Coda Change

Human connection: you choose the future

Why are we all so tired and hungry? Mary Freer, Jesse Spurr and Fiona Kerr talk about the value of human connection, and the effects of communication technology has on human brain. As many people are currently working from home, not sharing the same space and touch has a roll on effect on our mood and energy levels. We find ourselves going into inertia, getting tired easily, different parts of our brains are trying to look for information as we live in the emerging environment and don't know wha...

How do we communicate when there can be no visitors during COVID-19

Today Roger and Liz invite Angela Tonge, the Intensive Care and Trauma Social Worker, to talk about how distressing it is to not be able to have the families visit patients in the ICU. With the focus on treatment, family distress has been out of sight, out of mind. And the distress of someone dying in the ICU is immense.

How can healthcare workers keep fit to stay well

The muscle whisperer Kym Siddons, talks with Mary Freer, Roger Harris and Oli Flower about sprinkling self care into your day. How important it is to be checking in with your body, and incorporating movement into your routine. Little movements can make a lot of difference, like shifting up your body weight may provide a welcome relief, or a covert stretch alleviate lower back pain. Great tips that are easy to implement.

Eating well to keep healthy

If you're finding yourself reaching for a bowl of cereal late at night after a long and stressful shift at work, you're not alone. Roger Harris, Mary Freer and Emma Strutt talk diet, and what to do when your body is craving quick release carbs.

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.

Sepsis: What even IS “usual care” now?

Since 1991-1992, competing for sepsis definitions have--with varying degrees of success--attempted to capture the difference between normal and abnormal host responses in order to help researchers and clinicians improve care. The most crucial basis of "usual care" in sepsis treatment is, simply, who is deemed fit to receive it.

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 more head ...

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 dischar...

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 is go...

Pacific Island Playlist track 3: Emergency Medicine in Fiji

3 R’s of Sexual Assault in Critical Care

Sexual assault affects 1 in 3 women and 1 in 6 men during their lifetime worldwide. It is more common than most medical issues we are trained to look for, despite this being a patient population we are going to see by virtue of the "anyone, anytime" nature of an emergency and critical care. Generous estimates find than only 20% of survivors present for medical care and may not disclose this initially in their visit. Look for it during public holidays, large parties or concerts, college or univer...

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, EDs...

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 effe...

Live(r) Life

I am part of the opening panel.