Shows
Podfour's podcastAdvanced Respiratory Management- Part TwoPart two identifies the different adjuncts used for intubation, some of the medications used for intubation and reversal, positioning and briefly touches on tracheostomy.2025-05-1555 minPodfour's podcastAdvanced Respiratory management Part 1Join myself and Sally as we dive into advanced respiratory management with Dr Neil Greensmith and Dr Ravi Mistry. In Part One we cover who you might need for intubation, the use of checklists, medication, staff and optimal patient positioning. I loved this conversation and we hope you get as mch out of it as we did.2025-04-0233 minPodfour's podcastTeamwork in Critical CareToday we welcome Dr Eve Purdy to talk about teamwork in emergent situations in critical care. Teamwork is an essential aspect of all areas of health care and we loved gaining an understanding about what makes teams function effectively. Readings as recommended by Eve include The Culture Code by Daniel Coyle https://danielcoyle.com/the-culture-code/ and Teams that Work by Edwardo Salas https://www.teamsthatwork.com/ 2024-10-081h 01Podfour's podcastUnprofessional Behaviour in HealthcareJoin us as we chat to Dr Liz Crowe about unprofessional behaviour in healthcare. If anyone would like to listen to any further podcasts from Liz, her odcast https://fivethingsnursing.podbean.com/ is available on your streaming platforms.2024-09-0153 minPodfour's podcastPregnancy complications in critical careWhilst not common complications during pregnancy and birth can be quite serious, requiring admission to ICU. Sally Byford (Obstetrician/gynaecologist) joins us today to talk about these complications and how we might manage them. This episode may be triggering for some people as it touches on infant and maternal death.2024-06-0556 minPodfour's podcastSimulationSimulation refers to an artificial interpretation of real world processess and is used as an educational tool within the healthcare setting. Join Sally and Kahl as we chat to Jack Matulich who works within the simulation team and Angela who is a nurse educator within the ICU. They enlighten us around the process of simulation and how it can be used as a learning tool within the hospital setting.2023-05-2553 minPodfour's podcastCardiac output in the ICUWhilst we are all familiar with the components of cardiac output. Cardiac output = Heart rate x Stroke volume, in this months podcast Harley and myself chat to Dr Ravi Mistry about how each element of cardiac output is manipulated in the intensive care using drugs and other adjuncts.2023-02-2057 minPodfour's podcastLiver Failure in ICUApproximately 1-5% of patients are admitted to ICU for liver failure. The liver can be the initiator of remote organ damage and the development of multiple organ dysfunction syndrome during liver injury, therefore requiring the support of multiple organs in the intensive care unit. Join Kahli and Sally as we talk to Jack Simpson, ICU intensivist, about all things liver failure and how we manage it in ICU.2023-01-1344 minPodfour's podcastRenal Replacement TherapyRenal Replacement Therapy (RRT) is a complex treatment for patients both in and out of the ICU environment. There are multiple different modes, machines and functions and this episode is about addressing the confusion and answering all your questions in relation to RRT. Below are the links to articles referred to throughout the podcast Systematic review and meta-analysis of renal replacement therapy modalities for acute kidney injury in the intensive care unit https://eds.p.ebscohost.com/eds/viewarticle/render?data=dGJyMPPp44rp2%2fdV0%2bnjisfk5Ie46a9Ir66yUbWk63nn...2022-09-281h 07Podfour's podcastDiabetesDiabetes has a prevalence of 1.2million people in Australia and places a massive burden on the healthcare system. Today we have Daniel Jones who is a resident at Tweed Heads hospital in to talk about diabetes, from diagnosis through to management. Hope you enjoy 2022-04-0357 minPodfour's podcastVentilation weaningVentilation is the bread and butter of Intensive Care but how do we liberate a patient from the ventilator? Join us for a discussion where we identify how to wean a patient from the ventilator, the role of physiotherapists in assisting with this weaning and tackling some basic ventilation questions.2021-12-3042 minPodfour's podcastArrhythmias and anti-arrhythmic medicationsYes i know this sounds niche, but anti-arrythmics are commonly used within the hospital and Intensive care setting and come in a multitude of different classes. Senior pharmacist Dan Adams and Senior ICU registrar Jay Mahendra Ray join us to talk about different arrhythmias and the different classes of anti-arrythmics we use in ICU.2021-11-2242 minPodfour's podcastKetogenic diet in refractory seizures Ketogenic diet in refractory seizures, this episode whilst niche was so interesting to learn about. With our guests Damien (ICU registrar) and Lisa (Dietician) we delve into ketosis and what that means for our seizing patients.2021-10-1844 minPodfour's podcastAcute Respiratory Distress Syndrome (ARDS)This month we have Dr Mat Brun with us to discuss ARDs. We run through how ARDs develops and the different treatment options available within the ICU.2021-09-101h 14Podfour's podcastPancreatitisPancreatitis is an inflammatory condition of the pancreas which causes the activation of pancreatic enzymes that causes destruction of the pancreas itself. In this episode of Podfour we chat to Dr David Parker an upper GI surgeon and Dr Angelley Martinez an ICU intensivist about the care and management of pancreatitis throughout the patients journey from admission to discharge.2021-08-141h 01Podfour's podcastSepsisSepsis and septic shock are leading causes of death worldwide as identified by the Surviving Sepsis Campaign which initiated the implementation of the surviving sepsis campaign bundles in an effort to reduce morbidity and mortality. Intensivist Peter Velloza joins us to talk about sepsis in general and within the ICU.2021-07-1659 minPodfour's podcastAcute Pain Service & Opioid stewardshipThe acute pain service is a multidisciplinary team specialised in addressing acute pain in patients within the hospital. Alongside this service runs an opioid stewardship program which addresses the misuse of opioids and pain medications not just within the hospital but within the community. We were privileged to have Dr Yvette McKellar who is a senior staff specialist anaesthetist and clinical lead of the Acute pain team, Andrea Freeman who is a CNC within the acute pain team and James Alderson who is the lead pharmacist for the surgical division and secretary of the opioid stewardship working...2021-06-1748 minPodfour's podcastOccupational therapy in ICUOccupational therapists work with sick, injured or disabled patients by helping to develop, recover, improve as well as maintain the skills needed for every day living. In an ICU setting where does occupational therapy fit in? We talk to senior occupational therapist Alexandra Walters about what occupational therapy can offer to patients in ICU.2021-05-1235 minPodfour's podcastCALS (Cardiac Advanced Life Support)Cardiac Advanced Life Support (CALS) is a course that covers the management of the deteriorating and/or arresting patient following cardiac surgery. The CALS algorithm is considered the standard to optimally manage an arresting cardiothoracic patient and this podcast will explore the elements of this protocol. Join us as we chat to Dr Chris Hebel an ICU intensivist who runs the CALS course at GCUH and Sarah Croton, ICU CN who assists with the CALS course and has also been involved in multiple re-opens. Please find below the CALS algorithm... 2021-03-1546 minPodfour's podcastStreet drugsThe subject of recreational drugs might be a bit taboo, but working within the ICU there are a large number of patients who either incidentally or purposefully overdose or have a history of drug abuse. Our senior pharmacist Dan explores the different types of drugs typically used by our patients, which receptors these drugs work on and the effects they can have on our patients. 2021-02-011h 21Podfour's podcastSubarachnoid Haemorrhage (SAH)Subarachnoid haemorrhage (SAH) is the sudden leaking of a blood vessel in the subarachnoid space in the brain. We chat to Dr Teresa Withers the director of neurosurgery at GCUH and Angelly Martinez, ICU Intensivist about all things SAH. We follow a case study from medical history, presentation, interventions and management in ICU. We were really looking forward to this chat and it did not disappoint. We hope you can learn a few things from this one and it can shed some light on the management of SAH and why it is so...2021-01-091h 13Podfour's podcastTraumaThe trauma team is a specialised team within Gold Coast University Hospital that provide care to trauma patients from pre-admission to post discharge. In ICU we catch a brief glimpse of the initial phases of care for trauma patients before they are stepped down to the ward. The trauma team follow these patients through all aspects of their admission from their arrival in ED, theatre, ICU, ward and then transfer home. Join us as we unpack the role of the trauma team, led by Bhavik Patel consultant surgeon for acute care and trauma surgery.2020-12-081h 04Podfour's podcastPatient experience in ICUToday we gain an insight into the ICU experience through the eyes of the patient. With us we have Jess Eels and Tony Wilson who are both nurses within our ICU but have also been on the other side as a patient. Their experiences are eye opening to us as nursing/medical staff and help to guide how we nurse our patients that are sedated and intubated.2020-11-0433 minPodfour's podcastECMOExtracorporeal membrane oxygenation (ECMO) is a technique which provides cardiac and respiratory support to people who's heart and lungs are unable to provide an adequate amount of gas exchange or perfusion to sustain life. Dr James Winearls along with ECMO CN Jacquie Whincup and fellow CN Lisa Mackie are around the table today to talk all things ECMO and to delve into the retrieval process.2020-10-1149 minPodfour's podcastICU DeliriumDelirium is defined as a disturbance in mental abilities that results in confused thinking and reduced awareness of surroundings. In ICU we focus on prevention strategies instead of treatment of delirium. This episode we have Senior physiotherapist Lauren and CNC Niki to discuss strategies that are used to prevent delirium.2020-09-0755 minPodfour's podcastDiabetic KetoacidosisDiabetic ketoacidosis (DKA) is a serious diabetic complication that, when severe is often seen in Intensive care. ICU registrar Ivan Basic gives us an insight into this condition and how to manage it within the ICU.2020-08-051h 08Podfour's podcastOrgan DonationIf you do not work in the Intensive care or Emergency department, organ donation can be a foreign concept. Today we chat with Mandy who is the organ donation coordinator for the Gold Coast. Just in time for donation awareness week at the end of July. https://donatelife.gov.au 2020-07-0646 minPodfour's podcastCardiothoracic surgery- Part 2Part Two of this episode focuses on valvular surgery such as valve replacement/repair for issues such as stenosis and regurgitation. We also look at nursing care of a cardiothoracic patient post op.2020-03-251h 02Podfour's podcastCardiothoracic surgery- Part OneIn Part one of this episode i chat with Jucel a registered nurse within the ICU and Sylvio Provenzano one of GCUH's cardiothoracic surgeons about Coronary Artery Bypass Grafts (CABG), cannulation for bypass and the bypass machine itself. 2020-03-2538 minPodfour's podcastShock... Classification, phases, assessment and managementShock results from inadequate perfusion tissues, leading to a decrease in the supply of oxygen and vital nutrients needed to maintain cellular metabolism. Dr Matt Brun and Jacquie Dwyer join us to chat about all the different classifications of shock and how we can identify and treat within the ICU.2020-02-171h 18Podfour's podcastTraumatic Brain Injury ManagementTraumatic Brain Injury is an insult to the brain caused by trauma that results in neurological dysfunction. Sal and i have a chat to neurosurgical registrar Tom about TBI's and the management and prevention of secondary injury in the intensive care unit.2020-01-091h 15Podfour's podcastCitrate use in CRRT Continuous Renal Replacement Therapy (CRRT) involves pumping blood through a dialysis circuit. When the blood comes in contact with this surface it tends to clot which is why we anticoagulate blood that is being dialysed. CRRT involves and extended period of treatment at slower blood pump rates and is therefore more likely to clot. Citrate has quickly become the gold standard for anticoagulation due to the limited adverse events and a decrease in cost compared to the use of heparin. Citrate works by binding to ionised calcium therefore rendering it unable to perform in the c...2019-10-2436 min
Podfour's podcastRespiratory failure in the Intensive CareAcute respiratory failure is the inability of the respiratory system to maintain gas exchange and is a popular occurrence in the Intensive Care Environment. During this episode of the podcast myself (Kahli), Sally, James and Andi talk about the definition of respiratory failure, along with the different types (Type 1 and type 2) and the common disorders that can lead to respiratory failure. We also address the clinical assessment of respiratory failure and what is expected of the ICU nurse as well as the different treatment options there are for respiratory failure. Below i...2019-10-0440 min
Podfour's podcastPressure InjuriesA pressure injury is any breach in skin integrity caused by the failure to relieve pressure, most commonly found in areas covering bony prominences. The Intensive Care Department (ICU) has the highest incidence rate of pressure injuries within the hospital system, due to a multitude of factors which ultimately decrease the skin integrity of these patients. Due to impaired skin integrity ICU patients are at a very high risk of developing pressure injuries and relieving the pressure is often not a simple solution due to the acuity of the illness, such as patients who are respiratory or...2019-09-0228 min