Osler Podcasts

The impact of resuscitation strategies on the gut is often neglected, as attention to circulatory and respiratory support takes priority. Leading ICU dietitian Varsha Asrani joins Todd to chat about the implications of gut ischaemia for the longterm recovery of our patients. See omnystudio.com/listener for privacy information.

Healthcare is a difficult industry to advance in.  Many of us are time-poor and there is little structure to training and learning outside formal college training programs.  Many clinicians are therefore turning to coaching and mentoring for answers.  These concepts are familiar to many in business, but they are only now working their way into mainstream healthcare. In this podcast,...

Traumatic brain injury is a significant problem, affecting patients of all ages across the globe.  Despite this, relatively little hard evidence supports the interventions commonly used in practice. Research in this area remains challenging, with many barriers to the traditional large-scale randomised controlled trial.  Perhaps alternative sources of evidence are required. In this podcas...

In 2002, the critical care world was rocked by a pair of studies released simultaneously in the New England Journal of Medicine, which found that therapeutic hypothermia improved neurological outcomes for unconscious survivors of cardiac arrest. In the almost 20 years that have followed, several trials have produced conflicting results, culminating in the TTM-2 trial released in 2021, which seems...

Plasmapheresis can be a life saving intervention in a number of ICU conditions.  Two potential methods are available – centrifugal plasmapheresis and membrane therapeutic plasma exchange.  But what do we know about the applicability, utilisation and complications of the latter? On this episode, Todd is joined by Mitul Chavda and Alpesh Patel, who recently published 6 years worth of...

In this episode of the Careers in Health podcast, Todd chats to Rheumatologist Graeme Jones See omnystudio.com/listener for privacy information.

Part 2 of this interview with CLIP-2 chief investigator Michael Reade explores the structure of CLIP-2, some of the challenges the project has had to overcome, and the workings of a non-inferiority trial. See omnystudio.com/listener for privacy information.

Platelets are a critical component of haemostatic resuscitation, but there are significant challenges involved in their use, most notably, their short shelf life. Could frozen platelets be the answer? Michael Reade is an anaesthetist, intensivist and clinical researcher from the University of Queensland and the Australian Defence Force, and he joins Todd to discuss his research program in this are...

Ketamine is regarded as a bit of a wonder drug in emergency and critical care areas, but is it all that it’s cracked up to be. Andrew Casamento is an Intensivist  / Emergency Physician at the Northern, Austin, Warringal Private and Bendigo Hospitals in Victoria, and is the author of a recent review of the role of ketamine in mechanically ventilated ICU patients.  He joins Todd on t...

Bronchiolitis is a considerable portion of the workload of paediatric ICUs.  As an inflammatory disease process, treatment with corticosteroids may have benefit, and the alpha effects of adrenaline may reduce secretions.  However, evidence remains sparse, while international guidelines are conflicting. Ben Gelbart is a paediatric intensivist from the Royal Children's Hospital in Melbourn...

Our guest on this podcast is Dr Emma Ridley, Manager of the ICU Nutrition Program at the Monash University ANZICS Research Centre.  She joins me Todd to chat about her survey of nutritional practice in Australasian ICUs, known as Nutrients, presented at the 2022 ANZICS-CTG conference in Noosa. See omnystudio.com/listener for privacy information.

Delirium and sleep deprivation are known to go hand in hand in the ICU. Could melatonin, a readily available, safe and cheap hormonal therapy, improve sleep, and thereby delirium, in a general population of ICU patients? Lead investigator of the recently released ProMEDIC study Dr Brad Wibrow joins Todd to discuss the results of his study. See omnystudio.com/listener for privacy information.

In this Careers in Health podcast, Todd chats to Ear, Nose and Throat surgeon, Dr David McIntosh See omnystudio.com/listener for privacy information.

Interstitial Lung Disease is like a black box for many intensivists.  The complexity of the pathology seems to be only matched by the complexity of the diagnostic classification, and the drug names used to treat them.   James Lindstrom is a dual trained intensivist and respiratory physician in Geelong, Australia, and he joins me to explore some of the issues related to ILD in the ICU See...

It has been said that more people suffer harm from our management of diabetic ketoacidosis than those that do from the disease itself. So how do we avoid these pitfalls in the emergency department? Adan Atriham is an emergency physician from Houston, Texas See omnystudio.com/listener for privacy information.

Unstable patients with tachyarrhythmias may need urgent cardioversion in the emergency department. Dr Eleni Salakidou is a specialist in emergency medicine at the University General Hospital of Heraklion, and she joins Todd on the podcast to share her tips for safe and successful cardioversion. See omnystudio.com/listener for privacy information.

Necrotising fasciitis is a scary disease for even the most experienced of emergency physicians. Dr Michael Gleenberg is an emergency physician and Residency Director at the Assuta Ashdod University Hospital in Israel, and he joins Todd to discuss the identification and management of this important disease process See omnystudio.com/listener for privacy information.

In this episode of the Careers in Health podcast, Todd chats to ophthalmologist, Dr Madeleine Adams See omnystudio.com/listener for privacy information.

Medication errors are a significant challenge to the safety of patients.  Pre-filled syringes represent an opportunity to prevent errors related to medication preparation, and may have additional cost and efficiency savings. Dr Rhys Thomas is an anaesthetist and the Quality and Safety Fellow at John Hunter Hospital in New South Wales.  He joins Todd to share his experiences with pre-fill...

Many doctors will take leadership positions during their careers, but the skills required to succeed in these roles do not come naturally to all. Hash Abdeen is the Chair of the Council of Doctors in Training for the Australian Medical Association.  He joins Todd on the podcast to chat about his experience in leadership positions, how junior doctors can enhance their skills, and what the AMA...

In this episode of the Careers in Health podcast, Todd interviews Dr Sophia Velosa, an endocrinologist with a special interest in Obstetric Medicine See omnystudio.com/listener for privacy information.

The stress of exams, clinical practice, finances and major life events takes a toll on junior doctors.  The added burden of COVID-19 has pushed many to the edge. Tahnee Bridson is an inspiring young doctor who saw an opportunity to help by establishing a peer-to-peer support group, known as Hand 'n' Hand. She joins Todd on the podcast to chat about the project   If you would like to acce...

The critically ill bleeding patient who is taking novel oral anticoagulant medications is a difficult clinical challenge. Dr Barbra Backus is an emergency physician from The Netherlands, and she joins Todd to discuss some of the important issues in managing this problem. See omnystudio.com/listener for privacy information.

In this episode, Todd chats to geriatrician Dr John Endacott See omnystudio.com/listener for privacy information.

Acute cardiogenic pulmonary oedema is a common presenting complaint in the emergency department. Dr Roberto Cosentini is an emergency physician from Bergamo in Italy.  He joins Todd to discuss the use of NIV in the management of these patients. See omnystudio.com/listener for privacy information.