Broomedocs Podcast

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