show episodes
 
The Art of Emergency Medicine podcast is an effort to help and inspire trainees of the Australasian College for Emergency Medicine (ACEM) to put their best foot forward and progress through the program. We achieve this by covering various training issues and exam topics focussed on SAQ and OSCE questions. Abrar and Kishan – FACEM and Advanced Trainee respectively, form the core of our creative team, based in Melbourne, Australia. We hope you enjoy it!
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The goal of the Neurocritical Care Society Podcast is to summarize some of the latest content and cutting edge research published in the journal, Neurocritical Care, official journal of the Neurocritical Care Society. Episodes are produced regularly and feature interviews with the top researchers around the world in the fields of neurology, critical care, and neurosurgery.
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Depth of Anesthesia is a podcast that critically explores dogmatic practices (we call them claims) in anesthesiology. Join us as we explore the literature around the latest clinical controversies!
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"Heavy lies the crown" is a common misquote of "uneasy lies the head that wears a crown" from Shakespeare's Henry IV, Part 2. It refers to the responsibility and insecurity of governing an entire kingdom. Likewise, "heavy lies the helmet" refers to the responsibility we face as critical care transport providers working in an autonomous and often unpredictable environment. Our minds are eased with education that better prepares us for any situation that we may encounter. That is exactly what ...
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Brought to you by a partnership that transcends the 49th parallel. Join Adam Thomas and Josh Farkas in the podcast that accompanies The Internet Book of Critical Care. The IBCC podcast will explore key points in each chapter. Initially the release of podcasts may lag a bit behind the chapters for logistic reasons. However, our goal is to eventually have a podcast for each chapter. Subsequently, the podcast will discuss updates to the IBCC based on new evidence.
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Medical chats, interviews and case discussions relating to prehospital, resuscitation and emergency medicine. Brought to you by PREMED. All views expressed herein are those of the hosts or guest(s) and do not necessarily represent the views of their respective employers or affiliate organisations. Hosted on Acast. See acast.com/privacy for more information.
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Bridging the gap between literature and practice in pediatric intensive care. Featuring guests from around the world and pediatric intensive care specialists Greg Kelly (Westmead Children's Hospital Sydney), Peta Alexander (Boston Children's Hospital), Karen Choong (McMaster Children's Hospital Canada) and Mike Clifford (Royal Children's Hospital Melbourne) Pediatrica intensiva won’t tell you the answers, because no one knows what they are, but we can give you a chance to hear respected expe ...
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show series
 
In this episode of Hot Topics, Dr. Nicholas Morris interviews Dr. Giuseppe Citerio, professor of anesthesia and intensive care at Milano-Bicocca University, about the ORANGE study, which investigated the neurological pupil index (NPI) for prognosticating outcomes in patients with acute brain injury. The study, involving 13 centers in Europe and Nor…
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A highly relevant cast on a potential exam SAQ very relevant to the ED Physician. How do you feel about such a patient? What are the distinguishing features from this compared to epileptic seizures? How do you assess and manage this condition? We delve into this and more in this cast that will elevate your exam prowess for the fellowship written an…
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It can be difficult to determine whether you should treat undifferentiated hypertension or not. Many clinicians are distracted the number rather than focusing on the patient in front of them. Asymptomatic hypertension, in particular, is often benign. In fact, treating asymptomatic hypertension in a patient who a primary medical history of hypertens…
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On September 2022, Cameron Kuklick fell from a motorized rental scooter while returning to his hotel after celebrating his brother’s wedding in Harrisonburg, Virginia. Cameron experienced a severe traumatic brain injury (TBI) at the age of 30. Cameron and his family hope that by sharing their story and experiences, they too can provide hope and hea…
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The principles of preoxygenation and passive oxygenation should be familiar to any experienced intubator. Best practice recommends the use of a nasal cannula in conjunction with either a non-rebreather mask or bag-valve mask (BVM) to prevent hypoxemia during the apneic phase of Rapid Sequence Intubation (RSI). In the PREOXI Trial, the authors pushe…
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Dr. Jess Hawkins joins the show to discuss the literature pertaining to remifentanil and opioid-induced hyperalgesia. Dr. Hawkins is an anesthesia resident at the Massachusetts General Hospital. This podcast was recorded as part of the Depth of Anesthesia podcast elective. Thanks for listening! If you enjoy our content, leave a 5-star review on App…
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Not all cardiac arrests are created equal. Whether the presenting rhythm is asystole, ventricular fibrillation, or PEA, these patients require tailored interventions beyond "blanket" protocol and ACLS/PALS algorithms. When refractory to conventional therapy, the pulseless V-Tach/V-Fib patient, in particular, requires critical thinking "outside the …
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In this week's episode of Perspectives, Dr Nicholas Morris is joined by NCS Past President, Dr Gretchen Brophy, Professor of Pharmacotherapy & Outcomes Sciences and Neurosurgery with Virginia Commonwealth University (VCU) School of Pharmacy, Medical College of Virginia Campus, in Richmond.Neurocritical Care Society tarafından oluşturuldu
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This season is about airway management or airways that scare me and this episode, we discuss the respiratory unstable patient or the patient who's a "physiologically difficult airway" because they have bad lungs. We were incredibly lucky to have the amazing Robi Khemani from CHLA, a world expert on respiratory disorders in #pedsICU, join us and be …
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Electroencephalography (EEG) is an important and relatively inexpensive tool that allows intensivists to monitor cerebral activity of critically ill patients in real time. Seizure detection in patients with and without acute brain injury is the primary reason to obtain an EEG in the Intensive Care Unit (ICU); and in response to the increased demand…
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The purpose of informed consent, as it exists now, is primarily to maintain patient autonomy, but additional benefits include the protection of patients, avoidance of fraud, and promotion of rational decisions, amongst others. It is now considered both an ethical and legal obligation which should, at a minimum, always include: 1) the nature of the …
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Interfacility transfers are not always indicated at the time and place of which they are being requested. Whether it's referring provider misinformation or a lack of advocacy by the transport agency, these transfers can result in unnecessary risk for crew members and patients. Specifically, weather conditions, time of day, crew fatigue, and other i…
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It is unknown whether decompressive craniectomy improves clinical outcome for people with spontaneous severe deep intracerebral haemorrhage. The SWITCH trial aimed to assess whether decompressive craniectomy plus best medical treatment in these patients improves outcome at 6 months compared to best medical treatment alone. The SWITCH Trial has come…
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Patients with acute intracerebral hemorrhage who are receiving factor Xa inhibitors have a risk of hematoma expansion. The effect of andexanet alfa, an agent that reverses the effects of factor Xa inhibitors, on hematoma volume expansion had not been well studied, until the ANNEXA-I Trial. To discuss this week's Hot Topic, Nicholas Morris, MD is jo…
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As clinicians working with patients who have sustained an acute brain injury, we are naturally focused on caring for the injury itself. Until recent years, the clinical severity of brain injury was regarded as the main driver of prognosis and outcomes. However, we are beginning to understand how non-clinical factors, including the social determinan…
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For the latest episode in our Hot Topics series, Dr Nicholas Morris, FCNS is joined by Dr Jennifer Frontera, FNCS to discuss the NCS Guidelines for Seizure Prophylaxis in Adults Hospitalized with Moderate-Severe Traumatic Brain Injury. Download the guidelines at https://link.springer.com/article/10.1007/s12028-023-01907-x.…
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Post-intensive care clinics following admission to the intensive care unit (ICU) have gained significant traction in recent years across the United States and internationally. This movement has been driven by increasing recognition of the long-term sequela related to the experience of an ICU admission. This week, Dr Lauren Koffman is joined by Dr M…
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In May 2014 Elisabeth Beraquit fell through the faulty doors of an elevator into an empty shaft, landing 30 feet below on top of the elevator car. She suffered multiple traumatic brain injuries, including subarachnoid hemorrhage, intraventricular hemorrhage, and a diffuse axonal injury. 10 years on and Elisabeth is thriving, running her own busines…
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Antidiuretic hormone (ADH) plays an essential part in the body's osmotic/fluid balance, sodium homeostasis, and blood pressure regulation. This hormone is synthesized in the hypothalamus and released from the posterior pituitary gland. In conditions such as Diabetes Insipidus (DI) and Syndrome of Inappropriate ADH (SIADH), there is a lack of synthe…
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Dr. Caroline Andrew and Dr. David Nathan join the show to discuss the literature pertaining to intraoperative administration of dexamethasone. Dr. Caroline Andrew is an anesthesia resident at the Massachusetts General Hospital. Dr. David Nathan is the Director of the Diabetes Center at Massachusetts General Hospital and Professor of Medicine at Har…
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In this week's episode, Dr Nicholas Morris is joined by Dr. Karen Hirsch and Dr. Teresa May to discuss their paper “Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society”. We discuss the difference between a scientific statement and a guideline, areas of …
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This week's Hot Topic is Intravenous Levothyroxine for Unstable Brain-Dead Heart Donors and Dr Nicholas Morris is joined by Dr Raj Dhar from Washington University School of Medicine to discuss his latest New England Journal of Medicine manuscript (https://pubmed.ncbi.nlm.nih.gov/38048188/).Neurocritical Care Society tarafından oluşturuldu
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In this week's episode, Dr Nick Morris is joined by Dr Jose Suarez to discuss the recently updated NCS subarachnoid hemorrhage guidelines. We compare them with the recently released American Heart Association subarachnoid hemorrhage guideline; and we discuss the purpose of guidelines in general and how guidelines map out priorities for research.…
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In this week's episode, Dr. Nicholas Morris talks to Dr. Michael Rodricks (Immediate Past Chair of the NCS FNCS Credentialing Committee) and Dr. Jason Makii (NCS FNCS Credentialing Committee Chair-Elect) about the Fellowship in Neurocritical Care Society Designation. Listeners can learn what the FNCS designation means, how to apply, and how to maxi…
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We discuss a question here on a patient presenting with a Haematological Malignancy delving into the differentials and their aetiologies (more possible questions and answers revealed in the SAQ document), clinical features, CXR and CT interpretation along with complications. Please follow the link to the SAQ on .…
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Point-of-care ultrasound (POCUS) is increasingly recognized as an essential skill for critical care providers, intended to enhance clinical assessments to improve patient care. Beyond its adaptation for procedural guidance, bedside ultrasound assessments can provide critical diagnostic information in a timely manner to guide real-time decision maki…
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Angioedema is defined by upper airway swelling secondary to an immune response. The trigger and subsequent physiological response are how we categorize it. In this podcast, we discuss how to diagnose and treat both types: IgE/Histamine-mediated and Bradykinin-mediated. We also touch on how to address the difficult airway that may or may not lead to…
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En este episodio especial en Español, el Dr. Luis Torres conversó con el Dr. Jose Javier Provencio acerca de los inicios de la campaña Curing Coma, sus metas iniciales, los retos que la campaña ha logrado superar y algunas colaboraciones internacionales con la campaña. Tambien hablamos acerca del Día Mundial del Coma y que pueden los participantes …
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In this week's episode, Dr Nick Morris is joined by Dr Susanne Muehlschlegel, Dr Katja Wartenberg, and Dr Krishna Rajajee to discuss the NCS' Neuroprognostication Guidelines, including guidelines development, clinical prediction models, and the best language for family meetings.Neurocritical Care Society tarafından oluşturuldu
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Dr Nick Morris is joined by Dr Brian Edlow and Dr Claude Hemphill from the Curing Coma Campaign to discuss the scientific aims of the Campaign, the emerging paradigms for assessing disorders of consciousness, and the need for worldwide collaboration on curing coma. Visit https://www.curingcoma.org to learn more about World Coma Day and the Curing C…
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When discussing methylene blue, management and treatment of methaemoglobinaemia is usually the first indication mentioned. But in this podcast, we challenge you to increase the size of your lense and focus on its benefits in other states (e.g., septic shock). Of course, we could not do this alone, so we invited a Flight Paramedic, Pharmacist, Toxic…
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Dr Nick Morris is joined by Dr. Tobias Gauss from Grenoble Alpes University Hospital in France. to discuss the recently published OXY-TC trial, a multisite randomized controlled trial of ICP + brain oxygenation monitoring vs. ICP monitoring alone in patients with severe traumatic brain injury.Neurocritical Care Society tarafından oluşturuldu
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In the lead up to this year's World Coma Day (March 22), and in the first of three special episodes, Dr Nick Morris hosts Dr DaiWai Olson to discuss the Curing Coma Campaign and World Coma Day through the perspective of the neurocritical care nurse. Visit https://www.curingcoma.org to learn more about World Coma Day and the Curing Coma Campaign.…
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In this episode, Kishan and I are back with a bang - a lot has happened over the last 12 months. We discuss an SAQ on a special situation / complex case of Postpartum Psychosis. This is designed to have 3 sub-questions totalling 12 marks. We begin with identifying features on history followed by specific examination and management options. This typ…
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The pandemic has finally been declared ‘over,’ though COVID-19 continues to linger. The phenomenon of burnout has been well documented pre-pandemic, in many cases due to understaffing. This was exacerbated by the severe strain of COVID-19 placed on the healthcare system, with nurses leaving in droves post-pandemic. While nursing professional organi…
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Children with complex airway surgery are airways that truly scare us. Though a small number of patients in pedsICU, they can stay a long time and are at risk of death and morbidity from their underlying conditions, co-existing conditions, their treatment and ICU acquired problems. Managing these patients requires a high level of understanding, comm…
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Though we have delved into foreign HEMS systems in the past (See Episode 61 – Down Under Dynamics w/Dr. Cliff Reid), we have not dedicated an entire series to it. Having now rubbed shoulders with many clinicians and operators around the world, it is evident that these conversations need to take place on a regular basis. Why? Because operating in a …
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Leveraging pre-existing partnerships between NCS and colleagues at Aminu Kano Teaching Hospital in Kano, Nigeria, in October 2023 we hosted a 2-day live ENLS training event for healthcare workers from across sub-Saharan Africa. Dr Morgan Prust and Dr Ismail Hassan join Dr Lauren Koffman to discuss the applicability and limitations of ENLS in sub-Sa…
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On this weeks’ episode of Perspectives, Dr. Daniel Hanley, professor of neurology, neurosurgery, and anesthesiology/critical care medicine at the Johns Hopkins University School of Medicine, discusses the early days of neurocritical care at Johns Hopkins, the importance of family-centered care, and recent advances in the care of patients with intra…
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The transition from alteplase (ALT) to tenecteplase (TNK) in the management of acute ischemic stroke (AIS) has been an exciting and thoroughly discussed topic within the neurocritical care community. Although debates on the clinical efficacy and safety of TNK for AIS have subsided somewhat in light of recently published data, what remains lacking i…
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