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IS-EMERCAST

by Andrew Bezzina, Angus Bezzina

Welcome to IS-EMERCAST!. This is the partner and supplement to Med from the SHED – that highly useful resource on the net for Emergency Clinicians in the Illawarra-Shoalhaven. The perennial problem with trying to provide educational resources to a broad geographical area and a disparate group of clinicians always stumps us. Here is part of the answer. This podcast allows easily accessible clinical education and perspectives with a local flavour for those of us working in the Illawarra-Shoalhaven. It is brought to you by the Emergency Medicine Education and Training Program under the Auspices of the Australasian College for Emergency Medicine (ACEM) and funded by the Commonwealth Government. Whilst all efforts are made to ensure content is appropriate and up to date, all information and perspectives are those of the presenters themselves and do not represent the position of ACEM or Illawarra Shoalhaven Local Health District.

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Episodes

  1. Episode 19 - The Illusion of Certainty

    Medicine has seen the proliferation of guidelines/pathways/clinical decision rules in a dizzying white noise of advisories. They have been developed on the charitable side to minimise variance and provide some certainty of benefit for patients and ease for clinicians. But "do they do what it says...

  2. Episode 18 - The Transfer Conversation

    Doctors from a small rural ED provide insights into their experiences of transfer conversations and this is juxtaposed with insights from 2 Emergency Physicians on the receiving side of those conversations.

  3. Episode 17 - Under Pressure

    Emergency Medicine is a practice that requires good procedural skills and clinical acumen but also good "soft" skills such as communication and team management but equally importantly self management. Dr Karen Coss, Director of Emergency Medicine at Tamworth Regional Referral Hospital in North...

  4. Episode 16 - Pneumothorax - when less is more

    Use of intercostal catheters and the management of pneumothoraces have been undergoing significant change over the last decade. The recent New England article comparing conservative management with interventional takes this the next station along the road.

  5. Episode 15 - The Difficult Consult

    There are many stressful elements to working in the Emergency Department many of them often not related to the patient interaction. One that has to be well up there especially for people who hate confrontation is the “difficult consult”. You ring the inpatient team representative and are faced…

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  6. Episode 14 - Perspective is Key

    Working as clinicians in the ED, especially in the one ED over time, it's easy to develop a fixed view on life and where you fit in "the system". This is a road to cynicism, pessimism and burn out for many people. Dr Anne Smith provides perspectives balanced by an international career, experience...

  7. Episode 12 - The Orphan ED

    A discussion with Dr Peter Smith around some of the issues that face EDs without a range of on site support services. Peter provides the benefits of his insights based on experience as a clinician and a department DIrector.

  8. Episode 11 - What is this wellbeing thing?

    Wellbeing in the ED. What is it all about? An interesting interview with Bishan Rajapakse a local champion of the Wellbeing focus in Emergency Departments and health generally.

  9. Episode 10 - To do or Not to Do? - End of Life

    Managing the critically ill patient with multiple co-morbidities is a complex and difficult problem. Patient, family, carers and staff all need care in a busy environment with multiple competing priorities. Here is a way to consider it.

  10. Episode 9 - Paediatric Fever - a sensible approach

    This is an open discussion with local expert Dr Simon Binks on how he approaches paediatric fever presentations in practical terms. We cover some of the basic questions around investigation strategies, use of pathways and risk stratification.

  11. Episode 8 - A Walk in the pARC - paediatric appendicitis

    Kharbanda AB et al Development and Validation of a Novel Pediatric Appendicitis Risk Calculator (pARC). Pediatrics 2018 141:4 https://pediatrics.aappublications.org/content/pediatrics/early/2018/03/09/peds.2017-2699.full.pdf Cotton D et al Validation of the Pediatric Appendicitis Risk Calculator…

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  12. Episode 7 - Acute Coronary Syndrome - at last some consistency - PACSA

    PACSA via ACI https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2019_014.pdf 4th Universal Definition of MI https://academic.oup.com/eurheartj/article/40/3/237/5079081 Sgarbossa https://litfl.com/sgarbossa-criteria-ecg-library/ Posterior MI...

  13. Episode 6 - The Headache of Headache in ED

    D W Dodick - Nosological Entities? Thunderclap Headache. J Neurol Neurosurg Psychiatry 2002;72:6–11. https://jnnp.bmj.com/content/72/1/6.info Long BJ, Koyfman A. - Benign Headache Management in the Emergency Department The Journal of Emergency Medicine, Vol. 54, No. 4, pp. 458–468, 2018...

  14. Episode 5 - COPD - who's driving here?

    Wilson F Abdo and Leo MA Heunks - Oxygen-induced hypercapnia in COPD:myths and facts Critical Care 2012, 16:323 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682248/ Austin M Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting…

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  15. Episode 4 - Back Pain - What a pain!

    Menniti-Ippolito á M. Maggini á R. Raschetti R. Da Cas á G. Traversa á A. M. Walker, Ketorolac use in outpatients and gastrointestinal hospitalization: a comparison with other non-steroidal anti-inflammatory drugs in Italy, Eur J Clin Pharmacol (1998) 54: 393±397...

  16. Episode 3 - The mythical UTI

    Schulz L et al Top Ten Myths Regarding the Diagnosis and Treatment of Urinary Tract Infections Journal of Emergency Medicine, Vol. 51, No. 1, pp. 25–30, 2016 http://dx.doi.org/10.1016/j.jemermed.2016.02.009

  17. Episode 2 - Salty or Balanced?

    Semler M et al Balanced Crystalloids versus Saline in Critically Ill Adults N Engl J Med 2018;378:829-39. https://www.nejm.org/doi/full/10.1056/NEJMoa1711584 Self W et al Balanced Crystalloids versus Saline in Non Critically Ill Adults N Engl J Med 2018;378:819-28....

  18. Episode 1 - Diagnostic Reasoning

    Crosskerry P et al Cognitive debiasing 2: impediments to and strategies for change. BMJ Qual Saf. 2013 Oct; 22(Suppl 2): ii65–ii72. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786644/ Crosskerry P A Universal Model of Diagnostic Reasoning Acad Med. 2009 Aug;84(8):1022-8....

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ABOUT THIS SHOW

Welcome to IS-EMERCAST!. This is the partner and supplement to Med from the SHED – that highly useful resource on the net for Emergency Clinicians in the Illawarra-Shoalhaven. The perennial problem with trying to provide educational resources to a broad geographical area and a disparate group of clinicians always stumps us. Here is part of the answer. This podcast allows easily accessible clinical education and perspectives with a local flavour for those of us working in the Illawarra-Shoalhaven. It is brought to you by the Emergency Medicine Education and Training Program under the Auspices of the Australasian College for Emergency Medicine (ACEM) and funded by the Commonwealth Government. Whilst all efforts are made to ensure content is appropriate and up to date, all information and perspectives are those of the presenters themselves and do not represent the position of ACEM or Illawarra Shoalhaven Local Health District.

HOSTED BY

Andrew Bezzina, Angus Bezzina

Produced by Andrew Bezzina

Frequently Asked Questions

How many episodes does IS-EMERCAST have?

IS-EMERCAST currently has 18 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.

What is IS-EMERCAST about?

Welcome to IS-EMERCAST!. This is the partner and supplement to Med from the SHED – that highly useful resource on the net for Emergency Clinicians in the Illawarra-Shoalhaven. The perennial problem with trying to provide educational resources to a broad geographical area and a disparate group of...

How often does IS-EMERCAST release new episodes?

IS-EMERCAST has 18 episodes. Check the episode list to see recent publication dates and frequency.

Where can I listen to IS-EMERCAST?

You can listen to IS-EMERCAST on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.

Who hosts IS-EMERCAST?

IS-EMERCAST is created and hosted by Andrew Bezzina, Angus Bezzina.
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