Neuro Resus

In this NeuroResus episode, Oli Flower speaks with  Keryn Davidson , vascular neurosurgeon at Royal North Shore Hospital, about aneurysmal subarachnoid haemorrhage, open cerebrovascular surgery, ICU-neurosurgery collaboration, and why the bedside exam still matters in an era obsessed with scans, monitors, and numbers. Keryn trained across Queensland and New South Wales before completing fellowship...

In this episode of the Neuro Resus Podcast, Oli Flower speaks with Dr Andy Lindberg, neuroanaesthetist at Royal North Shore Hospital, about the anaesthetic management of aneurysmal subarachnoid haemorrhage. The conversation follows a high-grade SAH patient from emergency airway management through EVD insertion, aneurysm securing, clipping, coiling, intraoperative rupture, vasospasm management, and...

Subarachnoid haemorrhage is one of the most time-critical and high-stakes emergencies in medicine. But in the real world, it rarely presents neatly. In this episode, Oli Flower is joined by two AI co-hosts — Simon (GPT-5.3) and Claude (Sonnet 4.6) — to work through the pre-hospital and emergency department management of SAH using a real-world scenario: a 42-year-old woman with a thunderclap headac...

This podcast episode features a conversation between Dr Oli Flower and his AI co-host, Simon (ChatGPT 4o), focusing on vasospasm and delayed cerebral ischemia (DCI) in aneurysmal subarachnoid haemorrhage (aSAH). The discussion covers: The distinction between radiological vasospasm (imaging finding) and DCI (clinical syndrome). The evolution of understanding DCI's multifactorial causes, beyond just...

Catherine Bell takes us through how to troubleshoot problems commonly encountered when looking after patients who have an external ventricular drain (EVD) in situ. Issues with using brain tissue oxygen monitors are also discussed. A highly practical session aimed at bedside clinicians. This presentation was delivered by Catherine Bell at CODA2022 . Want more content about EVD? Visit neuroresus.com...

Angiographic vasospasm and more accurately, delayed cerebral ischemia, continue to contribute to morbidity and mortality in patients with aneurysmal subarachnoid hemorrhage (SAH). It is known that angiographic vasospasm is common after SAH, occurring in two-thirds of patients. This presentation was delivered by Rob Loch MacDonald at CODA2022 . Want more content about aSAH? Visit  neuroresus.com  o...

Lizzy suffered a substantial aneurysmal subarachnoid haemorrhage that left her critically unwell, requiring a long stay in intensive care recovering from the consequences and complications of this devastating form of stroke. Now a couple of years after her haemorrhage, Lizzy has come so far. She and her husband Gordon describe their experiences, right from the day it all began and through those tu...

Andrew Udy talks about the ongoing BONANZA Trial which is assessing whether an algorithm that incorporates both ICP and brain tissue oxygen (PbTO2) can improve outcomes after traumatic brain injury (TBI). Like with all monitoring, how the PbTO2 is interpreted and managed is critical and the devil is in the detail! More on BONANZA here More on BOOST3 here This presentation was delivered by Andrew U...

Historically, when it came to brain injury, ketamine had a bad rap. Much of that dogma was dispelled in the last 20 years, and ketamine is now frequently used as an induction agent in acute brain injury, especially traumatic brain injury, partially due to the favorable effects on haemodynamics.  However a new application of ketamine is now being explored - whether ketamine may be able to reduce se...

Cortical spreading depolarization (CSD) is a spreading loss of ion homeostasis, altered vascular response, change in synaptic architecture, and subsequent depression in electrical activity following an inciting neurological injury. This presentation was delivered by Toby Jeffcote at  CODA2022 . Want more content about CSD? Visit neuroresus.com  or  subscribe  to be notified of new podcast releases...

Andrew Chow vs Andrew Udy  This debate was set up to discuss the issues with categorising traumatic brain injury (TBI). The current system using GCS to divide patients into mild, moderate and severe has been criticised in recent times, with calls for a more nuanced approach. The debate was a just bit of fun but does highlight the key issues. Chowie didn't get to choose which side to argue for :) A...

Dr Nick Little is an experienced Neurosurgeon who's looked after patients with traumatic brain injury for his whole career. Here he discusses the difficulties of prognostication following traumatic brain injury (TBI).  This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit  neuroresus.com  or  subscribe  to be notified of new po...

Tania Farrar is a neurologist and epileptologist with expertise in continuous EEG (cEEG) and status epilepticus (SE). This talk covers what a seizure is, what status is, including focal and generalised status epilepticus. This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit  neuroresus.com  or  subscribe  to be notified of new...

Stuart Browne is a Neuro Rehab specialist from Sydney. He discusses what "severe disability" really means.  Severe disability is more common than many realise - about 6% of the Australian population. Stuart discusses how health is more than simply physical recovery and how it is a multidimensional construct. He covers how permanent disability doesn't necessarily equate to a poor quality of life. H...

Shree Basu is a Paediatric Intensivist in Sydney. She discusses how Paediatric stroke presents, what neuroimaging is required and what interventions are available, including thrombolysis and the role of endovascular thrombectomy. The blood pressure targets in ICU are discussed; while there isn't strong evidence to support these targets, it does make sense and is a separate hot topic in adult strok...

After spinal cord injury (SCI), there aren't many interventions we have available that actually make a difference.  Augmenting blood pressure to increase spinal cord perfusion pressure is an attractive concept that may improve neurological outcomes following SCI. We know that hypotension can make SCI worse. Clinical studies looking at blood pressure augmentation are mostly old, retrospective and f...

20 million people around the world are living with a spinal cord injury (SCI). The medical issues they develop over the years differ to any other patient cohort.  These complications include autonomic dysreflexia, management of pressure areas, specific infections, nuanced peri-operative care and highly specific issues such as baclofen pump management and syringomyelia. In this podcast Spinal Rehab...

The perennial debate of which osmotic agent to use to reduce elevated ICP still rages on. Who better than Mr  Deranged Physiology himself, Aleks Yartsev, to take us through the pros and cons of each and work out a practical strategy. This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit  neuroresus.com  or  subscribe  to be not...

A Talk by Amal Abou-Hamden on intracerebral haemorrhage (ICH) and the latest developments in the management of this devastating form of stroke, including the ongoing  EVACUATE trial , a randomized controlled trial of ultra-early, minimally invasive, haematoma evacuation versus standard care within 8 hours of intracerebral hemorrhage. This podcast was recorded at the Brain Symposium which took plac...

Mark Weedon takes us through the increasingly   utilised   concept of   an optimal   cerebral perfusion pressure ( CPPopt ) for each unique patient.  This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit  neuroresus.com . 

Social Worker Victoria Whitfield and Bereavement councilor Louise Sayers discuss the power of words when health professionals are communicating topics around of death and   serious injury   with relatives and patients in critical care. They use role plays to bring theories to life.   This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like th...

Oli Flower talks to Mark Newcomb and Lee Fineberg about the upcoming Developing EM conference in Cartagena, Colombia. March 9-11, 2020. All the details are here: https://developingem.com

Top 10 critical care papers of recent times Dr Paul Young From CICM Trainee Symposium 2019

Dr David Anderson: Medical ethics / organ donation. Dr Angelly Martinez: Quality / committees. Dr Chris Mason: Informatics / EMR / committees. Dr Alex Psirides: Quality / director's perspective. Dr Claire Seiffert: Education / simulation. Dr Paul Young: Research / director's perspective. From CICM Trainee Symposium 2019

How I manage: Productivity and self-organisation Dr David Anderson From CICM Trainee Symposium 2019