Health Economics 101: "Code Green - How the big lie in health care affects us all."

Prof. John Kellum, is a Professor of Critical Care Nephrology and now provocative author! Join us as he talks to us about his book: "Code Green - How the Big Lie in Healthcare Affects Us All."

Conflict Declaration:

The hosts and producers of this podcast declare no financial gain or conflict of interest from this episode or the promotion of Code Green. Our only goal is to share the insights and expertise of Dr. Kellum with our audience.

Episode Chapters:

Further Resources:

• Code Green: How the Big Lie in Healthcare Affects Us All

In this episode, we dive into the fascinating world of Hyperbaric medicine with Dr. Jeff Kerrie, a Hyperbaric specialist from British Columbia, Canada.

Dr. Kerrie takes us through the science, history, and practical applications of Hyperbaric oxygen therapy (HBOT) as we explore the approved indications, physiological effects, and logistics of managing hyperbaric chambers.

Episode Chapters:

Introduction

Meet Dr. Jeff Kerrie and learn about his journey in hyperbaric medicine and the unique setup of Vancouver Island’s hyperbaric program.

History of Hyperbaric Medicine

A look at the origins of hyperbaric therapy, from 1600s pressurized chambers to its modern evolution.

The Physiology of HBOT

Understanding the effects of supra-physiologic oxygen pressures on microcirculation, angiogenesis, and inflammation.

Indications and Evidence:

Decompression Sickness

The mechanisms of treating “the bends” and why HBOT works so effectively.

Air or Gas Embolism

Insights into diagnosing and treating air embolism, including critical resuscitation tips.

Carbon Monoxide Poisoning

How HBOT prevents long-term neurological damage, with considerations for pregnant patients and associated toxins like cyanide.

Necrotizing Soft Tissue Infections

The role of HBOT in treating Fournier’s gangrene and clostridial infections alongside surgery.

Crush Injuries and Anemia

Exploring HBOT’s utility in tissue salvage and sustaining oxygenation in severe anemia.

Newer Indications: Sudden Hearing and Vision Loss

The emerging role of HBOT in sudden sensorineural hearing loss and central retinal artery occlusion.

Risks and Safety in the Chamber

Barotrauma, oxygen toxicity, fire safety, and managing emergencies during dives.

Logistics of Hyperbaric Medicine

A behind-the-scenes look at hyperbaric chamber setups, patient care protocols, and equipment considerations.

Closing Thoughts

Dr. Kerrie’s perspective on the future of hyperbaric medicine and ongoing research opportunities.

Key Indications for HBOT:

1. Decompression sickness ("The Bends")

2. Air or gas embolism

3. Carbon monoxide poisoning

4. Necrotizing soft tissue infections

5. Crush injuries and compartment syndromes

6. Severe anemia (e.g., in patients unable to receive transfusions)

7. Radiation tissue injury (e.g., osteoradionecrosis)

8. Sudden sensorineural hearing loss

Resources and Links:

• Undersea and Hyperbaric Medical Society Approved Indications for Hyperbaric Oxygen Therapy - Oceanside Hyperbaric

• Hyperbaric Medicine | © 2018 The Royal College of Physicians and Surgeons of Canada. All rights reserved.

Disclaimer:

This episode provides general information and is not a substitute for professional medical advice. Always consult with a specialist for specific clinical decisions.

In this episode, Peter Brindley and Leon Byker sit down with Dr. Rob Bevan, immediate past president of the College of Intensive Care Medicine (CICM) and Critical Care Director at Auckland City Hospital, Auckland, New Zealand.

Dr. Bevan shares his journey through leadership in intensive care, the role of intensive care colleges, and the evolution of

Episode Highlights:

The Evolution of CICM: History of the CICM and the differences between the CICM and similar organizations globally.

Training for Critical Care: The training pipeline in Australasia.

Advocacy and Political Engagement: The role of the CICM in advocating for intensive care resources.

The Value of College Convocations: Celebrating new fellows and their families and the role of meaningful ceremonies.

The Intensivist as a Broker of Care: Defining the role of the ICU specialist in complex patient care.

The Future of Critical Care Workforce: Addressing workforce challenges and it's sustainability.

The Upcoming CICM Annual Meeting: Highlights of the upcoming 2025 meeting in Tasmania.

Reflections on Leadership and Administration: Dr Bevan's Journey into administration and why it matters.

Coping with dying and saying what needs to be heard: Elliot Sprague

Introduction:

Elliot reflects on the impact of living with a terminal illness, sharing life lessons, and offering insights on how he continues to thrive despite a difficult prognosis. This episode Elliot talks about acceptance, gratitude, and the importance of living each moment fully.

Topics Discussed:

Timeline:

Thank you Elliot for joining us!

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In this episode, we sit down with Dr. Damon Scales and Dr. Niall Ferguson at the Canadian Critical Care Forum. We dive into a little bit of ARDS and spend a whole lot of time talking about the evolving landscape of conferences and critical care research. Tune in for insights from two leaders in the field!

Join us as Prof. Stephen Lapinski answers our questions on Obstetric critical care.

Join us as we discuss ARDS, Research and balancing life as a researcher with Professor Charlotte summers, Director of the Heart and Lung Research Institute (HLRI).

Join James Downar Head of Palliative and End of Life Care and a Critical Care Doc in Ottawa. He has walked the walk on this topic since before its introduction in Canada. Nobody is better qualified to discuss this thorny topic. 

Join Brian Buchanan, Associate Professor and ultrasound guru, for a dose of iconoclasm and provocation. Recorded at the Critical Care Canada Forum in Toronto, and following a 2024 JICS publication by Brindley et al.  

Thank you for your patience!

After a short break, we are back with a delightful interview with Dr. Jeff Drazen, the esteemed former Editor-in-Chief of the New England Journal of Medicine (NEJM).

In this episode, we explore the critical journey of transforming medical research into practical, patient-and-family centered care. We emphasize the importance of bringing humanity back into healthcare and ensuring that scientific advancements translate into meaningful outcomes for patients and families, right at the bedside. Listen as we explore modern forms of knowledge translation, the challenges they pose, and how healthcare professionals can navigate these complexities to enhance patient care.

With a distinguished career at the helm of one of the world's leading medical journals, Dr. Drazen's episode is one that you don't want to miss!