Coda Change

Pandemic kindness

Jane Munro takes us through the Pandemic Kindness project, and the way the Maslow's hierarchy of needs is applied in the current times of the COVID-19. We have to get the basics right, psychological safety at work is important. To learn more about Jane's Pandemic Kindness fundraiser follow the link.

Understanding how human factors affect teams and safety during COVID-19

Human factors are affecting our performance day to day. How do we make it easy for other people to work with us? Covering a wide array of issues, from PPE to simulation, Martin Bromiley, Liz Crowe and Oli Flower share valuable communications tactics, and the ways human factors affect teams and safety during the COVID-19 crisis.

How do I prioritise sleep to stay healthy and effective in the Covid-19 crisis?

Many of us are having troubles sleeping. The levels of stress have impacted sleep. Are you waking up multiple times a night, not feeling rested? In this podcast Roger, Mary, Liz and Andrew Davies tackle the issue.

Coda v COVID: Anxiety - How do I switch off the noise?

Frightened, anxious, unsure, overwhelmed- just a few of the emotions we are experiencing at the moment as the front line of the global public health crisis. Could it be that all the surrounding noise is provoking the fear? Roger, Mary, Liz and Jesse are discussing possible strategies on breaking free from the grips of the ever escalating anxiety during COVID-19 times. Podcast by Roger Harris, Liz Crowe, Mary Freer, Jesse Spurr.

Managing interprofessional conflict at the bedside

Laura Rock and Jenny Rudolph give strategies for managing interprofessional conflict at the bedside in a critical care setting.

Blood or brain? Head CT updates

Gerrie gives a fantastic 7 min intro into how to decipher a CT brain.

The economic value of large-scale trials in intensive care

Clinical trials are expensive and take years to go. Do they generate patient and economic benefit that justifies the cost of trials?

How to team

Bec Nogajski takes you on a 20-minute journey about YOU. How your team, how you follow, and what leadership style would work for you.

Prognosis and Palliation in TBI

Evie Marcolini talks about an aspect of neurocritical care that we commonly wrestle with: prognostication. Putting the patient at the centre of all conversations is essential. For more head to: codachange.org/podcasts

Targeted Temperature Management: will we ever be cold again?

How can something that makes so much sense physiologically not have any positive trial outcomes? Are we disrupting an important potentially beneficial cellular function by our current processes and timing of cooling? Is it targeted hypothermia or is it therapeutic? Will the TTM2 shed any further light and lead to practice change? All these questions and more will be answered in a snap-shot talk of what is (at least!) a decade-long debate, filled with numerous high-quality studies. For mo...

TTM: will we ever be cold again? Is global warming invading critical care?

How can something that makes so much sense physiologically not have any positive trial outcomes? Are we disrupting an important potentially beneficial cellular function by our current processes and timing of cooling? Is it targeted hypothermia or is it therapeutic? Will the TTM2 shed any further light and lead to practice change? All these questions and more will be answered in a snap-shot talk of what is (at least!) a decade-long debate, filled with numerous high-quality studies.

What is Creativity?

Everyone has the potential to live a creative life - As healthcare professionals, how might we do so? In this talk Grace Leo chats about what creativity is and what it might look like in various areas of our lives. She also interviews Hugh Montgomery; a climate change advocate, story book author and Guinness world record holder for playing the piano underwater.

The latest on Myocardial Infarction

This presentation will give you an update of the current chest pain protocols; including risk scores (HEART, TIMI, EDACS) with / without high sensitive troponin. But also on the newer pathways with rule out of acute coronary syndrome with a high sensitive troponin below the limit of detection or two troponins with a delta. How do we use these chest pain protocols in tomorrow’s clinical practice? How do you choose a protocol that fits in your institution? Which chest pain patient can we di...

Common Radiology Trauma Misses

Andrew Dixon from Radiopaedia goes through 5 classic fails - common misses in trauma imaging. Learn from this rather than missing them yourself! See if you can spot the pathology before Andrew explains it to you - you can scroll through the scans on Radiopaedia here: https://radiopaedia.org/playlists/1976c00393ca4c9d9878566c3487d97a?lang=gb

Strategies for dealing with high emotion in the workplace - Session 4

The Power of Peer Feedback in Medicine

In order to be as good as you can be (self actualisation) you need to understand your own performance and how you are seen in the world. Sadly you cannot do this alone. Arguably all the beliefs about yourself, your actions, your performance and even your own image are skewed, biased and incorrect. You cannot reach your peak without help. Healthcare is complex though. In the resus room decisions are often time critical and information light such that we cannot apply a simple rule as to what ...

The Psychology of Creativity Phil Dobson

Creativity is a highly valued and sought after skill; we all need to solve problems, think in novel ways, and generate ideas, but can creativity be learned? This talk provides a practical framework to help you improve your creative thinking, enhance your problem solving and get greater access to your naturally creative brain. You'll discover how creativity follows a process that can be developed at every stage. You'll learn how to challenge your assumptions and reframe problems. You'l...

Dishing out opioids in the Emergency Department

The rising death toll from our nation‚ opioid epidemic has been rivaled in modern history only by that at the peak of the AIDS epidemic in the early 1990s. Consider, in 1995 at the peak of the AIDS epidemic, 51,000 Americans died from the disease. In 2015, 52,000 died from drug overdoses. Emergency departments have stood at the front lines of both crises. As a specialty that prides itself on rising to the occasion at times of great need, our time to lead on this crisis is now. As a response,...

Dishing out opioids in ED

The rising death toll from our nation‚ opioid epidemic has been rivalled in modern history only by that at the peak of the AIDS epidemic in the early 1990s. Consider, in 1995 at the peak of the AIDS epidemic, 51,000 Americans died from the disease. In 2015, 52,000 died from drug overdoses. Emergency departments have stood at the front lines of both crises. As a speciality that prides itself on rising to the occasion at times of great need, our time to lead on this crisis is now. As a respon...

New Tricks in the Brain Cath Lab

A case example of a large vessel obstruction of the brain and our current techniques available to treat it. How we make decisions on endovascular treatment and management points for emergency and intensive care colleagues.

How do be Mr Spock or Roger Federer with kids

This talks gives some guidance on how to deal with your anxiety and fear when dealing with children. We will also cover some keytopic areas: sepsis, fluids, seizures, asthma and bronchiolitis

In the eye of the storm

in March 2006, six healthy volunteers underwent cytokine-induced injury and multiorgan failure from a Phase 1 first-in-human drug trial with a novel monoclonal antibody. This talk describes the clinical and incident management ramifications, drawing connections to other non-conventional incidents which may pose a different pattern of clinical, operational and communications challenges to the 'classic' trauma-based model of major incidents.

Crit Care basics of EEG

Childhood Trauma: We can all make a difference Mary-Jo McVeigh

This talk will introduce the audience to the dynamics and effects of childhood abuse from a human rights framework. It will explore pertinent aspects of recovery and illuminate the healing possibilities that exist within every relationship between a child and any adult professional.

The Great(est) Fluid Debate

Resuscitation fluids save lives in humans with life-threatening hypovolaemia. The fluid of choice should have biochemical characteristics close to the type of fluid lost and replaced at a rate and volume sufficient to correct the severe fluid deficit. Then stop and consider the early use of catecholamines. There are few indications to give critically ill patients resuscitation fluids after 24 hours of admission. There is no place for synthetic colloids of non-physiological crystalloids. The...

3D printing for Paediatric Anatomical models

Coming soon to a hospital near you! 3D printing is a revolutionary technology that allows for the creation of objects with complex geometry and anatomy with unprecedented accessibility and ease. By developing anatomical models from patient-specific medical imaging for various treatment applications, medical 3D printing represents the next great leap in personalised medicine. In critical care, there are almost limitless possibilities for this new technology in simulation. However, current...

Pacific Island Playlist – Track 2: Death and compassion

Peter Brindley interviews Luise Sayers and they discuss the taboos death, bereavement and what we can do to make it better. This Pacific Island Playlist chosen by Louise opens with Moonshadows by Cat Stevens: https://vimeo.com/271105270 and closes with Monty Python's "Always look in the bright side of life" https://vimeo.com/129646517

Building a creative team

Panel discussion: key features of a team or corporation that facilitate creativity and innovation; exploring how creativity marries up with change management (which sometimes gets a bit of a bad wrap ‚ is it all buzzwords and no action?).

Cutting Edge Cardiac Arrest

A panel with the chairs of ILCOR discussing their two newest protocols. Hosted by Scott Weingart.

A diagnostic challenge: Turning a Zebra into a Horse

David takes us through a tricky case that might test you! Can you pick the diagnosis before Dave reveals all?

Real world outcomes from TBI

Des Gorman talks about real-world outcomes and controversies following traumatic brain injury. His extensive research and experience in this area give a unique insight into what actually happens to the patients we care for.

Back-end sepsis: de-escalating & de-resuscitating

Hallie Prescott tells us about why the back-end of sepsis matters and is a neglected aspect of our management. This sub-acute phase can really affect long term outcomes. Long term exposure to broad-spectrum antibiotics and too much fluid are aspects that matter and that we can modify.

Pacific Island Playlist – Track 1: Dance and Medicine

Peter Brindley interviews Khairil Musa and they discuss Khairils passion outside of medicine: dance. This Pacific Island Playlist chosen by Khairil opens with Medicine by Daughter: https://vimeo.com/215106696 and closes with Momma's Prayers by JP Cooper: https://vimeo.com/237966073

Pre-eclampsia

Kat takes us through the reality of managing pre-eclampsia in South Africa, highlighting what we mustn't miss.

Maternity Mayhem: Emergency management of Pre-eclampsia

Kat takes us through the reality of managing pre-eclampsia in South Africa, highlighting what we mustn't miss.

Fascinating neuro scans - classic CT brain pathology

Andrew Dixon from Radiopaedia covers the common pathology seen on CT scans in critical care. He covers basic anatomy and important areas not to miss, strokes, trauma, herniation syndromes, hypoxic brain injury and diffuse axonal injury

Airway management – it’s a team sport, not a technical skill

Adam gives practical pearls about managing the unexpected difficult airway. He uses a good example, emphasises the importance of effective teamwork and draws from the Vortex approach and the DAS guidelines. Watch out for more from Adam via the Safe Airway Society.

The truth about paediatric analgesia

Treating pain is important. Treating pain in a vulnerable population like infants, who cannot speak for themselves, is especially important. Unfortunately, there is a great deal of evidence, from many clinical settings, that suggests that we don't do a great job treating pediatric pain. Recognizing this problem, and based on a large number of randomized controlled trials, many experts recommended the use of sucrose to manage infants' pain. I question this approach and suggest we are safer t...

Is less best in critical care?

John Myburgh gives a philosophical talk about what life (and death) is really about and what the new challenges are in critical care. Modern critical care has so many potential interventions. John challenges whether doing more is always the right thing to do and gives a good argument for doing less being best.

Unravelling Grief and Loss

Liz Crowe gives sage advice about dealing with grief and loss in the critical care setting, for both relatives and health care professionals.

Intracranial Hypertension and Herniation

There are many ways to skin a cat. Rhonda Cadena discusses management of intracranial hypertension, specifically substantial practice variation, what the evidence shows and what she does in reality.

Muscle wasting in ICU: Fat, Feed and Futility

Muscle wasting in intensive care is the thief of future health. Hugh Montgomery shows us what a big issue this is and what can be done to mitigate the problem.

Outcomes following Brain Injury

Neurological insults such as trauma and haemorrhage disturb the brain in complex ways, affecting multiple outcome domains. A substantial number of patients with even mild brain injury experience long-term emotional, cognitive and physical deficits. Measuring these deficits is at the core of prognostication and research in neurocritical care. However, the most commonly used outcome measures are simplistic scales that focus on functional outcome. There is increasing concern that the way we de...

Clot retrieval for stroke in the extended time window

A case example of a large vessel obstruction of the brain and our current techniques available to treat it. How we make decisions on endovascular treatment and management points for emergency and intensive care colleagues.

Strategies for dealing with high emotion in the workplace - Session 5

Chris Nickson talks about personal moments in his career in critical care that have really challenged him. Jenny Rudolph then builds on the work in the previous sessions. She shows us how to react, accept, reset and engage and outlines the psychological principles which underpin these concepts. Hopefully, these sessions will really help us deal with the workplace stressors we all encounter.

Lactate in Critical Care: Mind the Gap!

ICU through their Eyes

Emotion is always present in critical conversations. When we recognize emotion, validate feelings and respond with empathy and curiosity, we allow patients and their families to engage in the process, to build trust, and to better understand their values. When emotions are too intense, or feelings are not validated, people become disengaged, less trusting, and often fail to explore and understand the deeper values‚and instead may act on raw, surface emotions that actually may not be in thei...

Strategies for dealing with high emotion in the workplace - Session 3

High Performance Teams: The Secrets of Success

The secret of success in teams is not individual behaviour, it's team-based.At the core of every elite team is psychological safety -- defined as shared belief in a team environment that permits interpersonal risk-taking.Risk in this context means the ability to be open, honest, ask questions, seek input, admit mistakes and drive relentlessly towards being better: key behaviours for high performing team leaders and members alike.Psychological safety in health care is both elusive and diffic...

Post-TBI cognitive impairment

The rehabilitation of people who have cognitive impairment after TBI should be based on an understanding of what is the likely cause of that impairment,