Every two years the processing power of computers doubles, while the cost halves. Advances in technology are making ultrasound more accessible and effective than ever. To adequately use ultrasound you need three things - Have a machine - Be able to acquire the images - Interpret and utilise the images effectively, safely and accurately Ben Smith and Jacob Avilla run us through how technology has enabled ultraportable, ultracheap ultrasound and how this stands to make an incredible global impact....
Mar 21, 2021•12 min
We all have to be advocates for the role we play in patient care. We have to collectively navigate and challenge the decision makers to ensure progress into the future. For more head to: codachange.org/podcasts
Mar 21, 2021•4 min
Resa Lewiss talks to us about the evolution of point-of-care Ultrasound in Trauma, focusing on the FAST examination. Three takeaways: 1. Ultrasound cannot replace CT scan. 2. Ultrasound is a data point in your patient care management. 3. Ultrasound decreases time to definitive management. For more head to: codachange.org/podcasts
Mar 20, 2021•15 min
The exciting possibilities for tomorrow’s medicine are endless. There’s the chance that we could revolutionise diagnostics with AI. There’s the opportunity for us to use smart phones and wearable technology to allow health professionals to deliver care outside of hospitals. There’s the possibility to use 3D printing to manufacture drugs at local pharmacies, personalising drug treatment for individual patients. These are all possible with technologies that exist today. However, on average it take...
Mar 17, 2021•16 min
RCTs deliver the most reliable evidence to guide how we treat our patients but they are badly designed, inaccurately reported and misunderstood. We can do better. For more head to: codachange.org/podcasts
Mar 17, 2021•13 min
Professor Owler discusses his experience in his various roles to achieve successful outcomes both in terms of health policy as well as legislative changes. He will discuss the role of doctors in this process and how to interact with government, media and stakeholders to achieve better outcomes for patients and the community. For more head to: codachange.org/podcasts
Mar 15, 2021•11 min
In this episode of CodaZero Cure our stellar line-up of panellists take a deep dive into Sepsis post Covid-19 and reflect on the many opportunities and challenges presented. First, we hear from vaccination uptake expert, Julie Leask, on Covid, vaccination and medical misinformation. Julie highlights some of the key drivers of vaccination hesitancy in society and challenges us, as health professionals, to work together to better inform our community. Next, Senior Intensive Care Registrar, Khairil...
Mar 13, 2021•1 hr 27 min
It's a challenge to think of a single large multicentre RCT or therapy introduced to critical care in the last 20 years that has meaningfully improved outcomes, yet across the board our outcomes improve year on year, largely due to improvements in Process getting the diagnosis right earlier, instituting therapies that work sooner, and minimising iatrogenic injury. The implementation of ultrasound into bedside clinical practice in emergency departments and intensive care units have accelerated th...
Mar 12, 2021•26 min
If we harness the experiences of hundreds of colleagues who have managed the same rare clinical event we would discover what works, what doesn't and why. For more head to: codachange.org/podcasts
Mar 12, 2021•15 min
There is enormous concern within the health community regarding public misinformation and the successful rollout of vaccines. They are concerned about the psychological safety of medical professionals in the post-pandemic world. They are worried about the emotional toll that long periods of separation from family and friends have on people from around the world. Now more than ever, we should share our knowledge and experiences on an international scale. We should not lose the sense of equity and...
Mar 12, 2021•10 min
The challenge of balancing public health and the law, with personal responsibility and freedom, is driven by access to information. We need to invest in public awareness, reflect on the learnings from COVID and use that for messaging at scale. Like Covid, we know that the prevention of sepsis relies on education, early detection, sanitisation, antibiotics stewardship and availability of resources. Post the COVID-19 pandemic, how do we ensure the correct information is available to the public so ...
Mar 12, 2021•19 min
COVID 19 has completely disrupted communities around the globe and caused enormous loss as well as untold human suffering. The development of such effective vaccines has given us hope for the future, but the unprecedented speed at which these have been developed has raised some questions. The WHO recently has identified vaccine hesitancy as one of the top 10 public health issues facing global health. To ensure a high uptake of vaccines globally, the community needs transparent, honest and factua...
Mar 12, 2021•31 min
ECMO is a life-saving intervention for critically ill patients, but patients describe a recovery period that can take months to years. For more head to: codachange.org/podcasts
Mar 10, 2021•14 min
Those of us looking after kids know that making confronting situations better for those kids is one our biggest challenges. A kid's experience of a procedure in hospital is not just about that particular procedure. It colours all their future interactions with health professionals and can impact on their behaviour outside health care settings. Virtual (VR) and augmented reality (AR) are new technologies that really rely on old techniques - telling a story and transporting a person to another pla...
Mar 09, 2021•25 min
In the ER, we are taught to turn towards the pain of others. We are not given as deliberate advice on how to care for ourselves despite the adversity we see, and the inevitability of being hurt by it. If our role is, at least in part, to steward health towards others, we defy its logic if don't extend the same caring to ourselves. Being well, and if not, knowing the direction, is as vital as being able to get a blind subclavian line in a bleeding trauma patient. Our culture, instead of a place o...
Mar 05, 2021•17 min
Salim and Ken go toe-to-toe debating some hot topics in critical care. They take on mechanical CPR, adrenaline for out of hospital cardiac arrest, stroke ambulances and 1st pass with a bougie. Fun and informative. For more head to: codachange.org/podcasts
Mar 04, 2021•25 min
Sepsis is a common and deadly condition, but diagnosis in not always knowable in real-time. The optimal treatment during times of diagnostic uncertainty differs across patients. Despite this reality, sepsis performance is uniformly assessed and reported for a population knowable only in retrospect—the patients ultimately judged to have sepsis at hospital discharge. This limits effective audit and feedback to incentivise clinician behaviour. Personalised, real-time assessments of a patient’s risk...
Mar 02, 2021•15 min
Mulinda shares how setting up an emergency department at a public tertiary hospital resulted in contributing to improving a district primary care system improvement program in Malawi. The link between performance of a health system can affect the community's health seeking behaviours. Insight into how improving patient care pathways can assist in creating patient centred, efficient and effective emergency care provisions will be shared. For more head to: codachange.org/podcasts
Mar 01, 2021•17 min
An overview of causes of surgical vomiting in the neonate. This includes malrotation-volvulus, intestinal atresias, necrotising enterocolitis.
Feb 25, 2021•24 min
ECMO is alife-saving intervention for critically ill patients, but patients describe a recovery period that can take months to years. For more head to: codachange.org/podcasts
Feb 25, 2021•26 min
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. For more head to: codachange.org/podcasts
Feb 24, 2021•10 min
Being able to open any mobile phone camera enables triage of scene (mechanism of injury) and patient (physiology). This enables better resource allocation and can start treatment sooner. For more head to: codachange.org/podcasts
Feb 22, 2021•13 min
PHEM is a male dominated speciality but why is that? Caroline Leech takes us through the reasons why this inequity exists and how we can breakdown barriers. For more head to: codachange.org/podcasts
Feb 18, 2021•11 min
Simon Carley, Natalie May, Ash Leibig and Libby Hanrahan discuss how we can take the ideas, inspirations and thoughts from SMACCFORCE and put them into practice. How do we combat the attitude of "that's not how we do it" to open ourselves up to new ideas and processes? For more head to: codachange.org/podcasts
Feb 18, 2021•20 min
Nuanced trauma care by the Queensland Ambulance Services High Acuity Response Unit (HARU). A brief outline of the capabilities of HARU and some key principles that make it successful. Could this be a model for other ambulance services to follow in the future? For more head to: codachange.org/podcasts
Feb 13, 2021•12 min
Wendy Chang takes us through the use of ultrasound for lumbar puncture and how this should be used consistently, not just for difficult cases and field cases. Recent reviews have shown that using ultrasound for lumbar puncture has the potential to improve our success rate, decrease the rate of traumatic taps, decrease time to success, decrease needle passes and ultimately decrease the patients pain scores.
Jan 22, 2021•6 min
Cardiac arrest physiology is an emerging field of research that may allow us to better understand why clinical trials of cardiac arrest have been so frustrating, why epinephrine doesn’t work, and how we can potentially do better in the future by augmenting blood flow and programming the cells with ischemic conditioning. For more head to: codachange.org/podcasts
Jan 11, 2021•11 min
Mark Forrest, Halden Hutchinson-Bazely & Jason van der Velde talk to us about 21st century simulation. They discuss how tools such as augmented reality are advancing medicine and assisting clinicians. For more head to: codachange.org/podcasts
Dec 01, 2020•18 min
Traditional selection of clinicians (nurses, paramedics and doctors) relies upon standard assessments. Or does it? Many clinicians are selected on the basis of their curriculum vitae, plus an interview and reference check. Is this the best approach to selecting high-performing clinicians to work in austere settings? Performance equals capability plus behaviour. If we are to select clinicians to perform in a high-stakes, high-hazard environment, then what criteria should we use? What individual m...
Nov 30, 2020•13 min
The future of pre hospital care; Treatments and technologies on the horizon. For more head to: codachange.org/podcasts
Nov 30, 2020•13 min
