Coda Change

We are in the business of saving lives but we are missing the low hanging fruit. To save lives, we must teach ourselves but crucially, we must teach the public to do the basics exceptionally well. The first link in the chain, the bystanders, have to be involved and have to know what to do. Mike Abernethy talks to us about the importance of bystander action. For more head to: codachange.org/podcast...

Neurosurgery is time critical. Our job is essentially trying to avoid death and relieve pressure on the brain as quickly as possible. Acting rapidly is the most important thing we can do but achieving this in the outback and rural communities is challenging. How do we streamline the process to ensure that we care for all people, regardless of geographical location? For more head to: codachange.org...

Every child born today will be affected by the climate emergency and affected at every stage of their lives. Canadian sub-arctic is already 2.5c warmer than 70 years ago. Unfortunately, all sorts of health impacts are linked to the climate crisis. Heat stress, chronic disease from air pollution, infectious diseases, malnutrition, famine, displacement… to name a few. We are already resigned to incr...

The NHS has committed to a net-zero target in 2040, for the carbon emissions that they control directly and a target of 2045 for the broader emissions they can influence. So why is the NHS doing this? It has heeded the science pointing to the climate emergency as the biggest health threat of the 21st century. Nine in ten NHS staff say that they want to see the NHS act more sustainably. What is a n...

In this episode, we examine some achievable, sustainable and most importantly, meaningful actions that healthcare can take on the climate crisis. Firstly, the climate emergency is not only a healthcare emergency but also a wealth emergency. Financial markets have realised the monetary cost of not taking action to reduce carbon emissions and now whether governments like it or not, the markets are d...

Re-evaluating how your super is invested can have a huge impact on mitigating the effects of the climate emergency. Why... because most people are invested in the companies that are responsible for climate destruction. The broader Superannuation system is currently worth about $3 trillion. By 2038, it is projected to be worth $10 trillion. With that size comes immense power. Have you ever thought...

Financial markets have recognised that the climate emergency is also a financial emergency. A report out of Harvard recently stated that nearly 1 in 5 deaths globally are associated with burning fossil fuels. Incredibly, the Covid19 pandemic has changed how we see the climate crisis in a number of ways. Firstly, it resulted in an unprecedented decline in global energy consumption during 2020. Seco...

We hear from passionate advocates in different medical fields, as they impart wisdom and discuss how we can all work to be advocates for what we believe in. As healthcare workers, we constantly work together as a team. We need to utilise that teamwork to stand up for what we believe in. For more head to: codachange.org/podcasts 

A trauma patient has come in and they have a life threatening, non-compressible haemorrhage. We have a Code Crimson on our hands. In this scenario, your team and your performance can make a big difference to the outcome. We need to rely on protocols, standardised care, implicit communication and shared expectations to manage this as effectively and efficiently as possible. This is what Code Crimso...

The logistical challenge of opening a COVID-19 treatment centre in a developing country is enormous. There is a significant lack of resources such as PPE and essential drugs, as well as medical specialists and sophisticated technology. Khairil Musa reflects on a deployment to Yemen and how in a city with 1.8 million people, having access to only 7 ICU beds led to devastating consequences. During t...

Every two years the processing power of computers doubles, while the cost halves. Advances in technology are making ultrasound more accessible and effective than ever. To adequately use ultrasound you need three things - Have a machine - Be able to acquire the images - Interpret and utilise the images effectively, safely and accurately Ben Smith and Jacob Avilla run us through how technology has e...

We all have to be advocates for the role we play in patient care. We have to collectively navigate and challenge the decision makers to ensure progress into the future. For more head to: codachange.org/podcasts

Resa Lewiss talks to us about the evolution of point-of-care Ultrasound in Trauma, focusing on the FAST examination. Three takeaways: 1. Ultrasound cannot replace CT scan. 2. Ultrasound is a data point in your patient care management. 3. Ultrasound decreases time to definitive management. For more head to: codachange.org/podcasts

The exciting possibilities for tomorrow's medicine are endless. There's the chance that we could revolutionise diagnostics with AI. There's the opportunity for us to use smart phones and wearable technology to allow health professionals to deliver care outside of hospitals. There's the possibility to use 3D printing to manufacture drugs at local pharmacies, personalising drug treatment for individ...

RCTs deliver the most reliable evidence to guide how we treat our patients but they are badly designed, inaccurately reported and misunderstood. We can do better. For more head to: codachange.org/podcasts

Professor Owler discusses his experience in his various roles to achieve successful outcomes both in terms of health policy as well as legislative changes. He will discuss the role of doctors in this process and how to interact with government, media and stakeholders to achieve better outcomes for patients and the community. For more head to: codachange.org/podcasts

In this episode of CodaZero Cure our stellar line-up of panellists take a deep dive into Sepsis post Covid-19 and reflect on the many opportunities and challenges presented. First, we hear from vaccination uptake expert, Julie Leask, on Covid, vaccination and medical misinformation. Julie highlights some of the key drivers of vaccination hesitancy in society and challenges us, as health profession...

It's a challenge to think of a single large multicentre RCT or therapy introduced to critical care in the last 20 years that has meaningfully improved outcomes, yet across the board our outcomes improve year on year, largely due to improvements in Process getting the diagnosis right earlier, instituting therapies that work sooner, and minimising iatrogenic injury. The implementation of ultrasound...

If we harness the experiences of hundreds of colleagues who have managed the same rare clinical event we would discover what works, what doesn't and why. For more head to: codachange.org/podcasts

There is enormous concern within the health community regarding public misinformation and the successful rollout of vaccines. They are concerned about the psychological safety of medical professionals in the post-pandemic world. They are worried about the emotional toll that long periods of separation from family and friends have on people from around the world. Now more than ever, we should share...

The challenge of balancing public health and the law, with personal responsibility and freedom, is driven by access to information. We need to invest in public awareness, reflect on the learnings from COVID and use that for messaging at scale. Like Covid, we know that the prevention of sepsis relies on education, early detection, sanitisation, antibiotics stewardship and availability of resources....

COVID 19 has completely disrupted communities around the globe and caused enormous loss as well as untold human suffering. The development of such effective vaccines has given us hope for the future, but the unprecedented speed at which these have been developed has raised some questions. The WHO recently has identified vaccine hesitancy as one of the top 10 public health issues facing global heal...

ECMO is a life-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

Those of us looking after kids know that making confronting situations better for those kids is one our biggest challenges. A kid's experience of a procedure in hospital is not just about that particular procedure. It colours all their future interactions with health professionals and can impact on their behaviour outside health care settings. Virtual (VR) and augmented reality (AR) are new techno...

In the ER, we are taught to turn towards the pain of others. We are not given as deliberate advice on how to care for ourselves despite the adversity we see, and the inevitability of being hurt by it. If our role is, at least in part, to steward health towards others, we defy its logic if don't extend the same caring to ourselves. Being well, and if not, knowing the direction, is as vital as being...