[Verse 1] Scrub in, gloved up, the dura's open wide Assume the complication's already waiting inside Arterial bleed from a perforator you nicked Sinus laceration — gauze, pressure, think quick Brain swelling climbing like barometric dread Differential running: CO2, venous, blood spread Air embolism hissing through the field unseen Call the anaesthetist, flood the wound, intervene [Chorus] Las complicaciones van a llegar, es verdad Detect them early, manage them with care No esperes — the hematoma won't wait Reimage, return to theatre, don't hesitate Reconoce, actúa, documenta también Early recognition — that's the surgeon's refrain [Verse 2] Endonasal case, the carotid tore free Pack it hard, call endovascular, that's the decree Rehearse that drill before you ever need it live A team that's practiced panics less and keeps the patient alive Wrong site, retained sponge, corneal graze from tape Position injuries — ulnar, brachial — no escape Every sentinel moment logged before you close Checklist, briefing, count — that's how precision grows [Chorus] Las complicaciones van a llegar, es verdad Detect them early, manage them with care No esperes — the hematoma won't wait Reimage, return to theatre, don't hesitate Reconoce, actúa, documenta también Early recognition — that's the surgeon's refrain [Verse 3] Post-op and the patient won't wake — don't just observe Structured differential: hematoma, seizure, metabolic curve Epidural, subdural, intraparenchymal clot Remote cerebellar hemorrhage — rarer, but it's not Sodium crashing after sellar resection done Endocrine failure, VTE, pneumonia — run The systemic list before one symptom slips your eye Delirium, PE, stress ulcer — all apply [Bridge] En la sala de M&M, presenta tu caso Con sistemas rotos, no solo el error del brazo Root cause analysis — cognitive bias named Human factors mapped before the blame's been claimed Failure-to-rescue is the metric on the wall Registry data shows you where the edges fall Standardized handover, debrief after each case Quality infrastructure holding safety's place [Verse 4] New deficit post-op: image first, then decide Reopen if the clot explains what the exam described The disclosure conversation — measured, clear, and true Apologize with documentation, jurisdiction-reviewed The family deserves a surgeon who won't hide behind the chart Honesty mapped onto the notes — that's the clinical art M&M isn't punishment, it's where the practice bends Concrete change from root cause — that's where the module ends [Chorus] Las complicaciones van a llegar, es verdad Detect them early, manage them with care No esperes — the hematoma won't wait Reimage, return to theatre, don't hesitate Reconoce, actúa, documenta también Early recognition — that's the surgeon's refrain
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