SMACC

SMACCForce: Cognitive offloading for critical care retrieval by Stephen Hearns

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

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 AEDT

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 AEDT

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 AEDT

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 AEDT

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 AEDT

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 AEDT

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 AEDT

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 AEDT

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