A conversation between an expert surgeon and a specialized Generative AI (ChatGPT) during an emergency trauma surgery:
Surgeon: ChatGPT, we have a 35-year-old male with a stab wound to the abdomen. We need to operate immediately. Let's prepare for an exploratory laparotomy.
ChatGPT: Understood, Doctor. Preparing for exploratory laparotomy. I will guide you through the procedure and provide real-time assistance as needed.
Surgeon: Patient is prepped and under anesthesia. I'm making the midline incision now.
ChatGPT: Proceed with the midline incision. Monitor for any signs of excessive bleeding.
Surgeon: Incision is made. There's some bleeding from the wound. I'm applying pressure.
ChatGPT: Apply pressure and use suction to clear the area for better visibility. Check for the source of bleeding.
Surgeon: The bleeding seems to be from the mesenteric vessels. I'm ligating the vessels now.
ChatGPT: Good call. Ligation should control the bleeding. Once controlled, proceed to inspect for any further injuries.
Surgeon: Bleeding is controlled. I'm inspecting the intestines now. There’s a small perforation in the jejunum.
ChatGPT: Suture the perforation using interrupted sutures. Ensure to check for any additional perforations or injuries.
Surgeon: Suturing the perforation. No other injuries in the intestines. Moving to inspect the liver now.
ChatGPT: Good. Carefully inspect the liver for any lacerations or hematomas.
Surgeon: There's a small laceration on the right lobe of the liver. It looks superficial.
ChatGPT: For a superficial laceration, you can apply hemostatic agents or suture if necessary. Monitor closely for any further bleeding.
Surgeon: Applying hemostatic agents. The liver laceration is under control. Suddenly, the patient’s blood pressure is dropping rapidly.
ChatGPT: Check for internal bleeding sources immediately. Inspect all quadrants of the abdomen.
Surgeon: There’s a large hematoma forming near the spleen. It looks like the spleen is ruptured.
ChatGPT: You need to perform a splenectomy. Clamp the splenic artery to control the bleeding first.
Surgeon: Clamping the splenic artery. Preparing for splenectomy.
ChatGPT: Proceed with the splenectomy. Ensure all necessary instruments are ready and suction is available.
Surgeon: Splenectomy in progress. The spleen is removed. Bleeding is under control.
ChatGPT: Excellent. Check for any residual bleeding. Ensure hemostasis and begin closing the incision.
Surgeon: No residual bleeding. Hemostasis achieved. Closing the incision now.
ChatGPT: Once the incision is closed, ensure the patient is stable and monitor vital signs closely. Good job, Doctor.
Surgeon: Incision closed. Patient is stable. Thank you, ChatGPT. That was intense.
ChatGPT: You're welcome, Doctor. Glad I could assist. Please continue to monitor the patient closely during recovery.
Surgeon: ChatGPT, we have a 35-year-old male with a stab wound to the abdomen. We need to operate immediately. Let's prepare for an exploratory laparotomy.
ChatGPT: Understood, Doctor. Preparing for exploratory laparotomy. I will guide you through the procedure and provide real-time assistance as needed.
Surgeon: Patient is prepped and under anesthesia. I'm making the midline incision now.
ChatGPT: Proceed with the midline incision. Monitor for any signs of excessive bleeding.
Surgeon: Incision is made. There's some bleeding from the wound. I'm applying pressure.
ChatGPT: Apply pressure and use suction to clear the area for better visibility. Check for the source of bleeding.
Surgeon: The bleeding seems to be from the mesenteric vessels. I'm ligating the vessels now.
ChatGPT: Good call. Ligation should control the bleeding. Once controlled, proceed to inspect for any further injuries.
Surgeon: Bleeding is controlled. I'm inspecting the intestines now. There’s a small perforation in the jejunum.
ChatGPT: Suture the perforation using interrupted sutures. Ensure to check for any additional perforations or injuries.
Surgeon: Suturing the perforation. No other injuries in the intestines. Moving to inspect the liver now.
ChatGPT: Good. Carefully inspect the liver for any lacerations or hematomas.
Surgeon: There's a small laceration on the right lobe of the liver. It looks superficial.
ChatGPT: For a superficial laceration, you can apply hemostatic agents or suture if necessary. Monitor closely for any further bleeding.
Surgeon: Applying hemostatic agents. The liver laceration is under control. Suddenly, the patient’s blood pressure is dropping rapidly.
ChatGPT: Check for internal bleeding sources immediately. Inspect all quadrants of the abdomen.
Surgeon: There’s a large hematoma forming near the spleen. It looks like the spleen is ruptured.
ChatGPT: You need to perform a splenectomy. Clamp the splenic artery to control the bleeding first.
Surgeon: Clamping the splenic artery. Preparing for splenectomy.
ChatGPT: Proceed with the splenectomy. Ensure all necessary instruments are ready and suction is available.
Surgeon: Splenectomy in progress. The spleen is removed. Bleeding is under control.
ChatGPT: Excellent. Check for any residual bleeding. Ensure hemostasis and begin closing the incision.
Surgeon: No residual bleeding. Hemostasis achieved. Closing the incision now.
ChatGPT: Once the incision is closed, ensure the patient is stable and monitor vital signs closely. Good job, Doctor.
Surgeon: Incision closed. Patient is stable. Thank you, ChatGPT. That was intense.
ChatGPT: You're welcome, Doctor. Glad I could assist. Please continue to monitor the patient closely during recovery.
A conversation between an expert surgeon and a specialized Generative AI (ChatGPT) during a complex emergency trauma surgery:
Surgeon: ChatGPT, we have a 42-year-old female with a gunshot wound to the abdomen. Her blood pressure is dropping, and we need to operate immediately. Preparing for an exploratory laparotomy.
ChatGPT: Understood, Doctor. Preparing for exploratory laparotomy. I'll assist you throughout the procedure. Ensure all necessary instruments and blood products are available.
Surgeon: Patient is prepped and under anesthesia. I'm making the midline incision now.
ChatGPT: Proceed with the midline incision. Keep an eye on bleeding and be prepared to control it quickly.
Surgeon: Incision made. There's significant bleeding. I'm applying pressure and suction.
ChatGPT: Apply pressure and use suction to identify the source of bleeding. Check for major vascular injury.
Surgeon: The bleeding seems to be coming from the inferior vena cava. It's torn.
ChatGPT: You'll need to control the bleeding from the inferior vena cava. Use vascular clamps to control the proximal and distal ends of the tear.
Surgeon: Clamping the inferior vena cava. There's still some oozing. Preparing for vascular repair.
ChatGPT: Use a running non-absorbable suture to repair the tear in the inferior vena cava. Ensure to suture carefully to avoid further damage.
Surgeon: Repairing the tear now. The bleeding is under control. Inspecting the abdominal cavity for other injuries.
ChatGPT: Good. Ensure to check all major organs and structures for any additional damage.
Surgeon: The liver has a deep laceration. It's bleeding heavily.
ChatGPT: Pack the liver with laparotomy pads to control bleeding. You may need to perform a Pringle maneuver to control the hepatic inflow temporarily.
Surgeon: Performing the Pringle maneuver. Packing the liver. The bleeding is slowing down.
ChatGPT: Continue with the Pringle maneuver and reassess the liver laceration. You might need to suture or apply hemostatic agents once the bleeding is controlled.
Surgeon: Suturing the liver laceration. Applying hemostatic agents. Moving to inspect the intestines.
ChatGPT: Good. Carefully inspect the intestines for perforations or additional injuries.
Surgeon: There's a perforation in the sigmoid colon.
ChatGPT: You need to perform a resection of the perforated section of the sigmoid colon and prepare for an anastomosis or a temporary colostomy, depending on the patient's stability.
Surgeon: The patient’s condition is unstable. I’ll perform a temporary colostomy. Preparing the resection.
ChatGPT: Proceed with the resection of the perforated section. Ensure proper technique for the colostomy to prevent complications.
Surgeon: Resection complete. Forming the colostomy now.
ChatGPT: Ensure the colostomy is secure and there are no leaks. Check for any other injuries before closing.
Surgeon: Colostomy is secure. No additional injuries found. Suddenly, the patient’s heart rate is dropping, and there’s a distended abdomen.
ChatGPT: Suspect abdominal compartment syndrome or ongoing internal bleeding. Quickly assess the abdomen and check for signs of compartment syndrome.
Surgeon: The abdomen is tense. Releasing the packing on the liver. There's more bleeding.
ChatGPT: Control the bleeding from the liver again. Consider additional hemostatic measures, such as electrocautery or more packing. Ensure to maintain the patient's hemodynamic stability.
Surgeon: Applying additional hemostatic measures. Bleeding is under control again.
ChatGPT: Ensure the patient’s vitals stabilize. If the abdominal compartment syndrome persists, consider temporary abdominal closure with a vacuum-assisted closure (VAC) device.
Surgeon: Vitals are stabilizing. Preparing for temporary abdominal closure with a VAC device.
ChatGPT: Proceed with the VAC device. Ensure the patient is stable and transfer to the ICU for close monitoring post-operatively.
Surgeon: VAC device in place. Patient is stable. Transferring to ICU. Thank you, ChatGPT. That was extremely challenging.
ChatGPT: You're welcome, Doctor. Excellent work managing the complications. Continue to monitor the patient closely during recovery.
Surgeon: ChatGPT, we have a 42-year-old female with a gunshot wound to the abdomen. Her blood pressure is dropping, and we need to operate immediately. Preparing for an exploratory laparotomy.
ChatGPT: Understood, Doctor. Preparing for exploratory laparotomy. I'll assist you throughout the procedure. Ensure all necessary instruments and blood products are available.
Surgeon: Patient is prepped and under anesthesia. I'm making the midline incision now.
ChatGPT: Proceed with the midline incision. Keep an eye on bleeding and be prepared to control it quickly.
Surgeon: Incision made. There's significant bleeding. I'm applying pressure and suction.
ChatGPT: Apply pressure and use suction to identify the source of bleeding. Check for major vascular injury.
Surgeon: The bleeding seems to be coming from the inferior vena cava. It's torn.
ChatGPT: You'll need to control the bleeding from the inferior vena cava. Use vascular clamps to control the proximal and distal ends of the tear.
Surgeon: Clamping the inferior vena cava. There's still some oozing. Preparing for vascular repair.
ChatGPT: Use a running non-absorbable suture to repair the tear in the inferior vena cava. Ensure to suture carefully to avoid further damage.
Surgeon: Repairing the tear now. The bleeding is under control. Inspecting the abdominal cavity for other injuries.
ChatGPT: Good. Ensure to check all major organs and structures for any additional damage.
Surgeon: The liver has a deep laceration. It's bleeding heavily.
ChatGPT: Pack the liver with laparotomy pads to control bleeding. You may need to perform a Pringle maneuver to control the hepatic inflow temporarily.
Surgeon: Performing the Pringle maneuver. Packing the liver. The bleeding is slowing down.
ChatGPT: Continue with the Pringle maneuver and reassess the liver laceration. You might need to suture or apply hemostatic agents once the bleeding is controlled.
Surgeon: Suturing the liver laceration. Applying hemostatic agents. Moving to inspect the intestines.
ChatGPT: Good. Carefully inspect the intestines for perforations or additional injuries.
Surgeon: There's a perforation in the sigmoid colon.
ChatGPT: You need to perform a resection of the perforated section of the sigmoid colon and prepare for an anastomosis or a temporary colostomy, depending on the patient's stability.
Surgeon: The patient’s condition is unstable. I’ll perform a temporary colostomy. Preparing the resection.
ChatGPT: Proceed with the resection of the perforated section. Ensure proper technique for the colostomy to prevent complications.
Surgeon: Resection complete. Forming the colostomy now.
ChatGPT: Ensure the colostomy is secure and there are no leaks. Check for any other injuries before closing.
Surgeon: Colostomy is secure. No additional injuries found. Suddenly, the patient’s heart rate is dropping, and there’s a distended abdomen.
ChatGPT: Suspect abdominal compartment syndrome or ongoing internal bleeding. Quickly assess the abdomen and check for signs of compartment syndrome.
Surgeon: The abdomen is tense. Releasing the packing on the liver. There's more bleeding.
ChatGPT: Control the bleeding from the liver again. Consider additional hemostatic measures, such as electrocautery or more packing. Ensure to maintain the patient's hemodynamic stability.
Surgeon: Applying additional hemostatic measures. Bleeding is under control again.
ChatGPT: Ensure the patient’s vitals stabilize. If the abdominal compartment syndrome persists, consider temporary abdominal closure with a vacuum-assisted closure (VAC) device.
Surgeon: Vitals are stabilizing. Preparing for temporary abdominal closure with a VAC device.
ChatGPT: Proceed with the VAC device. Ensure the patient is stable and transfer to the ICU for close monitoring post-operatively.
Surgeon: VAC device in place. Patient is stable. Transferring to ICU. Thank you, ChatGPT. That was extremely challenging.
ChatGPT: You're welcome, Doctor. Excellent work managing the complications. Continue to monitor the patient closely during recovery.
A conversation between an expert surgeon and ChatGPT during a complex, multidisciplinary emergency trauma surgery:
Surgeon: ChatGPT, we have a 28-year-old male with multiple injuries from a car accident. He has a fractured pelvis, a ruptured spleen, and a possible traumatic brain injury. We're starting with an exploratory laparotomy.
ChatGPT: Understood, Doctor. Preparing for exploratory laparotomy. Ensure all necessary specialists are on standby, including orthopedic and neurosurgery teams.
Surgeon: Patient is prepped and under anesthesia. Making the midline incision now.
ChatGPT: Proceed with the midline incision. Be prepared to manage significant bleeding. Have blood products ready.
Surgeon: Incision made. There’s heavy bleeding from the abdomen. Applying pressure and suction.
ChatGPT: Use suction to clear the field and identify the source of bleeding. Check for damage to major organs and vessels.
Surgeon: The spleen is ruptured and bleeding heavily. Starting splenectomy.
ChatGPT: Perform the splenectomy. Clamp the splenic artery to control bleeding and proceed with the removal of the spleen.
Surgeon: Splenic artery clamped. Spleen is removed. Bleeding is under control. Inspecting other organs now.
ChatGPT: Good. Carefully inspect the liver, intestines, and other abdominal structures for any additional injuries.
Surgeon: The liver has a deep laceration. Packing it to control bleeding. There’s also a perforation in the small intestine.
ChatGPT: Pack the liver and consider using hemostatic agents. For the small intestine, prepare for a resection and anastomosis.
Surgeon: Packing the liver. Preparing for intestinal resection. Patient’s blood pressure is dropping rapidly.
ChatGPT: Check for internal bleeding sources immediately. Ensure adequate fluid resuscitation and blood transfusion.
Surgeon: There's more bleeding from the pelvic region. Calling the orthopedic team to assist.
Orthopedic Surgeon: We're here. What’s the situation?
Surgeon: There’s significant bleeding from the pelvis. We need to stabilize the pelvic fracture.
ChatGPT: Orthopedic team, prepare for external fixation or pelvic packing to control bleeding and stabilize the fracture.
Orthopedic Surgeon: Understood. Preparing for external fixation. Applying the external fixator now.
ChatGPT: While the orthopedic team handles the pelvis, continue to manage the abdominal injuries. Ensure the liver and intestines are stable.
Surgeon: Liver is stable with packing. Intestinal resection and anastomosis completed. The patient’s intracranial pressure is rising. Calling the neurosurgery team.
Neurosurgeon: We’re here. What’s the situation?
Surgeon: The patient has signs of a traumatic brain injury with rising intracranial pressure.
ChatGPT: Neurosurgery team, consider placing an intracranial pressure monitor and preparing for possible decompressive craniectomy.
Neurosurgeon: Understood. Inserting an intracranial pressure monitor. Preparing for craniectomy if needed.
Surgeon: Orthopedic team, how's the pelvic fixation?
Orthopedic Surgeon: External fixator is in place. Bleeding is controlled.
ChatGPT: Excellent. Focus on maintaining hemostasis in the abdomen and ensure the patient’s vital signs are stable.
Surgeon: Abdomen is stable. Neurosurgery team, update?
Neurosurgeon: Intracranial pressure monitor is in place. Pressure is stabilizing. No immediate need for craniectomy.
ChatGPT: Good coordination, everyone. Doctor, begin closing the abdominal incision and prepare for ICU transfer.
Surgeon: Closing the abdomen. All teams, patient is stabilized for now. Preparing for transfer to ICU.
ChatGPT: Ensure all lines and monitors are secure. Continue close monitoring in the ICU. Excellent teamwork, everyone.
Surgeon: Incision closed. Patient is ready for ICU. Thank you, ChatGPT, and thank you, everyone.
ChatGPT: You're welcome, Doctor. Great work managing a complex case. Continue to monitor the patient closely during recovery.
Surgeon: ChatGPT, we have a 28-year-old male with multiple injuries from a car accident. He has a fractured pelvis, a ruptured spleen, and a possible traumatic brain injury. We're starting with an exploratory laparotomy.
ChatGPT: Understood, Doctor. Preparing for exploratory laparotomy. Ensure all necessary specialists are on standby, including orthopedic and neurosurgery teams.
Surgeon: Patient is prepped and under anesthesia. Making the midline incision now.
ChatGPT: Proceed with the midline incision. Be prepared to manage significant bleeding. Have blood products ready.
Surgeon: Incision made. There’s heavy bleeding from the abdomen. Applying pressure and suction.
ChatGPT: Use suction to clear the field and identify the source of bleeding. Check for damage to major organs and vessels.
Surgeon: The spleen is ruptured and bleeding heavily. Starting splenectomy.
ChatGPT: Perform the splenectomy. Clamp the splenic artery to control bleeding and proceed with the removal of the spleen.
Surgeon: Splenic artery clamped. Spleen is removed. Bleeding is under control. Inspecting other organs now.
ChatGPT: Good. Carefully inspect the liver, intestines, and other abdominal structures for any additional injuries.
Surgeon: The liver has a deep laceration. Packing it to control bleeding. There’s also a perforation in the small intestine.
ChatGPT: Pack the liver and consider using hemostatic agents. For the small intestine, prepare for a resection and anastomosis.
Surgeon: Packing the liver. Preparing for intestinal resection. Patient’s blood pressure is dropping rapidly.
ChatGPT: Check for internal bleeding sources immediately. Ensure adequate fluid resuscitation and blood transfusion.
Surgeon: There's more bleeding from the pelvic region. Calling the orthopedic team to assist.
Orthopedic Surgeon: We're here. What’s the situation?
Surgeon: There’s significant bleeding from the pelvis. We need to stabilize the pelvic fracture.
ChatGPT: Orthopedic team, prepare for external fixation or pelvic packing to control bleeding and stabilize the fracture.
Orthopedic Surgeon: Understood. Preparing for external fixation. Applying the external fixator now.
ChatGPT: While the orthopedic team handles the pelvis, continue to manage the abdominal injuries. Ensure the liver and intestines are stable.
Surgeon: Liver is stable with packing. Intestinal resection and anastomosis completed. The patient’s intracranial pressure is rising. Calling the neurosurgery team.
Neurosurgeon: We’re here. What’s the situation?
Surgeon: The patient has signs of a traumatic brain injury with rising intracranial pressure.
ChatGPT: Neurosurgery team, consider placing an intracranial pressure monitor and preparing for possible decompressive craniectomy.
Neurosurgeon: Understood. Inserting an intracranial pressure monitor. Preparing for craniectomy if needed.
Surgeon: Orthopedic team, how's the pelvic fixation?
Orthopedic Surgeon: External fixator is in place. Bleeding is controlled.
ChatGPT: Excellent. Focus on maintaining hemostasis in the abdomen and ensure the patient’s vital signs are stable.
Surgeon: Abdomen is stable. Neurosurgery team, update?
Neurosurgeon: Intracranial pressure monitor is in place. Pressure is stabilizing. No immediate need for craniectomy.
ChatGPT: Good coordination, everyone. Doctor, begin closing the abdominal incision and prepare for ICU transfer.
Surgeon: Closing the abdomen. All teams, patient is stabilized for now. Preparing for transfer to ICU.
ChatGPT: Ensure all lines and monitors are secure. Continue close monitoring in the ICU. Excellent teamwork, everyone.
Surgeon: Incision closed. Patient is ready for ICU. Thank you, ChatGPT, and thank you, everyone.
ChatGPT: You're welcome, Doctor. Great work managing a complex case. Continue to monitor the patient closely during recovery.