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[email protected]. Table of Contents CE Credit Package 10 A Repeat Cesarean Section Off-pump Coronary Artery Bypass Grafting Sterilization – Killing the Prehistoric Beast When Unexpected Complications Arise During Surgery Blood Pressure Safety Concepts in the Surgical Setting Necrotizing Fasciitis Treatment of War Casualties Wrist Fusion: Fighting Back Against Rheumatoid Arthritis Disasters Follow No Rules: Preparing Your Hospital for Disaster Response Challenging and Changing the Experience of Pain: Acute Pain Management in the Perioperatvie Setting in Patients with a Substance Abuse History Gangrene: Recognizing and Treating Cellular Necrosis Repeat Cesarean Section Bryce Phillip Kiefer, cst eports of surgical removal of a fetus from its dead or dying mother have been dated from as far back as 3000 BCE in ancient Egypt. The procedure was performed at that time so R 2 that the fetus and mother could have separate burials. An ancient Roman law known as lex caesaria required the proce- dure be performed on dying mothers as an attempt to save the life of the fetus. The name of this law is sometimes cited as the origin of the procedure’s name.2 Use of the crude procedure continued into medieval times with reported cases in Germany from the early 1400s and from France in the late 1500s.