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.org - click this link to follow * AMAX4 ALGORITHM * SIMULATION -AMAX4 - https://www.amax4.org/simulation
"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 episode. The episode will bring a tear to your eye and also a lot of laughter. Case notes https://www.goodsamapp.org - Good sam app - click to follow - post cardiac arrest care - https://litfl.com/post-cardiac-arrest-care/W
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 haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial. Intensive Care Medicine, 47, 49-59. click this link to read *Why are bleeding trauma patients still dying? click link to read * /the-high-performance-podcast/- click link to follow
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, Neisseria gonorrhoeae, which can lead to a variety of clinical symptoms and signs, such as arthritis or arthralgias, tenosynovitis, and multiple skin lesions.click link to follow Reactive arthritis is conventionally defined as an arthritis that arises following an infection, although the pathogens cannot be cultured from the affected joints. It is generally regarded as a form of spondyloarthritis (SpA). click link to follow Septic arthritis is synonymous with an infection in a joint. Septic arthritis is usually caused by bacteria but can also be caused by other microorganisms. Septic arthritis due to bacterial infection is often a destructive form of acute arthritis. click link to follow
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 honesty, compassion and dedication to his job. Show notes Resuscitative hsyterotomy - Video Dr Sara Gray - 2018 EMCrit Cardiac disease in Pregnancy- 2022 perimortem-caesarean-section- 2018 - Life in the fast lane
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 forget to check out theo on instagram student paramedics Show notes * Student Paramedic - Youtube channel click link to follow instagram. student paramedics click link to follow * LACES - click link to read more
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: Recommendations on the Timing (24 Hours Versus >24 Hours) of Decompressive Surgery - Early Surgical Decompression Improves Neurological Outcome after Complete Traumatic Cervical Spinal Cord Injury: A Meta-Analysis - Early versus Delayed Decompression for Traumatic Cervical Spinal Cord Injury: Results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS) - A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Use of Methylprednisolone Sodium Succinate - Mean Arterial Blood Pressure Correlates with Neurological Recovery after Human Spinal Cord Injury: Analysis of High Frequency Physiologic Data - Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis
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 -approach-to-the-adult-with-epistaxis - click to follow link - https://litfl.com/a-case-of-epistaxis/- click link to download - 2023 -
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/
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 permission to do nothing SHOW NOTES * Don't forget the bubbles click this to follow - dontforgetthebubbles.com * Emergency treatment with levetiracetam or phenytoin in status epilepticus in children—the EcLiPSE study- click to follow * https://litfl.com/status-epilepticus-in-children/- click link to follow * https://www.schn.health.nsw.gov.au/find-a-service/health-medical-services/paediatric-epilepsy-network-nsw- PENNSW LINK
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 how to be a donor *
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 Foramen Ovale Closure for Stroke Prevention and Other Disorders
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 can save lives. Dan also opens up and lets us know what motivates him and what keeps him fresh after working in a high stress environment . SHOW NOTES Presentation of the MTP- click link to follow MTP policy - click this link to read a policy on the MTP Daniel QI project on the MTP- click this link to view
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 patients with sepsis Causes of hypotension - and PEA cardiac arrest: the 3 plus 3 rule Lactate doesn’t always mean sepsis! click this link Systolic blood pressure below 110mmHg is associated with increased mortality in blunt major trauma patients click this link
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 Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pantel et al , 2021 Updates on the Evaluation and Management of Febrile Neonates
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 at her instagram and send her a DM. https://www.instagram.com/thestudentparamedicpodcast/?hl=en * To look into a dual degree in paramedicine and nursing follow the link below https://www.uac.edu.au/undergraduate/courses/acu/105510.shtml
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 competent doctor. Themes that were raised were stages of labour, vaginal deliveries, shoulder dystocia, breech deliveries, drugs and when to get help immediately. Show Notes * health.qld.gov.au normal birth - click link to read * aci.health.nsw.gov.au- delivery in the Emergency Department www.aafp.org- shoulder Dystocia * Women’s experiences of breech birth decision making: An integrated review- 2022- click link to read
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 her a Message
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 career path to become a midwife. Topics such as HELLP syndrome and eclampsia were also discussed. Show Notes Hypertensive disorders in pregnancy - pre-eclampsia, click link below 👇 https://litfl.com/pre-eclampsia-and-eclampsia/ Pre-eclampsia: pathophysiology and clinical implications Journal preeclampsia- bmj.com/content/366/bmj.l2381
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 warning on this episode as Charlotte and myself do talk about themes such as suicide and domestic violence. Charlottes instagram https://www.instagram.com/chardurand/?hl=en Charlotte podcast https://www.acemprimarypodcast.com Links * Boston Concussion Legacy Foundation https://concussionfoundation.org/ * Podcast:OwenThomas&CTE https://www.pushkin.fm/episode/burden-of-proof/ * Case: Rowan Stringer Second Impact Syndrome https://www.ncbi.nlm.nih.gov/pmc/articles/PMC65 36829/ * Parental expectations in the ED https://www.sciencedirect.com/science/article/ab s/pii/S0022347616312057 PAPER: neurometabolic cascade of concussion: https://europepmc.org/article/MED/25232881 * Paediatric Head injury Resources PAPER: Suicide and CTE https://jamanetwork.com/journals/jamaneurology/f ullarticle/2712851 * AustralianSportsBrainBank https://www.brainbank.org.au/ * PAPER: Dysautonomia in teens returning to sport https://www.ncbi.nlm.nih.gov/pmc/articles/PMC790 1578/ *PREDICT Head Injury Guideline https://www.predict.org.au/head-injury-guideline/
Matthew Ryan
Great listen! Thanks Benny and Kevin