Vascular Surgeon at MAMC, previously at BAMC, Co-creator of Behind The Knife-The Surgery Podcast & Audible Bleeding - The Vascular Surgery Podcast
Tacoma, WA
Joined December 2011
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Very little teaching out there about using hemostatic agents. This is worth a listen.
Demystifying Topical Hemostatic Agents: A Mental Model for Surgeons
The scrub tech holds up two boxes, “SURGICEL or EVARREST?”, and you realize nobody ever taught you the difference! Today @georgoff @Kniery_Bird @mcclellanjm @nickteman break down topical hemostatic agents, one of the most used and least taught tools in the OR. You’ll get a simple two-question model for picking the right product: can your patient make their own clot, and can a patch reach the bleeding? Through trauma, vascular, and cardiac cases, the team covers when these agents earn their keep and when two minutes of pressure (no peeking!) will do the job. Bottom line: hemostatic agents speed up hemostasis, but they’re a targeted adjunct to good surgical technique, not a substitute for it.
🎧 📺 behindtheknife.org/podcast/d…
Kevin Kniery retweeted
Demystifying Topical Hemostatic Agents: A Mental Model for Surgeons
The scrub tech holds up two boxes, “SURGICEL or EVARREST?”, and you realize nobody ever taught you the difference! Today @georgoff @Kniery_Bird @mcclellanjm @nickteman break down topical hemostatic agents, one of the most used and least taught tools in the OR. You’ll get a simple two-question model for picking the right product: can your patient make their own clot, and can a patch reach the bleeding? Through trauma, vascular, and cardiac cases, the team covers when these agents earn their keep and when two minutes of pressure (no peeking!) will do the job. Bottom line: hemostatic agents speed up hemostasis, but they’re a targeted adjunct to good surgical technique, not a substitute for it.
🎧 📺 behindtheknife.org/podcast/d…
Kevin Kniery retweeted
Extremely excited to share this collaboration between @OpenEvidence and @BehindTheKnife, with @georgoff and team. Exciting developments ahead!
It happened. We got Behind the Knife.
@BehindTheKnife's surgical education library will feed into OpenEvidence answers, and OpenEvidence will be built into their ABSITE and oral board prep.
@AmbarMehta, a vascular surgeon who leads surgery initiatives at OpenEvidence, puts it this way: the toughest surgical decisions live between the lines of the evidence.
ALT Behind the Knife and OpenEvidence logos
Kevin Kniery retweeted
It happened. We got Behind the Knife.
@BehindTheKnife's surgical education library will feed into OpenEvidence answers, and OpenEvidence will be built into their ABSITE and oral board prep.
@AmbarMehta, a vascular surgeon who leads surgery initiatives at OpenEvidence, puts it this way: the toughest surgical decisions live between the lines of the evidence.
ALT Behind the Knife and OpenEvidence logos
Kevin Kniery retweeted
An updated look at average physician compensation and workload
This visualization includes 89 (sub)specialties with adequate data (compared to 53 when I last posted in March). Source: @MaritHealth's crowdsourced dataset on specialties with at least 60 respondents today (contribute yours: marithealth.com)
Kevin Kniery retweeted
Video explaining the truncated V18 wire as an easy and affordable way to re-enter back to true lumen. Explained by @DrPatGeraghty himself.
@VIVAPhysicians @WashUVascular
Kevin Kniery retweeted
A great example of creative endovascular problem-solving in a true bailout situation. The team combined large-volume thrombectomy with an Endurant II aortic endograft + kissing VBX limbs…
🚨 When IVC filter retrieval turns catastrophic, endovascular rescue can be lifesaving. This case used a covered aortic stent graft to control IVC laceration, restore venous flow, and salvage a complex retrieval.
jvscit.org/article/S2468-428…
#IVCFilter #VenousDisease
One of the more practice changing papers I have come across in the past few years. A must listen for vascular surgeons and trainees. I was mainly shocking iliacs, but great data for the Fem/Pop segment.
Be smart. Learn from the best @UMichSurgery @UoMVascSurgery @FrankMDavisMD @DelbonoLuciano
➡️➡️➡️ Journal Review in Vascular Surgery: Disrupt PAD III: Intravascular Lithotripsy for Calcified Peripheral Artery Disease
behindtheknife.org/podcast/j…
Kevin Kniery retweeted
Be smart. Learn from the best @UMichSurgery @UoMVascSurgery @FrankMDavisMD @DelbonoLuciano
➡️➡️➡️ Journal Review in Vascular Surgery: Disrupt PAD III: Intravascular Lithotripsy for Calcified Peripheral Artery Disease
behindtheknife.org/podcast/j…
Kevin Kniery retweeted
As a mentor of mine would say:
Go to any academic surgery department and look at all the portraits on the walls of surgeons who thought they were irreplaceable
This is great news.
Big news - Jehovah’s Witnesses can receive PRBC, platelets FFP etc if they want jw.org/en/global-communicati…
Kevin Kniery retweeted
Awesome technology and fun chat. Have a listen.
🎙️ New on @AudibleBleeding!
Hear authors discuss their JVSCIT study evaluating an electromagnetically steerable guidewire for fenestrated EVAR deployment and target-vessel cannulation with editor-in-chief @mattsmeds!
Innovation in action for complex
audiblebleeding.com/jvsabsep…
Kevin Kniery retweeted
I understand the value of standardized technical skills assessment, but I’m torn on its utility. If experienced faculty can verify that a trainee is technically competent and ready for independent practice, is another required exam necessary? What do others think?
Fundamentals of Vascular Surgery will soon be a requirement of the American Board of Surgery for Vascular surgery trainees. APDVS Curriculum Chair Dr. Paul DiMusto here at @MWVSSociety 2026 evaluating trainees. For more information check out: vascular.org/apdvs/program-d…
Kevin Kniery retweeted
Fundamentals of Vascular Surgery will soon be a requirement of the American Board of Surgery for Vascular surgery trainees. APDVS Curriculum Chair Dr. Paul DiMusto here at @MWVSSociety 2026 evaluating trainees. For more information check out: vascular.org/apdvs/program-d…
Kevin Kniery retweeted
The single most important event in any surgeon's career is the first major complication they get after becoming an attending.
Though it may be a tragic event, it's only then that they really grow up and truly understand the magnitude of what they're doing.
Kevin Kniery retweeted
We've made some incredible updates to our AI SIMULATOR, including our new MENTOR feature and an easier to navigate interface.
Now available for:
✅ General Surgery
✅ OBGYN
✅ CRS
✅ CT
✅ Pediatric ~ NEW
✅ Surg Onc
✅ Vascular
✅ Surgical Critical Care ~ NEW
Will share videos of scenarios soon so you can see it all in action.
Learn more: behindtheknife.org/oral-boar…
Kevin Kniery retweeted
An 86-year-old with an infected aortic aneurysm, aortoduodenal fistula, massive GI bleeding—and cardiac arrest before anesthesia. Emergency surgery, 3 weeks of recovery, and today she went home. Sometimes surgeons—and patients—need a little luck. #infectedAAA
