Coda Change
1,179 episodes - English - Latest episode: 16 days ago - ★★★★★ - 77 ratingsCoda Conference: Clinical Knowledge, Advocacy and Community.
Melbourne: 11-14 Sept 2022
codachange.org
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Episodes
2 weeks: a case from India
January 20, 2023 05:12 - 8 minutes - 15.5 MBAnkur Verma opens the podcast by telling his listeners that he’s going to share with them something that happened during the time that Delta was in its dreadful stages in both Australia and India. He goes on to talk about a case that took place during the Delta wave, when minutes matter. He recounts a patient - Mrs P - who had come in gasping and immediately went into cardiac arrest, and notes that – as is often the case – she immediately became part of the ward’s family. After testing pos...
COVID19 through the looking glass: Intrapartum Maternity Care
January 18, 2023 23:55 - 21 minutes - 38 MBBec Szabo – an obstetrician, gynaecologist, and medical educator – begins the podcast by asking the audience to go back to Melbourne with her on a journey through the looking glass. She notes that while taking her listeners to Wonderland might be a bit quirky, but that it’s essential for the point of the story. Bec also wants to preface the talk with a trigger warning; and acknowledges that the subject matter of her talk might be triggering – so please do bear in mind that this talk covers C...
Is burn out burning us out?
January 16, 2023 05:04 - 21 minutes - 38.6 MBIn this week’s podcast Liz Crowe – an advanced clinician social worker who has worked in Brisbane’s major children’s hospitals in intensive care, emergency departments and cancer wards - begins the podcast with the question – is all this talk of burn out, actually making us burnt out? In this podcast, Liz goes on to address exactly what the term burn out actually means and discusses how the literature on burnout in healthcare workers is prolific. She discusses how healthcare presents a...
4 Seconds A Case from Afghanistan with Gary Berkowitz
January 12, 2023 23:54 - 9 minutes - 18.2 MB"Death is not the enemy but occasionally needs help with timing." Peter Josef Safar (1924 – 2003) 'The Father of Modern CPR' In this week’s episode of the Coda podcast, former flight paramedic Gary Berkowitz – who previously worked in Afghanistan and now works for Queensland Ambulance Service - explores how when death is inevitable, the way of dying matters. To open the discussion, he addresses the fact that out of hospital emergency care practitioners are often faced with time critic...
Breaking Barriers: Working in Healthcare with Autism
August 17, 2022 06:50 - 22 minutes - 31 MBWorking in medicine presents truly testing challenges for anyone. Adding the uncertainty that comes with autism can take these challenges to new heights. So how do those with autism break down the barriers of their diagnoses to become effective members of the healthcare community? And are there benefits to having such a unique mental approach to tasks? HEALTH & WELLBEING SPECIALIST LIZ CROWE SITS DOWN WITH CANDICE CARLISLE – A NURSE IN THE ACUTE PAIN SPECIALTY TEAM WHO ALSO HAS AUTISM....
After Hours: Climate Action: Addressing Emissions from Clinical Practice
August 10, 2022 00:00 - 1 hour - 93.5 MBHealth care constitutes 7% of Australians domestic carbon footprint with hospitals and pharmaceuticals being responsible for almost 2/3rd of these emissions. We can reduce this carbon burden by addressing our practice habits, taking emissions into account, while achieving best practice care. Three areas where we can really make a difference are in pathology ordering, asthma management and anaesthetic gases. In each of these, low carbon practice also constitutes good clinical practice, ma...
5 Things You Can Do to Save the Planet
August 03, 2022 02:33 - 29 minutes - 40 MB“5 THINGS YOU CAN DO TO SAVE THE PLANET” with Hugh Montgomery (w. Liz Crowe) SCIENTIST & CLIMATE EXPERT HUGH MONTGOMERY DISCUSSES THE CONCERNING STATE OF THE PLANET & OUTLINES WHY WE NEED TO BEGIN TAKING REAL, IMMEDIATE ACTION TO SAVE IT. In this chat with wellbeing specialist Liz Crowe, Hugh begins by addressing the satirical Netflix film “Don’t Look Up” and pointing out that it may not be as far from reality as people think. We’ve been sitting on our hands & ignoring warnings i...
Delayed Cerebral Ischaemia - The Elephant in the Room After SAH
July 21, 2022 02:47 - 12 minutes - 17.2 MBJames Anstey provides his thoughts on the recent developments in delayed cerebral ischaemia following a subarachnoid haemorrhage (SAH). Unlike TBI, where outcomes have plateaued after 20 years, outcomes have steadily improved for aneurysmal SAH. Early intervention, with an increasing amount of coiling as opposed to clipping as well as ICU all likely playing a part. However, there is still a subsection of patients who deteriorate three days or more post their event. This is likely due t...
The Great Re-Engagement: The Future of Global Healthcare
July 19, 2022 04:55 - 28 minutes - 39.7 MBPeter Brindley joins you again to bring you The Great Re-Engagement, alongside Pelesa Motshabi Chakane, Silvia Perez-Protto and Andrew Shaw. This episode explores the future of healthcare, and the ways to utilise the global community, research, and technology to enable greater contentment for clinicians to enable excellent healthcare at a global level. What will successful medicine look like in 10 years’ time if we get it right? It is a daunting prospect to consider. Palesa hopes...
Action Guidance for Addressing Pollution from Inhalational Anaesthetics
July 12, 2022 01:19 - 28 minutes - 39.2 MBClimate change is a real and accelerating existential danger. Urgent action is required to halt its progression, and everyone can contribute. Pollution mitigation represents an important opportunity for much needed leadership from the health community, addressing a threat that will directly and seriously impact the health and well-being of current and future generations. Inhalational anaesthetics are a significant contributor to healthcare-related greenhouse gas emissions and minimi...
Coda Earth: Reduce Anaesthetic Gases
June 20, 2022 23:07 - 17 minutes - 24.2 MBIn this episode of the #CodaEarth podcast about reducing harmful gases in anaesthesia, host Laura Raiti is joined by Jessica Hegedus - an anaesthetist working in Wollongong, New South Wales, who is also a member of Doctors for the Environment. As someone passionate about environmental sustainability within anaesthesia, Jessica starts by telling Laura that the one thing that motivates her the most when it comes to the climate crisis is the fact that it’s an emergency that will end up im...
Coda Earth: Reduce Metered Dose Inhaler (pMDI) Usage
June 14, 2022 01:28 - 18 minutes - 25.2 MBIn this episode of the #CodaEarth podcast, host Laura Raiti speaks to Brett Montgomery, a Perth-based GP & senior lecturer at the University of Western Australia. As someone who is passionate about the climate emergency and the role each of us play in reducing the carbon footprint of healthcare, Brett is also the lead author of our Coda action plan to reduce usage of metered dose inhalers (pMDIs). To kick off the podcast, Brett touches upon the fact that while much of society sees cli...
Coda Earth: Reduce Pathology Testing
June 08, 2022 01:40 - 16 minutes - 22 MBIn this special podcast focused on the ‘Reduce Pathology Test Ordering’ step of the Coda Earth Action Agenda, host Laura Rati is joined by Forbes McGain. Forbes is an antitheist and intensive care physician who works at Western Health Melbourne and is also an associate professor of medicine at the University of both Sydney and Melbourne. He is passionate about making seemingly small, environmental financial and social sustainability changes to how we practise medicine, and is currently exami...
The Deteriorating Patient: Part 2
June 07, 2022 03:57 - 26 minutes - 37 MBIn part 2 of this episode of the Coda podcast, Coda co-founder Roger Harris is again joined by Sydney-based Chris Anderson and Lausanne-based Frederic Michard, as they discuss how we can do better when it comes to deteriorating patients. In part 1, the three intensive care specialists explored precisely what a deteriorating patient is, how big a problem they are and exactly why we should care – in this episode Harris, Anderson and Michard now look at ways in which the problem can be resolv...
The Deteriorating Patient: Part 1
June 07, 2022 01:31 - 17 minutes - 24.3 MBIn this episode of the Coda podcast, Coda co-founder Roger Harris is joined by Sydney-based Chris Anderson and Lausanne-based Frederic Michard, as they explore precisely what a deteriorating patient is, how big a problem they are and exactly why we should care. Hosted by Roger Harris, guest Frederic Michard is a Critical Care MD, PhD, based in Lausanne, Switzerland, who trained in Paris University Hospitals and in Boston and is well known for his research work and publications, while C...
Coda Earth: Examine Your Carbon Footprint
May 30, 2022 06:15 - 12 minutes - 17.6 MBFollowing on from the Commit step episode, in which the Coda team discussed turning anxiety into action as a way to start bringing about change, host Dr Laura Raiti - who is both a paediatric oncology fellow, and a Coda team member – speaks to Dr Fintan Hughes, an anaesthesiology resident, about the next step we should be taking as a collective Coda community. In this episode, Laura and Fintan start by discussing the urgent need to come together to bring about necessary change, which f...
Coda Earth: Commit to Take Action
May 30, 2022 05:59 - 10 minutes - 14.9 MBIn the first episode of Coda Earth’s unmissable new podcast, listeners will hear Coda co-founders Roger Harris and Oli Flower discuss a wide range of topics from exactly how and why Coda came to be, to how each and every one of us can make small, simple, and actionable changes that will make a real difference to the planet. Hosted by Dr Laura Raiti - who is both a paediatric oncology fellow, and a Coda team member - she speaks to Roger and Oli about just how easy it is to commit to cha...
Milrinone for Treatment of Delayed Cerebral Ischaemia
May 18, 2022 04:19 - 12 minutes - 17.7 MBCatalina Sokoloff presents Milrinone for treatment of post-aneurysmal subarachnoid haemorrhage vasospasm (delayed cerebral ischaemia.) Catalina firsts explains the pathophysiology of delayed cerebral ischaemia. She makes the point that there is still much we do not know. Probable mechanisms at the microcirculation level include release of free radicals, lipid peroxidation, cortical depression spreading and microthrombi formation. The ideal treatment once delayed cerebral ischaemia is pre...
Communicating Science in a Pandemic: Part 2
May 11, 2022 06:06 - 18 minutes - 26.1 MBCommunicating Science In A Pandemic (Pt. 2) The power & presence that social media has in healthcare communication cannot be ignored. However, many are still reluctant to embrace its usefulness as a tool which can enhance education and patient connections. IN PART 2 OF THIS PODCAST, DR JESSICA STOKES-PARISH CONTINUES TO DISSECT THE ROLE OF SOCIAL MEDIA IN SCIENCE COMMUNICATION, ALONGSIDE REGISTERED NURSES PENNY BLUNDEN (@sick.happens) & PATRICK MCMURRAY (@patmacrn). The tri...
Overcoming the Great Resignation through Realisation: Part 2
May 10, 2022 02:05 - 23 minutes - 32.9 MBIn Part 2 of this podcast Hugh Montgomery, Liz Crowe, and Shelly Dev along with Peter Brindley continue their discussion on wellness, resilience, burn out and being a healthcare worker in the world now. IN THIS EPISODE THE TEAM DISCUSSES THE BROADER ORGANISATION STRUCTURE AND HOW THIS CONTRIBUTES TO (OR DETRACTS FROM) TEAMWORK AND HEALTHCARE WORKER WELLNESS AND SATISFACTION. Shelly delves into the topic of the organisations and whether they are supporting the clinicians on the ground in ...
Overcoming the Great Resignation through Realisation: Part 1
May 10, 2022 01:34 - 17 minutes - 24.4 MBThis episode discusses the effect of the pandemic on healthcare professionals at an individual level, and how this has broad reaching ramifications at a team and industry level across different country contexts. IN THIS PODCAST PETER BRINDLEY IS JOINED BY HUGH MONTGOMERY, LIZ CROWE, AND SHELLY DEV TO DISCUSS WELLNESS, RESILIENCE, BURN OUT AND BEING A HEALTHCARE WORKER IN THE WORLD NOW. THIS EPISODE EXPLORES JOB SECURITY, PUBLIC RECOGNITION, AND THE EFFECT OF THE PANDEMIC AT A PERSONAL ...
Communicating Science in a Pandemic: Part 1
April 27, 2022 02:22 - 25 minutes - 34.6 MBCommunicating scientific information as a health professional is far more than just posting healthcare tips online. What can & can’t be posted? Who do we really listen to? And who is allowed to say what? DR JESSICA STOKES-PARISH CHATS WITH REGISTERED NURSES & SOCIAL MEDIA PERSONALITIES PENNY BLUNDEN (@sick.happens) & PARTICK MCMURRAY (@patmacrn) ABOUT THE BARRIERS FACING HEALTH PROFESSIONALS WHEN COMMUNICATING WITH THEIR AUDIENCES ONLINE. Picking up where Professor Tim Caulfield’s “Gre...
Management of Subarachnoid Haemorrhage
April 22, 2022 03:23 - 37 minutes - 51.7 MBNazih Assaad provides his expertise on the treatment of subarachoid haemorrhage. Treatment for aneurysmal subarachnoid haemorrhage (SAH) is an area that has had extensive research but not a great deal of success. Promising animal studies have not turned out as hoped in clinical trials and many questions remain unanswered. Nazih guides the listener through his approach on how to address the complicated presentation of SAH. Firstly, subarachnoid haemorrhages can be graded clinically and radi...
Healthcare Wellbeing: Knowing when it's time for a change
April 12, 2022 23:36 - 16 minutes - 15.5 MBWhilst US medicine has always had issues, the pandemic sent the practice of medicine into a state of disarray. DR JUSTIN HENSLEY DISCUSSES THE STATE OF US MEDICINE THROUGHOUT THE PANDEMIC. THE POWER OF INSURANCE COMPANIES AND DESPERATE WORKING CONDITIONS IN US HOSPITALS. In this talk, Justin outlines the "idealistic" view he had of emergency care before working in the ED. However, he was not prepared for the “joyless” nature of a medical system which seemed to place profits above patients....
Rejecting Science Part 2: Critical Thinking, Shareable Content and Uncertainty
March 30, 2022 04:19 - 26 minutes - 24.2 MBIn part 2 of The Great Rejection, Peter Brindley and Tim Caulfield return to continue their discussion of misinformation in the world of health science. This episode examines how to teach the public to think critically, how to deal with uncertainty as a clinician and how to better understand the pros and cons of transparency. How do we teach science in an ever-expanding world of knowledge and information? Tim suggests going back to first principles and reinforcing to the public that scie...
The Future of Traumatic Brain Injury: Oli Flower
March 25, 2022 06:51 - 9 minutes - 8.65 MBPlease note this episode was recorded in November 2018 as part of Brain, a CICM Neuro Special Interest Group meeting click here for more info. Oli Flower gives us a preview into the future of traumatic brain injury (TBI) management. It is late in the 21st century and a man suffers a TBI. Oli describes the on scene immediate management of this patient. Drones and closed-circuit cameras combine to provide the closest ever trauma centre, taking tissue samples and patient images. Not only that...
Rejecting Science Part 1: Medicine, Social Media and Misinformation
March 18, 2022 03:26 - 25 minutes - 23.7 MBPeter Brindley and Timothy Caulfield answer the big questions around how science and health are represented in the public sphere. What is science? When do we accept it and when do we reject it? The representation of science and medical information on social media has erupted in recent times – in large part thanks to the Covid-19 pandemic. Along the way, misinformation has come to the forefront. Why do people believe misinformation, where does it come from and what damage is it doing? The...
Airway Choices - In The Era of Many Choices
March 03, 2022 00:41 - 17 minutes - 16.4 MBReuben Strayer and Duncan Grossman discuss all things airway. Specifically, how the introduction of many airway technologies at once–some of them revolutionary, some not–have confused our airway strategy. So how can we incorporate the best of these technologies into contemporary airway management? They begin with a big question – what equipment should you choose? There are many options, including direct or video laryngoscopy as well as multiple versions of the laryngoscope blade itself. As...
cEEG in every ICU is the future
February 25, 2022 21:07 - 50 minutes - 46.1 MBPlease note this episode was recorded in November 2018 as part of Brain, a CICM Neuro Special Interest Group meeting click here Terry O’Brien presents the evidence and recommendations around the use of continuous EEG. EEG is an old technology, first introduced clinically in the 1920s. As we move deeper into the 21st century, Terry argues that this technology should be brought to the forefront in ICUs around the world. EEG works in a simple manner. Electrodes are placed on the scalp, m...
Stroke Management in 2022: Part 2
February 17, 2022 04:44 - 24 minutes - 22.5 MBAlex Rowell, Fahad Ashraf, Greg Selkirk & Luke Torre continue their discussion stroke management. In this talk they tackle imaging and treatment of stroke, including mechanical thrombectomy. Imaging is an enormous part of the process of stroke management. It is critical for diagnosis and stratifying patient treatments. The first imaging modality to order is a non-contrast CT head. As Greg explains, not everyone with neurological symptoms has an ischemic stroke. Other diagnoses to consider ...
Stroke Management in 2022: Part 1
February 02, 2022 03:45 - 15 minutes - 13.8 MBIn this podcast, Alex Rowell, Fahad Ashraf, Greg Selkirk & Luke Torre review stroke management in 2022. Stroke management has changed dramatically in the last 10 years. In 2015, we proved the efficacy of mechanical thrombectomy. In 2018, we established evidence for mechanical thrombectomy beyond 6 hours in patients with favourable imaging. Moreover, there has been extensive research into dual anti-platelet therapy to prevent recurring stroke in minor stroke patients. From a technical point...
Emergency Management of Chronic Pain
January 11, 2022 23:57 - 15 minutes - 14 MBIn the Emergency Management of Chronic Pain podcast, Duncan Grossman and Reuben Strayer discuss how and why patients with chronic pain present to the ED. Managing patients with chronic pain is challenging and often it feels like these patients present to the ED during every shift. But… is it as common as it feels? Statistics suggest that 20% of American adults suffer from chronic pain. Why? Well, opioids are both the disease and the cure. Opioids are effective for managing acute pain...
Disaster Survival and Wellbeing for Healthcare
December 21, 2021 22:13 - 22 minutes - 20.5 MBIn this podcast, Roger Harris sits down for a second time with South African Emergency Physician, Victoria Stephen (Tori). Tori delves deeper into her first hand experience of the frightening political unrest and violence which erupted during the third wave of Covid-19 in Johannesburg in mid-2021. Managing Covid cases and gunshot wounds simultaneously was incredibly challenging both professionally and personally. In the midst of the violence, Victoria made the courageous decision to leav...
Trauma Resuscitation and the Covid-19 Pandemic in South Africa
December 07, 2021 23:04 - 23 minutes - 21.7 MBTrauma Resuscitation and the Covid-19 Pandemic in South Africa In this podcast, Roger Harris interviews Victoria Stephen about her experience as an emergency physician in a regional South African hospital. Sadly, trauma resuscitation is a big part of working in Emergency Medicine in South Africa. Blunt force assaults and stab wounds are regular presentations. However, July 2021 was unlike anything Doctor Victoria Stephen had ever experienced. In July, South Africa was deep into its'...
Safety-II, Drugs and Design Sprints in Intensive Care
November 23, 2021 21:26 - 39 minutes - 36.3 MBTune in to a cross over episode with Simulcast, as Jesse Spurr and Victoria Brazil discuss Safety-II, Drugs and Design Sprints in Intensive Care. In this episode, Vic and Jesse catch up to talk through a human centred design project aimed at improving medication safety in the Intensive Care Unit. Vic and Jesse discuss real world applications of Safety-II approaches, the core philosophy and practices of psychological safety and the importance of clinician led approaches to risk in practic...
How the pandemic narrowed the great divide between ICU and ward care
November 10, 2021 01:22 - 18 minutes - 17.2 MBIrma Bilgrami, Alissa Starritt and Paula Lyons believe that the pandemic has narrowed the great divide between ICU and ward care. Covid has put incredible pressure on healthcare systems around the world. This has forced hospitals into overdrive, whereby staff have been redeployed and models of care have changed. Evidently, the pandemic has challenged the strict guidelines which we use to direct patient care and define critical illness. Wards are managing patients with much higher acuity,...
Gender Equity in Medicine – What is it & Why Does it Matter?
October 26, 2021 22:47 - 44 minutes - 40.8 MBIn this cross over chat between Medical Mums and Coda, Dr Chris Bowles & A/Prof Nada Hamad discuss gender equity – What is it and why does it matter? Chris and Nada take a deep dive into gender equity in medicine, the impact of the pandemic and the possible solutions. First, they discuss the difference between gender equity and equality. Equality is the act of treating everyone the same. Whereas equity, focuses on levelling the playing field so that there is more representation and parti...
Impella and modern mechanical support
October 13, 2021 04:59 - 14 minutes - 13.1 MBFrom CodaZero Live, Steve Morgan talks to us about temporary mechanical circulatory support in cardiogenic shock. Steve gives an example of a patient with refractory cardiogenic shock, who hasn’t responded to pharmacological support. So, how do we go about choosing between temporary circulatory support options? First, Steve acknowledges that critical care echocardiography is central. Additionally, he discusses the use of pulmonary artery catheters. Finally, Steve hopes that future R...
Brain injury outcomes and predictors
October 06, 2021 01:10 - 9 minutes - 8.67 MBBrain injury outcomes and predictors by Kiran Lele Being able to prognosticate in the aftermath of a traumatic brain injury (TBI) is important as it assists with counselling patients and families. Moreover, it helps rationally allocate healthcare resources. However, due to the heterogenous nature of TBI and variable pre brain injury patient factors and post brain injury course, this has proven to be a difficult task. Large cohort studies have enabled improved accuracy in the prediction...
COVID-19: A patient's experience
September 29, 2021 02:51 - 14 minutes - 13.4 MBIn this podcast, Celia Bradford talks to Bing Brotohusodo about a challenging time in his life. Early in 2020, Bing contracted COVID-19. This resulted in a two-month hospital stay and admission to the ICU. Celia was one of Bing's physicians and together, they reflect on Bing's time in hospital and his recovery. Bing was as a helpful patient. So much so, that he was able to prone himself! However, Celia recalls how challenging it was treating Covid in those early days. Staff were de...
Vascular Access: RaCeVa, RaPeVa, Micropuncture, Tip position
September 22, 2021 01:13 - 14 minutes - 13.2 MBIn this second episode on vascular access, the team from the Australian Vascular Access Society (AVAS) discuss vessel assessment with RaCeVa and RaPeVa as well as the use of Micropuncture and establishing optimal catheter tip position. Before puncturing a vessel for vascular access it is important to: Trace the anatomy of the vascular pathway for aberrancy Ensure that the vessel calibre is suitable for the chosen catheter Ensure no obstruction with thrombus or occlusion Moreover, it...
Prehospital resuscitation of TBI
September 15, 2021 03:35 - 10 minutes - 9.29 MBThe prehospital management of patients with moderate and severe TBI can be complex. In this podcast, Marty Nichols talks us through managing patients with TBI in a prehospital environment. This involves avoiding hypoxia and hypotension, ensuring a safe transportation and getting to the right treatment centre the first time. Notably, due to the nature of the accident, patients with a severe head injury also often present with other injuries. Managing multiple injuries at the same time h...
Top 10 Critical Care Papers of 2020
September 08, 2021 02:22 - 19 minutes - 17.4 MBIn this podcast, Ed Litton summarises 10 clinical trials in 10 minutes. Ed invites you to choose, based on the title alone, whether the findings were consistent with, or contrary to, the study hypothesis. Ed discusses 10 non-covid clinical trials, all published in 2020. Notably, all of these were published in the New England Journal, JAMA or Lancet and had important findings. The following hypothesises are discussed: 10. Firstly, the impact of resident physician schedules and the affec...
The importance of communication in pain management
September 01, 2021 01:06 - 12 minutes - 11.7 MBIn this podcast, Claire discusses the role of clinician communication and its impact on acute pain management. Claire explains how pain management outcomes can be optimised by enhancing patient expectations of benefit via patient-provider communication. Firstly, what we say to patients matters. Secondly, how we say it also matters. Pain is a complex phenomenon and managing expectations of pain and people’s experience of empathy is crucial. As healthcare professionals, we see multiple...
Advanced support of Acute Liver Injury
August 24, 2021 06:54 - 15 minutes - 14.5 MBFrom CodaZero Live, Alex Rowell reviews the available advanced liver supports for patients with acute liver failure. Artificial supports for the liver are quite complex and difficult. This is largely due to the liver's complex function. Some of the advanced liver supports include CVVHDF, Molecular Adsorbent Recirculating System (MARS), Single Pass Albumin Dialysis (SPAD) and high volume plasma exchange. In this podcast, Alex takes us through the research and evidence for these supports...
Surgical considerations in the injured spine patient
August 19, 2021 04:37 - 14 minutes - 13.3 MBIn this podcast, Ruth provides a summary of surgical considerations when managing an injured spine patient. She covers imaging considerations, indications for surgery and challenges to delivering excellent surgical care. Ruth shares a story of one of the most severely injured patients she has ever looked after. A 78 year old woman came into a trauma centre having been driven over by a 4WD... twice. She had a fractured lower limb, significant chest trauma, a significantly deformed...
Update on delayed cerebral ischaemia
August 17, 2021 00:15 - 17 minutes - 16.4 MBChris provides a brief update on some of the postulated underlying mechanisms involved in subarachnoid haemorrhage associated brain injury. These mechanisms provide hints to future therapeutic targets that will hopefully expand our currently limited repertoire of options. Subarachnoid haemorrhage is a catastrophic type of stroke. Subarachnoid haemorrhage represents only 5% of the total stroke burden. Notably however, as it is most common in people aged 40-60 years, it has a disproportio...
TBI Management: Beyond the Resus Room
August 12, 2021 03:14 - 12 minutes - 11.5 MBTBI Management: Beyond the Resus Room by Andrew Chow In this podcast, Andrew Chow highlights the latest evidence for TBI. Andrew shares some clinical pearls for TBI management & highlights a future direction for the management of patients with a traumatic brain injury. Studies have shown that the demographic of TBI patients has shifted. We are now seeing an increase in the number of elderly patients with a TBI injury that need intensive care admission. Andrew suggests that with this ...
Echo in Cardiac Arrest
August 10, 2021 04:16 - 11 minutes - 11 MBFrom #CodaZero Live, Behny explains the importance of Echo and lists some of the ways in which Echo can help us during a cardiac arrest. It is more than we think! Echo is a quick, easy and simple tool, making it invaluable in many situations including cardiac arrests. It is a bedside test that is non invasive and painless for the patient. It is easily taught to any doctor or nurse and is performed in real time at the bedside. It can be used to guide and inform management and treatme...
Updates in pain management
August 05, 2021 02:39 - 11 minutes - 10.9 MBUpdates in pain management by Gavin Pattullo Opioids are often a mainstay of therapy in trauma pain, though they are in turn the cause of much trauma. For every 4000 Australians prescribed an opioid there will be one death in the community as a result. In-patients similarly have greater risk of harm when their analgesia is opioid based. This presentation will focus on some of the valuable lessons learnt in pain management resulting from the opioid crisis. These include: Our need to diff...