Education Archives - obsgynaecritcare

Join Sarah & Declan as we continue our series covering the ANZCA final exam curriculum for obstetrics across four episodes. This second episode covers complications in labour and delivery including management of postpartum haemorrhage.

We hope this resource will be helpful for everyone, but especially those of our trainees preparing for the final exam. To get the most out of it, we suggest regularly pausing the podcast to answer each question yourself, before listening to our answers. Of course there is much more detail expected in the exam, but if you can answer all these questions confidently, we think you’ll have a great chance.

If you find this podcast helpful, or have suggestions for future episodes in this series, please send us an email to let us know.

Resources mentioned in this episode:

https://www.bjaed.org/article/S2058-5349(24)00089-1/fulltext

https://www.ranzcog.edu.au/wp-content/uploads/Management-Postpartum-Haemorrhage.pdf

https://www.bjaed.org/action/showPdf?pii=S2058-5349%2818%2930060-X

https://www.bjaed.org/article/S2058-5349(22)00094-4/fulltext

https://derangedphysiology.com/main/required-reading/haematology-and-oncology/Chapter-108/intepretation-abnormal-rotem-data

https://www.ranzcog.edu.au/wp-content/uploads/Management-Postpartum-Haemorrhage.pdf

https://www.bjaed.org/article/S2058-5349(24)00009-X/fulltext

https://ranzcog.edu.au/wp-content/uploads/Placenta-Accreta-Spectrum.pdf

https://www.bjaed.org/article/S2058-5349(21)00131-1/fulltext

https://www.soap.org/assets/docs/Consensus/SOAP%20Consensus%20Statement%20Thrombocytopenia%202021.pdf

The post 154 Obstetrics in the ANZCA final exam — Part 2 appeared first on obsgynaecritcare.

Join Sarah & Declan as we introduce a new series, covering the ANZCA final exam curriculum for obstetrics across four episodes. This first episode covers analgesia, neuraxials, and GA in pregnancy.

We hope this resource will be helpful for everyone, but especially those of our trainees preparing for the final exam. To get the most out of it, we suggest regularly pausing the podcast to answer each question yourself, before listing to our answers. Of course there is much more detail expected in the exam, but if you can answer all these questions confidently, we think you’ll have a great chance.

If you find this podcast helpful, or have suggestions for future episodes in this series, please send us an email ([email protected]) to let us know.

Here are links to some of the resources mentioned in this episode:

Question 1 (scoliosis, labour analgesia, inadequate block for labour, nerve injury)

· BJA Education, Oct 2024, Neuraxial anaesthesia in the parturient with pre-existing structural spinal pathology o https://www.bjaed.org/article/S2058-5349(24)00077-5/fulltext

· BJA Education Nov 2019, Non-regional analgesia for labour: remifentanil in obstetrics o https://www.bjaed.org/article/S2058-5349(19)30114-3/fulltext

· RANZCOG Guideline – Pain Relief in Labour and Childbirth o https://ranzcog.edu.au/wp-content/uploads/Pain-Relief-Labour-Childbirth.pdf

· BJA Education, Feb 2005, Analgesia in labour: non-regional techniques o https://www.bjaed.org/article/S1743-1816(17)30574-7/fulltext

· BJA Education, Apr 2013, Post-natal neurological problems o https://www.bjaed.org/article/S1743-1816(17)30057-4/fulltext

Question 2 (hypotension post-epidural, conversion of labour epidural to surgical epidural, PDPH)

· BJA Education, Jan 2020, Conversion of labour epidural analgesia to surgical anaesthesia for emergency intrapartum Caesarean section o https://www.bjaed.org/article/S2058-5349(19)30149-0/fulltext

· Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report o https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808365

Question 3 (failed top-up conversion to GA, post-op analgesia)

· ObsgynaeCritCare Podcast Episode 147 Pain during caesarean a discussion with Matt o https://www.obsgynaecritcare.org/pain-during-caesarean/

Question 4 (obs patient for GA, prescribing in pregnancy)

· BJA Education, Feb 2021Anaesthesia and non-obstetric surgery in pregnancy o https://www.bjaed.org/article/S2058-5349(20)30143-8/fulltext

· Australian categorisation system for prescribing medicines in pregnancy o https://www.tga.gov.au/resources/health-professional-information-and-resources/australian-categorisation-system-prescribing-medicines-pregnancy

The post 151 Obstetrics in the ANZCA final exam part 1 appeared first on obsgynaecritcare.

Hi Everyone,

This is part 2 of a discussion (see the previous episode for part 1).

We have just returned from the Obstetric Anaesthesia Special Interest Group Satellite meeting held on May 3-4. I sat down two days after the meeting with Dr Matt Rucklidge (the convenor of this meeting and a colleague here at KEMH) and Prof Nuala Lucas one of the keynote invited speakers from the UK who is the president of the OAA UK (Obstetric Anaesthesia Association).

We discuss the highlights of this two day meeting and some of the takeaway learning points.

Thanks to Matt Rucklidge and Jane Brown who organised the speakers – an absolutely amazing line up of compelling speakers and topics!

Apologies for the audio quality – we didn’t have the usual microphones and had to record in a side room at the Sydney Convention centre at were unable to get away from the background elevator music……

Nuala flew straight from Sydney back to the OAA annual meeting this year being held in Edinburgh. If anyone is interested in attending any excellent Obstetric Anaesthesia meetings the OAA hold two very well regarded meetings held every year – see the links below:

Challenges and Choices in Obstetric Anaesthesia – Sydney Convention centre May 3-4 2023

Obstetric Anaesthetist’s Association OAA-UK – see links to their annual meetings

Handbook of Communication in Anaesthesia & Critical Care: A Practical Guide to Exploring the Art Illustrated Edition. Dr Allan Cyna

The post 114 Highlights from the OA SIG Meeting Sydney part 2 appeared first on obsgynaecritcare.

Hi Everyone,

We have just returned from the Obstetric Anaesthesia Special Interest Group Satellite meeting held on May 3-4. I sat down two days after the meeting with Dr Matt Rucklidge (the convenor of this meeting and a colleague here at KEMH) and Prof Nuala Lucas one of the keynote invited speakers from the UK who is the president of the OAA UK (Obstetric Anaesthesia Association).

We discuss the highlights of this two day meeting and some of the takeaway learning points.

Thanks to Matt Rucklidge and Jane Brown who organised the speakers – an absolutely amazing line up of compelling speakers and topics!

Apologies for the audio quality – we didn’t have the usual microphones and had to record in a side room at the Sydney Convention centre at were unable to get away from the background elevator music……

Nuala flew straight from Sydney back to the OAA annual meeting this year being held in Edinburgh. If anyone is interested in attending any excellent Obstetric Anaesthesia meetings the OAA hold two very well regarded meetings held every year – see the links below:

Challenges and Choices in Obstetric Anaesthesia – Sydney Convention centre May 3-4 2023

Obstetric Anaesthetist’s Association OAA-UK – see links to their annual meetings

Moran, NF, Bishop, DG, Fawcus, S, Morris, E, Shakur-Still, H, Devall, AJ, et al. Tranexamic acid at cesarean delivery: drug-error deaths. BJOG. 2023; 130(1): 114– 117. https://doi.org/10.1111/1471-0528.17292

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Hi Everyone,

This week is our first episode of our journal club to discuss interesting recent relevant research papers. We are hoping to do this on a regular basis interspersed amongst the other regular episodes where we choose a topic and explore it in detail.

In this inaugural episode I am joined by a couple of colleagues who have both been on the podcast before. We have decided to choose articles from IJOA – the International Journal of Obstetric Anaesthesia – a journal devoted to obstetric anaesthesia, critical care and perinatology. Prof Mike Paech is the chief editor, has been on it’s editorial board almost since it was first started in the 1990s and Dr Matt Rucklidge has also been a reviewer for the journal for a number of years now.

Mike explains the history of the journal and shares some insights of what it is like being a chief editor, and then we discuss four interesting articles from recent editions.

REFERENCES

International Journal of Obstetric Anaesthesia https://www.obstetanesthesia.com/

1.Rocuronium Versus Suxamethonium for Rapid Sequence Induction of General Anaesthesia for Caesarean Section: Influence on Neonatal Outcomes

2. Lower-limb Neurologic Deficit After Vaginal Delivery: A Prospective Observational Study

The post 069 – Inaugural journal club June 2020 appeared first on obsgynaecritcare.

Hi everyone,

Welcome back to part 2 of our discussion on the use of abbreviations and acronyms in healthcare. We discuss the results, go through some of the more obscure ones and then have a bit of a serious discussion about the advantages but also the dangers inherent in using these for communication in healthcare.

Below are the correct answers and some “interesting” responses from the Ob / Gyn abbreviation quiz which Sneha compiled using some of the abbreviations found here in our women’s hospital. If you want to have a go first – look away – and navigate back to the preceding post 060.

The post 061 Abbreviations in healthcare with Sneha, Part 2 appeared first on obsgynaecritcare.

Hi Everyone,

This week we are joined by a colleague Dr Adam Mossenson. Adam sits down and over a cup of coffee we discuss his recent fellowship year spent overseas at Dalhousie University in Nova Scotia, where he was involved in designing and implementing a new anaesthesia simulation training course in Rwanda. This has now been so successful it is now being expanded to other locations around the globe.

If anyone has any old (or new) ipads to donate to the program you can contact Adam through the VAST website below:

Adam also recently gave a talk to our local Anaesthesia Dept for those who would like to watch that:

The post 055 – VAST course (vital anaesthesia simulation training) with Dr Adam Mossenson appeared first on obsgynaecritcare.

Hi Everyone,

This week I had the privilege to sit down and chat with Dr Casey Parker (or is that Paraka? – apologies a little inside joke ). Casey works up in Broome as a GP anaesthetist, in emergency medicine, the HDU, is an enthusiast for point of care ultrasound and is involved in FOAMed and a huge number of other educational initiatives.

Casey has had his own very successful website / podcast / blog (www.broomedocs.com) for over 7 years and he was one of the original people who encouraged me a few years ago. This week I sat down and quizzed him about his own journey in the FOAMed world, what he has learnt along the way, what his favourite podcasts are and if he has any advice for people out there who are also interested in getting involved.

Thanks for sitting down and sharing your wisdom Casey!

https://emcrit.org/

http://accrac.com/

www.topmedtalk.com

Home

Other Links

https://www.nosuchthingasafish.com/

www.hamishandandy.com

The post 049 – FOAMed and podcasting with Dr Casey Parker appeared first on obsgynaecritcare.

Hi Everyone!

This week I am joined on the podcast by Dr Katrina Calvert a senior trainee in Obstetrics and Gynaecology here in WA.  Katrina has a long career spanning both sides of the globe in medical education and has a real passion for the use of simulation in O&G. We discuss all things simulation:

Thanks Katrina for a very enlightening discussion – we look forward to getting you back on the podcast soon!

Maternity Emergency Management:  Simulation day for obs emergencies

NOVICE – basic skills in O&G for RMO’s PHO’s

https://www.matereducation.qld.edu.au/Professional-development-learning/Maternity-Infant-Care

For those interested in developing their sim educator skills, most sim centres offer a basic course, as we do.  For those with some skills already, we also regularly host the Harvard team for the “simulation as a teaching tool”, and “advanced debriefing” courses.

https://www.matereducation.qld.edu.au/Professional-development-learning/Simulation-Faculty-Development

http://www.promptmaternity.org/au/

http://moetaustralia.com/

Advanced Life Support in Obstetrics (ALSO)

The post 038 – Simulation in Obstetrics and Gynaecology with Dr Katrina Calvert appeared first on obsgynaecritcare.

Want to put together a tutorial? See someone with an unusual condition in clinic and want to access some up to date knowledge to look after them? The first thing most of us do is search the current literature – but then often we face this – look familiar? What is Sci Hub?

If you’re lucky you are an employee of a hospital / university or college that has a subscription and you can usually gain access eventually through these channels. But what if the journal is not included in their bundle or spare a thought for our colleagues living in less affluent conditions – how will they access up to date knowledge and research??

Join Graeme and I this week as we discuss earthquake stories, Sci-hub, open access publishing, pirate jokes, respond to some listener mail and I try out another quiz!

Wikipedia Sci-hub page

Online Petition against Elseviers fees > 17200 academics 

Wikipedia academic publishing page

German universities cancel subscriptions to all elsevier journals and push for open access: Projekt DEAL

Podcast on the history of scientific publishing interview with Aileen Fyfe

1995_Gulf_of_Aqaba_earthquake

2018 WAAG Conference

The post 036 – Sci hub, earthquakes, listener mail, pirate jokes and another quiz! appeared first on obsgynaecritcare.