream Physician 10+ Year Member

    Feb 16, 2004
    Right where I want to be
    (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.
  4. SLUser11

    SLUser11 CRS 10+ Year Member

    Feb 22, 2005
    (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......
  5. taXi

    taXi 2+ Year Member

    May 30, 2007
    "Morphine" would have made the joke funnier--though incredibly irreverent.;)
  6. SLUser11

    SLUser11 CRS 10+ Year Member

    Feb 22, 2005
    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.
  7. taXi

    taXi 2+ Year Member

    May 30, 2007
    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.
  8. Chronic Student

    Chronic Student So Fresh, So Clean 5+ Year Member

    Feb 7, 2006
    Please specify who the quote came from : )

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

  9. SoulRFlare

    SoulRFlare Senior Member 7+ Year Member

    Oct 20, 2003
    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.
  10. 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
  11. jdm51

    jdm51 New Member 7+ Year Member

    Mar 17, 2006
    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.

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