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August 2016
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Syndication

This is a fresh ICH discussion covering controversies in 2015: blood pressure control, reversal of anticoagulation, and prognosis.

Direct download: Bill_knight_nuro.mp3
Category:general -- posted at: 2:57pm AEST

Tom Bleck has been in the top echelons of neurocritical care for decades. As a highly active member of the CCM-L internet group, he was pioneering internet based crit care discussions before Twitter was ever conceived. Considered by many to be the leading world expert on status epilepticus, he brings insights from research and extensive experience you will hear from no one else. A rare treat.

 

Direct download: tom_bleck_neuro.mp3
Category:general -- posted at: 8:00am AEST

A panel of neurocritical care fanatics discuss the nuances of managing aneurysmal subarachnoid haemorrhage (SAH) from pre-hospital through ED to ICU. This is a fascinating insight into international practice variations and the justification for these. It's very unusual to have such a panel of experts all in the same room speaking so frankly. This was recorded live at the SMACCBRAIN workshop in Chicago 2015.

Direct download: Sub_Hem.mp3
Category:general -- posted at: 11:33am AEST

SMACC Chicago Beat the Bug Q&A session with Kath Maitland, Mark Crislip, Flavia Machado and Chris Nickson.

Direct download: Maitland_Chris_QA.mp3
Category:general -- posted at: 4:00am AEST

SMACC Chicago Q & A session on Funky Physiology with Mybourgh, Saxona, Hensley and Perner.

Direct download: John_Justin_Anders_M_Q__A_.mp3
Category:general -- posted at: 5:00am AEST

Heart, Brazil and Gatward discuss The Future of Continued Medical Education in this SMACC Chicago Q&A Panel Review. 

Direct download: Future_of_Coninued_Medical_education_.mp3
Category:general -- posted at: 3:00pm AEST

Warwick Teague and Andy Sloas argue similar cases in their #SMACCChicago Cage match 'All Paeds Trauma Should be Managed in a Paediatric Trauma Centre’. An interesting insight into Paeds trauma centres in Australia and America. Teague and Sloas offer valuable idea’s on timely and affective treatment of paediatric trauma patients.

Direct download: Trauma_in_Peads.mp3
Category:general -- posted at: 8:00am AEST

Howie shows us the tools in his toolkit:

  • Tourniquets save lives and do not cause limb ischaemia. The aorta is clamped for many hours in cardiac surgery. Data from the battlefield showed that in >800 cases where tourniquets were applied, there were 3 adverse outcomes (loss of sensation in the distal fingertips).
  • Haemorrhage control (Israeli) bandages are tourniquets with a haemostatic agent that can be applied to a bleeding wound
  • QuickClot (haemostatic powder) can be used for abdominal wounds but may draw the ire of surgeons because they cause an exothermic reaction that burns surrounding tissue.

Howie emphasises that not all bleeding have to be stopped - if it’s not pouring out, it can wait. He teaches us to quantify blood loss in the field - three 335 mL cans of soda worth is when to start worrying.

The talk ends with an interesting mini Q&A session as trauma surgeons and paediatricians also weigh into the debate.

Direct download: How_to_Stop_Bleeding_Without_a_Hospital_Howie_Mell.mp3
Category:general -- posted at: 4:30am AEST

Airway management induces stress and fear in the heart of many Critical Care practitioners. In a high pressure situation, it’s easy to falter on the see-saw of demand vs. ability. Rich argues that in difficult airway management, we are hindered by: complex algorithms, anecdotal expertise and the negative perception of the task as ‘undoable’ and the downplaying of our abilities. In crisis, we need simple!

Rich discusses the need to redefine the priorities of the airway (away from ‘find the vocal cords/cricothyroid membrane’), incrementalisation and consensus of method. Rich also briefly discusses the future of airway management - nasal oxygenation and the need to move past the surgical airway as a failed airway.

Direct download: Day_3_C27_Rich_Levitan.mp3
Category:general -- posted at: 3:00pm AEST

Andy Naidech gives a fascinating and powerful short talk on controversies in management of aneurysmal subarachnoid haemorrhage, followed by discussion from the panel of experts and questions from the crowd. This was recorded at the neuro workshop for SMACC Chicago and was a very popular session.

Direct download: Andrew_N.mp3
Category:general -- posted at: 6:30am AEST