A round table check in between Ireland, Australia and the United States. Hosted by Cian McDermott from Dublin, Trish Henwood (Philadelphia, US), Kylie Baker (Queensland, AU) and Rachel Liu (New Haven, US) share their local experiences on remote education, innovation, and ultrasound in the remote environment. Finding new ways to work, changing priorities, and pivoting fast and hard.
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...
The Future of Battlefield Surgery. The traditional battlefield involved soldiers on both sides, fighting against each other. Today, the battlefield is quite different and this has impacted how we practice surgery. Why? First, the world is full, more than half of humanity lives in cities. Hospitals in developing countries are exhausted and under-resourced. Furthermore, the threats we face today are global - global warming, pollution, air pollution, terrorism and water supply. Modern-day weapons a...
Pacific Island Playlist 5: Mental Health. From #SMACC2019, the incredible Jess Morton speaks candidly about her own mental health journey. Jess knows first-hand how important it is that we give mental health the focus it deserves. Eliminating the stigma that surrounds mental health starts with us as healthcare professionals. We need to lead the way. Pacific Island Playlist song: Unwell by Matchbox Twenty For more head to: codachange.org/podcasts
In this episode, we examine accessibility in healthcare and the limitations to accessing equitable care for all. We must understand both the limitations posed by a patient's disability and the predicted accessibility challenges they face. This requires asking questions about a patient's disability. Healthcare accessibility is not only the physical ability to reach care but also the ability to engage and connect holistically with that care. To truly design a more accessible healthcare system, we ...
The Covid restrictions saw an increase in Telehealth services and a flow-on effect was that it provided a safe space for people with accessibility differences. To sustain this, planning must go into adapting existing clinical practices. We need triage tools to identify which consultations are suitable to provide virtual care before we can engage with patients and provide them with a choice. We need to better understand the problem before we can determine what service changes might appeal to peop...
Healthcare should be equitable and accessible for everyone, but what exactly is equitable access to healthcare? Access is the ability to seek healthcare. The ability to physically connect and to pay for healthcare. Most importantly, access is the ability to engage with healthcare. Open and honest communication with patients is key. Empower people to make decisions about their own care, finding a way to communicate even if in a non-traditional way. The reality is, a lot of clinicians live and wor...
Inspiring clinicians to embrace accessibility will deliver better patient outcomes. It is vital we consult consumers about their disabilities and about what would make their health experience better. This must include listening to patients' stories and understanding both their abilities and limitations. It's an important step towards an equitable healthcare system. When considering whether or not to offer a patient the choice of face-to-face or Telehealth, reflect on their ability to access heal...
Nas Campanella is a high-profile public media identity whose experience of being a blind patient provides a first-hand account of the access and inclusion challenges she faced within the healthcare system. Facing early childhood memories which involved countless hospital visits, she remembers needles, cannulas and feeling incredibly anxious about going into the operating theatre. That was, until the day that she stopped and said, I’ll do this (surgery) if it is my last. Nas wanted to live a happ...
Energy = mass x velocity2, something that travels fast has twice the fatality of potential injury. In the US firearm injuries are unfortunately common and this is a public health crisis. We need to learn how to best treat patients with penetrating neurotrauma injuries. Wendy Chang takes us through methods to best treat these patients. For more head to: codachange.org/podcasts
Creativity in: non fiction Let's face it, your real life is too strange for fiction. And why go looking for the stories, when they come right to you? During this session, we'll explore the tension between telling them, and taking them, how to keep their beauty, or their hilarity, without betraying confidence. Bring your best story, and your worst, and we'll find their true heart. One of the most common questions that gets asked by fellow clinicians, is what it takes to be a writer. Well, if you'...
FOAMed (Free Open Access Medical Education) is an important tool that so many of us are passionate about. The ability for medical education to reach countries around the world is powerful and is driving us towards a healthier future. In this episode of PIP, Alexandra Presler encourages us to lean into the FOAMed community. Everyone can utilise FOAMed, regardless of your position, so talk to everyone, branch out and help make the community bigger. For more head to: codachange.org/podcasts...
Emily Granger takes us through the original cardiothoracic conundrum: what to do about chest injuries and rib fractures? New approaches to the management of severe chest trauma and rib fractures are re-shaping our practice. Tune in to discover how. For more head to: codachange.org/podcasts
Andrew Dixon takes us through five Common Trauma Radiology Misses and Misinterpretations. For more head to: codachange.org/podcasts
Jim Manning tells us why the time is now for Selective Aortic Arch Perfusion in improving cardiac arrest outcomes. For more head to: codachange.org/podcasts
Does adrenaline require resuscitation or is adrenaline good for resuscitation? Gavin Perkins takes us through the research and findings. For more head to: codachange.org/podcasts
Previously at SMACC, Steve talked about NonSTEMI that needed the cath lab immediately and showed many ECGs which represented acute coronary occlusion (Myocardial Infarctions) but present on the ECG as very subtle findings (http://hqmeded-ecg.blogspot.com/search?q=subtle), particularly as subtle ST segment elevation that does not meet “STEMI” criteria and is diagnosed as NonSTEMI. Now, he builds on that idea and challenges the whole idea of a dichotomy between STEMI and NonSTEMI. These are NOT di...
Trauma care should be easy… shouldn’t it? So why doesn’t it feel easy? The clinical component is the easy bit, the challenge is the non-technical factors. Clare Richmond, Chris Hicks, Cliff Reid take us through a SMACCForce simulation debrief and discuss the human factors of trauma care. For more head to: codachange.org/podcasts
An asthmatic who is hemodynamic compromised, can be killed instantly. This distinguishes these asthmatics from the standard asthmatic and how these patients are treated will make a huge difference to the outcome. Haney Mallemat recounts a story of an asthmatic who minutes after he was intubated, became bradycardic, hypertensive and coded. Haney discusses how breath stacking is what kills the asthmatic patient and how we can best avoid this happening to ultimately save lives. For more head to: co...
Airway management needs to be proven, predictable and as simple as possible. Silence = death. It is hard to open yourself up and ask to be coached through something but it can be lifesaving. Laura Duggan explains how to survive Trauma RSI and come out the other side. For more head to: codachange.org/podcasts
We are in the business of saving lives but we are missing the low hanging fruit. To save lives, we must teach ourselves but crucially, we must teach the public to do the basics exceptionally well. The first link in the chain, the bystanders, have to be involved and have to know what to do. Mike Abernethy talks to us about the importance of bystander action. For more head to: codachange.org/podcasts
Neurosurgery is time critical. Our job is essentially trying to avoid death and relieve pressure on the brain as quickly as possible. Acting rapidly is the most important thing we can do but achieving this in the outback and rural communities is challenging. How do we streamline the process to ensure that we care for all people, regardless of geographical location? For more head to: codachange.org/podcasts.
Every child born today will be affected by the climate emergency and affected at every stage of their lives. Canadian sub-arctic is already 2.5c warmer than 70 years ago. Unfortunately, all sorts of health impacts are linked to the climate crisis. Heat stress, chronic disease from air pollution, infectious diseases, malnutrition, famine, displacement… to name a few. We are already resigned to increased global warming which is now locked in for decades to come, so healthcare professionals need to...
The NHS has committed to a net-zero target in 2040, for the carbon emissions that they control directly and a target of 2045 for the broader emissions they can influence. So why is the NHS doing this? It has heeded the science pointing to the climate emergency as the biggest health threat of the 21st century. Nine in ten NHS staff say that they want to see the NHS act more sustainably. What is a net-zero target? As the title suggests Net Zero emissions mean achieving a balance between the produc...
In this episode, we examine some achievable, sustainable and most importantly, meaningful actions that healthcare can take on the climate crisis. Firstly, the climate emergency is not only a healthcare emergency but also a wealth emergency. Financial markets have realised the monetary cost of not taking action to reduce carbon emissions and now whether governments like it or not, the markets are driving change. Secondly, as investors, we have enormous power through our personal superannuation fu...
Re-evaluating how your super is invested can have a huge impact on mitigating the effects of the climate emergency. Why... because most people are invested in the companies that are responsible for climate destruction. The broader Superannuation system is currently worth about $3 trillion. By 2038, it is projected to be worth $10 trillion. With that size comes immense power. Have you ever thought to engage with your super fund and ask, “what are you doing about the climate crisis?” It’s one smal...
Financial markets have recognised that the climate emergency is also a financial emergency. A report out of Harvard recently stated that nearly 1 in 5 deaths globally are associated with burning fossil fuels. Incredibly, the Covid19 pandemic has changed how we see the climate crisis in a number of ways. Firstly, it resulted in an unprecedented decline in global energy consumption during 2020. Secondly, it showed us that in order to deal with the pandemic we must listen to science and take action...
We hear from passionate advocates in different medical fields, as they impart wisdom and discuss how we can all work to be advocates for what we believe in. As healthcare workers, we constantly work together as a team. We need to utilise that teamwork to stand up for what we believe in. For more head to: codachange.org/podcasts
A trauma patient has come in and they have a life threatening, non-compressible haemorrhage. We have a Code Crimson on our hands. In this scenario, your team and your performance can make a big difference to the outcome. We need to rely on protocols, standardised care, implicit communication and shared expectations to manage this as effectively and efficiently as possible. This is what Code Crimson is all about. For more head to: codachange.org/podcasts
The logistical challenge of opening a COVID-19 treatment centre in a developing country is enormous. There is a significant lack of resources such as PPE and essential drugs, as well as medical specialists and sophisticated technology. Khairil Musa reflects on a deployment to Yemen and how in a city with 1.8 million people, having access to only 7 ICU beds led to devastating consequences. During the height of the pandemic, the city recorded an 8 fold increase in the daily death rate. So how do w...
