"Neuroimaging Nibble Subtle SAH" - Jordan Bonomo
Neuro Imaging Nibble: Subtle Subarachnoid haemorrhage on CT by Jordan Bonomo
Mar 27, 2018•10 min
Coda Change
Coda Conference: Clinical Knowledge, Advocacy and Community.
Melbourne: 11-14 Sept 2022
codachange.org
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Episodes
Patient Communication by Jessica Mason
Jonathan and his wife Anna thought they were coming to the emergency department for a routine sickle cell pain crisis. However, his illness takes him down an unexpected spiral of multi-system organ failure and critical illness. What was a routine patient encounter becomes a much more personal human interaction that causes the provider to question her perspective on chronically painful conditions and realise the effect our words and subtle actions have on our patients. Jessica Mason utilises the ...
Mar 25, 2018•25 min
The future of prehospital trauma resuscitation: Brian Burns
Trauma is an epidemic so what is the future for prehospital trauma resuscitation? The statistics are shocking – 14,000 people a day and 5 million people every year die from trauma. Injuries accounts for 9% of deaths worldwide and they are the biggest killer of under 40s across the world. Incredibly, these numbers are only rising. Dr Brian Burns describes what is largely a silent killer… many critical care doctors and nurses may never get the chance to see, treat or save the patient, because they...
Mar 18, 2018•30 min
The Ethics of Death by Alex Psirides
Dying is not very sexy, but sometimes, dying is the right thing to do. Death is one of the many things that we only get one shot at. There is no second chance at death. Dr Alex Psirides discusses death from a patient, family, doctor and economist perspective. 400 years ago, death was everywhere. Everyone was exposed to dying on a regular basis and people were encouraged to prepare for their death. Things have changed thanks to the intervention of the medical profession. Resuscitation teams, pain...
Mar 12, 2018•28 min
Excellence in Healthcare Communication by Jenny Rudolph
Achieving excellence in healthcare communication requires multiple skills. When conflict arises we are programmed to respond with exasperation and negative judgment. In healthcare, this is especially dangerous. When your patient is in a critical state, the decision about whether to intubate before or after a trip to the CT is best reached with minimal conflict. Jenny Rudolph takes a refreshing angle on the practise of mastering yourself in difficult moments so that patient care is not compromise...
Mar 12, 2018•23 min
Sarah Yong. One of many women leading the way in intensive care medicine.
Sarah Yong is an impressive person. Advocacy, Training, Representation and being a new fellow of the College of Intensive Care to boot. Theres a lot to talk about when you sit down with Dr Sarah Yong. Let’s make it easy by focussing on three big issues; Gender issues; Women in Intensive Care Network. www.womenintensive.org Training issues; The Critical Care Collaborative and the Victorian Primary Examination Course for CICM. www.vpecc.com Representation issues; New Fellows Rep on the Board of th...
Jun 05, 2017•14 min
Rapid Sequence Airway: Darren Braude
Darren Braude discusses the concept of Rapid Sequence Airway (RSA). The evolution of this concept goes back to the start of the 21st century. Here, the practise of ‘archaic’ airway management was common. This involved getting that plastic tube down the patient’s trachea no matter what. However, gradually, the risks of hypoxaemia during airway management become evident. This led to a movement towards extraglottic airways. If the oxygen saturation was dropping and there had been two failed attempt...
May 03, 2017•25 min
Anyone Can Intubate, or Not: Teaching airway skills the antifragile way - George Kovacs
Becoming competent in airway management requires good decision making and and technical skills. Ultimately what matters is how your clinical performance impacts patient outcomes. For this we need to have a clear understanding of what defines success ensuring that its more than just 'getting the tube'. Come to this talk and you'll experience a Canadian take on Guinness, adventure sports, flying a plane and how other factors including failure influence airway management outcomes.
May 02, 2017•27 min
Difficult Airway Society Guidelines Explained
Ellen O’Sullivan presents an outline of the Difficult Airway Society (DAS) Guidelines on airway management. Airway management is a fundamental responsibility and skill of all involved especially for emergency physicians, anaesthetists and critical care physicians. Ellen makes the point that mismanagement of airways leads to severe morbidity and mortality. She provides a few harrowing examples. The 2015 Difficult Airway Society guidelines, published in the British Journal of Anaesthesia in Decemb...
Apr 30, 2017•27 min
Airway Management with Laryngoscopy: Reuben Strayer
Reuben Strayer presents a masterclass on airway management with laryngoscopy. In the past two decades, airway management has been revolutionised by the development of video laryngoscopy, hyperangulated blade geometry, optical stylets, laryngeal masks, and a host of advances in airway pharmacology and technique. The core skill of airway management, however, remains laryngoscopy. Reuben provides his take on how to perform this procedure with success. Firstly, Reuben talks about positioning which i...
Apr 25, 2017•28 min
How to Give the Greatest Presentation in the World: Ross Fisher
Ross Fisher gives his take on how to make your presentations better! Delivering a presentation is a skill like any other, yet few people are actually develop this skill. Instead, they merely copy those they observe and reach the same level of mediocrity. There is more to a presentation than your slides. Ross gives his three main elements of any presentation: The story, the media, and the delivery. In Ross’ view, these elements are all equally crucial to delivering a great presentation. He calls ...
Apr 24, 2017•37 min
Communication in Healthcare (via Music): Suman Biswas
Suman Biswas is an anaesthetist from London, however probably more famous for his satirical song writing career, gives a poignant talk about communication. Suman provides his ideas about talking and communicating with patients. As everyone knows, anaesthetists do not need to talk to their patients! Quite the contrary, as Suman divulges they indeed do. They need to establish rapport, gain trust and share information – much like every other member of the healthcare team. Therefore, Suman will prov...
Apr 24, 2017•27 min
The FemInEM Story: Celebrating Women in Emergency Medicine
Jenny Beck-Esmay, Dara Kass and Stacey Poznanski tell the story of FemInEM and celebrate women in Emergency Medicine. Jenny shares the story of Casey Drawert, a doctor who was tragically shot to death by her husband. This incident opened the discussion regarding how common domestic violence in physician relationships is. In response to this incident, Esther Choo wrote "Intimate partner violence, a physician mother and our call to action" for FemInEM. Esther's post garnered a lot of attention and...
Apr 23, 2017•29 min
The Art of Learning Medicine: Sandra Viggers
Sandra Viggers delves into the art of learning medicine. Sandra asks the question: can students choreograph their own education? On one hand, people believe students cannot choreograph their own education for various reasons. She calls such people behaviourists who push others back in line if they do not agree with their views. Behaviourism is a top to bottom approach. The teacher is not a facilitator but an instructor. It produces MDs with knowledge that is not applicable to real life. On the o...
Apr 17, 2017•26 min
Lessons from elite sport brought to medical training
Tom Evans wants to bring lessons from elite sport development and training to medical education. Caring for the critically unwell is an important and difficult task. So, preparing our people to meet this challenge should be all about excellence. These are all true of sport – and Tom contends perhaps medical training! Nothing happens quickly in sport. It takes time, often many years. There are a number of challenging tests along the way for an athlete to reach the pinnacle of representation. So h...
Apr 16, 2017•30 min
Prehospital care, how do I get trained properly, panel discussion - Gareth Grier
This will be a panel discussion with a focus on the different styles of training and education in prehospital care.
Apr 13, 2017•12 min
Lessons from Wilderness Medicine: Ross Hofmeyr
Ross Hofmeyr divulges some stories from his experience of wilderness and expedition medicine. In his words, wilderness and expedition medicine is the epitome of practical, pragmatic, minimalist and thoughtful care. Austere and extreme environments require special knowledge, critical thinking, innovative practice, and sometimes cunning improvisation. Moreover, diagnosis in the wilderness relies heavily on clinical examination skills. Monitoring is limited and treatment options are determined by t...
Apr 11, 2017•28 min
Bombing of Hospitals in Warzones: Kathleen Thomas
Kathleen Thomas describes her harrowing experience of a warzone whilst working in the ICU and ED of the Médecins Sans Frontières run Kunduz Trauma Centre (KTC) in northern Afghanistan. Kathleen describes her work during a week where she found herself caught up in an eruption of war. The Taliban forcibly took control of Kunduz from the US backed Afghan Military. This marked the beginning of a challenging week of heavy conflict in which the hospital was the only facility providing impartial medica...
Apr 10, 2017•27 min
POCUS in Resource Limited Environments: Trish Henwood
Trish Henwood talks on all things point of care ultrasound (POCUS) in resource limited environments. According to the World Health Organisation, 80-90% of all diagnostic problems can be solved by basic radiograph (x-ray) and ultrasound (US) examinations. However, the problem is that two-thirds of the world’s population currently has no access to imaging technologies. From refugee camps in Greece, to rural clinics in Australia, to Everest Base Camp, POCUS is one of the most powerful diagnostic an...
Apr 09, 2017•23 min
How Not To Miss Aortic Dissections: David Carr
David Carr teaches you how not to miss the diagnosis of aortic dissection. David breaks down the key pearls on history and physical exam that guide you into correctly suspecting a dissection. Aortic dissection is a challenging diagnosis that you cannot afford to miss. The talk aims to give you the framework to avoid missing the diagnosis. Firstly, David begins by teaching you what questions to ask in the history to raise the suspicion of an aortic dissection. These include onset, quality, and ra...
Apr 06, 2017•24 min
Who should be intubated pre-hospital - Gareth Grier
Gareth Grier discusses who should be intubated following severe trauma pre-hospital.
Apr 06, 2017•12 min
Pre oxygenation, the powerful pawn in Prehospital RSI - Dr Geoff Healy
This talk will look at current and previous pre oxygenation practices and some of the current research. It will also discuss the notion of commitment to evolution of practice, the breakdown of cognitive biases and how to move forward with adequate self reflected practice.
Apr 04, 2017•15 min
Teamwork and Communication in Critical Care: Peter Brindley
Peter Brindley explains why teamwork is the strongest drug in the hospital. Modern acute care medicine is eye-wateringly complex and potentially dangerous. It really can’t be delivered safely without deliberately addressing our teamwork (in both acute and chronic situations). Unfortunately, historically, human factors were commonly left to chance, and recently have been threatened by decerebrate checklists and meaningless ‘psychobabble’. Peter describes communication and its critical role in the...
Apr 02, 2017•25 min
Prehospital red blood cell transfusion - is it enough? - Richard Lyon
Richard will cover the rationale and evidence for prehospital blood product transfusion in trauma, look at the available current and future options, suggest best clinical practice and highlight areas of future research.
Apr 01, 2017•12 min
Management of Extra-Cranial Injuries in Patients with TBI
William Knight presents the considerations in the management of extra-cranial injuries in patients with traumatic brain injuries (TBI). Patients with TBI often have concomitant systemic injuries that complicate the management of the TBI. In this talk William presents his five top areas to think about – prognostication, suitability for the operating room, use of ventilators, pressure considerations and monitoring. Prognostication becomes difficult when a brain injury is added to other injuries du...
Mar 30, 2017•18 min
Learning from Error in Paediatric Sepsis
Jo Anna Leuck discusses how to learn from error in paediatric sepsis. Rory was a healthy 12-year-old boy, known for his smile and for standing up for others. A simple fall during basketball practice caused an abrasion on his arm. This is the suspected beginning of a cascade of events that led to his death from sepsis. Rory was seen by both his paediatrician and a local Emergency Department and was sent home with a diagnosis of a viral illness. He returned the next day in septic shock and died sh...
Mar 28, 2017•25 min
Hospital Handover of Major Trauma: Kieran Henry
Kieran Henry gives his insights into hospital handovers of major trauma. He makes the comparison between prehospital care and the life lived in a Western movie. Kieran stresses that he does not want you to behave like a cowboy, jumping off your horse (ambulance) as it is still moving into town, without much dialogue and with no one really knowing what is happening. Instead, be the preacher man! Be cool, concise, and clear in your messaging. Prepare, practice and be professional. Much like the pr...
Mar 28, 2017•9 min
Life and Treatment After Sepsis: Simon Finfer
Simon Finfer explains the future of sepsis treatment focusing on life after surviving sepsis. Sepsis is the life-threatening condition that arises when the body’s response to an infection damages its own tissues and organs. It can lead to shock, failure of multiple organs, and death. Organ failure and death are more likely if sepsis is not recognised early and not treated promptly. Sepsis is the leading cause of death from infection around the world and contributes to or causes half of all death...
Mar 27, 2017•26 min
Hypothermia in Treatment of Traumatic Brain Injury
Alistair Nichol explains the use of hypothermia in the treatment of traumatic brain injury (TBI). TBI is a major cause of mortality and long-term morbidity. It leads to terrible outcomes and is a major cause of health burden across the globe. Prophylactic hypothermia presents a promising treatment to address this hidden epidemic. The pathophysiology of TBI is exceedingly complex. Evidently, one drug will likely not be the answer. This leads Alistair to discuss hypothermia as a treatment for TBI,...
Mar 26, 2017•23 min
Rethinking Acute Management of Stroke: Ryan Radecki
Ryan Radecki urges you to rethink the acute management of stroke. The current way of thinking about stroke and the acute treatment has been around for decades. In this time, a lot has changed, new technologies have been developed and we have learnt a lot about the underlying physiology of stroke. Endovascular therapy, CT perfusion, and patient-level predictive modelling are now all at the disposal of clinicians. Moreover, Ryan wonders if we are using the current treatments – namely tPA – more sa...
Mar 21, 2017•18 min
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