Managing acute pain is a common task faced by all junior doctors. With a range of analgesics available, and a seemingly endless variety of conditions to apply them to, this task can become quite complex.

In this podcast, Todd chats with Dr Nellie Dick, an anaesthetist with a special interest in the management of acute pain.

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Ensuring patients get the right treatment at the right time is a core ambition of a modern healthcare system, and there is no better example of this than the early administration of antibiotics in patients with severe sepsis.

Daniel Cudini is an Intensive Care Paramedic and Clinical Support Officer with Ambulance Victoria, and is a noted prehospital researcher.  He joins Todd on the podcast to chat about the PASS study - Paramedic Antibiotic administration in Severe Sepsis.

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Dr Rob Dickson is a 6th year trainee of the Australian College of Remote and Rural Medicine in the tiny Tasmanian hamlet of Queenstown, and recently ventured to the Southernmost continent as an Antarctic Medical Practitioner.

He joins Todd on the podcast today to chat about the appeal of remote and rural medicine, and his time practicing medicine in the world's most isolated practice.

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Dr Andrew Casamento is an emergency medicine and intensive care physician from Melbourne, Australia.  He joins Todd to discuss the use of 2 commonly used narcotic infusions in critically ill patients, fentanyl and morphine, and challenges the research community to investigate this surprisingly evidence-free zone.

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Sepsis is usually associated with fever.  This highly conserved response has a range of theoretical benefits, including enhanced immune functioning and increased microbial response to antibiotics.

But what happens when patients are hypothermic on presentation?  Professor Andrew Udy joins Todd on the podcast to discuss the impact of hypothermia in sepsis, and the results of a recent review of such patients at Melbourne's Alfred Hospital.

The review can be found here

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Traumatic cardiac arrest is associated with a terrible prognosis - or is it?

In this fabulous Osler Podcast, Todd is joined by ED, Pre-hospital and ICU physician Dr Adam Holyoak to talk about the presentation, outcomes and management of patients who arrest after trauma.

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Blood is a precious commodity at the best of times, but no where more so than on the African continent.

The incidence of children presenting with sepsis and critical anaemia is frightening, and overwhelms the availability of blood.  There is some contention that adherence to the World Health Organisation guidelines may ultimately waste this scarce resource.

Kath Maitland, author of the renowned FEAST trial, led her research group in trying to determine whether or not a highly restrictive approach to transfusion in this group compared with the WHO standard was safe in a trial known as TRACT.

Kath joined Todd to discuss the results and implications of this extremely important trial.

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Is the capacity to train new Intensivist reaching a tipping point?  What is the capacity of the current system to train ICU trainees?

Professor Bala Venkatesh is a former president of the College of Intensive Care Medicine of Australia / New Zealand, and recently published the results of a binational survey of Directors of ICU, Supervisors of Training and CICM trainees.

He joins Todd on the podcast to discuss the findings, and how they potentially impact on the future training program.

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The role of vitamin C and thiamine in the management of vasoplegic septic shock has been a highly controversial and topical issue in modern critical care in the past 2-3 years.  

Tomoko Fujii, research fellow at the Monash-ANZICS Research Centre and clinical intensivist, joins Todd in this fascinating podcast to discuss the ongoing VITAMINS trial, a feasibility study seeking to set the ground work for a major trial in this area.

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Michael Toolis is an ICU fellow at St Vincent's Hospital in Melbourne.  He recently published a survey of Australasian intensivists, aimed at exploring the variation in intubation practice, and the need for regional guidelines and refresher training.

He joined Todd on the podcast to review the survey, and the current guidelines on managing intubation in critically ill patients.

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