Osler สาธารณะ
[search 0]
เพิ่มเติม

ดาวน์โหลดแอปเลย!

show episodes
 
Loading …
show series
 
Many doctors will take leadership positions during their careers, but the skills required to succeed in these roles do not come naturally to all. Hash Abdeen is the Chair of the Council of Doctors in Training for the Australian Medical Association. He joins Todd on the podcast to chat about his experience in leadership positions, how junior doctors…
 
The stress of exams, clinical practice, finances and major life events takes a toll on junior doctors. The added burden of COVID-19 has pushed many to the edge. Tahnee Bridson is an inspiring young doctor who saw an opportunity to help by establishing a peer-to-peer support group, known as Hand 'n' Hand. She joins Todd on the podcast to chat about …
 
The critically ill bleeding patient who is taking novel oral anticoagulant medications is a difficult clinical challenge. Dr Barbra Backus is an emergency physician from The Netherlands, and she joins Todd to discuss some of the important issues in managing this problem. See omnystudio.com/listener for privacy information.…
 
Acute cardiogenic pulmonary oedema is a common presenting complaint in the emergency department. Dr Roberto Cosentini is an emergency physician from Bergamo in Italy. He joins Todd to discuss the use of NIV in the management of these patients. See omnystudio.com/listener for privacy information.โดย Todd Fraser
 
Transcutaneous pacing is an important emergency skill. In this podcast, senior emergency medicine trainee Dr Tim Balfour joins Todd to discuss the indications for pacing, describe the process of applying and adjusting it, and share some tips and tricks for its use. See omnystudio.com/listener for privacy information.…
 
As Indirect Calorimetry becomes more practical at the bedside, how will it influence nutritional prescription? Oana Tatucu is a senior ICU dietitian and a research fellow at the ANZICS Research Centre. She joins Todd on the podcast to discuss the role of IC now and into the future. See omnystudio.com/listener for privacy information.…
 
Patients with chronic pulmonary hypertension can present to hospital acutely unwell. What are the principles of managing these patients? Cardiologist Dr Kavitha Muthiah joins Todd on the podcast to discuss the underlying causes, precipitants, management and rescue options for these patients. See omnystudio.com/listener for privacy information.…
 
Bronchopleural fistula is an important diagnosis to consider in patients with persistent and high volume pneumothoraces. Dr Izzy Seneviratne is a dual trained Intensivist and Respiratory Physician who joins Todd on the podcast to talk about the diagnosis and management of this important condition. See omnystudio.com/listener for privacy information…
 
Targeted temperature management has become a mainstay of treatment for resuscitated patients following cardiac arrest. Manoj Saxena is an intensivist and clinician researcher from Sydney, Australia, and was part of the team that delivered the TTM-2 trial earlier in 2021. He joins Todd on the podcast to discuss the premise of TTM-2, the results and …
 
As the world wrestles with the COVID-19 pandemic, it’s clear that much depends on our ability to vaccinate a large proportion of the population. Like all medications, vaccines have their side effects, and the most notable at present is an unusual syndrome of intravascular clotting associated with thrombocytopaenia. Dr Tim Brighton is a consultant h…
 
The importance of adequate antibiotic dosing in sepsis and pneumonia is well known. However, changes in the pharmacokinetics and dynamics of antibiotics makes it challenging to ensure the appropriate doses are given. Dr Jason Roberts is an internationally renowned ICU pharmacist and researcher, and he joins Todd to discuss these important issues, a…
 
Manipulating the ventilator to protect the critically ill ARDS patient from harm, while simultaneously improving their condition, is one of the dark arts of intensive care practice. Airway Pressure Release Ventilation is a somewhat novel mode of mechanical ventilation which seeks to enhance lung recruitment while reducing lung injury. Ed Litton is …
 
Join host Dr Todd Fraser for this fascinating exploration of life, both professional and personal, for those lucky enough to practice in a regional or remote ICU. Guests include Penny Stewart, Rob Bevan, Paul Secombe, Claire Corrigan and Lauren Cox See omnystudio.com/listener for privacy information.…
 
Traditionally we’ve measured the performance of the health system machine on hard endpoints such as mortality, and this is particularly so in ICU. In recent years however, we’ve begun to focus more on the patient experience, including their functional outcomes. Narrative and qualitative research has provided us with a better understanding of the em…
 
Extracorporeal membrane oxygenation (ECMO) is an increasingly available therapy, though it remains restricted to tertiary centres. So what does this mean for smaller peripheral units? Dr Sara Allen is an intensivist and anaesthetist from the Auckland City Hospital in New Zealand, and she joins Todd to discuss referrals for ECMO. See omnystudio.com/…
 
The intravenous cannula may be the most common procedure performed in healthcare. You probably perform several of them a day, without thinking twice. However, without attention to detail, it’s possible the humble cannula could cause your patient harm. Gillian Ray-Barruel is an experienced nurse researcher at Griffith University in Australia. Among …
 
Large and persistent bronchopleural fistulae are one of the more challenging problems to manage in ICU practice. In this enlightening interview, Intensivist and Respiratory Physician Dr Michael Putt discusses the principles of management, and the role of bronchoscope intervention. See omnystudio.com/listener for privacy information.…
 
Up to a quarter of emergency services calls relate to behavioural disturbance or mental health issues. For many patients, these calls end up in transportation to the emergency department, where the service struggles to meet the patient's needs. David Hardstaff is an experienced paramedic who is part of a novel approach to this problem, a prehospita…
 
While mechanical ventilation can be life saving, it can also cause its fair share of complications. Dr Kiran Shekar is an intensivist at The Prince Charles Hospital in Brisbane, Australia. He heads a program of research exploring a range of therapies that may minimise these risks, including the subject of today's discussion, Extracorporeal CO2 remo…
 
We focus a lot on energy and protein delivery in ICU. But what happens to patients and their nutrition when they get to the wards? Could it be that an intensive approach to feeding throughout the patient's hospital stay is the key to enhancing functional recovery? Eliza Miller is the project manager for the INTENT trial, and she joins us to discuss…
 
While sepsis research in adults has gathered pace in recent years, similar work in paediatrics is lacking. Among those looking for the elusive "magic bullet" are researchers Sainath Raman and Luregn Schlapbach. In this fascinating podcast, they discuss the limitations of research in paediatric sepsis, the current evidence landscape, and their upcom…
 
Resuscitation of hypotensive patients with sepsis traditionally involves up to several litres of crystalloid fluids before vasopressors are initiated. While this forms the basis for many sepsis management guidelines, the dogma is being challenged. In this latest podcast from the 2021 ANZICS CTG meeting in Noosa, Stephen McDonald joins Todd to talk …
 
Many patients undergoing Continuous Renal Replacement Therapy in ICU require fluid removal. But how fast can you remove it? Dr Emily See is a Nephrologist and senior ICU fellow at the Austin Hospital in Melbourne Australia. She joins Todd on this edition of the podcast from the 2021 ANZICS CTG meeting in Noosa to talk about the concept of Net Ultra…
 
Limiting tidal volumes to prevent lung injury has been a core plank of ICU care for the past 20 years. However, is it that simple? Dr Ewan Goligher joins us to discuss how using the driving pressure to set Vt may help tailor ventilation to the patient's needs. See omnystudio.com/listener for privacy information.…
 
While it remains an uncommon event, some patients with cancer require ICU level care. Dr Tamishta Hensman is a senior ICU fellow at the Royal Darwin Hospital, and holds a Diploma of Palliative Care Medicine. Following her presentation at the recent CICM Annual Scientific Meeting, she joins Todd to discuss the latest data on survival, some common pr…
 
Lung ultrasound is gradually establishing itself as an invaluable point-of-care investigation in ICU and emergency medicine. Dr Robert Arntfield is an intensivist and traumatologist from London, Ontario, and he joins Todd to describe how it fits into his clinical practice. See omnystudio.com/listener for privacy information.…
 
Despite the incredible burden of COVID-19, ICU researchers have somehow been able to produce practice changing research at an unprecedented rate. ICU nutrition researchers Lee-anne Chapple and Emma Ridley join Todd on the podcast to discuss their findings regarding the nutritional status and issues for COVID-19 patients admitted to ICU See omnystud…
 
Despite increasing focus and the development of international clinical guidelines, delirium in ICU remains an under-recognised issue. Melissa Ankravs is a senior ICU pharmacist, and she joins Todd on the podcast to discuss the results of a point prevalence study in Australia / New Zealand See omnystudio.com/listener for privacy information.…
 
Aidan Burrell joins the podcast to update our listeners with the progress of the SPRINT SARI project - designed to collect real time data on the COVID-19 pandemic in Australasia. See omnystudio.com/listener for privacy information.โดย Todd Fraser
 
One of the fundamentals of therapy for severe Diabetic Ketoacidosis (DKA) is fluids. However, it is well known that aggressive fluid replacement with Normal Saline commonly results in a non-anion gap metabolic acidosis as the underlying condition improves. Does this acidosis cause harm? Can it be avoided? In this edition of the podcast, Todd chats …
 
COVID 19 has ravaged many parts of the world, leaving some patients with persistent symptoms known as "Long COVID". But what about survivors of critical illness due to COVID-19? How do they compare with other ICU survivors? Professor Carol Hodgson is the Head of the Division of Clinical Trials and Cohort Studies, School of Public Health and Prevent…
 
Professor David Tuxen has had a long and distinguished career as an Intensivist, Director and researcher. Decades of research into mechanical ventilation have given David a unique perspective into trial interpretation, and he has recently raised his concerns about research outcomes in ventilation trials. He joins Todd on the latest podcast from the…
 
Hypofibrinogenaemia is an independent risk factor for mortality after severe trauma. How though should we manage it? Dr James Winearls is an Intensivist and researcher from the Gold Coast University Hospital. In this special edition podcast from the 2021 Noosa ANZICS CTG meeting, he joins Todd to chat about the issue, and the FIESTY 2 study he lead…
 
Looking for a specialty that combines procedural work with consultation, private practice and in-patient care? Need something with a seemingly endless array of options for subspecialisation? Gastroenterology may well be just what you're looking for. Dr Simone Kaye joins Todd on the Careers in Health podcast to find out what it's really like See omn…
 
Extracorporeal membrane oxygenation (ECMO) has an established role as a rescue therapy in severe respiratory failure. But could there be benefit in using it earlier, to avoid the potential complications associated with mechanical ventilation? Dr Aidan Burrell is an intensivist and researcher from The Alfred Hospital in Melbourne, Australia, and he …
 
The marvel that is modern Intensive Care has the capacity to save lives, and help survivors live long and satisfying lives. But it comes at a cost, both in terms of patient experience and cost. Anecdotally, the number of patients with life-limiting illnesses are being referred for management in the ICU. This trend has given some clinicians pause to…
 
As the COVID-19 pandemic continues unabated, the search for meaningful therapies is being led by clinical researchers. Dr Lise Estcourt is a consultant haematologist who has led major studies into the role of convalescent plasma in the treatment of COVID-19. She joins Todd on the podcast to summarise the data so far. See omnystudio.com/listener for…
 
Can you cut it? Being a surgeon is as much a way of life as it is a profession. In this podcast, Felicity Adams joins Todd to chat about her experiences in training to become, and then being, a surgeon. See omnystudio.com/listener for privacy information.โดย Todd Fraser
 
James Cox is a Queensland-trained orthopaedic surgeon with subspecialty interests in hip, knee and pelvic trauma. He joins Todd on the podcast to describe his path to specialty, and what life is like as an Orthopaedic Surgeon See omnystudio.com/listener for privacy information.โดย Todd Fraser
 
Intensive Care Medicine is a highly exciting and variable specialty, but it also carries with it the stress of caring for patients and their families under enormous duress. Dr Rob Bevan is an Intensivist and supervisor of training at Middlemore Hospital in Auckland, New Zealand, and the current vice president of the Australia New Zealand College of…
 
Sudden cardiac arrest is a common event. Rarely though, it can be a feature of acute Subarachnoid Haemorrhage. What impact does this have on the patient's prognosis? A recent review of a binational ICU patient registry set out to explore this question, and one of the authors, Professor Andrew Udy, joins Todd on the podcast to discuss their findings…
 
Despite increased focus on gender inequities in healthcare in recent years, female doctors still experience the effects of systemic discrimination. Rather than teaching them how to cope with discrimination, proactive strategies such as enhanced negotiations skills may help to level the playing field. Fiona McKenzie is a management consultant and me…
 
Dr Craig Mitchell has spent nearly 20 years providing general anaesthesia and critical care services. His career encompasses private and public work, routine and emergency cases, critically ill patients and rural practice. Somehow, he's also found time to explore non-medial business interests to, as a co-founder of a boutique winery and wine bar. H…
 
Malnutrition is common in ICU, and it stands to reason that it should impact on functional recovery. Lee-anne Chapple is a senior dietician in critical care at the Royal Adelaide Hospital, and an NHMRC Early Career Fellow at the University of Adelaide. She joins Todd on the podcast to discuss her work in protein metabolism in critically ill patient…
 
Traditionally, anaesthetists have ventilated patients undergoing prolonged surgery with supra physiological tidal volumes to prevent collapse and improve oxygenation. But is this safe? Evidence from the critical care sphere suggests ventilator induced lung injury may be minimised with a more conservative approach. Dharshi Karalapillai is an Intensi…
 
So what makes a cardiologist tick? Professor Christian Hamilton-Craig has experienced the full spectrum of cardiology, from academia and research to bedside clinician, taking the good with the bad along the way. In this absorbing interview he describes the path his career has taken, the options available to those interested in cardiology, and the e…
 
Loading …

คู่มืออ้างอิงด่วน

Google login Twitter login Classic login