First Case
The perioperative podcast with a punch! Join us as we discuss the hot topics in the OR industry! And now, it’s time to roll back, and start the First Case…
From the back table to the board room, from wheels in to wheels out. -- we tackle the real-life issues affecting the OR. Whether you’re tuning in for surgical service education or inspiration, we’re glad you're here.
09/21/2026
A new season of First Case is on the way! In the meantime, we’re featuring a few episodes from our friends at Beyond Clean and Power Supply. Tune in today!
👉Tune in here: https://educate.beyondclean.net/4y8Bz7u // Black specks may be small, but the tension they create between departments can be anything but. In this episode of “What the Speck?,” Alex Miseirvitch from Aesculap® joins us to talk about one of the most overlooked challenges in solving the black speck mystery—finger-pointing. When trays are rejected and surgeries are delayed, the pressure to find someone responsible can quickly overshadow the real goal: protecting patients and solving the issue together. Alex shares lessons from the field on how teams can move past blame and work together to find real solutions. Because when everyone is focused on proving who’s right, it becomes a lot harder to solve what’s actually wrong. Tune in today!
A special thanks to our sponsor, Aesculap®, for supporting this podcast series!
09/14/2026
🚨Don't miss this First Case Season 11 Classic Rewind: https://educate.beyondclean.net/3UMmPwo // Bob Marley once said, “One good thing about music, when it hits you, you feel no pain.” Everyone can recognize the power that music has. We’re drawn to it emotionally and spiritually, but we can also be affected by it physiologically. In today’s interview with Dr. Alice Cash, CEO & Founder, Surgical Serenity Solutions, we’re going to uncover the many ways that music can benefit surgical patients. As a clinical musicologist and researcher, Dr. Alice has been studying the effects of music on the surgical patient for many years. Join us as Dr. Alice teaches us about the many benefits of music, how music can affect surgical patients, and discover how music can reduce postoperative pain.
Get ready to turn up the volume and press play!
09/13/2026
Some of the most memorable moments in the OR don't happen when everything goes according to plan.
They happen when the schedule changes, a case becomes more complex than expected, equipment issues arise, or the unexpected walks through the door.
What separates good teams from great ones isn't the absence of adversity. It's how they respond when adversity arrives.
Preparation. Adaptability. Communication. Resilience.
Those qualities show up every day in perioperative environments, often without recognition and always under pressure.
Excellence isn't built when conditions are perfect. It's built in the moments that test us.
09/12/2026
A commonly used surgical product is suddenly placed on backorder.
The replacement may look similar, but it could have different preparation requirements, clinical limitations, storage needs, or instructions for use.
What should happen first when a new substitute product enters the department?
09/11/2026
Before antisepsis, surviving the operation did not guarantee surviving recovery.
The greatest threat was often invisible.
As germ theory gained acceptance, surgeons such as Joseph Lister began applying antiseptic principles to instruments, wounds, and the surgical environment.
Theodor Billroth helped demonstrate what became possible when cleaner technique and disciplined surgical practice were combined.
This changed more than postoperative survival. It changed the entire purpose of perioperative care.
Preventing infection became a shared responsibility that extended beyond the surgeon to every person, process, product, and surface involved in the procedure.
Modern operating rooms have advanced far beyond carbolic acid and early sterile technique, but the principle remains unchanged: what cannot be seen can still cause harm.
09/10/2026
A needle reaching Sterile Processing is not a single mistake. It is evidence that multiple safeguards may have failed before the tray ever left the procedural area.
The count may have been documented incorrectly.
The final field sweep may have been incomplete.
The sharp may not have been placed in the appropriate container.
The handoff between the OR and Sterile Processing may not have communicated the hazard.
By the time the needle is discovered, the risk has already been transferred to another team member who was not expecting to encounter it.
This is why sharps safety must be treated as a system responsibility, not simply an individual reminder to “be more careful.” Reliable counts, deliberate field clearance, proper containment, and clear communication all matter.
The goal is not only to identify who missed the needle. It is to understand why every safeguard before that point failed to stop it.
One of the fastest ways to uncover gaps in the OR is to stop asking what the process is supposed to be and start mapping what actually happens.
Bring the team together. Start at the beginning. Walk through every handoff, every cleaning step, every responsibility, and every assumption.
That is often when the real problem becomes visible.
One person believes another team owns the task.
Another person assumes it happens automatically.
Someone else has no idea the responsibility was assigned to them.
The process may look clear on paper, but ownership can disappear between the boxes.
Point-of-use cleaning is a perfect example. What sounds like a simple workflow can quickly expand into dozens or even hundreds of individual actions, decisions, and handoffs.
Process mapping gives the team a shared view of the work. It replaces assumptions with clarity and helps ensure that equipment is handled consistently from start to finish.
Sometimes the most valuable moment is seeing the team realize that the process they imagined is not the process taking place.
NEW from the Problem Solvers Series™!
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The ulnar nerve is especially vulnerable during surgical positioning because it passes close to the surface near the elbow.
Protection depends on more than padding alone. Perioperative teams should also consider arm alignment, pressure at the elbow, forearm rotation, procedure length, and whether the patient’s position changes after draping or table movement.
What joint position helps protect the ulnar nerve?
Test your knowledge in today’s Blue Wrap Trivia Blitz.
09/07/2026
🎧 We’re hitting rewind on this First Case fan favorite! https://educate.beyondclean.net/4yfhqfq // Enhanced Recovery After Surgery (ERAS) Pathways are changing the surgical experience for our patients. Our surgical patients are experiencing shorter lengths of stay, decreased postoperative pain, a more rapid return of bowel function, and decreased readmission rates. Joining us to provide more insight into the implementation and benefits of ERAS pathways is Kim Duggan, Senior Director and ERAS Specialist at Pacira Biosciences. Tune in to hear Kim’s personal experience establishing ERAS pathways at her facility, learn what barriers she faced, and how she succeeded. We’ll also learn more about one of the non-opioid medications commonly used to provide long-term pain relief for our surgical patients. Tune in today!
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