Coda Change

Salim and Ken go toe-to-toe debating some hot topics in critical care. They take on mechanical CPR, adrenaline for out of hospital cardiac arrest, stroke ambulances and 1st pass with a bougie. Fun and informative. For more head to: codachange.org/podcasts

Sepsis is a common and deadly condition, but diagnosis in not always knowable in real-time. The optimal treatment during times of diagnostic uncertainty differs across patients. Despite this reality, sepsis performance is uniformly assessed and reported for a population knowable only in retrospect—the patients ultimately judged to have sepsis at hospital discharge. This limits effective audit and...

Mulinda shares how setting up an emergency department at a public tertiary hospital resulted in contributing to improving a district primary care system improvement program in Malawi. The link between performance of a health system can affect the community's health seeking behaviours. Insight into how improving patient care pathways can assist in creating patient centred, efficient and effective e...

An overview of causes of surgical vomiting in the neonate. This includes malrotation-volvulus, intestinal atresias, necrotising enterocolitis.

ECMO is alife-saving intervention for critically ill patients, but patients describe a recovery period that can take months to years. For more head to: codachange.org/podcasts

What can Prehospital and Retrieval Medicine teach us about life? Natalie May reflects on lessons learned at Sydney HEMS - from the practical to the philosophical. For more head to: codachange.org/podcasts

Being able to open any mobile phone camera enables triage of scene (mechanism of injury) and patient (physiology). This enables better resource allocation and can start treatment sooner. For more head to: codachange.org/podcasts

PHEM is a male dominated speciality but why is that? Caroline Leech takes us through the reasons why this inequity exists and how we can breakdown barriers. For more head to: codachange.org/podcasts

Simon Carley, Natalie May, Ash Leibig and Libby Hanrahan discuss how we can take the ideas, inspirations and thoughts from SMACCFORCE and put them into practice. How do we combat the attitude of "that's not how we do it" to open ourselves up to new ideas and processes? For more head to: codachange.org/podcasts

Nuanced trauma care by the Queensland Ambulance Services High Acuity Response Unit (HARU). A brief outline of the capabilities of HARU and some key principles that make it successful. Could this be a model for other ambulance services to follow in the future? For more head to: codachange.org/podcasts

Wendy Chang takes us through the use of ultrasound for lumbar puncture and how this should be used consistently, not just for difficult cases and field cases. Recent reviews have shown that using ultrasound for lumbar puncture has the potential to improve our success rate, decrease the rate of traumatic taps, decrease time to success, decrease needle passes and ultimately decrease the patients pai...

Cardiac arrest physiology is an emerging field of research that may allow us to better understand why clinical trials of cardiac arrest have been so frustrating, why epinephrine doesn't work, and how we can potentially do better in the future by augmenting blood flow and programming the cells with ischemic conditioning. For more head to: codachange.org/podcasts

Mark Forrest, Halden Hutchinson-Bazely & Jason van der Velde talk to us about 21st century simulation. They discuss how tools such as augmented reality are advancing medicine and assisting clinicians. For more head to: codachange.org/podcasts

Traditional selection of clinicians (nurses, paramedics and doctors) relies upon standard assessments. Or does it? Many clinicians are selected on the basis of their curriculum vitae, plus an interview and reference check. Is this the best approach to selecting high-performing clinicians to work in austere settings? Performance equals capability plus behaviour. If we are to select clinicians to pe...

The future of pre hospital care; Treatments and technologies on the horizon. For more head to: codachange.org/podcasts

Chile's has unique characteristics which pose several challenges for rescue and retrieval medicine. For more head to: codachange.org/podcasts

Over the past 30 years point-of-care ultrasound has been influencing patient outcomes in critical care environments by finessing patient assessment and optimising management. The newer generation ultrasounds are smaller and more portable, and as a result are joining physicians in the prehospital arena. Are they making a difference though? In the high-stakes environment of mass casualty events, ult...

Mulinda discusses standardising pre-hospital care in Africa and some of the major issues experienced such as access to prehospital care services. For more head to: codachange.org/podcasts

When the Chief of Defence Staff (CDS) of the Canadian Armed Forces decided to create a brand new forward aeromedical evacuation capability, he wanted it completed from the ground-up in a little over one year time. In this talk, Lieutenant Colonel Leilani Doyle recounts how this was accomplished from the early concept, through development and finally to the deployment of the CMERT (Canadian Medical...

Training and psychological preparedness is essential for prehospital and disaster clinicians, in order to effectively care for victims in austere environments. For more head to: codachange.org/podcasts

Resuscitating a critically injured child is one of the most stressful jobs in pre-hospital medicine. We are all human, many of us parents and the unbelievable emotional cost of a child who has life threatening injuries can take its toll. A year of serious paediatric trauma gave me an interesting perspective on paediatric trauma resuscitation and a new take on the word "resilience." For more head t...

Explore "change" from the early days of PHaRM to the current day. For more head to: codachange.org/podcasts

The future of pre hospital care; Treatments and technologies on the horizon. For more head to: codachange.org/podcasts

Dr Sinead Campbell-Gray will be presenting the story of the Northern Ireland HEMS Service, from the Political and Public campaign to get it started right through to the team-work and hard work involved in making this project a reality. She will outline how the Service has been founded on excellence in Trauma Care and Resuscitation Medicine, how the Clinical Service Model works, some lessons learne...

Surviving a cardiac arrest requires an optimised system of care, or Chain of Survival, that comes together as seamlessly as possible following a sudden collapse. No two communities or EMS / ambulance systems are the same and you need to intimately understand both using data to measure and benchmark how you are performing and then work to improve those elements of the system that you can change to...