Broomedocs Podcast (audio podcast)

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

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 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