Coda Change

In the previous podcast, the SMACCForce Simulation Team performed a Resuscitative Hysterotomy in a high-pressured situation. Now, we debrief. Sim is a powerful tool, it allows for healthcare professionals to practice rare medical procedures, to refine team work and to enhance collaboration. Importantly, it provides an opportunity for healthcare professionals to practice responding to challenging s...

From #SMACC2019 the SIM team demonstrate a Resuscitative Hysterotomy on a pregnant, 36 year old female who was involved in a high speed motor vehicle accident. The catch? She is the surgical registrar and friends with members of the team. Watch or listen as the SIM team guide us through a Resuscitative Hysterotomy in a high-pressured situation. For more head to: codachange.org/podcasts

Liz Crowe interviews Justin Morgenstern about curiosity in medicine. Curiosity is the most important thing that Justin brings to medicine. Why? Because he believes that you can't be a great clinician or educator without first being curious. The future of medicine is based on asking questions – what if? In the critical care environment, when you are under pressure, your brain will often resort to t...

In the last 10 years, 50,000 articles have been printed about burnout. As healthcare workers, we are exposed to an enormous emotional toll.  We need a plan to look after our wellbeing and we need to start thinking about it now. Surround yourself with people you can trust and do things to boost your happiness. Most importantly, work with your team. If a team member needs to be covered, cover them....

Surviving Massive Burns: Jamie Manning and the Royal North Shore Hospital team. In this panel discussion, we hear an incredible patient story from Jamie Manning and his wife, Karen Manning. In March 2014, Jamie was involved in a horrific car accident which resulted in catastrophic injuries and extreme burns to 40% of his body. Jamie and Karen reflect on their journey to recovery and their experien...

A round table check in between Ireland, Australia and the United States. Hosted by Cian McDermott from Dublin, Trish Henwood (Philadelphia, US), Kylie Baker (Queensland, AU) and Rachel Liu (New Haven, US) share their local experiences on remote education, innovation, and ultrasound in the remote environment. Finding new ways to work, changing priorities, and pivoting fast and hard.

The Future of Battlefield Surgery. The traditional battlefield involved soldiers on both sides, fighting against each other. Today, the battlefield is quite different and this has impacted how we practice surgery. Why? First, the world is full, more than half of humanity lives in cities. Hospitals in developing countries are exhausted and under-resourced. Furthermore, the threats we face today are...

Pacific Island Playlist 5: Mental Health. From #SMACC2019, the incredible Jess Morton speaks candidly about her own mental health journey. Jess knows first-hand how important it is that we give mental health the focus it deserves. Eliminating the stigma that surrounds mental health starts with us as healthcare professionals. We need to lead the way. Pacific Island Playlist song: Unwell by Matchbox...

In this episode, we examine accessibility in healthcare and the limitations to accessing equitable care for all. We must understand both the limitations posed by a patient's disability and the predicted accessibility challenges they face. This requires asking questions about a patient's disability. Healthcare accessibility is not only the physical ability to reach care but also the ability to enga...

The Covid restrictions saw an increase in Telehealth services and a flow-on effect was that it provided a safe space for people with accessibility differences. To sustain this, planning must go into adapting existing clinical practices. We need triage tools to identify which consultations are suitable to provide virtual care before we can engage with patients and provide them with a choice. We nee...

Healthcare should be equitable and accessible for everyone, but what exactly is equitable access to healthcare? Access is the ability to seek healthcare. The ability to physically connect and to pay for healthcare. Most importantly, access is the ability to engage with healthcare. Open and honest communication with patients is key. Empower people to make decisions about their own care, finding a w...

Inspiring clinicians to embrace accessibility will deliver better patient outcomes. It is vital we consult consumers about their disabilities and about what would make their health experience better. This must include listening to patients' stories and understanding both their abilities and limitations. It's an important step towards an equitable healthcare system. When considering whether or not...

Nas Campanella is a high-profile public media identity whose experience of being a blind patient provides a first-hand account of the access and inclusion challenges she faced within the healthcare system. Facing early childhood memories which involved countless hospital visits, she remembers needles, cannulas and feeling incredibly anxious about going into the operating theatre. That was, until t...

Energy = mass x velocity2, something that travels fast has twice the fatality of potential injury. In the US firearm injuries are unfortunately common and this is a public health crisis. We need to learn how to best treat patients with penetrating neurotrauma injuries. Wendy Chang takes us through methods to best treat these patients. For more head to: codachange.org/podcasts

Creativity in: non fiction  Let's face it, your real life is too strange for fiction. And why go looking for the stories, when they come right to you? During this session, we'll explore the tension between telling them, and taking them, how to keep their beauty, or their hilarity, without betraying confidence. Bring your best story, and your worst, and we'll find their true heart. One of the most...

FOAMed (Free Open Access Medical Education) is an important tool that so many of us are passionate about. The ability for medical education to reach countries around the world is powerful and is driving us towards a healthier future. In this episode of PIP, Alexandra Presler encourages us to lean into the FOAMed community. Everyone can utilise FOAMed, regardless of your position, so talk to everyo...

Emily Granger takes us through the original cardiothoracic conundrum: what to do about chest injuries and rib fractures? New approaches to the management of severe chest trauma and rib fractures are re-shaping our practice. Tune in to discover how. For more head to: codachange.org/podcasts  

Andrew Dixon takes us through five Common Trauma Radiology Misses and Misinterpretations. For more head to: codachange.org/podcasts

Jim Manning tells us why the time is now for Selective Aortic Arch Perfusion in improving cardiac arrest outcomes. For more head to: codachange.org/podcasts

Does adrenaline require resuscitation or is adrenaline good for resuscitation? Gavin Perkins takes us through the research and findings. For more head to: codachange.org/podcasts

Previously at SMACC, Steve talked about NonSTEMI that needed the cath lab immediately and showed many ECGs which represented acute coronary occlusion (Myocardial Infarctions) but present on the ECG as very subtle findings (http://hqmeded-ecg.blogspot.com/search?q=subtle), particularly as subtle ST segment elevation that does not meet "STEMI" criteria and is diagnosed as NonSTEMI. Now, he builds on...

Trauma care should be easy… shouldn't it? So why doesn't it feel easy? The clinical component is the easy bit, the challenge is the non-technical factors. Clare Richmond, Chris Hicks, Cliff Reid take us through a SMACCForce simulation debrief and discuss the human factors of trauma care. For more head to: codachange.org/podcasts

An asthmatic who is hemodynamic compromised, can be killed instantly. This distinguishes these asthmatics from the standard asthmatic and how these patients are treated will make a huge difference to the outcome. Haney Mallemat recounts a story of an asthmatic who minutes after he was intubated, became bradycardic, hypertensive and coded. Haney discusses how breath stacking is what kills the asthm...

Airway management needs to be proven, predictable and as simple as possible. Silence = death. It is hard to open yourself up and ask to be coached through something but it can be lifesaving. Laura Duggan explains how to survive Trauma RSI and come out the other side. For more head to: codachange.org/podcasts