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
Why every child born today will be severely impacted by the climate crisis
April 01, 2021 02:34 - 25 minutes - 23.4 MBEvery child born today will be affected by the climate emergency and affected at every stage of their lives. Canadian sub-arctic is already 2.5c warmer than 70 years ago. Unfortunately, all sorts of health impacts are linked to the climate crisis. Heat stress, chronic disease from air pollution, infectious diseases, malnutrition, famine, displacement… to name a few. We are already resigned to increased global warming which is now locked in for decades to come, so healthcare professionals nee...
Action is what is needed to improve the health of our community
April 01, 2021 02:34 - 25 minutes - 23.4 MBUnfortunately, all sorts of health impacts are linked to the climate crisis. Heat stress, chronic disease from air pollution, infectious diseases, malnutrition, famine, displacement… to name a few. We are already resigned to increased global warming, so healthcare professionals need to find ways to cope with the ramifications of this inevitability. According to the Lancet, at least 100 people are dying from coal related deaths every year in Australia. It’s paramount we work together towards ...
Climate change - the biggest health threat of the 21st century
April 01, 2021 02:29 - 17 minutes - 16.2 MBThe climate crisis is also a health crisis. The NHS committed to a net zero target in 2040, for the emissions they control directly and a target of 2045 for the broader emissions they can influence. So why are the NHS doing this? It has heeded the science pointing to climate change as the biggest health threat of the 21st century. 9 in 10 NHS staff say that they want to see the NHS act more sustainably. So, what actually is a net zero target? It means to remove emissions across an ambitious ...
What can the world learn from the NHS on sustainable healthcare and net-zero emissions?
April 01, 2021 02:29 - 17 minutes - 16.2 MBThe NHS has committed to a net-zero target in 2040, for the carbon emissions that they control directly and a target of 2045 for the broader emissions they can influence. So why is the NHS doing this? It has heeded the science pointing to the climate emergency as the biggest health threat of the 21st century. Nine in ten NHS staff say that they want to see the NHS act more sustainably. What is a net-zero target? As the title suggests Net Zero emissions mean achieving a balance between the pr...
What are achievable, meaningful and sustainable actions for healthcare on the climate emergency?
April 01, 2021 01:44 - 1 hour - 85.7 MBIn this episode, we examine some achievable, sustainable and most importantly, meaningful actions that healthcare can take on the climate crisis. Firstly, the climate emergency is not only a healthcare emergency but also a wealth emergency. Financial markets have realised the monetary cost of not taking action to reduce carbon emissions and now whether governments like it or not, the markets are driving change. Secondly, as investors, we have enormous power through our personal superannuatio...
CodaZero Live: Earth - Full episode
April 01, 2021 01:44 - 1 hour - 85.7 MBIn this episode, we tackle the climate crisis and the subsequent threats to health. We examine the positive impacts that Covid has had on the climate emergency, in reduced energy demands and reduced oil prices. We’ve seen financial institutions start to sit up and take notice of the knock-on effect the climate emergency has on their bottom line.. Australia is a laggard when it comes to climate change, but, countries such as India are moving forward in leaps and bounds towards a Net Zero goal...
What are achievable, meaningful, and sustainable actions for healthcare on the climate emergency?
April 01, 2021 01:44 - 1 hour - 85.7 MBIn this episode, we examine some achievable, sustainable and most importantly meaningful actions healthcare can take on the climate crisis. Firstly the climate emergency is not only a healthcare emergency but also a wealth emergency. Financial markets have realised the monetary cost of not taking action to reduce carbon emissions and now whether governments like it or not, the markets are driving change. Secondly, as investors, we have enormous power through our personal superannuation funds...
Re-evaluating your super can have an enormous impact on the climate emergency
April 01, 2021 00:56 - 15 minutes - 14.2 MBRe-evaluating how your super is invested can have a huge impact on mitigating the effects of the climate emergency. Why.....because most people are invested in the companies that are responsible for climate destruction. The broader Superannuation system is currently worth about $3 trillion. By 2038, it is projected to be worth $10 trillion. With that size comes immense power. Have you ever thought to engage with your super fund and ask, “what are you doing about the climate crisis?” It’s one...
Re-evaluating your super can have an enormous impact on the climate emergency - Why?
April 01, 2021 00:56 - 15 minutes - 14.2 MBRe-evaluating how your super is invested can have a huge impact on mitigating the effects of the climate emergency. Why... because most people are invested in the companies that are responsible for climate destruction. The broader Superannuation system is currently worth about $3 trillion. By 2038, it is projected to be worth $10 trillion. With that size comes immense power. Have you ever thought to engage with your super fund and ask, “what are you doing about the climate crisis?” It’s one ...
Superannuation and the climate crisis - how we can influence change
April 01, 2021 00:56 - 15 minutes - 14.2 MBSo what can you do, today, about climate change? Well, you can think about your super. Re-evaluating your super can have a huge impact. Why? Most people are invested in the companies that are responsible for climate destruction. The broader Super system is worth about $3 trillion. By 2038, it is projected to be worth $10 trillion. With that size comes immense power. Have you ever thought to engage with your super fund and ask, “what are you doing about the climate crisis?” It’s one small ste...
The climate crisis is not just a healthcare emergency but also a financial market emergency
April 01, 2021 00:30 - 29 minutes - 27.4 MBFinancial markets have recognised that the climate emergency is also a financial emergency. A report out of Harvard recently stated that nearly 1 in 5 deaths globally are associated with burning fossil fuels. Incredibly, the Covid19 pandemic has changed how we see the climate crisis in a number of ways. Firstly, it resulted in an unprecedented decline in global energy consumption during 2020. Secondly, it showed us that in order to deal with the pandemic we must listen to science and take ac...
Are coal, gas or nuclear even economical in modern energy markets?
April 01, 2021 00:30 - 29 minutes - 27.4 MBWe have a looming global crisis but Covid has changed everything. In the new world of a pandemic, there has been an unprecedented decline in global energy use. Covid has made us re-evaluate our lives and our carbon footprint. The price of oil collapsed, prompting a 60% decline in profits by the leading oil companies around the world. It’s a wakeup call for the entire financial sector to adjust to the catastrophic effects of climate change which the majority of the population is accepting as ...
Panel Discussion & Question Time
March 31, 2021 20:57 - 17 minutes - 16.2 MBWe hear from passionate advocates in different medical fields, as they impart wisdom and discuss how we can all work to be advocates for what we believe in. As healthcare workers, we constantly work together as a team. We need to utilise that teamwork to stand up for what we believe in. For more head to: codachange.org/podcasts
Red Alert: Code Crimson in 2019 and beyond
March 31, 2021 20:37 - 15 minutes - 18.9 MBA trauma patient has come in and they have a life threatening, non-compressible haemorrhage. We have a Code Crimson on our hands. In this scenario, your team and your performance can make a big difference to the outcome. We need to rely on protocols, standardised care, implicit communication and shared expectations to manage this as effectively and efficiently as possible. This is what Code Crimson is all about. For more head to: codachange.org/podcasts
The pandemic in resource-poor settings requires shared global actions
March 23, 2021 20:33 - 30 minutes - 38.2 MBThe logistical challenge of opening a COVID-19 treatment centre in a developing country is enormous. There is a significant lack of resources such as PPE and essential drugs, as well as medical specialists and sophisticated technology. Khairil Musa reflects on a deployment to Yemen and how in a city with 1.8 million people, having access to only 7 ICU beds led to devastating consequences. During the height of the pandemic, the city recorded an 8 fold increase in the daily death rate. So how ...
SONOSLAM: Tomorrow Today: Advances in US Tech!
March 21, 2021 01:10 - 11 minutes - 10.7 MBEvery two years the processing power of computers doubles, while the cost halves. Advances in technology are making ultrasound more accessible and effective than ever. To adequately use ultrasound you need three things - Have a machine - Be able to acquire the images - Interpret and utilise the images effectively, safely and accurately Ben Smith and Jacob Avilla run us through how technology has enabled ultraportable, ultracheap ultrasound and how this stands to make an incredible ...
Rant: Stand up for pre-hospital medicine!
March 21, 2021 00:15 - 4 minutes - 5.24 MBWe all have to be advocates for the role we play in patient care. We have to collectively navigate and challenge the decision makers to ensure progress into the future. For more head to: codachange.org/podcasts
Rant: Stand up for pre-hospital medicine!
March 21, 2021 00:15 - 4 minutes - 5.24 MBWe all have to be advocates for the role we play in patient care. We have to collectively navigate and challenge the decision makers to ensure progress into the future. For more head to: codachange.org/podcasts
The Scope of Ultrasound in Trauma
March 20, 2021 22:03 - 14 minutes - 16.9 MBResa Lewiss talks to us about the evolution of point-of-care Ultrasound in Trauma, focusing on the FAST examination. Three takeaways: 1. Ultrasound cannot replace CT scan. 2. Ultrasound is a data point in your patient care management. 3. Ultrasound decreases time to definitive management. For more head to: codachange.org/podcasts
Tomorrow’s Medicine Today
March 17, 2021 02:33 - 15 minutes - 14.2 MBThe exciting possibilities for tomorrow’s medicine are endless. There’s the chance that we could revolutionise diagnostics with AI. There’s the opportunity for us to use smart phones and wearable technology to allow health professionals to deliver care outside of hospitals. There’s the possibility to use 3D printing to manufacture drugs at local pharmacies, personalising drug treatment for individual patients. These are all possible with technologies that exist today. However, on average it ...
Asking Questions - Delivering Answers
March 17, 2021 01:20 - 12 minutes - 11.6 MBRCTs deliver the most reliable evidence to guide how we treat our patients but they are badly designed, inaccurately reported and misunderstood. We can do better. For more head to: codachange.org/podcasts
Engaging with government: when “life is more than a heartbeat”
March 15, 2021 23:23 - 11 minutes - 10.3 MBProfessor Owler discusses his experience in his various roles to achieve successful outcomes both in terms of health policy as well as legislative changes. He will discuss the role of doctors in this process and how to interact with government, media and stakeholders to achieve better outcomes for patients and the community. For more head to: codachange.org/podcasts
CodaZero Cure - Full Video
March 13, 2021 20:40 - 1 hour - 107 MBIn this episode of CodaZero Cure our stellar line-up of panellists take a deep dive into Sepsis post Covid-19 and reflect on the many opportunities and challenges presented. First, we hear from vaccination uptake expert, Julie Leask, on Covid, vaccination and medical misinformation. Julie highlights some of the key drivers of vaccination hesitancy in society and challenges us, as health professionals, to work together to better inform our community. Next, Senior Intensive Care Registrar, Kha...
CodaZero Cure - Full Episode
March 13, 2021 20:40 - 1 hour - 107 MBIn this episode of CodaZero Cure our stellar line-up of panellists take a deep dive into Sepsis post Covid-19 and reflect on the many opportunities and challenges presented. First, we hear from vaccination uptake expert, Julie Leask, on Covid, vaccination and medical misinformation. Julie highlights some of the key drivers of vaccination hesitancy in society and challenges us, as health professionals, to work together to better inform our community. Next, Senior Intensive Care Registrar, Kha...
He blinded me with science (Critical care ultrasound) by Thomas Dolby
March 12, 2021 04:12 - 26 minutes - 33.7 MBIt's a challenge to think of a single large multicentre RCT or therapy introduced to critical care in the last 20 years that has meaningfully improved outcomes, yet across the board our outcomes improve year on year, largely due to improvements in Process getting the diagnosis right earlier, instituting therapies that work sooner, and minimising iatrogenic injury. The implementation of ultrasound into bedside clinical practice in emergency departments and intensive care units have accelerate...
Rare Life-Threatening Emergencies; Publication Deficits & Potential Solutions
March 12, 2021 03:49 - 15 minutes - 14 MBIf we harness the experiences of hundreds of colleagues who have managed the same rare clinical event we would discover what works, what doesn't and why. For more head to: codachange.org/podcasts
Listening to community concerns around vaccination must be at the heart of our public health response to the Covid19 pandemic
March 12, 2021 01:02 - 10 minutes - 12.7 MBThere is enormous concern within the health community regarding public misinformation and the successful rollout of vaccines. They are concerned about the psychological safety of medical professionals in the post-pandemic world. They are worried about the emotional toll that long periods of separation from family and friends have on people from around the world. Now more than ever, we should share our knowledge and experiences on an international scale. We should not lose the sense of equity...
Combating misinformation and conspiracy by empowering a sense of personal responsibility
March 12, 2021 00:50 - 18 minutes - 22.8 MBThe challenge of balancing public health and the law, with personal responsibility and freedom, is driven by access to information. We need to invest in public awareness, reflect on the learnings from COVID and use that for messaging at scale. Like Covid, we know that the prevention of sepsis relies on education, early detection, sanitisation, antibiotics stewardship and availability of resources. Post the COVID-19 pandemic, how do we ensure the correct information is available to the public...
Action on Vaccine Hesitancy and Medical Misinformation
March 12, 2021 00:02 - 31 minutes - 38 MBCOVID 19 has completely disrupted communities around the globe and caused enormous loss as well as untold human suffering. The development of such effective vaccines has given us hope for the future, but the unprecedented speed at which these have been developed has raised some questions. The WHO recently has identified vaccine hesitancy as one of the top 10 public health issues facing global health. To ensure a high uptake of vaccines globally, the community needs transparent, honest and fa...
Surviving the Aftermath of ECMO
March 10, 2021 23:03 - 14 minutes - 13.2 MBECMO is a life-saving intervention for critically ill patients, but patients describe a recovery period that can take months to years. For more head to: codachange.org/podcasts
One Vision (VR in paediatrics procedures) by Queen
March 09, 2021 03:40 - 25 minutes - 31.6 MBThose of us looking after kids know that making confronting situations better for those kids is one our biggest challenges. A kid's experience of a procedure in hospital is not just about that particular procedure. It colours all their future interactions with health professionals and can impact on their behaviour outside health care settings. Virtual (VR) and augmented reality (AR) are new technologies that really rely on old techniques - telling a story and transporting a person to ano...
Life on the ground floor
March 05, 2021 00:31 - 16 minutes - 20 MBIn the ER, we are taught to turn towards the pain of others. We are not given as deliberate advice on how to care for ourselves despite the adversity we see, and the inevitability of being hurt by it. If our role is, at least in part, to steward health towards others, we defy its logic if don't extend the same caring to ourselves. Being well, and if not, knowing the direction, is as vital as being able to get a blind subclavian line in a bleeding trauma patient. Our culture, instead ...
Critical Care Controversies: REBEL vs Skeptic
March 04, 2021 23:53 - 24 minutes - 29.1 MBSalim and Ken go toe-to-toe debating some hot topics in critical care. They take on mechanical CPR, adrenaline for out of hospital cardiac arrest, stroke ambulances and 1st pass with a bougie. Fun and informative. For more head to: codachange.org/podcasts
Uncertainty at the centre of sepsis
March 02, 2021 22:31 - 14 minutes - 13.5 MBSepsis is a common and deadly condition, but diagnosis in not always knowable in real-time. The optimal treatment during times of diagnostic uncertainty differs across patients. Despite this reality, sepsis performance is uniformly assessed and reported for a population knowable only in retrospect—the patients ultimately judged to have sepsis at hospital discharge. This limits effective audit and feedback to incentivise clinician behaviour. Personalised, real-time assessments of a patien...
Being flexible: when building EM becomes improving primary care
March 01, 2021 22:59 - 17 minutes - 15.6 MBMulinda shares how setting up an emergency department at a public tertiary hospital resulted in contributing to improving a district primary care system improvement program in Malawi. The link between performance of a health system can affect the community's health seeking behaviours. Insight into how improving patient care pathways can assist in creating patient centred, efficient and effective emergency care provisions will be shared. For more head to: codachange.org/podcasts
Straight up (bilious babies) by Paula Abdul
February 25, 2021 21:49 - 23 minutes - 27.3 MBAn overview of causes of surgical vomiting in the neonate. This includes malrotation-volvulus, intestinal atresias, necrotising enterocolitis.
Thriving, not just surviving after critical illness
February 25, 2021 21:26 - 26 minutes - 29.4 MBECMO is alife-saving intervention for critically ill patients, but patients describe a recovery period that can take months to years. For more head to: codachange.org/podcasts
Prehospital care lessons for life
February 24, 2021 20:52 - 10 minutes - 11.5 MBWhat can Prehospital and Retrieval Medicine teach us about life? Natalie May reflects on lessons learned at Sydney HEMS - from the practical to the philosophical. For more head to: codachange.org/podcasts
Good SAM 2.0 - The Next Level
February 22, 2021 23:02 - 12 minutes - 15.4 MBBeing able to open any mobile phone camera enables triage of scene (mechanism of injury) and patient (physiology). This enables better resource allocation and can start treatment sooner. For more head to: codachange.org/podcasts
FEMinPHEM
February 18, 2021 23:57 - 10 minutes - 12.2 MBPHEM is a male dominated speciality but why is that? Caroline Leech takes us through the reasons why this inequity exists and how we can breakdown barriers. For more head to: codachange.org/podcasts
St Emlyns Podcast - Translating SMACCFORCE into practice
February 18, 2021 23:31 - 20 minutes - 22.8 MBSimon Carley, Natalie May, Ash Leibig and Libby Hanrahan discuss how we can take the ideas, inspirations and thoughts from SMACCFORCE and put them into practice. How do we combat the attitude of "that's not how we do it" to open ourselves up to new ideas and processes? For more head to: codachange.org/podcasts
Helping Without Harming
February 18, 2021 22:59 - 22 minutes - 20.4 MBYou’ve been resuscitating the patient for hours and finally caught up with volume. You come back on your next shift only to find your colleague has been diuresing them all day. What the heck were they thinking!?! This normal response to colleagues when they miss the mark clinically gets in the way of improving their—and our—performance. It’s natural to judge, to assume our own method is best, and condemn “that idiot” for their wrong-headed approach. In fact, a host of research says...
Paramedicine: beyond 2020
February 13, 2021 22:48 - 12 minutes - 13.4 MBNuanced trauma care by the Queensland Ambulance Services High Acuity Response Unit (HARU). A brief outline of the capabilities of HARU and some key principles that make it successful. Could this be a model for other ambulance services to follow in the future? For more head to: codachange.org/podcasts
Why Driving Pressure Matters
February 11, 2021 08:51 - 25 minutes - 23.1 MBDriving pressure promises to be the key variable for optimisation of mechanical ventilation for preventing ventilator-induced lung injury. Find out what it is and why it matters in this talk.
How Resuscitation Works
February 04, 2021 06:33 - 32 minutes - 29.9 MBThis session will review the latest evidence for resuscitative hysterotomy (aka perimortem cesearean section), in light of the latest ACLS guidelines. Is there really evidence for the 4 minute rule? How fast do we need to do this? Terrified of this risky procedure? Come learn some practical tips for getting through this as effectively as possible. For more head to: codachange.org/podcasts
Timing, Tribes and STEMIs
January 28, 2021 21:35 - 20 minutes - 18.7 MBLet’s talk about tribes. Some could say that healthcare is a bit like a tribal jungle. The multiple professions, specialties, departments, tribal language, tribal dress. On one hand, feeling like you belong to a tribe is fulfilling and encouraging. But, there is a dark side to tribalism and some of Vic Brazil's toughest days at work is when this dark side comes out. For more head to: codachange.org/podcasts
Quick hit: Ultrasound for a lumbar puncture
January 22, 2021 01:49 - 6 minutes - 5.7 MBWendy Chang takes us through the use of ultrasound for lumbar puncture and how this should be used consistently, not just for difficult cases and field cases. Recent reviews have shown that using ultrasound for lumbar puncture has the potential to improve our success rate, decrease the rate of traumatic taps, decrease time to success, decrease needle passes and ultimately decrease the patients pain scores.
Cardiac Arrest Physiology
January 11, 2021 01:02 - 11 minutes - 13 MBCardiac arrest physiology is an emerging field of research that may allow us to better understand why clinical trials of cardiac arrest have been so frustrating, why epinephrine doesn’t work, and how we can potentially do better in the future by augmenting blood flow and programming the cells with ischemic conditioning. For more head to: codachange.org/podcasts
Cardiac arrest: low flow and no flow crux
January 11, 2021 01:02 - 11 minutes - 13 MBCardiac arrest physiology is an emerging field of research that may allow us to better understand why clinical trials of cardiac arrest have been so frustrating, why epinephrine doesn’t work, and how we can potentially do better in the future by augmenting blood flow and programming the cells with ischemic conditioning. For more head to: codachange.org/podcasts
Building 21st Century Simulation
December 01, 2020 20:41 - 18 minutes - 19.7 MBMark Forrest, Halden Hutchinson-Bazely & Jason van der Velde talk to us about 21st century simulation. They discuss how tools such as augmented reality are advancing medicine and assisting clinicians. For more head to: codachange.org/podcasts