Medical Training
Operating Theatre
Hygiene
Joseph Lister
Science vs. Tradition
100

True or False: Students were encouraged to challenge their professors’ teachings.

False

100

Some students and even wealthy spectators would pay to watch operations. True or False: This meant surgery was partly a form of entertainment.

True

100

This disease, also known as “St. Anthony’s Fire,” made the skin red and shiny and spread quickly in wards.

erysipelas

100

Lister was raised in this religious community

Quaker

100

Students often learned from observing cadavers in public dissections, which sometimes led them to develop this attitude toward the human body

desensitization / clinical detachment

200

Surgeons often “proved” their skill by performing amputations in a specific way. How did speed factor into this, and why was it important?

faster surgery was considered more skillful because it reduced patient suffering (even if hygiene was ignored)

200

The smell in operating theaters was notoriously awful. Which two sources combined to make it unbearable?

rotting flesh from cadavers and gangrenous wounds of live patients

200

Surgeons sometimes went straight from dissecting cadavers to operating on living patients without doing this

washing their hands

200

Unlike many doctors of his day, Lister paid attention to this natural phenomenon, which sparked his later experiments.

microorganisms/nature’s processes

200

Resistance to scientific ideas in surgery was partly cultural. Surgeons feared that adopting new methods would undermine this.

their authority / professional prestige

300

The atmosphere of these performances helped create a culture that treated patients less as individuals and more as this

teaching tools / subjects of entertainment

300

In crowded theaters, hygiene was almost nonexistent. Surgeons would move from cadavers to live patients without washing. What tragic consequence often followed?

deadly post-operative infections (sepsis/erysipelas/pyemia)

300

Lister noticed that a chemical used in this industry could kill microbes. He later applied it in surgery.

carbolic acid used in tanning / the chemical industry

300

Lister’s religious belief that life had divine order aligned well with this scientific principle he later embraced.

“only life begets life” (biogenesis)

300

Surgeons often dismissed new scientific observations in favor of centuries-old teachings by this figure.

Galen

400

Many surgeons refused to wash their surgical coats, wearing them stiff with dried blood and pus. What nickname did these coats earn?

“honorable badges of experience”

400

Operating rooms were often designed like this type of structure to allow maximum visibility for students

Ampitheater

400

Before Lister, surgeons believed that this “element” in the air caused disease, rather than microorganisms

miasma or “bad air”

400

Lister became fascinated by this French scientist’s work on fermentation, which led to the idea that microorganisms could cause disease.

Louis Pasteur

400

Lister’s success marked the beginning of a shift from heroic, speed-focused surgery to this modern approach.

evidence-based, methodical, antiseptic surgery

500

Students often learned by dissecting bodies from this source, which was controversial and sometimes illegal.

grave robbers / stolen corpses

500

Some operating rooms became so infamous for infection that students and patients called them this.

“death chambers” or “chambers of contagion”

500

Lister’s hygiene breakthrough reduced infection rates from levels as high as this in some hospitals.

40–50% post-operative mortality

500

Lister applied carbolic acid in multiple ways in surgery. Name one.

cleaning instruments, dressing wounds, or spraying the operating theater

500

Surgeons often wore stained coats from previous surgeries. Why?

they believed stains showed experience and skill