Broomedocs Podcast (audio podcast)

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

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

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