Broomedocs POdcast

First10EM Journal Club

Justin and I are back for another monthly journal club... this time we intubate in space badly and explore medieval placebo trails in France... there is also some get EBM sprinkled in there!

Massive Haemorrhage in Trauma

On this episode I discuss the modern scientific and practical approach to massive haemorrhage in trauma with Dr Justin Morgenstern 

Decision Rules Destroying Medicine

Are Clinical Decision Rules (Tools) helping us make better calls in the ED? Are they making us better?  Do they lead to better outcomes for our patients? Dr Justin Morgenstern and I go over the evidence and the future of ED decision making.

First10EM Journal Club: January 2023

This month we try to answer some of the big questions in ED practice... we do not necessarily succeed... How much electricity should we use in refractory VF? Should we suck clots out of legs? Should you put Tegaderm on eyeballs? Is the HEART score valid? Are any clinical decision tools really what we think? What happens if you discharge patients with low troponin rise? Should you evert the edges of the wounds? Can we send kids home with abnormal vital signs? Does kissing minor...

First10EM Journal Club: July 2022

On this months epic journal club we cover small PEs, small Dimers, CT-contrast, genomics, injecting spider juice and a whole bunch of stuff in between...

First10EM November 2021

Another set of evidence papers to discuss with Dr Morgenstern. We tackle hypothermia, malaria, Covid-bum, ketamine for ED take down and a whole heap more...

First10EM November 2021

Another set of evidence papers to discuss with Dr Morgenstern. We tackle hypothermia, malaria, Covid-bum, ketamine for ED take down and a whole heap more...

First10EM Journal Club: April 2021

This month we cover kangaroo trauma, Bell's palsy, HEAR(T) scores, Covid, Adrenaline (again), PPIs (Again) and how sex can improve your nasal function.

First10EM Journal Club: October 2020

Justin and I discuss a dozen recent papers from the acute care literature and beyond.  This month we cover: TXA for brain trauma, Paediatric COVID complications, Warfarin reversal, poultrasound and plenty more.

First10EM Journal Club: June2020

The journal jam is back in June with Justin. Vertigo, Renal colic, Vit C, thiamine and other nutritious stuff

EBM 2.0 ( part2 )

This is the conclusion to the discussion with Dr Anand Senthi about EBM and how we can make it better.

EBM 2.0. (part1)

EBM is broken.  It needs an update to become a useful tool to further medical science. Dr Anand Senthi joins Justin and I for a deep dive into the problems with EBM and the way forward.

First10 EM Journal Club

Justin and I discuss the latest literature on the Covid Crisis and how we can try and apply some loose science to hard medicine.  

First10EM Journal Club: Covid Edition

This is a rapid review of a dozen papers out of the SARS COV2 epidemic.... Justin and I discuss the evidence and the practicality of applying it in this rapidly evolving epidemic. Hold onto your hats, it is hot off the press.

Airway, Planning and Safety for SARS-CoV-2

This special episode is all about safety, planning and airway strategy in the current epidemic. Dr Tim Leeuwenburg is an author of the Safe Airways Society paper that hit the MJA this week

First10EM Journal Club: March 2020

Welcome once again to the journal club.  Justin is back with TEN papers to discuss.  There are a few practice changers in here and some serious acronyms to digest

Stump the Chump, RVTS Grand Round

This is a clinical case discussion I participated in for the RVTS Grand Rounds. Thanks to the team for inviting me and providing the audio  tough case with lots of pearls to take away

Vancomycin continuous infusion protocol

I have learned a lot about the rational prescribing of vancomycin in the last few years and have read literally hundreds of papers on the topic.  In true "Broome Docs" style I have dived deep down the rabbit hole of pharmacological, microbiological and clinical literature to bring you what I think is a 'better way' to use vancomycin in small, rural hospitals.

Vancomycin continuous infusion protocol

I have learned a lot about the rational prescribing of vancomycin in the last few years and have read literally hundreds of papers on the topic.  In true "Broome Docs" style I have dived deep down the rabbit hole of pharmacological, microbiological and clinical literature to bring you what I think is a 'better way' to use vancomycin in small, rural hospitals.

Status Epilepticus Debate: Justin & Damian Roland

Dr Justin Morgenstern and Damian Roland do a deep dive into the latest data around Paeds Seizure management after Eclipse and Consept trials were published.   Or maybe there is a better way?

First10EM Journal Club: June 2019

Another instalment of the journal jam with Justin Morgenstern. This month we talk neonatal sepsis, nocebos, Pink Ladies, fever, tramadol, chin lacs and drinking strategies....

PODCAST CREDENCE: Can-I-get-a-flozin

This is a discussion on the recent CREDENCE trial for canagliflozin in diabetics with nephropathy.  

GA Caesarean with Dr Roger Browning

This is a discussion with Dr Roger Browning (Obstetric Anaesthetist) about his approach to the crashing GA Caesarean scenario. You can hear more of his pearls at the ObsGynae CritCare podcast     

The Ultimate SMACC Journal Club

Sadly, the final SMACC conference danced its last moves on Friday. It was an amazing week with lots of learning, inspiration and camaraderie. After the last SMACC in Berlin Justin and I resolved to try and create the best journal club ever at the final SMACC in Sydney.... and I reckon we have done it!

Paediatric Pneumonia POCUS with Drs O'Brien and Lissaman

Dr Adam O'Brien and Claire Lissaman are the authors of a new study looking at the diagnostic characteristics of lung US for Paediatric pneumonia. In this interview we talk about the study and how to scan kids with chest disease.

First10EM Journal Club: March 2019

In this episode Justin and I cover bad science about Xa reversal, good science about sharks, syncope and how to cheat Death.... amongst other random serious stuff

Rural Anaesthesia Podcast: February 2019

The latest instalment of the RADU / Broomedocs podcast. GA Caesarean thoughts Minimalist desert island appendix anaesthesia Frusemide mythology A tricky case for the team

First10EM Journal Club: December 2018

The year is drawing to a close and we have just one more chance to learn from my very wise, ex-Canadian friend Dr Justin Morgenstern.  In this month's episode, Justin and I discuss a bunch of papers.  Topics include: Paediatric plastic poop OOHCA Airway options Weingart's suction failure Cricoid pressure is not-non-inferior to nothing a new nasal spray for SVT How much insulin is sweet? Parachutes: are they really worth the extra luggage fees?

Rural Anaesthesia Journal Club: December 2018

The 3rd instalment of the journal club for rural GP Anaesthetists. This month we look at papers on medication safety, midazolam as a premed, URTI in kids for elective surgery and lignocaine infusions 

Hannah's Story

This is a story that I told at the DFTB18 storytelling event. The theme was about kindness, justice and hope. It is a personal, non-clinical story that I hope can help others out there.  

First10EM Journal Club: October 2018

The latest episode of the EBM journal club with Dr Justin Morgenstern  This month we cover a lot of fluids - saline, balance, FFP as well as some penile fractures and Justin explain why he is a great driver.

First10EM Journal Club

This month we cover bougies, brain-bleeds and the best Paeds DKA paper ever.  We also degenerate into the recent and remote evolutionary history of hiccoughs... fun times are to be had!

Best Central Line Ever

This podcast contains a discussion on the How, Why, where and Who of central line insertion...  

Rural Anaesthesia Down Under Journal Club

This is the second instalment of the Rural Anaesthesia Journal Club. I am joined by Drs Alex Harris and Mel Little to discuss: NAP6, soiled airways, Caesar spinal dose adjustments and the RELIEF trial.

Rural Anaesthesia Down Under Journal Club

This is the second instalment of the Rural Anaesthesia Journal Club. I am joined by Drs Alex Harris and Mel Little to discuss: NAP6, soiled airways, Caesar spinal dose adjustments and the RELIEF trial.

GPDU18 Conference Friends

A series of chats with some new and old friends at the #GPDU18 conference 

First10EM Journal Club: May 2018

This month we cover biases, show our biases about bronchiolitis therapy, cute scrotums, judging and dealing with capacity and how butt-slapping might help you delouse your colleagues.... [DISCLAIMER: we do not recommend that extradural hemorrhage ever be treated with an Ezy-IO drill, it is silly and dangerous.] If any of that sounds like your deal then have a listen.  If you are super patient and listen all the way through there is a real treat for you.... ... a world premiere musical ...

First10EM Journal Club: March 2018

In this month's episode Justin and I cover chest pain, LPs, nebulised furosemide and of course the sport of Quidditch

Rural Anaesthesia Podcast #1

A new project - a Rural Anaesthesia Journal Club.  Bringing the gas data to the bush. This episode features Dr Alex Harris

First10EM Journal Club: January 2018

We are back!  Yes, once again I am joined by my Canadian buddy Dr Justin Morgenstern to bring you a rough guide to Justin's favourite papers of the month. #FOAMed

Clinical Case 143: Airway Storm

This episode I reflect upon a really tough airway case. I have asked a number of airway gurus from the FOAMed community to comment on the logistics and plan to manage this case. Enjoy

First10EM Journal Club: November 2017

Welcome back to the Journal Club with Dr Justin Morgenstern.  It has been 2 months since we last dusted off the papers on Justin's bedside table... but like a mythical (nerdy) Sisyphus Justin must push another load of evidence out into the ether in order to go back and start the whole process again. This episode is on steroids.  I mean it is largely about steroids, not actually "on steroids" but there is a sprinkling of other stuff and a bit of philosophical banter about machine learning a...

Rob's Probs & Casey's Cases

NEWS: I am launching a new podcast segment The working Title is: Rob's Probs and Casey's Cases  (Ed: may change if we come up with something better) The new podcast series is all about CLINICAL REASONING.  Exploring how we think through a diagnosis or problem.  In order to do this I have teamed up with Dr Rob Park, a Queensland GP from the "Sunny Coast" Here is episode 1.

First10EM Journal Club: September 2017

Hi all The latest episode of the journal club features an ecclectic bunch of papers of variable quality presented by two minds of variable quality!! We cover alcohol levels, ear tubes, eyelid injuries and HUGS! Enjoy, Casey

Northern Nautical Nasties

This is the vodcast version of a talk I am giving at the Australian College of Dermatology meeting next week. Why am I speaking at a Derm conference? Who knows! My knowledge of skin is superficial at best.... Anyway they wanted to know about things that might kill you in Broome...  so apart from humans, this is the most dangerous things I can think of at short notice. I am joint don this episode by my favourite marine biology enthusiast - Julius Parker, he is 7 years old, in Year 2 and...

Northern Nautical Nasties

This is the vodcast version of a talk I am giving at the Australian College of Dermatology meeting next week. Why am I speaking at a Derm conference? Who knows! My knowledge of skin is superficial at best.... Anyway they wanted to know about things that might kill you in Broome...  so apart from humans, this is the most dangerous things I can think of at short notice. I am joint don this episode by my favourite marine biology enthusiast - Julius Parker, he is 7 years old, in Year 2 and...

First10EM Journal Club July 2017

First10EM Journal Club: July, DasSMACC

A ripper of a journal club episode.  Recorded live in Berlin at the DasSMACC conference last week.  Justin and I invited a cast of superstars to share a drink over the mike and discuss an eccectic bunch of papers.  

First10EM Journal Club: May 2017

Welcome back to the kinda monthly journal club with Dr Justin Morgenstern and I. This month we do WOMAN, CO tax, Wellen's and Sarin gas Casey

eFAST for pneumothorax

This is a deep dive into a recent lung US paper looking at the sensitivity of eFAST exam for pneumothorax in blunt trauma patients. The conclusion was a really low sensitivity... but as a skeptic and lung scan enthusiast, I have decided to explain how I think we should interpret this paper. Casey