rich 1.0 Join Drs. Georgoff, Burke, and Premkumar in this episode of EPA Playbook, where we tackle the evaluation and management of small bowel obstruction. Through a realistic series of scenarios, we walk step-by-step through how junior residents can approach this diagnosis using an evidence-based approach. We break down the key components of the small bowel obstruction EPA, from rapid initial assessment and focused physical exam to early resuscitation, recognizing when to go straight to the OR, and post-operative care. Along the way, we highlight critical teaching points you’ll actually use on call. Whether you’re a new intern or an early resident looking to build confidence, this episode is designed to help you act decisively and move one step closer to entrustment. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbook Simply create an account on behindtheknife.org (https://behindtheknife.org/) or our app and you the course will automatically show up in your Library. For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/. BTK Resources: Nasogastric Tube (NGT) Management Video https://behindtheknife.org/video/behind-the-knife-nasogastric-tube-ngt-management Nasogastric Tube (NGT) Placement Video https://behindtheknife.org/video/behind-the-knife-nasogastric-tube-ngt-placement Ostomy Marking Video https://behindtheknife.org/video/behind-the-knife-ostomy-marking How to Change an Ostomy Appliance Video https://behindtheknife.org/video/behind-the-knife-how-to-change-an-ostomy-appliance (https://app.behindtheknife.org/video/behind-the-knife-how-to-change-an-ostomy-appliance) How to Manage a Challenging Ostomy Video https://behindtheknife.org/video/behind-the-knife-how-to-manage-a-challenging-ostomy Cited Studies: National prospective cohort study of the burden of acute small bowel obstruction https://doi.org/10.1002/bjs5.50136 Management and short-term outcomes of patients with small bowel obstruction in Denmark: a multicentre prospective cohort study https://doi.org/10.1007/s00068-022-02171-y Multi-institutional, prospective, observational study comparing the Gastrografin challenge versus standard treatment in adhesive small bowel obstruction https://doi.org/10.1097/ta.0000000000001499 Evaluation and management of small-bowel obstruction: an Eastern Association for the Surgery of Trauma practice management guideline https://doi.org/10.1097/ta.0b013e31827019de Behind The Knife: The Surgery Podcast https://audioboom.com/channels/5046960-behind-the-knife-the-surgery-podcast Audioboom https://audioboom.com 480 95 https://audioboom.com/i/39463562/600x600/c 600 600 <iframe width="100%" height="95" src="https://embeds.audioboom.com/posts/8917333/embed?v=202301" style="background-color: transparent; display: block; padding: 0; width: 100%" frameborder="0" allowtransparency="allowtransparency" scrolling="no" title="Audioboom player" allow="autoplay" sandbox="allow-downloads allow-forms allow-popups allow-same-origin allow-scripts allow-storage-access-by-user-activation allow-top-navigation-by-user-activation"></iframe>