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. Author manuscript; available in PMC: 2020 May 1.
Published in final edited form as: J Surg Educ. 2018 Dec 27;76(3):824–831. doi: 10.1016/j.jsurg.2018.12.003

Table 2.

Example of a SAVE lab scenario.

Case Description & Imaging (for junior residents) Injuries to Make and Management (for senior resident)

  • Adult M with a GSW to the L buttock

  • Exam: BP 100/75, HR 105, equal breath sounds, peritonitis, rectal heme negative

  • Postive FAST for hemoperitoneum, negative FAST for hemopericardium

  • Imaging: CXR with bullet lodged in L hemidiaphragm with no pneumothorax or widened mediastinum

  • 1cm small bowel laceration ×4 within first 30cm of jejunum

    • -

      use Metzenbaum scissors to make antimesenteric laceration

    • -

      resect with stapler and repair only if time permits

  • 1cm anterior gastrotomy

    • -

      use knife to stab stomach

    • -

      repair with suture in one layer or use stapler

  • 3cm splenic laceration (Grade III)

    • -

      use Kelly clamp to crush spleen distally (not hilum)

    • -

      use hemostatics, stapler, or perform splenectomy


Time to complete: 20 minutes