We will describe our program which included: Supporting and developing sustainability and resilience, and workplace leadership in our clinicians M&M / Incident management Medication safety Implementation of a formalised Clinical Emergency Response System (CERS) in ED
This talk introduces the concept of a new generation of pulmonary embolism (PE). What was once considered a deadly disease process now carries a mortality rate of < 3%, which may be driven by overtesting as well as overdiagnosis. This talk will explore this phenomenon and current evidence-based approaches to the evaluation and treatment of PEs.
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 barrier...
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
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?).
A panel with the chairs of ILCOR discussing their two newest protocols. Hosted by Scott Weingart.
David takes us through a tricky case that might test you! Can you pick the diagnosis before Dave reveals all?
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.
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.
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
Kat takes us through the reality of managing pre-eclampsia in South Africa, highlighting what we mustn't miss.
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
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.
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 to ass...
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.
Liz Crowe gives sage advice about dealing with grief and loss in the critical care setting, for both relatives and health care professionals.
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 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.
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 define ...
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.
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.
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 their bes...
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 difficult t...
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,
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 intr...
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 storytell...
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?
