"Keeping the pressure down" is a podcast episode about a real life Paedatric Emergency case. The Episode explores what Emergency Fellow Dr Janani Prageshan experienced whilst on a busy evening shift and how she deal with the situation. The conversation explores themes of advocacy, clinical judgment and also how to deal with a specific ophthalmology Emergency. Show notes -Lateral canthotomy and cantholysis - procedures guide and app https://litfl.com/procedure-lateral-canthotomy/ - Eye manual ACI...
May 05, 2025•46 min•Ep. 57
This episode i sat down with ED consultant Dr Siobhann Ritson and discussed an interesting case and talked about simulation. Siobhann works in a mixed emergency department and is also a Director of medical training in the emergency department. The episode was predominately focused around and interesting paediatric case and how cases can evolve whilst patients are in the ED. We also discussed simulation and Siobhan gave us some tips for running a good simulation. Case notes - Potts puffy tumour r...
Jan 10, 2025•49 min•Ep. 56
This episode I sat down with the experienced emergency nurse practitioner Al Hodge to discuss his new venture into the urgent care space. Al discussed the future of nurse practitioners and the reason why nurse practitioners are useful in urgent cares environments and emergency departments. Within the episode we also discussed a clinical case and how good decision-making can save lives. Al is also a successful Sydney based author. His books are focused within the genres of horror, thriller and fa...
Sep 12, 2024•51 min•Ep. 55
On this episode I spoke with Dr Ben McKenzie about anaphylaxis and about his AMAX4 guideline. Ben is an emergency physician based in Melbourne. On the episode we discussed the new guideline and how ben likes to approach the critical anaphylaxis patient. On the episode we also spoke about the tragic loss of ben son Max to anaphylaxis, which’s has been a driving force for ben in his approach to the early identification/management of serve anaphylaxis. Show notes AMAX4 guidline * https://www.amax4....
Dec 01, 2023•1 hr 2 min•Ep. 54
"Wingin it with Steph Wise " is all about being at the right place at the right time with the right person and the right brains. On this episode I sat down with the amazing Intensive Care Paramedic Steph and talked about a clinical cardiac arrest case that she attended. Steph responded to a job in Sydney south Sydney and what was initial just a trip and fall turned into something a little more. Topics such as cardiac arrest, good sam app, resilience and laughter were all spoken about through the...
Oct 09, 2023•47 min•Ep. 53
If you want to know how to deliver a high performance approach to your role in the emergency and prehospital space, then this episode is for you. Dr Jamie Moran Emergency and Prehospital physician, discusses his approach to delivering high performance care to patients in any sphere. Themes such as people/culture, individualality, world class basics and being authentic were raised. The episode will leave you with some points to take home and develop in your own context. SHOW NOTES *Viscoelastic h...
Sep 22, 2023•1 hr 1 min•Ep. 52
ON this week’s episode I sat down with Nurse practitioner damian valle to talk about a case of septic arthritis. Damo is a nurse pract with a love for teaching and training. The case is an excellent example of why getting a clinical history is important and why reassessment is always so important. On the episode we spoke why doing a complete physical exam is paramount. SHOW NOTES Disseminated gonococcal infection (DGI) results from bacteremic spread of the sexually transmitted pathogen, Neisseri...
Aug 01, 2023•58 min•Ep. 51
Resuscitative Hysterotomy is an amazing real case from Brazilian doctor, Guilherme Resener. The podcast episode runs through a real case that the HEMS Physician attended to and the quick thinking that took place whist on shift. Within the case we talked about guidelines for resuscitative hysterotomy, when and where to cut, statistics and why there is a need for aggressive interventions for good outcomes. The episode may get you to tears, but will also bring you to love Guilherme for his brut hon...
Jun 29, 2023•49 min•Ep. 50
Situational Awareness is something that all Paramedics, Nurses and Doctors need to use on a daily basis. On this episode Theo outlines why it is so imperative in the current context to be situational aware and vigilant as a paramedic. Theo is a paramedic from Tasmania and also runs the "Student Paramedic" a large social media presents on both Instagram, tik tok and YouTube. He flipped his life from a botanist to a paramedic after some eye opening travels overseas. Check out the episode and don't...
May 18, 2023•53 min•Ep. 49
This week I spoke with neurosurgical registrar Dr Simon Haron about Spinal Cord injury SCI. Simon spoke about the important structures of the spinal cord, anatomy/physiology and why prevention of a secondary injury is so important for patients that have suffered a spinal cord injury. Blood pressure targeting was a topic of discussion as well as central cord syndrome. Show notes -A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury and Central Cord Syndrome: ...
Apr 25, 2023•42 min•Ep. 48
Epistaxis (nosebleed) is one of the most common ear, nose, and throat (ENT) emergencies that present to the emergency department. Understanding how to manage it is imperative for all emergency clinicians. This week ENT Registrar Veena , outlines her approach to Epistaxis .The episode we discussed the 5 pillars of epistaxis management Pressure, topicalisation, Visualisation, Packing and Surgical Treatment. The episode will leave you with a better understanding of epistaxis management. Show notes ...
Apr 20, 2023•50 min•Ep. 47
On this weeks episode I (benny) did a solo session about my tips for education and how I am approaching education this year. Hope you like it. My aim is to encourage anyone in the teaching space. Show notes High fives motivate: the effects of gestural and ambiguous verbal praise on motivation https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145712/
Mar 15, 2023•17 min•Ep. 46
This week I had the privilege to discuss how Dr Simon Potter (Adult/paediatric emergency Consultant) approaches paediatric seizures. Simon gave away some gold in the episode and discussed some important points that all clinicians can take back to their workplace. Themes that were raised are below, * What to do when a child is having a seizures * Why Glucose and ECG's are important * First line, second line and third line therapy in paediatric seizures. * Parental Education * When do we have perm...
Mar 04, 2023•1 hr 10 min•Ep. 45
Fleeing from a war and lost in the bush alone for 3 weeks at the age of 9 was only the start to Chol Dengs Life. Chol Deng an Emergency Nurse from Sydney describes his early life in africa and what lead to him needed a kidney transplant in 2022. The story will have you on the edge of your seats in disbelief. The podcast just shows you that giving up isn't an option for Chol Deng. Show notes * Click link to read about dialysis - life in the fast lane 2023 * donatelife.gov.au click link to learn h...
Feb 16, 2023•57 min•Ep. 44
This week on the EDJAM podcast I sat down with intensive care paramedic Sally. Four months ago whilst folding the washing Sally had a medical event, this event lead to Sal experiencing what it was like to be on the "other-side" of the stretcher. Sally talked through her recent diagnosis and how being a clinician opened her eyes to what patients experience everyday. Show notes * Atrial Septal Aneurysm- click here to read more * A look at Atrial Septal Aneurysm- Journal of cardiology *. Patent For...
Dec 04, 2022•57 min•Ep. 43
On this weeks episode I sat down with Clinical Nurse Consultant Daniel Van Vorst to discuss the MTP (massive transfusion protocol). Daniel is an esteemed emergency nurse with over 12 years of experience in a large tertiary hospital. Within the podcast Dan spoke about the role of MTP, indications , challenges, and the benefits of having a blood coordinator role during major resuscitations. Dan also unpacks an amazing case, and talks about the benefits of administering blood early and how the MTP ...
Nov 03, 2022•1 hr 1 min•Ep. 42
On this episode I sat down with the amazing Dr Cliff Reid to discuss his approach to hypotension. Cliff is a senior Staff Specialist/retrevialist with a special interest in Resuscitation. On the episode we discussed diagnosis, treatment , vasopressors and fluid status. Cliff will leave you with an overload of extremely useful information that you can implement in your own environments. Show Notes Hypotension is usually bad: The significance of non-sustained hypotension in emergency department pa...
Oct 08, 2022•1 hr 8 min•Ep. 41
This week I sat down and interviewed Dr Louis Traynor about febrile neonates. Louis is an Emergency Consultant with a keen interest in Emergency Paediatrics. On the episode we discussed neonatal fevers, how we manage/diagnose febrile neonates and why listening to parents is so important. The episode will leave you with a well rounded approach to febrile neonates. SHOW NOTES (Don't forget the bubles.com )click here to be directed to the don't forget the bubbles website, it is an amazing resource ...
Sep 21, 2022•1 hr 8 min•Ep. 40
On this weeks episode I sat down and spoke with Alex from 'Student Paramedic Podcast' about her journey through paramedicine and nursing. Don't let age fool you- Alex is 22 but has wisdom for decades. Alex discusses topics such as learning, authentic self, developing resilience to build healthy habits and about not leaving stones unturned. Show notes + LINKS * the-student-paramedic-podcast - click link to listen to the podcast * Reach out and touch base with Alex, to get in contact with her look...
Sep 14, 2022•55 min•Ep. 39
Expecting the unexpected is the name of the game in emergency work. On this episode I sat down after a fresh case with Dr Bec to chat about how to deliver a baby safely in an Emergency Department. Bec is an amazing human with a passion for women's health. Bec talked us through how clinicians can approach a delivery and gave us a few examples of how to approach delivery safely. Bec talked about her career and why sometimes taking your time can help on the journey to becoming a confident and compe...
Aug 31, 2022•1 hr 7 min•Ep. 38
Tara talks about her experiences with mental health from over 20 years working as an intensive care paramedic. She shares her knowledge and some key turning points in her career that shaped her in the profession. Tara spoke about her personal experience and how mental health assessments have changed. Topics that were raised were PTSD, mental health assessments, suicide risk and why duty of care is so important. Show Notes Mental Health Person Centred Approach Tara instagram- click here to send h...
Aug 09, 2022•1 hr 17 min•Ep. 37
On this week’s episode I sat down with Clinical midwife Consultant Amanda Rehayem to discuss hypertensive disorders in pregnancy. Amanda unpacks the classifications, diagnostics, treatment and gives us some great clinical advice from her experience as a practicing midwife. From catching babies to preeclampsia, Amanda gives us useful insight into, how hypertensive disorders can really affect the person your treating. The episode will leave you with a buzz and may even tempt you, to pursue the car...
Jul 18, 2022•58 min•Ep. 36
On this weeks episode I sat down and chatted with the amazing and very talented Dr Charlotte Durand. Charlotte is an Emergency Doctor with a passion for exercise, sport and a true lover of the great outdoors. This episode was focused around the topic of Concussion and in my opinion is a great episode for not only clinicians but for parents, families an those interested. We talked about CTE, the history of CTE, brain neurochemistry and how we approach concussion in the ED. There is a trigger warn...
Jun 23, 2022•1 hr 4 min•Ep. 35
On this weeks episode I sat down with Coby Wiseman and discussed his diagnosis of type 1 diabetes. Coby comes from a family of emergency clinicians with his mum a lecturer/trauma Nurse and father an Intensive Care Paramedic. The episode also features Professor Maria Craig who is an paediatric endocrinologist, who was Coby doctor when he was diagnosed with Type 1 diabetes. The episode talks through the pathophysiology, treatment, diagnosis and the impact that diabetes has had on coby life and sti...
Jun 01, 2022•1 hr 4 min•Ep. 34
On this episode I sat down with Dr John Mackenzie and discussed the complexities of hyperbaric medicine. John discussed indications for hyperbaric treatment, the physiology behind medicine, how the unit works and some interesting cases. DCI, air embolisms, CAGE and even carbon monoxide poising were but a few of the topics discussed on this weeks chat. His reputation definitely proceeded him and let's just say I am sure this episode is going to be loved by all. If you haven't heard of John Macken...
May 14, 2022•55 min•Ep. 33
This episode was an informal conversation with ED CNE Brad and ICU RN Tino on the topic of sepsis. Themes that were discussed included , definitions, management, fluid administration, iv antibiotics, vasopressors and Inotropes. Brad and Tino shared some stories and clinical experience from their time as Intensive care and Emergency nurses. Resources Surviving_Sepsis_Campaign__International.21. click this link to read the article septic shock article - worth a read - click the link litfl.com/seps...
May 02, 2022•1 hr 4 min•Ep. 32
Restart the heart, is exactly what Intensive Care Paramedics, Jeni and Harry are trained to do. However generally they are not expected to do it on their fellow paramedics. This episode is about Adam ( a paramedic) who was feeling unwell after a bike ride. Two intensive care paramedics and friends of Adams treated him, then whilst driving things turned south. Themes such as out of hospital Cardiac arrest, treatment of STEMI's, honnest debriefing and family input were raised throughout the episod...
Apr 03, 2022•1 hr 8 min•Ep. 31
Chest decompressions in the dark, surgical airways with night vision goggles- a few of the things that Dr Dan Pronk has had to do whilst operating as a Special Operations Doctor in the military. This episode will leave you in awe for not only the people in the military but for all emergency services working under pressurised situations. Dan served the majority of his military career within Special Operations Units, including four tours of Afghanistan and over 100 combat missions. Dan was awarded...
Mar 17, 2022•1 hr 8 min•Ep. 30
On this weeks episode I discussed Paediatric ECG's with Dr Paul Gilhooly. Paul outlined and spoke about how to interpret Paeds ECG'S, in a systematic structured approach. Paul is an emergency advanced trainee choosing to specialise in adult and paediatric Emergency Medicine. On the episode we discuss four real paediatric ECG cases that are worth a listen and a look at, check the show notes for the ECGS. Case 1 Link to the ECG Newborn case- bradycardia Case 2 -3 month old poor feeding , with a vo...
Mar 01, 2022•55 min•Ep. 29
This episode was a discussion with Dr Maddie Reynolds about intubation and drugs. On the episode we spoke about how Maddie approaches intubation as an anaesthetic registrar. Maddie also spoke about some important things that she does that I think all Clinicians should take a listen to. Get ready to jump into some detailed pharmacology as Mads unpacks agents like Suxamethonium, Propofol Rocuronium and the one and only ketamine.. Mads also talks about what she has learnt on the job and her persona...
Feb 07, 2022•1 hr 18 min•Ep. 28
