Broomedocs Podcast

Welcome back. Another instalment of the EBM Journal Club with Dr. Justin Morgenstern.

Topics include NSAID dosing, moose attacks, COACT trial, snowfall impact on ED, conflicts of interest in FOAMed and a bunch of other stuff

 

Direct download: First10EM_August19_FINAL.mp3
Category:Audio podcast -- posted at: 12:07am EDT

This is a clinical case discussion I participated in for the RVTS Grand Rounds.

Thanks to the team for inviting me and providing the audio 

tough case with lots of pearls to take away

Direct download: RVTS_Grand_Round_2019.mp3
Category:Audio podcast -- posted at: 7:14am EDT

I have learned a lot about the rational prescribing of vancomycin in the last few years and have read literally hundreds of papers on the topic.  In true "Broome Docs" style I have dived deep down the rabbit hole of pharmacological, microbiological and clinical literature to bring you what I think is a 'better way' to use vancomycin in small, rural hospitals.

Direct download: VAnc_podcast.m4a
Category:Audio podcast -- posted at: 8:17am EDT

I have learned a lot about the rational prescribing of vancomycin in the last few years and have read literally hundreds of papers on the topic.  In true "Broome Docs" style I have dived deep down the rabbit hole of pharmacological, microbiological and clinical literature to bring you what I think is a 'better way' to use vancomycin in small, rural hospitals.

Direct download: VAnc_podcast.m4a
Category:Audio podcast -- posted at: 8:17am EDT

Dr Justin Morgenstern and Damian Roland do a deep dive into the latest data around Paeds Seizure management after Eclipse and Consept trials were published.

 

Or maybe there is a better way?

Direct download: Damian_Justin_FINAL.mp3
Category:Audio podcast -- posted at: 12:11am EDT

Another instalment of the journal jam with Justin Morgenstern.

This month we talk neonatal sepsis, nocebos, Pink Ladies, fever, tramadol, chin lacs and drinking strategies....

Direct download: First10_May19_edit.mp3
Category:Audio podcast -- posted at: 8:56am EDT

This is a discussion on the recent CREDENCE trial for canagliflozin in diabetics with nephropathy.

 

Direct download: CREDENCE_trial.m4a
Category:Audio podcast -- posted at: 1:21am EDT

This is a discussion with Dr Roger Browning (Obstetric Anaesthetist) about his approach to the crashing GA Caesarean scenario.

You can hear more of his pearls at the ObsGynae CritCare podcast 

 

 

Direct download: Roger_GA_Caesar_EDIT.m4a
Category:Audio podcast -- posted at: 8:29am EDT

Sadly, the final SMACC conference danced its last moves on Friday. It was an amazing week with lots of learning, inspiration and camaraderie. After the last SMACC in Berlin Justin and I resolved to try and create the best journal club ever at the final SMACC in Sydney.... and I reckon we have done it!

Direct download: SMACC20Journal20Club20-20first20edit.m4a
Category:Audio podcast -- posted at: 10:21pm EDT

Dr Adam O'Brien and Claire Lissaman are the authors of a new study looking at the diagnostic characteristics of lung US for Paediatric pneumonia.

In this interview we talk about the study and how to scan kids with chest disease.

Direct download: Adam_Claire_LungUS_FINAL.m4a
Category:Audio podcast -- posted at: 11:38am EDT

In this episode Justin and I cover bad science about Xa reversal, good science about sharks, syncope and how to cheat Death.... amongst other random serious stuff

Direct download: First10EM20March2019.mp3
Category:Audio podcast -- posted at: 6:59pm EDT

The latest instalment of the RADU / Broomedocs podcast.

GA Caesarean thoughts

Minimalist desert island appendix anaesthesia

Frusemide mythology

A tricky case for the team

Direct download: RADU_Feb19.m4a
Category:Audio podcast -- posted at: 9:22am EDT

The year is drawing to a close and we have just one more chance to learn from my very wise, ex-Canadian friend Dr Justin Morgenstern.  In this month's episode, Justin and I discuss a bunch of papers.  Topics include:

  • Paediatric plastic poop
  • OOHCA Airway options
  • Weingart's suction failure
  • Cricoid pressure is not-non-inferior to nothing
  • a new nasal spray for SVT
  • How much insulin is sweet?
  • Parachutes: are they really worth the extra luggage fees?
Direct download: First10EM_Dec18FINAL.mp3
Category:Audio podcast -- posted at: 9:00am EDT

The 3rd instalment of the journal club for rural GP Anaesthetists.

This month we look at papers on medication safety, midazolam as a premed, URTI in kids for elective surgery and lignocaine infusions 

Direct download: RADU20320edited.m4a
Category:general -- posted at: 7:37am EDT

This is a story that I told at the DFTB18 storytelling event.

The theme was about kindness, justice and hope.

It is a personal, non-clinical story that I hope can help others out there.

 

Direct download: Hannahs_Story.mp3
Category:Audio podcast -- posted at: 8:32am EDT

The latest episode of the EBM journal club with Dr Justin Morgenstern 

This month we cover a lot of fluids - saline, balance, FFP as well as some penile fractures and Justin explain why he is a great driver.

Direct download: First10eM_Oct18_final_.mp3
Category:Audio podcast -- posted at: 7:43am EDT

This month we cover bougies, brain-bleeds and the best Paeds DKA paper ever.  We also degenerate into the recent and remote evolutionary history of hiccoughs... fun times are to be had!

Direct download: First10EM_July18FINAL.m4a
Category:Audio podcast -- posted at: 10:52pm EDT

This podcast contains a discussion on the How, Why, where and Who of central line insertion...

 

Direct download: Central_lines_MP3.m4a
Category:Audio podcast -- posted at: 9:34am EDT

This is the second instalment of the Rural Anaesthesia Journal Club.

I am joined by Drs Alex Harris and Mel Little to discuss:

NAP6, soiled airways, Caesar spinal dose adjustments and the RELIEF trial.

Direct download: RADU2_JC_May.mp3
Category:Audio podcast -- posted at: 9:07pm EDT

This is the second instalment of the Rural Anaesthesia Journal Club.

I am joined by Drs Alex Harris and Mel Little to discuss:

NAP6, soiled airways, Caesar spinal dose adjustments and the RELIEF trial.

Direct download: RADU2_JC_May.mp3
Category:Audio podcast -- posted at: 9:07pm EDT

A series of chats with some new and old friends at the #GPDU18 conference 

Direct download: GPDU_PODCASTfinal.mp3
Category:general -- posted at: 8:34am EDT

This month we cover biases, show our biases about bronchiolitis therapy, cute scrotums, judging and dealing with capacity and how butt-slapping might help you delouse your colleagues....

[DISCLAIMER: we do not recommend that extradural hemorrhage ever be treated with an Ezy-IO drill, it is silly and dangerous.]

If any of that sounds like your deal then have a listen.  If you are super patient and listen all the way through there is a real treat for you....

... a world premiere musical parody song by Dr. Gerry Considine and yours truly. ( we are kinda like Elton & Bernie)

 

Direct download: First10EM_May18.m4a
Category:Audio podcast -- posted at: 9:42am EDT

In this month's episode Justin and I cover chest pain, LPs, nebulised furosemide and of course the sport of Quidditch

Direct download: FIRST10EM20MARCH18.m4a
Category:Audio podcast -- posted at: 9:34am EDT

A new project - a Rural Anaesthesia Journal Club.  Bringing the gas data to the bush.

This episode features Dr Alex Harris

Direct download: RADU20podcast.wav
Category:Audio podcast -- posted at: 9:47am EDT

We are back!  Yes, once again I am joined by my Canadian buddy Dr Justin Morgenstern to bring you a rough guide to Justin's favourite papers of the month. #FOAMed

Direct download: First10_Jan18_Final.m4a
Category:Audio podcast -- posted at: 7:59am EDT

This episode I reflect upon a really tough airway case.

I have asked a number of airway gurus from the FOAMed community to comment on the logistics and plan to manage this case.

Enjoy

Direct download: Airway_Case_143_mix.mp3
Category:Audio podcast -- posted at: 9:45am EDT

Welcome back to the Journal Club with Dr Justin Morgenstern.  It has been 2 months since we last dusted off the papers on Justin's bedside table... but like a mythical (nerdy) Sisyphus Justin must push another load of evidence out into the ether in order to go back and start the whole process again.

This episode is on steroids.  I mean it is largely about steroids, not actually "on steroids" but there is a sprinkling of other stuff and a bit of philosophical banter about machine learning at the end.

So sit back, grab a beverage and tune in for another hour of evidence and education from our corners of the world.

Direct download: First1020Nov1720MIX.m4a
Category:Audio podcast -- posted at: 9:16am EDT

NEWS: I am launching a new podcast segment

The working Title is: Rob's Probs and Casey's Cases  (Ed: may change if we come up with something better)

The new podcast series is all about CLINICAL REASONING.  Exploring how we think through a diagnosis or problem.  In order to do this I have teamed up with Dr Rob Park, a Queensland GP from the "Sunny Coast"

Here is episode 1.

Direct download: Robs20Case201.m4a
Category:Audio podcast -- posted at: 10:05pm EDT

Hi all

The latest episode of the journal club features an ecclectic bunch of papers of variable quality presented by two minds of variable quality!!

We cover alcohol levels, ear tubes, eyelid injuries and HUGS!

Enjoy, Casey

Direct download: First10EM20Sept2017Sun.m4a
Category:Audio podcast -- posted at: 12:10pm EDT

This is the vodcast version of a talk I am giving at the Australian College of Dermatology meeting next week.

Why am I speaking at a Derm conference? Who knows! My knowledge of skin is superficial at best....

Anyway they wanted to know about things that might kill you in Broome...  so apart from humans, this is the most dangerous things I can think of at short notice.

I am joint don this episode by my favourite marine biology enthusiast - Julius Parker, he is 7 years old, in Year 2 and knows more about animals than most postdoc students!

Direct download: Northern_NAstie_Movie.mp4
Category:Video vodcast -- posted at: 10:10am EDT

This is the vodcast version of a talk I am giving at the Australian College of Dermatology meeting next week.

Why am I speaking at a Derm conference? Who knows! My knowledge of skin is superficial at best....

Anyway they wanted to know about things that might kill you in Broome...  so apart from humans, this is the most dangerous things I can think of at short notice.

I am joint don this episode by my favourite marine biology enthusiast - Julius Parker, he is 7 years old, in Year 2 and knows more about animals than most postdoc students!

Direct download: Northern_NAstie_Movie.mp4
Category:Video vodcast -- posted at: 10:09am EDT

Direct download: July1720ScreenF20Final2.m4a
Category:Audio podcast -- posted at: 12:46am EDT

A ripper of a journal club episode.  Recorded live in Berlin at the DasSMACC conference last week.  Justin and I invited a cast of superstars to share a drink over the mike and discuss an eccectic bunch of papers.

 

Direct download: first_10_EM_Berlin_MP3.m4a
Category:Audio podcast -- posted at: 7:40am EDT

Welcome back to the kinda monthly journal club with Dr Justin Morgenstern and I.

This month we do WOMAN, CO tax, Wellen's and Sarin gas

Casey

Direct download: FINAL20May2017JC.m4a
Category:Audio podcast -- posted at: 12:04am EDT

This is a deep dive into a recent lung US paper looking at the sensitivity of eFAST exam for pneumothorax in blunt trauma patients.

The conclusion was a really low sensitivity... but as a skeptic and lung scan enthusiast, I have decided to explain how I think we should interpret this paper.

Casey

Direct download: pneumothorax_podcast.m4a
Category:Audio podcast -- posted at: 9:10am EDT

Hi all

This is a guest vodcast from one of my Obstetric Anaesthesia mentors Dr Roger Browning.  Roger is a great bloke and a Consultant Anaesthetist with particular interests in Obstetric haemorrhage and thromboelastography in major haemorrhage.

I have been lucky enough to attend a few of the live teaching sessions that Roger chairs at King Edward's Hospital for Women in Perth.  This lecture was taken from that session.

Apologies it is a little longer than the usual podcast, but plenty of food for thought for anyone doing Caesars or Anaesthetics out there.

 


Another live journal club with Justin M & Casey P

This month we have 11 papers in 3-quarters of an hour. We cover the good, bad and ugly of migraine sprays.  How Facebook stats can determine your longevity, Marik's Magic Sepsis Sauce and how to "toughen up" in the face of rudeness mid-Resus!  

Enjoy

Direct download: First10_JC_March17.m4a
Category:Audio podcast -- posted at: 10:17am EDT

Dr Resa Lewis @UltrasoundREL is a pioneer of #POCUS

In this podcast she shares a tragic story that changed the lives of a number of people.

 

Direct download: resa20lewiss20LHL3.m4a
Category:Audio podcast -- posted at: 9:17pm EDT

The first Journal club episode for 2017 with Dr Justin Morgenstern.

We cover Acute heart failure, anxious chest pain, clavicle fractures and emergency zipper release amongst other topics

 

Enjoy the FOAM

Casey

 

Direct download: Jan201720Journal20club.m4a
Category:Audio podcast -- posted at: 7:54am EDT

Welcome back the the last journal club with Dr Justin Morgenstern for 2016. [Yes, it is now 2017... but that's life.]  Another batch of 10 delicious articles to satisfy your post-Christmas cravings for academic nerdiness.  There a bit of something for every taste this month. 

Direct download: Dec201620First201020Journal20Club.m4a
Category:Audio podcast -- posted at: 7:25am EDT

At the last SMACC outing in Dublin there was a stand-out lecture by Dr Ross Fisher ( @ffoliet ) entitled:  Things that Scare Me.  Ross is a bit of a presentation guru - and hence he had plenty of pressure on to deliver a great talk.... and he did exactly that.  It was a pin-drop-silently, slideless baring of the soul.

This is the back story behind the talk that lead Ross to learn a lot about himself and how doctors sometimes behave towards one another.

Direct download: Ross20Fisher20Lessons.m4a
Category:Audio podcast -- posted at: 7:02am EDT

This episode of Lessons Hard Learned comes from Johannesburg in South Africa - I am joined by Dr Tori Stephen to discuss a tough trauma case and some pearls from trauma on ultrasound and clinical decision-making in traumatic crises!.

Direct download: Victoria20Stephen20LHL20Final2.m4a
Category:Audio podcast -- posted at: 8:44am EDT

November 2016 Journal Club with First10EM

November's edition of the Justin and Casey Journal Club is out!

Have a listen and check out the written notes over at First10EM.com

Direct download: First1020JC20Nov.m4a
Category:Audio podcast -- posted at: 9:16pm EDT

This is the vodcast version of my SMACCDUB lecture on modern diagnosis using Bayesian reasoning

 

Direct download: Diagnosis_Bayes_and_Beyond.mp4
Category:Video vodcast -- posted at: 7:39pm EDT

Welcome back to the podcast for October's Articles of the Month

Another month of interesting reading with Dr Justin Morgenstern.  Check out the First10EM blog for full written version.

Direct download: FIrst10EM_OCt2016.m4a
Category:Audio podcast -- posted at: 1:26am EDT

October 2016 Journa Club

Another month of interesting reading - articles of the month journal club with Dr Justin Morgenstern.

Direct download: FIrst10EM_OCt2016.wav
Category:Audio podcast -- posted at: 1:22am EDT

This vodcast is a version of the talk I gave last week at the ACEM Annual Scientific meeting in Perth.

We were asked to present a "challenging case" - I decided to present a trauma case that I think represents the maturation of my trauma practice.

The case is pretty straightforward.  However, there are a few concepts thrown in that you may not have heard before.  Airway management, massive transfusion, head injury... it is a tough case.

Direct download: ACEM_vodcast.mp4
Category:Video vodcast -- posted at: 8:54am EDT

Its a new month and that means a new episode of the First10EM / Broomedocs Journal club.

I have learned so much by just hanging out with Justin and reading the papers he digs up each month.  I hope you are learning the easy way too!  This month we have 10 papers for you with topics ranging from massive haemoptysis to "Tweeting drunk en route to ED"...

So sit back, grab a beverage and listen in for the JC with J&C. 

Direct download: First1020JC20Sept16.m4a
Category:Audio podcast -- posted at: 2:30am EDT

Lessons Hard Learned: Dr Heidi James

This episode of "Lessons" is a little different.  My guest is Dr Heidi James, Canadian Primary care doc, and one of the voices of the Primary Care RAP podcast.

Heidi and I have worked together in the Hippo ED shed on the Primary Care RAP for a few years and we seem to have a lot in common when it comes to work, life and the all important balance.  So we decided to yarn about how we make it work with family, work and all the other stuff life throws our way.  Can we have it all? What advice would we give given what we know now?  There is even a tale involving fatherhood, faeces and the fruit section....

Direct download: Heidi_JamesLHL.m4a
Category:Audio podcast -- posted at: 9:08am EDT

Today's "Lesson" is all about knowing one's limitations, scope of practice and appreciating the little voice inside one's noggin.

Dr Andy Buck is an ED Physician who works all over Australia, but is based in Melbourne where he runs the very excellent Emergency Trauma Management course.

This is a case of procedural sedation which goes a little awry. It is a nice counterpoint to all of the stuff we hear about safety, "fasting status" and the classic - "easy intubation, rocky extubation" scenario.

Direct download: Andy20Buck20LHL.m4a
Category:Audio podcast -- posted at: 9:04am EDT

Lessons Hard Learned: Dr Anand Swaminathan

Another lesson Hard Learned episode.

This week I am joined by Dr Anand Swaminathan from Bellevue Hospital in NYC.

Anand shares a tricky case involving the treatment of a VIP patient in his ED.

We discuss a few strategies to help keep both you and the patient safe when we are treating VIPs.

Casey

Direct download: Anand_Swaminathan_LHL.m4a
Category:Audio podcast -- posted at: 9:04am EDT

August 2016: First10EM / Broomedocs Journal Club

Another month of rapid fire journal club with Dr Justin Morgenstern and myself.

15 papers in 40 minutes... with free PDFs

Ready, GO!

Casey

Direct download: First10EM20August2016.m4a
Category:Audio podcast -- posted at: 8:22pm EDT

This Lessons Hard learned with Dr Seth Trueger in Chicago is all about how we deal with the 'frequent flyers' in our EDs.  This group of patients present a myriad of cognitive and clinical challenges.

So have a listen to this case and learn a few lessons, share your experiences too!

Direct download: Seth_Trueger_LHL.m4a
Category:Audio podcast -- posted at: 11:32am EDT

I am diving back into the "Lessons" series with my first new guest... actually an old guest returning - Dr PEnny Wilson tells us about how she struggled to make the right call as a junior doctor at a time when supervision and guidance were lacking...

Direct download: Penny_Lessosns_HL.m4a
Category:Audio podcast -- posted at: 10:40am EDT

The first ever episode with Dr Justin Morgenstern ( @ First10EM )

We discuss 14 of the papers you ought to read from July 2016.

Direct download: First_10_July_podcast.m4a
Category:Audio podcast -- posted at: 9:34am EDT

Direct download: Gynae_gump.m4a
Category:Audio podcast -- posted at: 8:18am EDT

Here is a 15 minute "Broome style" intubation simulation video.

One way to skin a cat!

Direct download: Intubation_Critical_patientsmall.mp4
Category:Video vodcast -- posted at: 11:28pm EDT

Dr Bret Batchelor joins me to talk about his work as a rural Canadian surgery, training, doing stuff better etc. @ReallyRuralsurg

Direct download: Bret_Batchelor.m4a
Category:Audio podcast -- posted at: 11:08am EDT

Direct download: PSGN.wav
Category:Audio podcast -- posted at: 10:22am EDT

This is a discussion of a tough airway case - my mate Dave Forster and I go over a tough case and he tells me the "how", some great tips and tricks and how to run a team in crisi scenario.

Direct download: DAve_Airway_Case.m4a
Category:Audio podcast -- posted at: 10:45am EDT

This is a discussion on the use of early, peripheral vasopressors in patients with septic shock.

The core messages:

 - limit fluids

- use vasopressors earlier / synergistically with IV fluids

- Use Noradrenaline

- use it peripherally (ie. through a good, watched, flowing IVC - idealaly proxiaml to the elbow.

- think about the use of CVCs and potential harms / benefits in small hospitals.

Direct download: Pressors_in_periphery.m4a
Category:Audio podcast -- posted at: 11:11am EDT

My old friend and mentor Dr Airell Hodgkinson has recently completed an audit in his hospital looking at the outcomes for patients with fractured NOF (hips).

He and his fellow GP Anaesthetists wanted to know if they were doing the right thing by their patients - operating on them in a regional town vs. transferring to a tertiary centre with specialists Anesthetists and ICU backup.

So I recorded this chat with Airell about his audit and the bigger picture of "Doing good medicine" as a GP proceduralist in the rural areas.

Its probbly not something many city doctors think about much - but its a concept that we rural generalists think about frequently

Direct download: Airell_NOF_audit.mp3
Category:general -- posted at: 7:23pm EDT

This is a talk I produced for the SWEETS 15 conference in Stockholm, Sweden.

The first 15 minutes is about my approach to Suicide risk assessment.  Then the last 6 minutes are from my RMO Dr Nick Gilbert on the future of suicide, ketamine and Quinolic acid... are we there yet... not really

Direct download: smallMovie_Suicide.mp4
Category:Video vodcast -- posted at: 8:11pm EDT

This is a podcast that discusses the everyday application of Evidence based medicine into real-world scenarios.

Shared decision making is a simple concept with a lot of dynamic factors to consider - how do we make it work on the floor or in the consult to ensure best outcomes for our patients?

Listen on....

Direct download: Shared_decisions.m4a
Category:Audio podcast -- posted at: 10:52am EDT

Dr Penny Wilson - regular guest on the podcast nad author of the "bits n Bumps" podcast has recorded this really interresting interview with my old boss, mentor and teacher - Dr Geoff Riley.

 

Geoff has a practice as a GP and Psychiatrist which includes a large number of health care professionals.  He shars his insights on how to be a doctor when your patient is also a doctor.

Thanks Pen

Direct download: Geoff_Riley.mp3
Category:Audio podcast -- posted at: 8:52am EDT

After the recent NEJM paper on the US vs CT for suspected renal colic - I have asked Dr Adrian Goudie to share his thoughts on the modern workup for the patient with possible renal stones.

Direct download: Adrian_Goudie_Renal_Colic.m4a
Category:Audio podcast -- posted at: 9:31am EDT

This is an introduction to the basics of lung ultrasound.  It focusses on the "how to" of setting up your machine, probe use and position as well as some pearls for young players.

Dr Baker is an ED Doc from Queensland, Australia who has researched the use of bedside US for the Dx of acute heart failure in ED

Direct download: Kylie_Baker_final.mp3
Category:Audio podcast -- posted at: 2:47am EDT

This is a chat I recorded with my mate and mentor Dr Jim McDonald.

Jim is a 45 year veteran of GP, and has worked all over Australia in family, Aboriginal health, Anaesthesia and Obstetrics.  He is based in Melbourne but spends his time doing locum work with us in Broome.

In 2015 Jim was awarded the Order of Australia for his contributions to MEdicine.

Direct download: PArker_JimMacDonald_FINAL.m4a
Category:Audio podcast -- posted at: 9:51am EDT

Hi All

After the recent blog post on Strept throat and swabbing with a look at the sequelae of this common disease I have recored a chat with some gurus.

The PAeds Hangout team joins me to dissect the practice from all over the world

 

Direct download: Strept_Hangout.mp3
Category:Audio podcast -- posted at: 7:45am EDT

A quick Brome Pearl rant on the perils of confusing the biostats we use when we describe  the effects of screening.

Use mortality (all cause) not 5 year survival.

C

Direct download: Prostate_survival_lead_time_bias.wav
Category:Audio podcast -- posted at: 10:09am EDT

Are you planning to go to the USA for SMACC Chicago.

Well we have the ultimate pre-SMACC workshop for you.  And it is all in a good cause - help us help out a brother Ultrasound lover.

 

Direct download: YEllows_tone_promo.mp4
Category:Video vodcast -- posted at: 11:00am EDT

This is my response to Scott Weingart's Emcrit post on Errors of Commission vs Omission.

It s a Broome pearl for you

 

Direct download: Pearl_-_Schizo_mind.mp3
Category:general -- posted at: 3:50pm EDT

Here is the latest office Gynae podcast from Broome Docs favourite Gynae guru - Dr Penny Wilson

Direct download: Pennys_PCOS.mp3
Category:Audio podcast -- posted at: 9:13am EDT

The use of Optic Nerve Shaeth Diameter measurement for assessment of patients with potentially raised ICP has been a contentious area of practice for a few years.

The studies look good at first read, but then when you stand back and look at them all - something is wrong - they all disagree on the norms, the cut-offs and the anatomy.

So I have enlisted the help of Dr LEanne Hartnett - US-wielding ED Physician from Fremantle Hospital in WA.

Leanne helps us sort out the facts and form an idea of where we need to go to make this potentially beautiful use of US really work on the floor.

Casey

Direct download: Leanne_ONSD.mp3
Category:Audio podcast -- posted at: 3:11am EDT

This is the audio from a recent hangout chat about the common problems we face when trying to assess and manage small children with fever in the ED.

Teething, UTIs,, otitis media, pneumonia and all the ways we can get it wrong are discussed.

Direct download: PAeds_Fever_Hangout.mp3
Category:Audio podcast -- posted at: 8:48am EDT

After the recent publication of the process trial in the NEJM and discussion all over the FOAM forums - I have been contemplating how we might apply the findings in our smaller EDs, in the small rural towns where patients still get sepsis, and I believe should get world's best care.

PROCESS has many helpful findings that I think we can utilise... despite being a negative trial!

Here's my thoughts in the first "Broome Pearl" podcast - its just me, solo with my thoughts....

A few links that I mention:

The ProCess trial in NEJM and supplementary data are HERE

The New York STOP SEPSIS collaboration has info on EMCRIT HERE

Simon Carley's piece on St Emlyn's looking at our outcomes with Sepsis over the past dozen years

Seth Trueger's analysis on MDAware is here

Direct download: Process_pearl.mp3
Category:Audio podcast -- posted at: 10:02am EDT

A discussion about the practicality and logistics of dealing with trauma in the field, in a small ED and in transit.

Lots of pearls from a guy who does this sort of thing a lot! Dr Tim

 

Direct download: Broome_Docs100.mp3
Category:Audio podcast -- posted at: 1:40am EDT

Another in the Lessons Hard Learned series

Another Irishman in Australia telling us about a moment in medicine where he learned a few tough lessons and shares them with you.

C

Direct download: Brannigan_Lessons.mp3
Category:general -- posted at: 2:45am EDT

This is the ultimate Lessons Hard Learned!

Ever considered getting out of Medicine - changing you life for a different trade - losing the identity of "Doctor"

Here is a candid chat with my friend who did just that.

Hear how it goes. Casey

Direct download: Ryan_Wallman_FINAL.mp3
Category:general -- posted at: 7:05am EDT

Aimed at primary care, but a fascinating look at a worls of gnarly evidence, confusing confounders and fundamentally flawed research.  Vit amin D deficiency, overdiagnosis, debate and practice tips.

See the foam4gp.com website for refernces here: foam4gp.com

Direct download: Vit_D_Robin_Park.mp3
Category:general -- posted at: 2:34am EDT

Dr Penny is back with a quick chat about contraception

We cover the best resources to tackle this complex and common presentation.

We then discuss the recent controversy around the OCP and DVT - what are the real numbers and how to discuss the risks with women.

Direct download: Penny_Wilson_Contraception_-_FINAL.mp3
Category:general -- posted at: 8:27am EDT

Another Irishman delivering a lesson in medicine.

Andy tells us about a case that might have helped shape his future career!

Enjoy 

Direct download: Andy_Neill_LHL1.mp3
Category:Audio podcast -- posted at: 8:35am EDT

Recorded at BCC4 conference in Cairns.  I caught up with the lads for a chat in the garden - apologies for all the birds and kids!  It is that sorta conference, that sort of place!

Lessons learned from about semantics - using words with precision and meaning. We touch on some tough tips for communictaing in critical moments - with colleagues and patient's or their families

Casey

Direct download: Matt_and_Doug_Lessons.mp3
Category:Audio podcast -- posted at: 10:26am EDT

DR Justing Coleman - The NAked Doctor shares his thoughts on the modern trend to overdiagnosis and treatment in medicine.

Direct download: Justin_Coleman_Overdiagnosis01.mp3
Category:Audio podcast -- posted at: 4:44am EDT

This is the final installment of the PE Prognostication series.

A retort to the recent comments and suggestions on the last episode

PLUS a suggested plan and maybe future trial

Enjoy

Direct download: Senthi_Strikes_back_64kb_EQ.mp3
Category:Audio podcast -- posted at: 5:30pm EDT

This is a sweet, short review of the evidence base behind ED-physician performed US for DVT diagnosis.

Dr Dawson delivers some great analysis and practical assessment of how to apply this evidence in practice.

C

Direct download: Dawson_BEDSIDE_DVT_review.mov
Category:Video vodcast -- posted at: 9:14am EDT

After last weeks podcast there was quite of bit of commentary and Twitter argy-bargy... as is the norm for a PE discussion!

Anyway I got this email from Dr Scott Weingart who has some great pearls - so here it is, What would Weingart do? if it were your PE work up?

C

Direct download: Weingart_PE_response.mp3
Category:Audio podcast -- posted at: 9:40am EDT

This is part 2 of the PE Prognostication podcast with Dr Senthi

In this episode we cover the prognosis of patients with PE - the PESI and simplified PESI scores and how they might be used in the diagnostic decision-making strategies for the "low-risk" PE patient in ED.

Enjoy

Direct download: Anand_PE_part_2.mp3
Category:Audio podcast -- posted at: 9:36am EDT

This is part 1 of a 2 part PE podcast.

In this one we cover the history of PE evidence and the current methods of assessing PE risk in the low-end of the PE spectrum of disease.

In part 2 we look at a newer concept of pretest prognostication for PE

Direct download: Anand_PE_part_1.mp3
Category:Audio podcast -- posted at: 9:55am EDT

This is a prototype of the JAMMIT "instant tutorial" format we are promoting through the FOAMed community.

Competition upcoming

Direct download: IO_JAMMIT.m4v
Category:general -- posted at: 8:13am EDT

Ok, are you confused about the title?

This is a podcast where Dr Penny Wilson (GP-Obstetrician) asks all the questions she is dying to know about the dark art of Obstetric Anaesthesia.

Dr David Forster and Casey PArker try to baffle her with science and explain how it works, why it doesn't sometimes and how we can communicate to get better outcomes for our mothers

Direct download: Dave_and_Penny_-_Obs_Anaesthesia.mp3
Category:Audio podcast -- posted at: 10:29am EDT

Kids with Constipation - a common problem in ED and GP practice.

Dr Mel Thompson and Liz Bannister - both receive plenty of referrals for this problem and this podcast is full of their pearls - how to get a history, examine and manage these families.

Enjoy

Casey

Direct download: Constipation.mp3
Category:general -- posted at: 9:17am EDT

This is a quick run through the nitty gritty practicality of the middle-of-the road neaonatal resuscitation.

What to do with the baby who isn't desperately ill, but still needs a close eye, a bit of help.

Thanks to our local Paeds Docs for their input into this one.

Casey

Direct download: Neonates-_Drs_Mel_and_Liz.mp3
Category:general -- posted at: 11:19am EDT

This is the 3rd and final PK from the super Brit RMOs of the Broome ED.  This was part of our show at ACEM Winter Symposium in Broome last month

Dr Laura Castle as been on the blog before - US in Sepsis.

This one was a real challenge - all of the physiology, controversy and practical applications of Lactate in sepsis in just 6-and-a-half minutes.

She nailed it!

Enjoy

Casey

Direct download: Lauras_Lactate.mp4
Category:Video vodcast -- posted at: 10:07am EDT

This is an introductory lecture on the basic physiology and physics of ventilation management.

Aimed at doctors starting out in Anaesthesia or ICU training.

Not really a talk on actual disease management - more on the basic principles behind the vent management in common practice.

Direct download: VEnt_basics.mp4
Category:Video vodcast -- posted at: 9:09am EDT

Dr James Wrights ACEM presentation - in which he tackles a whole lot of sepsis fluid controversy in an 8 minute power talk.

Awesome

Casey

Direct download: James_Fluid_sepsis.mp4
Category:Video vodcast -- posted at: 3:16am EDT

This is a 3 way podcast between myself and two Tox gurus.  Dr Bryan Hayes and Dr David McCoubrie

We cover some basics of tox assessment, common interventions and myths of toxicology.

Enjoy

Casey

Direct download: Tox_treat_Bryan_Hayes_David_mcC.mp3
Category:Audio podcast -- posted at: 5:39am EDT

This is the first of a 3 video series - Sepsis Kimberley style

The Broome ED RMO team presented this case at the ACEM Winter Symposium on June 15th.

Laura Smith gives us an overview of early sepsis ED management including source ID, investigation and initial antimicrobial election

Enjoy

Direct download: laura_smith_sepsis_pod_cast.mp4
Category:Video vodcast -- posted at: 10:41pm EDT

This is a quick case discussion that looks at the CICO - surgical airway stuff.

Dr Tim shares a case from his early days.

Casey

Direct download: LHL_TIm_Surg_Airway.mp3
Category:Audio podcast -- posted at: 5:44am EDT

The LActate clearance debate with Dr Seth - its about haow we can use lactate to guide resus in sepsis.

Enjoy

Direct download: Seth_Trueger_Sepsis_Lactate.mp3
Category:Audio podcast -- posted at: 10:32am EDT