Broomedocs POdcast

Dr Roger Browning: Oxytocin in Labour

Hi all This is a guest vodcast from one of my Obstetric Anaesthesia mentors Dr Roger Browning.  Roger is a great bloke and a Consultant Anaesthetist with particular interests in Obstetric haemorrhage and thromboelastography in major haemorrhage. I have been lucky enough to attend a few of the live teaching sessions that Roger chairs at King Edward's Hospital for Women in Perth.  This lecture was taken from that session. Apologies it is a little longer than the usual podcast, but plenty...

First10EM Journal Club: March 2017

Another live journal club with Justin M & Casey P This month we have 11 papers in 3-quarters of an hour. We cover the good, bad and ugly of migraine sprays.  How Facebook stats can determine your longevity, Marik's Magic Sepsis Sauce and how to "toughen up" in the face of rudeness mid-Resus!   Enjoy

Lessons Hard Learned with Dr Resa Lewiss

Dr Resa Lewis @UltrasoundREL is a pioneer of #POCUS In this podcast she shares a tragic story that changed the lives of a number of people.  

First10EM Journal Club: January 2017

The first Journal club episode for 2017 with Dr Justin Morgenstern. We cover Acute heart failure, anxious chest pain, clavicle fractures and emergency zipper release amongst other topics   Enjoy the FOAM Casey  

Dec 2016: Journal Club with Justin @FIrst10EM

Welcome back the the last journal club with Dr Justin Morgenstern for 2016. [Yes, it is now 2017... but that's life.]  Another batch of 10 delicious articles to satisfy your post-Christmas cravings for academic nerdiness.  There a bit of something for every taste this month. 

Lessons Hard Learned: Dr Ross Fisher

At the last SMACC outing in Dublin there was a stand-out lecture by Dr Ross Fisher ( @ffoliet ) entitled:  Things that Scare Me.  Ross is a bit of a presentation guru - and hence he had plenty of pressure on to deliver a great talk.... and he did exactly that.  It was a pin-drop-silently, slideless baring of the soul. This is the back story behind the talk that lead Ross to learn a lot about himself and how doctors sometimes behave towards one another.

Lessons Hard Learned: Dr Victoria Stephen

This episode of Lessons Hard Learned comes from Johannesburg in South Africa - I am joined by Dr Tori Stephen to discuss a tough trauma case and some pearls from trauma on ultrasound and clinical decision-making in traumatic crises!.

November 2016 Journal Club with First10EM

November's edition of the Justin and Casey Journal Club is out! Have a listen and check out the written notes over at First10EM.com

Bayes 2016: A Diagnostic Odyssey

This is the vodcast version of my SMACCDUB lecture on modern diagnosis using Bayesian reasoning  

October 2016 Articles of the Month

Welcome back to the podcast for October's Articles of the Month Another month of interesting reading with Dr Justin Morgenstern.  Check out the First10EM blog for full written version.

October 2016 Journal Club with First10EM

October 2016 Journa Club Another month of interesting reading - articles of the month journal club with Dr Justin Morgenstern.

Tackling Trauma in the bush

This vodcast is a version of the talk I gave last week at the ACEM Annual Scientific meeting in Perth. We were asked to present a "challenging case" - I decided to present a trauma case that I think represents the maturation of my trauma practice. The case is pretty straightforward.  However, there are a few concepts thrown in that you may not have heard before.  Airway management, massive transfusion, head injury... it is a tough case.

FIrst10EM Broomedocs Journal Club

Its a new month and that means a new episode of the First10EM / Broomedocs Journal club. I have learned so much by just hanging out with Justin and reading the papers he digs up each month.  I hope you are learning the easy way too!  This month we have 10 papers for you with topics ranging from massive haemoptysis to "Tweeting drunk en route to ED"... So sit back, grab a beverage and listen in for the JC with J&C. 

Lessons Hard Learned: Dr Heidi James

This episode of "Lessons" is a little different.  My guest is Dr Heidi James, Canadian Primary care doc, and one of the voices of the Primary Care RAP podcast. Heidi and I have worked together in the Hippo ED shed on the Primary Care RAP for a few years and we seem to have a lot in common when it comes to work, life and the all important balance.  So we decided to yarn about how we make it work with family, work and all the other stuff life throws our way.  Can we have it all? What advice ...

Lessons Hard Learned: Dr Andy Buck

Today's "Lesson" is all about knowing one's limitations, scope of practice and appreciating the little voice inside one's noggin. Dr Andy Buck is an ED Physician who works all over Australia, but is based in Melbourne where he runs the very excellent Emergency Trauma Management course. This is a case of procedural sedation which goes a little awry. It is a nice counterpoint to all of the stuff we hear about safety, "fasting status" and the classic - "easy intubation, rocky extubation" sc...

Lessons Hard Learned: Dr Anand Swaminathan

Another lesson Hard Learned episode. This week I am joined by Dr Anand Swaminathan from Bellevue Hospital in NYC. Anand shares a tricky case involving the treatment of a VIP patient in his ED. We discuss a few strategies to help keep both you and the patient safe when we are treating VIPs. Casey

August 2016: First10EM / Broomedocs Journal Club

Another month of rapid fire journal club with Dr Justin Morgenstern and myself. 15 papers in 40 minutes... with free PDFs Ready, GO! Casey

Lessons Hard Learned : Dr Seth Trueger

This Lessons Hard learned with Dr Seth Trueger in Chicago is all about how we deal with the 'frequent flyers' in our EDs.  This group of patients present a myriad of cognitive and clinical challenges. So have a listen to this case and learn a few lessons, share your experiences too!

Lessons Hard Learned with Dr Penny Wilson

I am diving back into the "Lessons" series with my first new guest... actually an old guest returning - Dr PEnny Wilson tells us about how she struggled to make the right call as a junior doctor at a time when supervision and guidance were lacking...

First10EM Articles of the Month

The first ever episode with Dr Justin Morgenstern ( @ First10EM ) We discuss 14 of the papers you ought to read from July 2016.

The Gynae Guru vs. the Gump

Intubating the Critical Patient

Here is a 15 minute "Broome style" intubation simulation video. One way to skin a cat!

Really Rural Surgery with Dr Bret Batchelor

Dr Bret Batchelor joins me to talk about his work as a rural Canadian surgery, training, doing stuff better etc. @ReallyRuralsurg

Clinical case 118: the diagnosis explained

Dr Dave Forster: Tough Airway case discussion

This is a discussion of a tough airway case - my mate Dave Forster and I go over a tough case and he tells me the "how", some great tips and tricks and how to run a team in crisi scenario.

Pushing Pressors in the Periphery

This is a discussion on the use of early, peripheral vasopressors in patients with septic shock. The core messages:  - limit fluids - use vasopressors earlier / synergistically with IV fluids - Use Noradrenaline - use it peripherally (ie. through a good, watched, flowing IVC - idealaly proxiaml to the elbow. - think about the use of CVCs and potential harms / benefits in small hospitals.

Dr Airell Hodgkinson: Rural Anaesthesia for #NOF

My old friend and mentor Dr Airell Hodgkinson has recently completed an audit in his hospital looking at the outcomes for patients with fractured NOF (hips). He and his fellow GP Anaesthetists wanted to know if they were doing the right thing by their patients - operating on them in a regional town vs. transferring to a tertiary centre with specialists Anesthetists and ICU backup. So I recorded this chat with Airell about his audit and the bigger picture of "Doing good medicine" as a GP pr...

Suicide: Sailing Uncertain Seas

This is a talk I produced for the SWEETS 15 conference in Stockholm, Sweden. The first 15 minutes is about my approach to Suicide risk assessment.  Then the last 6 minutes are from my RMO Dr Nick Gilbert on the future of suicide, ketamine and Quinolic acid... are we there yet... not really

Shared Decision Making

This is a podcast that discusses the everyday application of Evidence based medicine into real-world scenarios. Shared decision making is a simple concept with a lot of dynamic factors to consider - how do we make it work on the floor or in the consult to ensure best outcomes for our patients? Listen on....

Being a Doctor's Doctor

Dr Penny Wilson - regular guest on the podcast nad author of the "bits n Bumps" podcast has recorded this really interresting interview with my old boss, mentor and teacher - Dr Geoff Riley.   Geoff has a practice as a GP and Psychiatrist which includes a large number of health care professionals.  He shars his insights on how to be a doctor when your patient is also a doctor. Thanks Pen

Renal Colic Scans with Dr Adrian Goudie

After the recent NEJM paper on the US vs CT for suspected renal colic - I have asked Dr Adrian Goudie to share his thoughts on the modern workup for the patient with possible renal stones.

Lung Ultrasound Pearls with Dr Kylie Baker

This is an introduction to the basics of lung ultrasound.  It focusses on the "how to" of setting up your machine, probe use and position as well as some pearls for young players. Dr Baker is an ED Doc from Queensland, Australia who has researched the use of bedside US for the Dx of acute heart failure in ED

A Conversation with Dr Jim McDonald

This is a chat I recorded with my mate and mentor Dr Jim McDonald. Jim is a 45 year veteran of GP, and has worked all over Australia in family, Aboriginal health, Anaesthesia and Obstetrics.  He is based in Melbourne but spends his time doing locum work with us in Broome. In 2015 Jim was awarded the Order of Australia for his contributions to MEdicine.

Sore throats, Swabs and Stept - the Hangout

Hi All After the recent blog post on Strept throat and swabbing with a look at the sequelae of this common disease I have recored a chat with some gurus. The PAeds Hangout team joins me to dissect the practice from all over the world  

Prostate Cancer survival & mortality

A quick Brome Pearl rant on the perils of confusing the biostats we use when we describe  the effects of screening. Use mortality (all cause) not 5 year survival. C

Yellow Stone Ultrasound Course

Are you planning to go to the USA for SMACC Chicago. Well we have the ultimate pre-SMACC workshop for you.  And it is all in a good cause - help us help out a brother Ultrasound lover.  

The Schizophrenic Mind of the Part-time Resuscitationist

This is my response to Scott Weingart's Emcrit post on Errors of Commission vs Omission. It s a Broome pearl for you  

Polycystic Ovarian Syndrome

Here is the latest office Gynae podcast from Broome Docs favourite Gynae guru - Dr Penny Wilson

Optic Nerve Sheath Diameter: Dr Leanne Hartnett

The use of Optic Nerve Shaeth Diameter measurement for assessment of patients with potentially raised ICP has been a contentious area of practice for a few years. The studies look good at first read, but then when you stand back and look at them all - something is wrong - they all disagree on the norms, the cut-offs and the anatomy. So I have enlisted the help of Dr LEanne Hartnett - US-wielding ED Physician from Fremantle Hospital in WA. Leanne helps us sort out the facts and form an ide...

Paeds Fever Hangout

This is the audio from a recent hangout chat about the common problems we face when trying to assess and manage small children with fever in the ED. Teething, UTIs,, otitis media, pneumonia and all the ways we can get it wrong are discussed.

Processing PROCESS

After the recent publication of the process trial in the NEJM and discussion all over the FOAM forums - I have been contemplating how we might apply the findings in our smaller EDs, in the small rural towns where patients still get sepsis, and I believe should get world's best care. PROCESS has many helpful findings that I think we can utilise... despite being a negative trial! Here's my thoughts in the first "Broome Pearl" podcast - its just me, solo with my thoughts.... A few links that...

Broome Docs, Clinical Case 100

A discussion about the practicality and logistics of dealing with trauma in the field, in a small ED and in transit. Lots of pearls from a guy who does this sort of thing a lot! Dr Tim  

Lessons Hard Learned: Dr Domhnall Brannigan

Another in the Lessons Hard Learned series Another Irishman in Australia telling us about a moment in medicine where he learned a few tough lessons and shares them with you. C

Lessons Hard Learned: Ryan Wallman

This is the ultimate Lessons Hard Learned! Ever considered getting out of Medicine - changing you life for a different trade - losing the identity of "Doctor" Here is a candid chat with my friend who did just that. Hear how it goes. Casey

Vitamin D: with Dr Robin Park

Aimed at primary care, but a fascinating look at a worls of gnarly evidence, confusing confounders and fundamentally flawed research.  Vit amin D deficiency, overdiagnosis, debate and practice tips. See the foam4gp.com website for refernces here: foam4gp.com

Dr Penny Wilson: Contraception Controversy and Commonsense

Dr Penny is back with a quick chat about contraception We cover the best resources to tackle this complex and common presentation. We then discuss the recent controversy around the OCP and DVT - what are the real numbers and how to discuss the risks with women.

Lessons Hard Learned: Andy Neill

Another Irishman delivering a lesson in medicine. Andy tells us about a case that might have helped shape his future career! Enjoy 

Lessons Hard Learned: Irish Lessons with Matthew & Doug

Recorded at BCC4 conference in Cairns.  I caught up with the lads for a chat in the garden - apologies for all the birds and kids!  It is that sorta conference, that sort of place! Lessons learned from about semantics - using words with precision and meaning. We touch on some tough tips for communictaing in critical moments - with colleagues and patient's or their families Casey

Overdiagnosis: Dr Justin Coleman

DR Justing Coleman - The NAked Doctor shares his thoughts on the modern trend to overdiagnosis and treatment in medicine.

PE Prognostication Part 3: Dr Senthi Strikes Back

This is the final installment of the PE Prognostication series. A retort to the recent comments and suggestions on the last episode PLUS a suggested plan and maybe future trial Enjoy