Coda Change

Optimise don’t compromise, peri-intubation physiology

Crystalloids and colloids used in critically ill patients have different fluid composition. The composition may affect many things, including response to administration, clinical outcomes, and adverse effects. This talk with discuss the evidence behind the different types of fluids in critically ill patients, including a discussion of pros and cons of each fluid type.The session will be an interactive discussion led by investigators who have conducted randomized trials of different types of...

The SMACC 2019 Opening Ceremony

The SMACC Opening Ceremony is an integral part of the conference welcoming delegates to an educational experience unlike any other. Inspiration for SMACC Sydney included the inverted triangle: the alchemical symbol for water which is steeped in history and meaning to represent the City of Sydney and a celebration of diversity and resilience. Retrofuturism influences the design and theming of SMACC Sydney by playing on different aspects of 80’s and 90’s popular culture. Using music as a stor...

I Don't Trust Doctors

Social media has allowed for important spread of medical knowledge to the public but has also seen the inexorable rise of fake news. Mistrust in the medical profession may be exasperated by misinformation in public domains. Prominent cases such as the Jahi McMath case have led to ethical discussions regarding death. How are we going as neurocritical care professionals?

Strategies for dealing with high emotion in the workplace - Session 2

Technology vs Learning: Are We Winning Yet?

Technology is good for learning‚ information and even wisdom at our fingertips, tech like simulation and virtual reality is cool. And technology really hit its straps with social and collaborative learning. But technology is bad‚ distracting, and multi-tasking impairs learning, our health can suffer, and good technology can be badly applied (eg PowerPoint as a "crime against connection" in presentations). Some technology is expensive without learning impact, and social media and the interne...

Is Intensive Care becoming an out-of-hours acute palliative care service?

It's hard to die without passing through MET-calling criteria; if you try to do so on a hospital ward, chances are you'll have an Intensivist next to you. By designing systems to detect patient deterioration, we've inadvertently invented acute palliative care. How did we move from resuscitators to out-of-hours death doulas so rapidly? Is death the future of Intensive Care Medicine?

Neonatal critial care: a journey

A neonates journey, just what feedback would your neonatal patient give you after 3 months of intensive care? Listen to the innocent observation and experience of daily life in NICU and perhaps approach a future patient with little voice slightly differently.

Creativity in: A medical career

How can you live a full creative life in the midst of a busy medical career? Fiona gives a very inspiring talk at the Get Creative Workshop, discussing the fascinating pathway her life has taken, allowing her to fulfill her creative potential whilst still developing her medical career as a paediatric emergency physician.

Strategies for dealing with high emotion in the workplace - Session 1

Defending Bawa-Garba: When Healthcare Becomes a Crime

Delivery of safe healthcare currently faces unprecedented challenges in the UK and globally. This arises, at least partly, from a rising involvement of the criminal law in the investigation of medical errors apparently conflicting with the need to respect a "duty of candour". As a result, doctors face enormous pressures in fear of being blamed for medical errors. David Sellu is a consultant surgeon who was convicted for gross negligence manslaughter in late 2013 after the death of a patient...

Drugs in cardiac arrest. Should we bother?

OHCA, Out of Hospital Cardiac Arrest is surrounded in controversies from bystander CPR and the use of Adrenaline, to airway management and mechanical CPR. Who better to hear the latest updates from other than Gavin Perkins, author of Paramedic 2 and lead on ILCOR guidelines

Wellbeing for healthcare providers: 3R'S - Reinvigorate

Learn how to reinvigorate yourself after nights, a period of downtime, or when you are recovering from compassion fatigue or post critical care exhaustion - Reflection is Key

Wellbeing for healthcare providers: 3R'S - Reflect

What can Prehospital and Retrieval Medicine teach us about life? Natalie May reflects on lessons learned at Sydney HEMS - from the practical to the philosophical.

Wellbeing for healthcare providers: 3R'S - Rest

Many critical care practitioners, like workers in other industries, sleep less than recommended amounts, in what is truly an epidemic of poor sleep in our modern industrialised society. The effects of sleep deprivation are serious and visible across all levels of our community. The actual proportion of people who can live on insufficient sleep is extremely low and the first step towards improvement is to recognise when our sleep tank is running on empty. Simple changes in daily habits based...

Healthcare and Gun Violence: Kings Against Violence

According to the WHO, there are more than 400,000 homicides globally each year, with millions more suffering from non-fatal injuries. Our hospitals and emergency departments care for many of these patients; however, many return with repeat injuries or are killed within 5 years. In order to reduce intentional violence, it is necessary to discuss and understand its root causes. Dr. Gore’s talk will touch on some of the root causes of violence and further discuss the program he founded calle...

Communicating with Graphics

Oli Flower presents at the Get Creative workshop on how to communicate with graphics. We all use images to get our messages across - how can we do this more effectively? He talks about understanding your target audience, techniques for brain storming, and the importance of getting criticised.

Saving lives from sepsis - not the SCC guidelines

Evidence based medicine holds RCT's, randomised Control Trials, as the highest level of evidence but they are often poorly constructed and misinterpreted. This talk by world renowned clinical researcher Professor Simon Finfer analyses the common mistakes and failings of RCT's and describes way that we can do better.

The latest on Tranexamic Acid TXA

Emergency Medicine operates early in the course of disease when uncertainty is high and information light. We need to do things that help us cognitively offload in the care of critically ill patients.In how many specialties would you be expected to acutely manage (and possibly resuscitate) anyone who comes to you for care‚ young or old, surgical or medical, sick or not sick with limited time and information. We are constantly having to think outside the box.Consider these 4 topics when thin...

Trauma in the ICU: Road to Resus Chapter 3

Episode 3 follows the trauma patient into the ICU and focuses on the management of Septicaemia, Antibiotics, Steroids for sepsis and how gender inequality within medicine can adversely effect patient outcomes.

Emergency Literature Hot updates

Presenting the best literature on resuscitation published 2018 including Paramedic 2, Airways 2, CAM, A rapid fire review critically analysing the hottest papers published during 2018. A fantastic overview of all things resuscitation.

Managing risk & cognitive bias to enable innovation in healthcare

Cognitive bias and risk management are vital understandings to high performance teams in medicine . My extreme sports seem like extreme risk to many people but I have survived 20 years in these disciplines following risk management strategies learned in critical care medical environments. I am interested in the role cognitive biases play in every day and critical decision pathways. In particular I am interested in the Affect Heuristic. My talk borrows from my extreme sport and critical care...

MANAGING RISK & COGNITIVE BIAS TO ENABLE INNOVATION

Cognitive bias and risk management are vital understandings to high performance teams in medicine . My extreme sports seem like extreme risk to many people but I have survived 20 years in these disciplines following risk management strategies learned in critical care medical environments. I am interested in the role cognitive biases play in every day and critical decision pathways. In particular I am interested in the Affect Heuristic. My talk borrows from my extreme sport and critical care...

Creativity in: Presentations

The presentation guru Ross Fisher gives a workshop on how to be creative and engaging when you're presenting, no matter what your topic is.

Best Emergency Medicine literature of the year 2018/19

Ken Milne the author of skeptics guide to emergency medicine SGEM reviews the hottest critical care literature for 2018 2019. Ken reviews articles from the Lomaghi trial on magnesium for rate control in Atrial fibrillation, Expulsive therapy for renal calculi with Tamulosin, Oxygen therapy in critical illness in the Iota trial and finally aromatherapy for nausea and vomiting.

Performing Arts and Medicine: Brindley interviews Khairil Musa

Peter Brindley interviews Khairil Musa about Performing Arts, specifically dance, and how this complements his career in critical care.

Resus in Emergency: Road to Resus Chapter 2

Episode 2: Series of three episodes spanning the patient journey from roadside pre-hospital trauma through the emergency and resuscitation rooms to the Intensive Care unit. In this first episode Ashley and Rueben use a panel of experts to examine some of the major pre-hospital resuscitation controversies including Pre-hospital intubation and blood tranfusion.

Gender Equality in Healthcare: Stepping up when you need to ‘attend’ to your cause

After many years of feeling frustrated about gender inequity and harassment in healthcare, I decided to do something about it. My advocacy in the age of social media has been a surprising and exhilarating journey, and led me to believe that even the most ordinary person, when activated around a cause, can have impact.

Gender Equality in Healthcare by Esther Choo

After many years of feeling frustrated about gender inequity and harassment in healthcare, I decided to do something about it. My advocacy in the age of social media has been a surprising and exhilarating journey, and led me to believe that even the most ordinary person, when activated around a cause, can have impact.

Creativity in: Fiction

Exploring the many aspects of creativity which may, or may not, assist you in a life of critical care medicine.

Paediatric Constipation

Paediatric constipation is a common problem and the biggest problem clinicians make is not taking a thorough bowel history. Forty percent of paediatric patients in Emergency have abnormal bowel habit. Constipation is not what you pass as a bowel habit but what you don't pass - Its what is left behind that causes the constipation.

Critical Care Nutrition: Are the Citically Ill Actually Hungry?

The delivery of nutrition to the critically ill is incredibly complex. There is little evidence that providing standard nutritional requirements of 25K/cal/Kg improves outcome. Foremost amongst this evidence is the TARGET trial, a large randomised controlled trial of 4000 patients in Intensive care.

Pre-hospital Resuscitation: Road to Resus Chapter 1

Road to Resus is a three day series of a patient experience, with critical decision points at every turn allowing the audience to decide on the course of action after hearing from topic experts.

Framing the issue: when climate change is a medical emergency

Humans aren't wired for connecting immediate pleasure (unprotected sex, alcohol, drugs, cigarettes) with some ethereal medium-term risk. As a result, 'public health campaigns' rarely work. Meanwhile, we make decisions far less based on 'fact' than on 'emotion'. When did you ever see a chocolate ad telling you about the ingredients? This may be why we have failed to convince public or politicians alike to take action on climate change. Hugh will discuss such issues from his personal work in t...

SMACCForce: Prehospital Neurosurgery

SMACCForce: Prehospital Neurosurgery by Mark Wilson

SMACCMini: I am the Decider

SMACCMini: I am the Decider

SMACCMini: He's a bit different, he's a surgeon

SMACCMini: He's a bit different, he's a surgeon by Ross Fisher

SMACCMini: The snakes and ladders of paediatric DKA - how to win every time

SMACCMini: The snakes and ladders of paediatric DKA - how to win every time by Heather Murray

SMACCMini: So you think you can dance? Play and purposeful skills in PEM

SMACCMini: So you think you can dance? Play and purposeful skills in PEM by David Krieser

Hardcore ICU: Critical Care game changers

Hardcore ICU: Critical Care game changers

Hardcore ICU: Talking to patients and their families about critical illness

Hardcore ICU: Talking to patients and their families about critical illness

SMACCMini - Micro

SMACCMini - Micro by Hazel Hilton

Hardcore ICI: End of Life Care in the ICU

Hardcore ICI: End of Life Care in the ICU

Hardcore ICU: Panel Debate

Hardcore ICU: Panel Debate

Hardcore ICU: When I prescribe blood on ICU

Hardcore ICU: When I prescribe blood on ICU

Hardcore ICU: Anticoagulation for RRT: Heparin or Citrate?

Hardcore ICU: Anticoagulation for RRT: Heparin or Citrate?

Hardcore ICU: What does raised ICP mean?

Hardcore ICU: What does raised ICP mean?

Hardcore ICU: Rewriting the sepsis definitions for low to middle income countries

Hardcore ICU: Rewriting the sepsis definitions for low to middle income countries

Hardcore ICU: You cured their sepsis so why are they back in my ED?

Hardcore ICU: You cured their sepsis so why are they back in my ED?

Hardcore ICU: Managing refractory hypoxaemia

Hardcore ICU: Managing refractory hypoxaemia

Hardcore EM: Next Level Lung US

Hardcore EM: Next Level Lung US