Stroke FM

Stroke FM

By Stroke FMMedicineHealth & Fitness
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Stroke FM episodes

  • 18 How It Started...How It’s Going

    In this episode, two keen Resident MDs Drs. Ryan Muir (PGY4) and Jaime Cazes (PGY1) join us for an in-depth at how things are going! A recent look back from within the 2'nd wave of COVID (in Canada), which thankfully is subsiding. They provide insight into how COVID has impacted their residency training, what our program has done, and how new learning opportunities have manifested in the form of Virtual Care. #TakeCare Everyone and keep looking out for your #Wellness as we look forward to better days!

    23 min
  • 17 High-performing Teams! (part 2 of 2) Crisis resource management in stroke care

    Did you ask about thrombolysis? We are here to deliver anxiolysis! In this second of a two-part episode of 2021, we discuss "crisis resource management" (CRM) in acute stroke - a cognitive, mindfulness, and non-technical framework for optimizing clinical performance and working in high-performing teams. CRM is a tool to master four operational domains: that of the self, teamwork, our working environment, and of course, (care for) our patient. Using CRM principles helps make us better clinicians, work more effectively in teams, and maintain a calm sense of vigilance. We re-introduce the concept of a "zero point survey" (Reid et al. 2018) as a starting point before coming on-call for a code stroke and as a tool for better self-awareness and performance. High-performing teams support good clinical outcomes at the resuscitation phase and apply to all subsequent patient care settings. Central to a high-performing team are principles of CRM and their timely application to stroke care. We review our paper in Neurocritical Care titled: "Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care" with three of the authors: Rajendram, Notario, Khosravani - In this episode we conclude this talk on "how to be a bad-a$$ stroke" resus doc!

    • Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care by: Phavalan Rajendram, Lowyl Notario, Cliff Reid, Charles R. Wira, Jose I. Suarez, Scott D. Weingart & Houman Khosravani (Neurocritical Care, published in 2020)
    • Zero point survey: a multidisciplinary idea to STEP UP resuscitation effectiveness Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance
    • Cliff's Great talk - Making Things Happen
      • 32 min
    • 16 High-performing Teams! (part 1 of 2) Crisis resource management in stroke care

      Did you ask about thrombolysis? We are here to deliver anxiolysis! In this first of a two-part episode of 2021, we discuss "crisis resource management" (CRM) in acute stroke - a cognitive, mindfulness, and non-technical framework for optimizing clinical performance and working in high-performing teams. CRM is a tool to master four operational domains: that of the self, teamwork, our working environment, and of course, (care for) our patient. Using CRM principles helps make us better clinicians, work more effectively in teams, and maintain a calm sense of vigilance. We re-introduce the concept of a "zero point survey" (Reid et al. 2018) as a starting point before coming on-call for a code stroke and as a tool for better self-awareness and performance. High-performing teams support good clinical outcomes at the resuscitation phase and apply to all subsequent patient care settings. Central to a high-performing team are principles of CRM and their timely application to stroke care. We review our paper in Neurocritical Care titled: "Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care" with three of the authors: Rajendram, Notario, Khosravani

      • Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care by: Phavalan Rajendram, Lowyl Notario, Cliff Reid, Charles R. Wira, Jose I. Suarez, Scott D. Weingart & Houman Khosravani (Neurocritical Care, published in 2020)
      • Zero point survey: a multidisciplinary idea to STEP UP resuscitation effectiveness
      • Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance
        • 23 min
      • 15 Welcome to Season 2

        Greetings Stroke FM listeners. We are back in 2021 with an exciting series of Podcasts, follow-up episodes, clinical and non-technical discussions and new future partnerships. Looking forward to releasing episodes as we record them this year and moving onwards! Take care + stay safe!

        2 min
      • 13 Stroke in 2030

        Key Terms: Thrombolysis, endovascular therapy,

        Hosts: Ryan Muir, Houman Khosravani

        Summary:

        In this episode the hosts discuss the future of stroke by exploring and proposing novel applied modern concepts of endovascular and thrombolytic therapies to innovative and creative ideas for the future.

        • Endovascular therapy for distal vessels is discussed
        • Improving geographic access to endovascular therapy (especially for wide spread countries like Canada)
        • The role of the NIHSS score in the acute assessment of stroke in the future and the increasing reliance on imaging parameters to guide decision making
        • The future of thrombolysis
        • The future of neuroimaging: Evolving understanding of ASPECTS and MRI Brain (Solid state MRI in acute stroke assessments), and potential role for focused ultrasound
        • Neuroprotection and extending time-windows
          • 16 min
        • 12 Stroke.FM Fresh Meat

          Key Terms: Transition to residency, Work-life balance, Mentorship, Surviving PGY1

          Hosts: Sydney Lee, Jaime Cazes and Houman Khosravani

          Summary:

          • First few days of residency
          • Managing expectations
          • Discovering the rewards of residency
          • Going from off-service to on-service
          • Balancing residency with lifestyle
          • Mentorship
          • Surviving call
          • Three take home points
            1. A positive attitude will take you far
            2. Reach out to your fellow residents
            3. Enjoy yourself as much as possible
              4. 36 min
            4. 11 Stroke.FM COVID-19 Orientation

              Key Terms: COVID-19, Stroke Orientation, NVU

              Hosts: Jane Liao, Houman Khosravani

              Summary:

              • Purpose of modified procedures - Limit human-human interaction
              • Handover in separate rooms
              • Limit hand-off of items (pager, tools) and wipe down after doing so
              • Virtual meeting apps (Zoom, Google Meet) for rounds/teaching when possible
              • Have a moderator for meetings focused on keeping discussions concise
              • Send residents home early if the day's tasks are complete and they are not needed
              • Assign only one resident to go with the staff to stroke codes as opposed to the whole team
              • https://www.codestroke.net/covid19
                • 17 min
              • 10 Use Protection - Code Stroke

                Key Terms: Protected Code Stroke, COVID-19, Personal Protective Equipment

                Hosts: Phavalan Rajendram, Jaime Cazes, Houman Khosravani

                Summary:

                • The COVID-19 pandemic poses unique challenges in delivering hyperacute stroke care
                • The “Protected Code Stroke” (PCS) protocol provides a framework for safely and efficiently delivering hyperacute stroke care
                • Know when to activate a PCS
                • Always use PPE with correct donning & doffing techniques
                • Always appoint a safety leader
                • Use crisis resource management principles
                  • 37 min
                • 09 #PandemicLife

                  Key Terms: COVID-19, PPE, Pandemic, medical education

                  Hosts: Jaime Cazes, Houman Khosravani

                  Summary:

                  • This episode covers how COVID-19 has impacted healthcare and medical education from the viewpoints of a graduating 4th year medical student and a staff physician.
                    • 33 min

                  About Stroke FM

                  From the publisher's feed

                  You've heard of thrombolysis? We are here to deliver anxiolysis when it comes to learning about stroke. We are a Stroke Educational podcast originally developed by a keen group of doctors in the…