"Keeping the pressure down" is a podcast episode about a real life Paedatric Emergency case. The Episode explores what  Emergency Fellow Dr Janani Prageshan experienced whilst on a busy evening shift and how she deal with the situation. The conversation explores themes of advocacy, clinical judgment and also how to deal with a specific ophthalmology Emergency.   

Show notes 

-Lateral canthotomy and cantholysis - procedures guide and app https://litfl.com/procedure-lateral-canthotomy/ 

- Eye manual ACI - aci.health.nsw.gov.au ACI-Eye-Emergency-Manual.pdf

-Clinical Practice Guidlines Acute eye Injury - Royal Childrens Hospital  https://www.rch.org.au/clinicalguide/guideline_index/Acute_eye_injury/

-Periorbital Cellulitis and orbital Cellulitis   https://www.rch.org.au/clinicalguide/guideline_index/Periorbital_and_orbital_cellulitis/

This episode i sat down with ED consultant Dr Siobhann Ritson and discussed an interesting case and talked about simulation. Siobhann works in a mixed emergency department and is also a Director of medical training in the emergency department. The episode was predominately focused around and interesting paediatric case and how cases can evolve whilst patients are in the ED. We also discussed simulation and Siobhan gave us some tips for running a good simulation. 

Case notes 

- Potts puffy tumour radiopedia 

 click here to view https://radiopaedia.org/articles/pott-puffy-tumor-1  

-Pott's puffy tumor: A comprehensive review of the literature

- Rohde, R. L., North, L. M., Murray, M., Khalili, S., & Poetker, D. M. (2022). Pott's puffy tumor: A comprehensive review of the literature. American journal of otolaryngology, 43(5), 103529.

This episode I sat down with the experienced emergency nurse practitioner Al Hodge to discuss his new venture into the urgent care space. Al discussed the future of nurse practitioners and the reason why nurse practitioners are useful in urgent cares environments and emergency departments. Within the episode we also discussed a clinical case and how good decision-making can save lives. Al is also a successful Sydney based author. His books are focused within the genres of horror, thriller and fantasy.

Show notes

* Al hodge  instrgram 

instagram - shire doctors and dentists- Al Hodge 

* Al hodge-  Books 

- amazon.com.au - Cryptid-Killers-Alister-Hodge- click to buy

- amazon.com.au- Plague-War-Outbreak-Alister-Hodge-ebook- click to listen or buy

On this episode I spoke with Dr Ben McKenzie about anaphylaxis and about his AMAX4 guideline. Ben is an emergency physician based in Melbourne. On the episode we discussed the new guideline and how ben likes to approach the critical anaphylaxis patient. On the episode we also spoke about the tragic loss of ben son Max to anaphylaxis, which’s has been a driving force for ben in his approach to the early identification/management of serve anaphylaxis. 

   Show notes

AMAX4 guidline 

* https://www.amax4.org - click this link to follow

* AMAX4 ALGORITHM

* SIMULATION -AMAX4 - https://www.amax4.org/simulation

"Wingin it with Steph Wise " is all about being at the right place at the right time with the right person and the right brains. On this episode I sat down with the amazing Intensive Care Paramedic Steph and talked about a clinical cardiac arrest case that she attended. Steph responded to a job in Sydney south Sydney and what was initial just a trip and fall turned into something a little more.

Topics such as cardiac arrest, good sam app, resilience and laughter were all spoken about through the episode. The episode will bring a tear to your eye and also a lot of laughter. 

                                           Case notes 

https://www.goodsamapp.org - Good sam app - click to follow 

- post cardiac arrest care - https://litfl.com/post-cardiac-arrest-care/W

If you want to know how to deliver a high performance approach to your role in the emergency and prehospital space, then this episode is for you. Dr Jamie Moran Emergency and Prehospital physician, discusses his approach to delivering high performance care to patients in any sphere. Themes such as people/culture, individualality, world class basics and being authentic were raised. The episode will leave you with some points to take home and develop in your own context.  

                                               SHOW NOTES 

*Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial. Intensive Care Medicine, 47, 49-59. click this link to read

*Why are bleeding trauma patients still dying? click link to read

* /the-high-performance-podcast/- click link to follow

ON this week’s episode I sat down with Nurse practitioner damian valle to talk about a case of septic arthritis. Damo is a nurse pract with a love for teaching and training. The case is an excellent example of why getting a clinical history is important and why reassessment is always so important. On the episode we spoke why doing a complete physical exam is paramount. 

SHOW NOTES

Disseminated gonococcal infection (DGI) results from bacteremic spread of the sexually transmitted pathogen, Neisseria gonorrhoeae, which can lead to a variety of clinical symptoms and signs, such as arthritis or arthralgias, tenosynovitis, and multiple skin lesions.click link to follow

Reactive arthritis is conventionally defined as an arthritis that arises following an infection, although the pathogens cannot be cultured from the affected joints. It is generally regarded as a form of spondyloarthritis (SpA).

click link to follow

Septic arthritis is synonymous with an infection in a joint. Septic arthritis is usually caused by bacteria but can also be caused by other microorganisms. Septic arthritis due to bacterial infection is often a destructive form of acute arthritis. click link to follow

Resuscitative Hysterotomy is an amazing real case from Brazilian doctor, Guilherme Resener. The podcast episode runs through a real case that the HEMS Physician attended to and the quick thinking that took place whist on shift. Within the case we talked about guidelines for resuscitative hysterotomy, when and where to cut, statistics and why there is a need for aggressive interventions for good outcomes. The episode may get you to tears, but will also bring you to love Guilherme for his brut honesty, compassion and dedication to his job.      

Show notes 

Resuscitative hsyterotomy - Video Dr Sara Gray - 2018 EMCrit

Cardiac disease in Pregnancy- 2022

perimortem-caesarean-section- 2018 - Life in the fast lane

Situational Awareness is something that all Paramedics, Nurses and Doctors need to use on a daily basis. On this episode Theo outlines why it is so imperative in the current context to be situational aware and vigilant as a paramedic. Theo is a paramedic from Tasmania and also runs the "Student Paramedic" a large social media presents on both Instagram, tik tok and YouTube. He flipped his life from a botanist to a paramedic after some eye opening travels overseas. Check out the episode and don't forget to check out theo on instagram student paramedics

              Show notes  

* Student Paramedic - Youtube channel click link to follow

instagram. student paramedics click link to follow

* LACES - click link to read more

This week I spoke with neurosurgical registrar Dr Simon Haron about Spinal Cord injury SCI. Simon spoke about the important structures of the spinal cord, anatomy/physiology and why prevention of a secondary injury is so important for patients that have suffered a spinal cord injury. Blood pressure targeting was a topic of discussion as well as central cord syndrome. 

                                                       Show notes 

-A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury and Central Cord Syndrome: Recommendations on the Timing (􏰀24 Hours Versus >24 Hours) of Decompressive Surgery 

- Early Surgical Decompression Improves Neurological Outcome after Complete Traumatic Cervical Spinal Cord Injury: A Meta-Analysis

- Early versus Delayed Decompression for Traumatic Cervical Spinal Cord Injury: Results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS)

- A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Use of Methylprednisolone Sodium Succinate

- Mean Arterial Blood Pressure Correlates with Neurological Recovery after Human Spinal Cord Injury: Analysis of High Frequency Physiologic Data

- Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis