Broomedocs Podcast

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

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 EST

Another lesson for us all.  I am joined by Matt Dawson to discuss mistakes and lessons we can learn when scanning in the ED.

There is a lot of tips from the guru  and a prelude to his upcoming stage show on Broadway with Lady Gaga.

Will be awesome

Casey

Direct download: Matt_Dawson_US_Lessons_HArd_Learned.mp3
Category:Audio podcast -- posted at: 10:27am EST

Dr Dave Forster shares a story about a consult that started out on a bad foot, but eventually resulted in a save, a great relationship and some really valuable lessons.

Enjoy

Direct download: Lessons_Hard_Learned_with_Dave_F_.mp3
Category:Audio podcast -- posted at: 9:37am EST

A 30 minute discussion on what is new in the diagnostic / USS work up for women with 1st trimester bleeding.

Dr MAtt Dawson of the US Podcast shares his pearls.

Direct download: Matt_Dawson_First_trimester_bleeding_tips.mp3
Category:Audio podcast -- posted at: 9:18am EST

After posting Clinical Case 086 I got a lot of feedback.

So I have teamed up with a few mates to discuss how they might approach this tricky case out there - in remote Australia, with no Cardiothoracic back up, minimal resources or specific training.

Dr Tim and Dr Minh on Case 086

Direct download: Clinical_Case_086_Rural_Dissection.mp3
Category:general -- posted at: 8:32am EST

Dr Tim L is a country GP - biut also a very naughty boy.

We caught up fior a chat about Drug errors and he shared some experiences from his days as a JMO on the wards and the disaster that can occur.

C

Direct download: LHL_Tim_Drug_errors.mp3
Category:Audio podcast -- posted at: 6:58pm EST

Infertility is a common problem in office GP and something that I do a lot of Anaesthetics in order to assist in the work up and therapy of these couples.

Penny Wilson joins us again to discuss infertility.

Casey

Direct download: Penny_Wilson_INfertility.mp3
Category:Audio podcast -- posted at: 9:05am EST

A discussion about the work up and management of dysmenorrhea in primary care.

Direct download: Penny_Wilson_Dysmennorhea.mp3
Category:general -- posted at: 9:48am EST

MAanging sexual assault in the rural ED is one of the toughest, yet important tasks we do.

It is high tension - unpleasant for patients, but needs to be done well to ensure optimal medical, psychological and forensic outcomes.

Podacast

Direct download: Sexual_assault_in_ED.mp3
Category:general -- posted at: 6:31am EST

HEre is a 20 minute chat I recorded with Dr Geordan Shannon - she tells me how it is with Women's health including what is new in Pap smears, cervical cancer and a bit on Aboriginal health.

Direct download: Geordan_Pap_smears.mp3
Category:Audio podcast -- posted at: 9:50am EST

I team up with Dr Wendy Hughes - local O&G specialist to discuss the manageemnt of a heavily bleeding woman in the late part of pregnancy.

This is one of those presentations which can really stretch ones mental and physical resurces.  So have a listen as I learn how to do it from the boss!

Direct download: APH_with_Wendy.mp3
Category:Audio podcast -- posted at: 10:21am EST

This is the 8th episode of the "Lessons Hard Learned" series.

In this podcast - I chat with Dr Rob Orman of ERCast fame.  Rob has some great pearls to share with us on being a little bit more humble, human and happy in the ED.

In case you don't know who Rob is - then stop right here - go over and check out blog.ercast.com

Enjoy

Casey

Direct download: Robert_Orman_2013-04-13_at_11.57.46.m4a
Category:Audio podcast -- posted at: 10:31am EST

DR Mel Thompson is back with her second lesson hard learned podcast

This one happens in every big hospital - probably on a daily basis

c

Direct download: Mel_THompson_part_2.mp3
Category:Audio podcast -- posted at: 3:23am EST

ITs still Paeds month here in Broome Docs.

So this lesson comes from Dr Melanie Thompson  @dr_mel_thompson

Mel spent a bit of time doing Aid work in South East Asia and has an interest in migrant Paediatrics, tropical disease and is now spending time in the Kimberley.

Direct download: Dr_Mel_Thompson_1.mp3
Category:Audio podcast -- posted at: 10:50am EST

The last of the 3 part series on Paeds spot diagnoses

Direct download: Paeds_Quiz_part_3.mp4
Category:Video vodcast -- posted at: 9:55am EST

Episode 3 of Lessons Hard Learned

This one involves a case from a PAeds ED.

It is a perfect Swiss Cheese syndrome.  7 lessons I have picked from this one.

Maybe you can see more?

Direct download: Lessons_HArd_Learned_3_-_Paeds.mp3
Category:Audio podcast -- posted at: 8:04am EST

PArt 2 of the Broome Docs PAeds Spot Diagnosis Quiz

Another handful of cases coming at you thick and fast

C

Direct download: Paeds_Quiz_2.mp4
Category:Video vodcast -- posted at: 5:58am EST

Part 1 of 3 Paeds spot diagnosis Quiz

Direct download: PAeds_Quiz1_.mp4
Category:general -- posted at: 11:20am EST

This is a slightly longer than allowed PK on Kawasaki's disease

Love Paeds - it is all about clinical syndromes!

C

Direct download: Kawasakis_PK.mp4
Category:Video vodcast -- posted at: 11:20am EST

This is the second episode of Lessons Hard LEarned

This is a tough one to listen to - but worthwhile

Case

Direct download: Lessons_2_-_Andy.mp3
Category:general -- posted at: 2:54am EST

After my recent Flash Tox Quiz - I enlisted the help of super smart Clinical Pharmacist from Uni of Maryland, Academic Life in EM author - Dr Bryan Hayes..

Direct download: Broome_Docs_5_Tox_Cases.m4a
Category:general -- posted at: 9:47am EST

This is the first in my "Lessons Hard Learned" series.

This is a sort of confessional, where we explore the lessons we can learn from patients, problems and our mistakes.

This is a story told by Dr Tor Ercleve - Emergency Physician and cartoonist of the LITFL blog.

Thanks Tor

Direct download: Lessons_-_Tor.mp3
Category:Audio podcast -- posted at: 11:01am EST

Direct download: weingart_case_82.mp3
Category:general -- posted at: 6:54am EST

A GP hangout on the management of common recurrent headache syndromes, their diagnosis and traps for headache patients.

Direct download: Headaches_Gerry_Minh.mp3
Category:general -- posted at: 10:47am EST

Broome's Brit Docs learn you about how to approach the potentially envenomatd snake bite patient.

The Dos the DONTs and a structured approach to this potentially lethal problem.

It is up to date, dead simple and will make you rethink your appraoch if you haven't done this in a while, or if you are a newby to the bush!

Direct download: Snake_Bite_small.mp4
Category:Video vodcast -- posted at: 4:20am EST

This is clinical case 081 - the audio version

Check out the poll and let me know what you would do.

Casey

Direct download: clinical_case_081.mp3
Category:Audio podcast -- posted at: 9:39am EST

This is a quick grumble, a rant about the stuff junior staff sometimes say that really adds nothing to the care of patients and I find hard to listen to!

Apologies for the negativity.  Had to get it off my chest

Casey

Direct download: Difficult_historian.mp3
Category:Audio podcast -- posted at: 3:33am EST

This is a one hour conversation that I had with Dr Rob Orman of the ERCast podcast in Colorado USA.

Rob is an emergency physician and has developed some great tools for dealing with what is often a complex and difficult consultation and decision-making process.

There are a lot of pearls and ideas to take away from this long, but really relevant discussion.

Enjoy Casey

Direct download: Suicide_Rob_2.mp3
Category:general -- posted at: 10:58am EST

Dave and I discuss the super common presentation of earache in small kids - externa, media and what we do when the question of antibiotics comes up.

Direct download: Podcast_008-_Dave_F_on_Ears.mp3
Category:general -- posted at: 9:45am EST

We chat about eye trauma, and especially retrobulbar haematoma.  how to release the pressure by doing a lateral canthotomy.

Direct download: Podcast_007-_Seb_Eye_trauma.mp3
Category:general -- posted at: 8:00am EST

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