SMACC

SMACCForce: Prehospital Neurosurgery by Mark Wilson

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

SMACCMini: I am the Decider

Direct download: johnny_mix_2.mp3
Category:general -- posted at: 6:00pm AEST

SMACCMini: He's a bit different, he's a surgeon by Ross Fisher

Direct download: ross_mix_2.mp3
Category:general -- posted at: 3:00pm AEST

SMACCMini: The snakes and ladders of paediatric DKA - how to win every time by Heather Murray

Direct download: heather_mix_2.mp3
Category:general -- posted at: 12:00pm AEST

SMACCMini: So you think you can dance? Play and purposeful skills in PEM by David Krieser

Direct download: david_mix_2.mp3
Category:general -- posted at: 8:00am AEST

Hardcore ICU: Critical Care game changers

Direct download: Rob_Mc_mix.mp3
Category:general -- posted at: 6:00pm AEST

Hardcore ICU: Talking to patients and their families about critical illness

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

SMACCMini - Micro by Hazel Hilton

Direct download: Hazel_mix.mp3
Category:general -- posted at: 12:56pm AEST

Hardcore ICI: End of Life Care in the ICU

Direct download: Peter_B_mix.mp3
Category:general -- posted at: 12:00pm AEST

Hardcore ICU: Panel Debate

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

Hardcore ICU: When I prescribe blood on ICU

Direct download: Anders_mix.mp3
Category:general -- posted at: 6:00pm AEST

Hardcore ICU: Anticoagulation for RRT: Heparin or Citrate?

Direct download: rinaldo_2_mix.mp3
Category:general -- posted at: 3:00pm AEST

Hardcore ICU: What does raised ICP mean?

Direct download: John_M_mix.mp3
Category:general -- posted at: 12:00pm AEST

Hardcore ICU: Rewriting the sepsis definitions for low to middle income countries

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

Hardcore ICU: You cured their sepsis so why are they back in my ED?

Direct download: jack_mix.mp3
Category:general -- posted at: 6:00pm AEST

Hardcore ICU: Managing refractory hypoxaemia

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

Hardcore EM: Next Level Lung US

Direct download: Jacob_Vicki_mix.mp3
Category:general -- posted at: 12:00pm AEST

Hardcore EM: How an Emergency Physician Thinks

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

Neuro ICU: DEBATE: Currently randomised controlled trials are of no use in advancing the care of patients with severe traumatic brain injury

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

Neuro ICU: Organ Donation: Ethical issues including ECMO and organ donation

Direct download: Jordon_2_mix.mp3
Category:general -- posted at: 12:00pm AEST

Neuro ICU: Organ Donation: Preserving organs for donation (temp, fluids)

Direct download: evie_2_mix.mp3
Category:general -- posted at: 8:00am AEST

Neuro ICU: SAH: Cerebral salt wasting (real or imaginary)

Direct download: virginia_2_mix.mp3
Category:general -- posted at: 6:00pm AEST

Neuro ICU: SAH: Diagnosis/vasospasm (prevention and management)

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

Neuro ICU - ICH: To operate or not

Direct download: mark_2_mix.mp3
Category:general -- posted at: 12:00pm AEST

Neuro ICU: TBI: The elderly: decrying nihilism

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

Neuro ICU: TBI: Using MRI as a prognostic tool by Virginia Newcombe

Direct download: virginia_mix.mp3
Category:general -- posted at: 6:00pm AEST

Neuro ICU: TBI: When would I decompress? by Mark Wilson

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

Neuro ICU: TBI: Still more questions than answers by Simon Finfer

Direct download: simon_mix.mp3
Category:general -- posted at: 11:47am AEST

SMACCForce: E-CPR - Panel by Brian Burns, Paul Gowens, Lional Lamhaut, Steve Bernard, Nikki Stamp, Alice Hutin

Direct download: ecpr_audio.mp3
Category:general -- posted at: 1:53pm AEST

SMACCForce: Rant - Scene Safety is Bullshit by Christina Heron

Direct download: scene_safety.mp3
Category:general -- posted at: 1:21pm AEST

SMACCForce: Two Minute Remote Rant Everest by Sanjeeb Bhandari

Direct download: remote.mp3
Category:general -- posted at: 12:56pm AEST

SMACCForce: Force of habit-effective situational awareness in resuscitation by Mike Lauria

Direct download: force.mp3
Category:general -- posted at: 10:50am AEST

SMACCForce: LIVE EMS Nation Podcast - "Feeding the Flame" by Faizan Arshad, Raed Arafat, Lamhaut and Anne Creaton

Direct download: live_ems.mp3
Category:general -- posted at: 1:10pm AEST

SMACCForce: Paramedics Under Siege by Craig Wylie

Direct download: mix_11m46s_audio-joiner.com.mp3
Category:general -- posted at: 2:18pm AEST

SMACCMini: It's not okay: culture, communication and conversations in critical care by Nat May.

 

Note on podcast: unfortunately this recording from #DasSMACC skips in a couple of places. It doesn't impact the exceptional quality of this talk, we just wanted to give you the heads up. SMACC Team.

Direct download: Nat.mp3
Category:general -- posted at: 2:15pm AEST

SMACCMini: The art of induction - how not lose them in the first 15 minutes / Intubating sick kids - small holes, big problems by Charles Larson and Andrew Beck.

 

Note on podcast: unfortunately this recording from #DasSMACC skips in a couple of places. It doesn't impact the exceptional quality of this talk, we just wanted to give you the heads up. SMACC Team.

Direct download: charles_andrew.mp3
Category:general -- posted at: 2:11pm AEST

SMACCForce: Silver Care - Panel by Conor Deasy, Gregor Prosen, Mark Wilson, Raed Arafat, Cheryl Cameron

Direct download: mix_24m07s_audio-joiner.com.mp3
Category:general -- posted at: 12:12pm AEST

Hardcore ICU: How kissing a frog can save your life by Matt Morgan

Direct download: matt.mp3
Category:general -- posted at: 11:02am AEST

SMACCMini: Living dangerously - CPR for the Fontan patient by Timo de Raad

Direct download: timo.mp3
Category:general -- posted at: 11:49am AEST

Hardcore ICU: Should we be admitting over 80's to the ICU? by Camilla Strom

Direct download: camilla_s.mp3
Category:general -- posted at: 10:21am AEST

Hardcore ICU: Fluids: what, when and why? by Manu Malbrain

Direct download: mix_20m33s_audio-joiner.com.mp3
Category:general -- posted at: 9:48am AEST

Hardcore EM: Gut Ultrasound: The Next Frontier by Lauren Westafer

Direct download: SBO.mp3
Category:general -- posted at: 1:04pm AEST

SMACCForce: Command gradient error in Prehospital Care by Neil Jeffers

Direct download: command.mp3
Category:general -- posted at: 1:55pm AEST

SMACCForce: Cognitive offloading for critical care retrieval by Stephen Hearns

Direct download: cognitive.mp3
Category:general -- posted at: 12:39pm AEST

Critical care is viewed from different perspectives. How to clinicians, patients and families experience this life changing part of the health care system?

Direct download: critical.mp3
Category:general -- posted at: 11:27am AEST

While much of resuscitation focuses on the dramatic early minutes to hours of critical illness, many patients stay for days or weeks in the ICU. This talk will ask: why do patients get stuck in the ICU, and what might we do better to improve their care?

Direct download: jack.mp3
Category:general -- posted at: 12:26pm AEST

After getting his chance to interrogate SMACC Superstars the people finally get their chance to get their own back as everyman Iain Beardsell asks the questions that everyone wants an answer to. Covering a wide range of topics it will focus on Peter's previous SMACC talks, including subjects such as teamwork and burn out and no doubt reliving his interviews across the week.

Direct download: iain.mp3
Category:general -- posted at: 10:04am AEST

The appearance of high quality hand held ultrasound machines mean we will all have imaging available at our finger tips. This talk details a personal study on the impact this can have on families. It also outlines the frequency of incidental findings and raises questions regarding the risk:benefit ratio in the discovery of an incidental finding. The financial and emotional costs of incidental findings are also enormous. For those practicing POCUS - the simple single question focused form of bedside ultrasound - one should remain focused and not be distracted by incidental findings you are not qualified or taught to recognise. Communication regarding the limitations of your scan are far more important. In those with advanced ultrasound education identification and further consideration of incidental findings is appropriate.

Direct download: james_audio.mp3
Category:general -- posted at: 4:22pm AEST

Traditionally, the focus of critical care has simply been on keeping patients alive. This is not enough, now we need to focus on giving them their lives back too. Learn about the challenge of critical care survivorship in this talk.

Direct download: margaret.mp3
Category:general -- posted at: 3:40pm AEST

The age of patients with TBI is increasing, especially in high income countries, and the median age of patients admitted to the ICU has doubled over the last three decades. Age is clearly a strong outcome predictor in TBI. However, the perception of a universally poor outcome has sometimes led to therapeutic nihilism and less aggressive treatment for older patients. The bleak outcomes that result from this approach reinforce self-fulfilling prophecies of poor prognosis and current prejudices. However, uniform nihilism is unjustified: when older patients are treated in a timely and appropriate manner, favourable outcomes can be achieved in a substantial proportion of patients. However, the high burden of prior comorbidity, pre-injury therapies (such as anticoagulant and antiplatelet therapy), and reduced physiological reserve, not only affect outcome, but modulate physiology and host response, and hence demand changes in management strategies.

Direct download: david_audio.mp3
Category:general -- posted at: 3:22pm AEST

We have difficult conversations in critical care. We deal with sick and complex patients who may be at the end of life. The families we talk to may be in a state of shock and acute grief, unable to think clearly and make important decisions. Patient safety incidents and other challenging issues such as organ and tissue donation may further complicate the patient journey. We will follow the story of Leah and the difficult conversations that were needed in caring for her and her family. We will examine some of the key elements that can contribute to successful communication in difficult circumstances. As clinicians, our training in this type of communication may be limited to observing our mentors, and we may feel inadequately prepared. We will investigate how simulation training can be used to improve the quality of communication, increase our skill and comfort level so that we can guide patients and families through complex and challenging situations. We will also investigate how lessons learnt from simulation debriefing can be transferred to the conduct of difficult conversations in real life.

Direct download: jong.mp3
Category:general -- posted at: 11:17am AEST

Failure is something even the very best regularly experience, in safety critical roles that failure can lead to death and maiming. I'll explore how we can understand and learn from these moments, and the essential behaviours and mindset that will both help us make sense of those complex moments but also allow the system to learn.

Direct download: mix_19m46s_audio-joiner.com.mp3
Category:general -- posted at: 12:53pm AEST

SMACCForce: CRM Panel Discussion with Clare Richmond, Neil Jeffers (Pilot), Per Bredmose, Mike Lauria, Tom Evens

Direct download: mix_26m02s_audio-joiner.com.mp3
Category:general -- posted at: 3:50pm AEST

Why it's critical that we care? The global refugee crisis exemplifies some of the greatest challenges facing our global institutions and liberal world order today: from human rights, xenophobia, sexism and economic protectionism, to terrorism and climate change. National and international responses to the refugee crisis are sculpting moral and political norms around the globe. As Hannah Arendt, the German-born Jewish political theorist wrote, "The manifestation of the wind of thought is not knowledge but the ability to tell right from wrong, beautiful from ugly. ...[T]hinking gives people the strength to prevent catastrophes in these rare moments when the chips are down". It is now critical that we not only care, but think deeply, about our attitudes and policies towards refugees, wherever we come from.

Direct download: vera.mp3
Category:general -- posted at: 11:24am AEST

Hardcore EM: Vasopressors in the ED by John Greenwood

Direct download: audio_johnp.mp3
Category:general -- posted at: 1:22pm AEST

SMACCForce: Turning up the gain on prehospital ultrasound by Luke Regan

Direct download: turning_audio.mp3
Category:general -- posted at: 1:51pm AEST

Hardcore ICU: Timing of neuroprognostication in postcardiac arrest management by Sara Gray

Direct download: audio_Sara_Gray.mp3
Category:general -- posted at: 1:16pm AEST

A no-holds barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

Direct download: mix_14m20s_audio-joiner.com.mp3
Category:general -- posted at: 10:47am AEST

SMACCForce: Telemedicine transcends borders in disaster response by Raed Arafat

Direct download: audio_raed.mp3
Category:general -- posted at: 3:30pm AEST

Ultrasound is an important adjunct for caring for cardiac arrest patients, but trans-thoracic can deter from important hands-on compressions. TEE may solve that problem by providing high quality images of the heart without interruption in CPR. Additionally TEE provides useful information about compression depth and quality that no other diagnostic tool provides. TEE is already being used in some centers and its use continues to grow.

Direct download: mix_10m37s_audio-joiner.com.mp3
Category:general -- posted at: 12:36pm AEST

Hardcore EM: How We Assess Risk by Pik Mukherji

Direct download: audio_1.mp3
Category:general -- posted at: 1:37pm AEST

Neuro ICU: EEG - Brain monitoring beyond seizure detection by Brandon Foreman

Direct download: Foreman_new_file.mp3
Category:general -- posted at: 2:34pm AEST

SMACCForce: Retrieval Medicine Lessons Relearned by Cliff Reid

Direct download: mix_9m41s_audio-joiner.com.mp3
Category:general -- posted at: 1:24pm AEST

SMACCForce: Neemo by Marc O Griofa

Direct download: mix_15m07s_audio-joiner.com.mp3
Category:general -- posted at: 12:08pm AEST

Neuro ICU: ICH: BP management (ATACH-2 trial) by Celia Bradford

Direct download: mix_9m14s_audio-joiner.com.mp3
Category:general -- posted at: 11:35am AEST

Useful advice on how to fail at everything.

Direct download: mix_21m39s_audio-joiner.com.mp3
Category:general -- posted at: 4:23pm AEST

SMACCForce: Training for high performance - low budget by Laszlo Hetzman

Direct download: mix_12m07s_audio-joiner.com.mp3
Category:general -- posted at: 2:41pm AEST

SMACCForce: Suspension Trauma - Discussion - Demo by Jason van der Velde & Karel Habig

Direct download: mix_16m21s_audio-joiner.com.mp3
Category:general -- posted at: 2:00pm AEST

SMACCForce: The culture of excellence in resuscitation by Maaret Castren

Direct download: mix_12m06s_audio-joiner.com.mp3
Category:general -- posted at: 12:36pm AEST

This session brings together a panel of educators with a track record of innovation and design in medical education. The panel will explore the past, present and most importantly the future of how we will teach and learn critical care. We will explore the future changing role of the medical educator from one of information delivery and assessment to co-learner and developer. Will new technologies really change education or simply form adjuncts to traditional learning models. Get involved and tweet your questions to #SMACCMedEd

Direct download: mix_84m49s_audio-joiner.com.mp3
Category:general -- posted at: 8:39pm AEST

SMACCForce: Top 10 PHARM Papers of the last year by Conor Deasy & MJ Slabbert

Direct download: mix_22m10s_audio-joiner.com.mp3
Category:general -- posted at: 7:14pm AEST

Panelist participation in the "Resuscitation for the Resuscitationist" panel session.

Direct download: mix_72m13s_audio-joiner.com.mp3
Category:general -- posted at: 5:09pm AEST

Neuro ICU: ICH: Reversal of anticoagulation (PATCH trial, NOACs, TPA) by Jordan Bonomo

Direct download: mix_17m39s_audio-joiner.com.mp3
Category:general -- posted at: 2:10pm AEST

Anaphylaxis is a relatively common and potentially lethal emergency. Current definitions highlight the presence of allergic and allergic-like reactions with end organ damage. Diagnosis can be difficult, but present guidelines (FAAN) focus on sensitivity above specificity. The main aspects of management are early recognition and early epinephrine. First line treatment is intramuscular epinephrine, fluids and positioning. In refractory cases, increasing dose of epinephrine, norepinephrine, vasopressin, glucagon, methilene blue and ECMO are considerations. Patients with airway compromise require advanced management. Disposition depends on severity and access to follow-up. An epinephrine auto-injector is necessary. Biphasic reactions are rare but real, with unclear incidence.

Direct download: mix_20m38s_audio-joiner.com.mp3
Category:general -- posted at: 11:47am AEST

Neuro ICU: TBI: Using physiology as a target

Direct download: mix_16m13s_audio-joiner.com.mp3
Category:general -- posted at: 3:58pm AEST

Numbers people, give me the NUMBERS! We need CONCRETE data points and percentages...! Go, buy another “ping” machine to deliver the numbers and data points. We need it to be delivered by gadgets, gadgets that go ping and pong...more and more gadgets. Let’s plot it on graphs and write it into a protocol to then be memorised verbatim in training and dutifully regurgitated in medical exams. That makes us excellent clinicians right? Worthy of more numbers and a couple of extra letters behind our names.

Medicine is obsessed with numbers! The glorified science of modern medicine. A fictitious safety net.

What if I told you, your decision-making is far more complex than that? That, how I deal with an emergency also involve guts, prayers and yes, sometimes tricks. Does that make me reckless? A cowboy (girl) or a savant? Or am I just nudged by my unconsciousness. Are you? Whether you like it or not, how you deal with emergencies, how you deal with life is far more complex and “consciously unclear and uncertain” than what quantitative science would like. There is literally way more between heaven and earth than what meets the eye and your unconscious mind is filling in the gaps. So hold on and follow me down the rabbit hole...

Direct download: mix_20m20s_audio-joiner.com.mp3
Category:general -- posted at: 8:34am AEST

Intubation is one of the most important procedures that we perform. There are many immediate and bedside methods of confirming tube placement, but we propose you try ultrasound. Here's why: You can use US in real time to guide the intubation, Its got excellent accuracy and there's no need to BVM the patient.

Direct download: mix_10m25s_audio-joiner.com.mp3
Category:general -- posted at: 3:10pm AEST

A no-holds barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

Direct download: new_audio.mp3
Category:general -- posted at: 5:30pm AEST

Hardcore EM: EBM - Papers of the year by Justin Morgenstern
 
Direct download: mix_34m27s_audio-joiner.com.mp3
Category:general -- posted at: 2:00pm AEST

SMACCForce: Bariatric Panel Discussion with Mark Forrest, Jason Van Der Velde, Phil Keating, Cameron O'Leary

Direct download: mix_22m24s_audio-joiner.com.mp3
Category:general -- posted at: 11:22am AEST

SMACCForce: Mental Health by Ashley Liebig

Direct download: mix_7m18s_audio-joiner.com.mp3
Category:general -- posted at: 3:53pm AEST

There are several pediatric cardiac disease processes that get misdiagnosed because they present with other symptoms. No child comes in and says, “I have chest pain” or in any way alerts the Emergency Department providers to include some type of pediatric heart disease in the differential diagnosis. This talk will review the most commonly missed cardiac “zebras,” but that is not all. The presentation is meant to provide you with some helpful hints for when it is time to stray from the straight path and start entertaining a cardiac diagnosis in a sea of children complaining of respiratory, gastrointestinal and other symptoms.

Direct download: mix_17m33s_audio-joiner.com.mp3
Category:general -- posted at: 3:44pm AEST

"Out for blood" by Bill Hinckley 

Direct download: mix_6m55s_audio-joiner.com.mp3
Category:general -- posted at: 2:19pm AEST

Using a 1982 portable unit (ADR-4000), we could define, since 1985, a use of ultrasound devoted to the critically ill, different from the traditional one (radiological & cardiological). This technology was sufficient for making, at the bedside, a whole body approach, although a 1992 technology (Hitachi-405) was better for optic nerve assessment. Search for blood in trauma, inserting subclavian venous lines was a basis. The consideration of the lung (the main vital organ) allowed to change the rules of ultrasound. Lung ultrasound (in the critically ill: LUCI) showed its potential for not only allowing immediate diagnoses (pneumonia, pulmonary edema, pneumothorax and others), but mostly, associated to a simple venous approach, to simplify echocardiography. In the CEURF protocols, the heart analysis can be usually reduced to the right ventricle volume (the pericardium is apart). The potential of LUCI to show infra-clinical subtle signs of interstitial edema is the starting point of the FALLS-protocol for assessing a circulatory failure, providing this direct parameter of clinical volemia. The potential of LUCI to show the A-profile (ruling out pneumothorax) or the A’-profile (highly suggesting pneumothorax) is used in the SESAME-protocol, a very fast protocol in cardiac arrest assessment. The BLUE-protocol is a fast protocol assessing a respiratory failure, where only lungs and veins are on focus (the heart is not included). LUCI makes critical ultrasound a holistic discipline for all these reasons. LUCI shows its multifaceted potential from sophisticated ICUs to austere areas, from the elderly to the neonate, where the signs are the same, including ARDS in bariatric patients, and many less critical disciplines up to family medicine. A single, universal microconvex probe is used for our whole body approach. We do not use Doppler nor harmonics. The LUCIFLR project highly decreases medical irradiation. CEURF trains intensivists to this visual medicine since 1989

Direct download: mix_20m36s_audio-joiner.com.mp3
Category:general -- posted at: 3:57pm AEST

Emotion has a profound effect on decision-making. As scientists and rational beings, we like to believe that we can control our emotions and make good decisions regardless of the context in which those decisions must be executed -- The reality is, that's far from the truth. Furthermore, we rarely take the opportunity to deliberately examine how emotional valence can influence the choices we make, or how we sort and process information as clinicians. Simulation-based training often provokes strong emotions, both positive and negative, whether we intend it to or not. Sim may be an ideal tool for eliciting challenging emotions -- anger, fear, anxiety, joy, prejudice -- and developing skills to manage them in real time. Breathe, make better decisions.

In Day Two of the Learning from Sim series, the story continues as our patient transitions from the pre-hospital to the emergency department.

Direct download: mix_12m53s_audio-joiner.com.mp3
Category:general -- posted at: 3:50pm AEST

What is New York City style resuscitation? Reuben Strayer and Scott Weingart honed their chops in public hospitals in America’s largest city, where patients come from every country, speak every language, and manifest every physiologic derangement on earth. Preferring to ask neither permission nor forgiveness, Reuben and Scott have long challenged emergency medicine and critical care orthodoxy and developed lateral (though sometimes divergent) strategies in their approach to problems that arise in the care of the sometimes unwashed masses who tend to avoid presenting to medical attention until they’ve fallen off the Frank-Starling curve. Topics that may be discussed (or argued) include the use of epinephrine, the use of noninvasive ventilation, the management of recently intubated patients, the use of ketamine as an induction agent with and without a paralytic, and decision-making in badly injured trauma patients. Ad hominem attacks will be defined and probably employed. Though Weingart has a physical and intellectual disadvantage against the bigger, stronger, quicker, younger, and better-looking Strayer, these disparities will be muted by Natalie May’s capable moderation.

Direct download: mix_16m55s_audio-joiner.com.mp3
Category:general -- posted at: 12:59am AEST

What if in just a few short hours we could take all that we have learned about resuscitation from FOAMed and apply it? What if we could turn an average community hospital ED into a high functioning team? What if we could do all of that in 2.5 hours? We’ll see.

Direct download: mix_18m00s_audio-joiner.com.mp3
Category:general -- posted at: 1:45pm AEST

Exsanguination and brain injury are the leading causes of death after major trauma. During the last decades, significant progress has been made in the fight against haemorrhage. Nevertheless, the window of opportunity is still small, and the golden hour of shock more fiction than fact. Hence, the majority of trauma patients is still lost on the street and during the first hour after hospital admission. Moreover, trauma is an increasing epidemiologic burden worldwide. Pre-hospital emergency care plays an essential role when distances are long and immediate damage control is key. Since evidence of established interventions (i.e. fluid resuscitation or vasopressor use) is spare, we summarized currently available trauma care guidelines, and elaborated a best practice advice for massive bleeding comprising a five-step approach: First identification, on-going monitoring and appropriate notification of the receiving hospital. Second, control of haemorrhage by tourniquets and pelvic splints; and advanced interventions, such as emergency resuscitative thoracotomy and resuscitative endovascular balloon occlusion. Third, target controlled fluid resuscitation within the concept of hypotensive resuscitation in order to prevent hypovolemic cardiac arrest during the pre-hospital phase. Fourth, pharmacologic interventions employing vasopressor drugs and medication for coagulation management. Fifth, avoiding mistakes in anesthetized and ventilated patients with critical intravascular volume status, as well as means to counteract inadvertent hypothermia. Finally, a minimum data set allowing retrospective analysis and system comparison is needed.
In conclusion, code red protocols are key in order to reduce pre-hospital care to the max and to pave the way to major trauma care. Current concepts of trauma care with a strong focus on the C-ABC (Circulation-Airway-Breathing-Circulation) approach, hypotensive resuscitation, haemostatic resuscitation and damage control surgery improve survival after major trauma.

Direct download: mix_11m29s_audio-joiner.com.mp3
Category:general -- posted at: 1:52pm AEST

A no-holes barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

Direct download: Flavia_Machado_.mp3
Category:general -- posted at: 7:00am AEST

Bedside ultrasound can be super helpful in assessing and managing the sick patient. This learning opportunity that I'll be sharing at dasSMACC was provided to me by a lovely 65yr man who presented to ED late one Tuesday evening last year. From a brief history, examination and bedside echo we were able to diagnose him with acute pulmonary embolism with right heart strain and residual thrombus in his right atrium. This is an uncommon scenario but is associated with high mortality if left untreated or treated with anticoagulation alone, and patients have much better odds of surviving with thrombolysis or embolectomy.

Direct download: _Leanne_Hartnett.mp3
Category:general -- posted at: 7:00am AEST

The arrested heart surgery patient is a unique beast in surgery and critical care. Dr Nikki Stamp will discuss how to spot the potential arrest, how to manage it and some special situations to be aware of in this special group of patients

Direct download: Nikki_Stamp_.mp3
Category:general -- posted at: 7:00am AEST

Direct download: NeuroImaging_Nibble_22.mp3
Category:general -- posted at: 7:00am AEST

Direct download: Management_of_Status_Epilepticus.mp3
Category:general -- posted at: 10:34am AEST

There is a huge variation in our outcomes for cardiac arrest patients. Measuring your results makes it possible for you to know what to improve. Benchmarking showes you were to go to learn. You need to build a culture of excellence into your own system. Patients are not the same so we need to individualize also resuscitation.

Direct download: mix_10m38s_audio-joiner.com.mp3
Category:general -- posted at: 2:28pm AEST

Resuscitation is complicated, but the solutions don't have to be. These are the psychological hacks that will help you conquer complexity and excel in dynamic environments.

Direct download: mix_21m57s_audio-joiner.com.mp3
Category:general -- posted at: 3:54pm AEST

Neurologic airway manipulation is unforgiving; errors lead to hypoxia and secondary injury. Managing the airway with an eye towards success, the first time, every time, without allowing sats to drop below 90% is the holy grail of neuro airways. Selection of RSI techniques, DSI techniques, and pharmacologic management is critical for success. The TBI airway with ICP issues and the post tPA airway present unique problems and the failed extubation in the neurologic patient is as common as the day is long. We will explore the latest theories and data (if there are any) and debunk some common myths together during this session.

Direct download: Airway_management_in_Neurologic_Emergencies.mp3
Category:general -- posted at: 7:00am AEST

“Meeting of the Tribes” brings together clinicians from a broad range of health professions--including medicine, nursing, social work, and physiotherapy--to explore interprofessional issues in critical care. In addition to their clinical work, panelists have unique perspectives on education, simulation, and resilience in healthcare. In discussing issues related to tribalism and their implications for interprofessional practice, we will explore what it will take to overcome a tribal mentality in the service of improved patient care. In this session, we will strive to: (a) present a snapshot of the status quo, (b) explore key issues and their implications for clinical practice, and (c) envision of future of enhanced interprofessional collaborative practice.

Direct download: A_MEETING_OF_THE_TRIBES_INTER-PROFESSIONAL_ISSUES_IN_CRITICAL_CARE.mp3
Category:general -- posted at: 7:00am AEST

When/how to reverse coagulopathies for ICH/TBI? By Ronan O'Leary

Direct download: PATCH_trial_implications.mp3
Category:general -- posted at: 7:00am AEST

Moderate panel discussion on FOAM Open Access Medical Publishing Data sharing

Direct download: PUBLISHING__THE_FUTURE_OF_CRITICAL_CARE.mp3
Category:general -- posted at: 7:00am AEST

Who should pull the trigger on tPA for acute ischemic stroke? By Rhonda Cadena

Direct download: Who_should_pull_the_trigger_on_tPA.mp3
Category:general -- posted at: 7:00am AEST