On The Wards: On The Pods Medical Podcast for Doctors

In this podcast, James chats to John Myburgh about IV fluids. IV fluids are an integral part of therapy for patients in the hospital but come with some adverse effects, toxicities and potential complications.

Script Writer:  Sam Orton

Interviewee:  John Myburgh

Summary Writer:  Lise Kempler

Reviewer:  John Myburgh and Luke Collett

About John Myburgh

Professor John Myburgh is Professor of Critical Care at the Faculty of Medicine, University of New South Wales; Director of the Division of Critical Care and Trauma at the George Institute for International Health and senior intensive care physician at the St George Hospital, Sydney.

He also holds honorary professorial appointments at the University of Sydney and Monash University School of Public Health.

Professor Myburgh was a foundation member and past Chairman of the Australian and New Zealand Intensive Care Society (ANZICS) Clinical Trials Group. He has an extensive research record of accomplishment over 25 years.

Professor Myburgh is regarded as a national and international expert in:

catecholamines,

traumatic brain injury,

fluid resuscitation, and

endocrine dysfunction in critical illness.

He also has expertise from the development and co-ordination of over 40 studies in Intensive Care Medicine. He has been awarded over $75M in cumulative research funding from national and international research funding agencies.

His list of publications includes over 230 refereed research publications and 45 book chapters, with an h-index of 41. He has delivered over 400 presentations. This includes over 50 plenary presentations at major international and national scientific congresses.

Professor Myburgh has a long-established profile in education in Intensive Care Medicine, both at undergraduate and postgraduate levels. He was instrumental in establishing the College of Intensive Care Medicine of Australia and New Zealand. Furthermore, he served as its President from 2010-2012. In 2014, he was made an Officer of the Order of Australia for services to medicine.

In 2013, Professor Myburgh was elected to the WFSICCM Council. He was elected as Secretary-General in November 2017 and will hold this office until 2019.

James chats to Dr Charlotte Hespe about clinical reasoning in general practice. Clinical reasoning is an important skill invaluable to all doctors. Ultimately, it determines patient care outcomes. Learn more about what this skill is and how to implement it in this podcast. We'll also share a couple of example cases with you.

Summary Writer:  Emily Qian

Script Writer:  Elizabeth Campbell

Editor:  Charlotte Hespe

Interviewee:  Charlotte Hespe

About Dr Charlotte Hespe

Dr Charlotte Hespe is a GP Clinician and Practice Owner of a general practice in the inner city of Sydney, where she has worked for the last 20 years. She is a GP Supervisor and the practice is a fully accredited practice. It functions as a teaching practice for both medical students and GP registrars.

Charlotte also works as Associate Professor, Head of General Practice and GP Research for The University of Notre Dame, Australia, School of Medicine, Sydney. She is the current Faculty Chair for NSW/ACT and Vice President, RACGP. She is an immediate past Chair for Central and Eastern Sydney PHN. And she is currently a director on the Board (EIS Health). Charlotte holds a FAICD qualification. And she has extensive experience in corporate Governance with 17 years’ experience as Chair in several Boards with a primary health care focus.

James chats to John Myburgh about biomedical research and how to approach reading, interpreting and conducting biomedical research as a junior doctor. With the increasing influence of social media and rise of predatory journals, John Myburgh advises how to navigate online journals to focus on good quality evidence to guide clinical practice.

Summary Writer:  Jane McDonnell

Script Writer:  Sam Orton

Editor:  John Mybrugh

Interviewee:  John Myburgh

About John Myburgh

Professor John Myburgh is Professor of Critical Care at the Faculty of Medicine, University of New South Wales; Director of the Division of Critical Care and Trauma at the George Institute for International Health and senior intensive care physician at the St George Hospital, Sydney.

He also holds honorary professorial appointments at University of Sydney and Monash University School of Public Health.

Professor Myburgh was a foundation member and past Chairman of the Australian and New Zealand Intensive Care Society (ANZICS) Clinical Trials Group. He has an extensive research record of accomplishment over 25 years and is regarded as a national and international expert in catecholamines, traumatic brain injury, fluid resuscitation, endocrine dysfunction in critical illness and in the development and co-ordination of over 40 studies in Intensive Care Medicine. He has been awarded over $75M in cumulative research funding from national and international research funding agencies.

His list of publications include over 230 refereed research publications and 45 book chapters, with an h-index of 41. He has delivered over 400 presentations, including over 50 plenary presentations at major international and national scientific congresses.

He has a long-established profile in education in Intensive Care Medicine, both at undergraduate and postgraduate levels. He was instrumental in establishing the College of Intensive Care Medicine of Australia and New Zealand, serving as President from 2010-2012. For services to medicine, he was made an Officer of the Order of Australia in 2014. Professor Myburgh was elected to the WFSICCM Council in 2013 and as Secretary-General in November 2017 and will hold this office until 2019.

James speaks to Dr Katherine Spira about headache in the Emergency Department, a very common presentation, and how to manage an atypical presentation.

Summary Writer: Katherine Spira

Script Writer:  Jane McDonnell

Editor: Katherine Spira

Interviewee: Katherine Spira

About Dr Katherine Spira

Katherine is a neurologist working in private practice and at Prince of Wales Hospital, New South Wales, Australia. She has special interests in Headache and Obstetric Neurology. She completed her training in February 2018, having previously worked as a Junior Medical Officer at Liverpool Hospital, a Basic Physician Trainee in the Prince of Wales Network, and an Advanced Trainee at Blacktown, Prince of Wales and Royal Prince Alfred hospitals. Katherine loves looking after patients, medical education and being a mum to two beautiful baby girls.

James chats to Dr Robert Hackett about the #TheatreCapChallenge.

Summary Writer: Alex Bolger

Script Writer: Sam Orton

Editor: Robert Hackett

Interviewee: Robert Hackett

About Dr Robert Hackett

Dr Rob Hackett is a Senior Consultant Anaesthetist who works across several major hospitals in Sydney, Australia. He has a particular interest in system safety and the human factors approach to patient care. He is Director of The PatientSafe Network (https://www.psnetwork.org/) - a not for profit charity organisation focused on working together to implement effective safety solutions.

Sarah Dalton chats to Mary Dobbie about sexual assault as it presents in the Emergency Department. We will go over an example case and give advice on how junior doctors can approach these patients. We will talk about:

what the definition and impacts are,

how common it is for these patients to present to ED and what happens when they do,

debunking common myths around rape and assault.

Summary Writer:  Jane McDonnell

Script Writer:  Mary Dobbie

Editor:  Mary Dobbie

Interviewee:  Mary Dobbie

About Dr Mary Dobbie

Dr Mary Dobbie graduated from the University of Sydney in 1986 and worked as a General Practitioner for many years with a special interest in women’s health. She has worked in the Sexual Assault Service at Royal Prince Alfred Hospital and Liverpool Hospitals, New South Wales since 2012. Mary has completed the Education Centre against Violence Graduate Certificate in Adult Sexual Assault and also works as a teacher and examiner for the NSW Health Education Centre Against Violence.

Working in humanitarian medicine

Allison Hempenstall, an Australian College of Rural and Remote Medicine (ACRRM) Registrar currently working on Thursday Island, interviews John Parker about his experience working in humanitarian medicine.

About Dr John Parker

Dr John Parker was born and bred in Liverpool, UK and medically trained at Edinburgh University. He came to Australia to scuba dive the Great Barrier Reef and never returned. He commenced a medical practice in Airlie Beach in Queensland to follow a passion in diving medicine and later worked at Golden Beach in Caloundra on the Sunshine Coast.

Intermittently he has ventured with the Red Cross and MSF on humanitarian medical missions including 3 war zones, 2 epidemics and several refugee camps. More recently he has worked as SMO in the refugee detention centres on Nauru, Manus Island and Christmas Island, medical officer in an Ebola Treatment Centre in Sierra Leone and spent a year as an expedition medical officer on Davis Station in Antarctica. He is presently working on Thursday Island in the Torres Straits. He has written ‘The Sports Diving Medical” and “Poetic Prescriptions for Feeling Good”. His latest publication “From Cholera to Ebola, confessions of a humanitarian doctor” is presently at the publishers.

James chats to Georgie Haysom and Jane Ingham about consent and the medicolegal perspective on obtaining informed consent as a Junior Doctor with a shared decision-making approach.

Summary Writer:  Emily Qian

Script Writers:  Georgie Haysom & Jane Ingham

Editor:  Georgie Haysom

Interviewees:  Georgie Haysom & Jane Ingham

About Georgie Haysom

Georgie Haysom (BSC, LLB (Hons)), LLM (Bioethics) is the Head of Advocacy at Avant, Australia’s largest medical defence organisation, and in that role works to improve the legislative and regulatory environment for members and the healthcare system as a whole.

She has worked in health law for nearly 25 years, assisting and advising doctors on a wide range of medicolegal issues, including several years representing doctors in medical negligence litigation. Georgie has a long-standing interest in the interaction between law, medicine and ethics, and the way in which the law impacts on medical practice. She has a Bachelor of Science (Pharmacology), Bachelor of Laws (Hons 1) from the University of Sydney and a Master of Laws specialising in bioethics from McGill University.

About Jane Ingham

Jane is a Senior Medical Advisor in Avant’s research, education and advocacy team.

Jane is a physician with specialty training in palliative medicine. Over many years she has been extensively involved in clinical palliative care, education, quality improvement and research. In addition to working at Avant, she currently holds the position of Associate Director of Clinical Governance – Advance Care Planning St Vincent’s Health Network Sydney. In this, and various other roles, Jane has been responsible for quality improvement and educational activities – working with medical students, residents, nurses and allied health professionals, and with senior hospital and community clinicians from a wide array of medical and surgical specialty areas.

Jane holds academic appointments at UNSW Sydney in Medicine at the St Vincent’s Clinical School, and at the School of Medicine, University of Notre Dame, Sydney Campus and is actively involved in teaching and the supervision of research.

Robert Mitchell, Emergency Physician, chats to Patrick Gillespie and John O'Neill about pre-hospital and retrieval medicine from the junior doctor's perspective and how to cope with rural rotations and emergency situations.

Summary Writer:  Jane McDonnell

Script Writer:  Rob Mitchell

Editor:  Rob Mitchell

Interviewee: Patrick Gillespie, John O'Neill

About Dr Patrick Gillespie

Dr Pat Gillespie is an Emergency Medicine registrar. He completed his medical degree at the University of Queensland and has worked across a number of disciplines including Emergency, Intensive care, Anaesthetics, Paediatrics, and Pre-Hospital Medicine in Cairns and South East Queensland. He is currently working as a retrievals registrar for Lifeflight Queensland and is studying to complete his Emergency Medicine Fellowship in 2019. He is passionate about pre-hospital care and medical education. He loves spending his working days flying over the beautiful landscape of Far North Queensland and his spare time exploring its beaches, reefs and rainforests.

About Dr John O'Neill

Dr John O'Neill is an Emergency Physician and the Clinical Lead for Lifeflight Retrieval Medicine in Cairns.

After completing Emergency Medicine training in the United Kingdom and Australia he decided the grass really was greener and moved to Cairns five years ago.

After many years in pre-hospital and retrieval medicine he has developed a keen interest in the challenges of providing critical care in remote environments. This started somewhere in the desert of Western Australia and continued in the United Kingdom and New Zealand working for a number of Helicopter Emergency Medical Services (HEMS), before returning to the reef and the rain forest in Far North Queensland with the Royal Flying Doctors Service and Lifeflight.

John is part of a group developing the regional trauma service at Cairns Hospital and has published work on trauma and resuscitation.

When he’s not crying over the fate of the England rugby team John is an optimistic triathlete.

James chats to Rosemary Isaacs about domestic violence in the Emergency Department and how to recognize and document situations of strangulation and assault.

Summary Writer: Emily Qian

Script Writer: Rosemary Isaacs

Editor: Rosemary Isaacs

Interviewee: Rosemary Isaacs

About Dr Rosemary Isaacs

Dr Rosemary Isaacs works at Royal Prince Alfred and Liverpool hospitals in the medical and forensic response to Sexual Assault, Domestic Violence and child abuse. Rosemary is a Fellow of the Faculty of Clinical Forensic Medicine in the RCPA and also a Fellow in General Practice of the RCGP.

Rosemary is convinced that this is an area where doctors with specific training can make a big difference to vulnerable people in our community. In addition, the anxiety and distress for health staff are much reduced when they have a framework for responding to these issues.