When setting up for an emergency case, what should the surgical technologist set up first?

In an emergency surgical case, the surgical technologist must prioritize the setup of items that are essential for the immediate initiation of the procedure. The scalpel serves as the primary instrument for making incisions, which is a fundamental first step in almost any surgical intervention. Having it readily available allows the surgeon to commence the operation without delay, which is critical during emergencies when time is of the essence.

While the electrocautery unit, suction device, and surgical drapes are also important, they are secondary to the need for the scalpel. The electrocautery unit is utilized for cutting and cauterizing tissue during the procedure but does not typically get used until the incision has been made. The suction device is vital for maintaining a clear surgical field but can be set up after the scalpel. Surgical drapes are important for maintaining a sterile environment, but they are often applied after initial instruments are in place and ready for use. Thus, beginning with the scalpel not only aligns with the surgical workflow but ensures readiness to proceed without unnecessary delays.