This talks gives some guidance on how to deal with your anxiety and fear when dealing with children. We will also cover some key topic areas: sepsis, fluids, seizures, asthma and bronchiolitis CODACHANGE.ORG/PODCASTS
Back by popular demand Phil Dobson joins Oli Flower and Liz Crowe in conversation around psychological wellbeing. We ultimately decide where to spend our attention, which is a limited resource, during a typical day. Finding it hard to focus, and at the same time finding it hard to switch off? Multimedia multitasking is training your brain to be distracted. Tune in for some effective strategies to master your attention. codachange.org/podcasts
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. codachange.org/podcasts
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. codachange.org/podcasts
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. codachange.org/podcasts
What makes you fulfilled? What are your top 3 things that you love doing? All too often we tend to prioritise work over the stuff we love doing; we overcommit and work even harder. What's important to realise is that doing the things that we love is not a luxury, it should be pre-empted. Phil Dobson shares strategies for achieving resilience through psychological and emotional recovery. codachange.org/podcasts
Since 1991-1992, competing 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. codachange.org/podcasts
Laura Rock and Jenny Rudolph give strategies for managing interprofessional conflict at the bedside in a critical care setting.
Healthcare is generating 4.6% of the global greenhouse emissions- to put this into perspective, the entire aviation industry is responsible for 4.9% of emissions. Tune in to join Roger Harris & Andrea MacNeill in conversation about moving towards a circular economy where products are designed to be reusable, durable, repurposed and recycled. With net zero referring to the greenhouse gases, Andrea shares a framework for meaningful action. https://codachange.org/2020/07/20/net-zero-for-healthc...
We will describe our program which included: Supporting and developing sustainability and resilience, and workplaceleadership in our clinicians M&M / Incident management Medication safety Implementation of a formalised Clinical Emergency Response System (CERS) in ED
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 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 effects ...
"The pandemic is a reminder of the intimate and delicate relationship between people and planet. Any efforts to make our world safer are doomed to fail unless they address the critical interface between people and pathogens, and the existential threat of climate change that is making our earth less habitable." Dr Tedros Adhanom Ghebreyesus, WHO Director-General. In this cross generational catch up on the post COVID world, Roger Harris, Courtney Howard and Omnia El Omrani are talking about the ol...
In the second part of the podcast focused on POCUS, Cian, Trish, Kylie and Rachel take a deep dive into the ultrasound process during the COVID-19 pandemic. How do we keep our equipment clean? Who do we turn to as a reliable and up-to-date source of information? Now, that the traditional literature is struggling to keep up with the times, and social learning networks aren’t always best evidence where is the knowledge. The “InfoDemic” has been experienced by all. What we do know is that strong PO...
My experience as physician, mother and organ donator to my son. By Dara Kass
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. By Lauren Westafer
Naomi Hammond talks about why follow up after critical illness matters, and why we need to know more about how to do it. Presented at SMACC 2019 in Sydney, Australia
In Australia, we have been hearing from colleagues and the media about how challenging it has been providing healthcare during the pandemic in many parts of the world. We have expected and are prepared for the battle and perhaps to get a chance to be “heroes”. Given that Australia has experienced relatively few COVID infections, some people may feel almost as if they have missed out on their “hero” moment. Some colleagues have expressed feelings such as 'I have had it easy and my colleagues over...
The pandemic has turned everything on its head, and, like with any major catastrophic event, there is an abundance of lessons, take-aways and the new opportunities to be explored in the healthcare setting. By harnessing the power of digital technology, we are now able to connect with the people from different departments, and open up to new ways to communicate. Sliding briefing and debriefing into the frontline work- briefing at the beginning of the shift and debriefing at the end, including men...
An anaesthetist, Dr Rachael Grimaldi is a mum of 3 children under the age of 4, and is currently on maternity leave. Frustrated at not being able to join the frontline in the fight against COVID-19, Rachael saw an opportunity to improve communications with the patients whilst in full PPE by developing an innovative and simple resource, an app called CardMedic. Launched in 72 hours, the app is now improving patient care in 50 counties across the world. Tune in to hear Rachael tell Roger her remar...
Jesse, David and Swami are back in the second part of the Carr's Clinic podcast, nerding out on the ESPN's Last Dance documentary, featuring Michael Jordan and the Chicago Bulls. It's interesting to see how the popularity of sport is leaning into the public health. What are the lessons can we learn from the NBA and The Last Dance documentary? Let's chat! https://codachange.org/2020/06/01/carrs-clinic-part-two/
After being in the trenches for 3 months, just how different will the medicine be in the future? Jesse, David and Swami talk about pivoting, steering the dinosaurs, and the lessons learnt along the way. One thing is certain- social inter-connectedness in healthcare is very important. To stay connected with Coda, subscribe https://codachange.org/you
In the part 2 of the special podcast with Simon Carley we touch on the issues of cognitive bias, that everything you see is COVID-related. Surrounded by the sea of COVID, just how do you manage the strokes, the acute myocardial infarcts, fractured neck aphemas, and the rest of it amidst this catastrophe? Simon shares his thoughts on the life outside COVID.
The legendary professor Simon Carley is joining us all the way from Manchester, UK to talk about positive innovations and evidence based agility. There is a fine balance between being slow to change and missing out on something that might benefit the patients, and jumping in too quickly into something harmful. The panic is understandable, what can we do about this virus, how can we treat it? The pressure to change is so high that the people are losing the plot with the evidence based medicine....
Haney Mallemat is sharing his experiences in Baltimore with Roger and Oli, talking innovation and the phases of creating and culling, as well as the importance of communication in the implementation stages. It's all about finding balance between what would protect you as a provider and give good outcomes for the patient. And sticking to the five principles for assessing new treatments and processes - Safe, Simple, Familiar, Reproducible and Robust.
This is part 2 of the special podcast featuring Reuben Strayer, sharing his first hand experience of the COVID-19 situation in New York with Ashley Liebig, the medical operations commander for the Travis County and a flight nurse. "There was only a brief period between when we first started noticing coronavirus and when seemingly everyone in the city had coronavirus", "emergency providers are working in an environment that resembles a lake filled with coronavirus".
This is part 1 of the special podcast featuring Reuben Strayer and Ashley Liebig, sharing their first hand experience of the COVID-19 situation in New York. "So many people in the region got infected at the same time, long before we were paying any attention to it. And as the patients got sicker, we started to notice a few things, such as this was oxygen deficit we never seen before".
Fear. Is it normal to be frightened during this pandemic, in this period of uncertainty, when we're so used to being very certain about what we do in an emergency and critical care? Does fear and uncertainty impact our communication? Do different departments use different language, do different departments communicate differently? And what do we need to address to help open the flow of communication, and make sure we are closing the loop? Liz, Roger, Chris and Jon talk about communication and in...
This is the second episode of the three part series of the podcast dedicated to technical and communications aspects of managing the airways of COVID patients. In this episode we are breaking down the case of a particular difficult airway case published online by Chris Hicks earlier, and discovering that the approach is not all that different to the guiding principles, communications and checklists we would have used in the non-COVID related intubations. What seems to trip us up is the process, ...
The Coda v COVID podcasts have been focusing on the non-technical skills we need to manage the pandemic crisis, but we have received increased requests to discuss more technical aspects of management. Accordingly, this is the first in a three part series dealing with the process for emergency intubation in the crashing patient with the novel corona virus. Here we discuss the technical protocols and the nomenclature around aerosol generating and airborne type precautions. Importantly, we also dis...
Mary Freer, Roger Harris and Jane Sloane digging deep into the issues of gender equality during the current pandemic. At least 70% of those in the front line as health and community workers are women- and so they have a higher exposure to the virus. But often policies are designed by men, with no diverse representation of women, highlighting the issues of social inclusion. One thing is certain, when women contribute to strategies, we save lives.
