Coda Change

Latest Episodes:

Sepsis SMACCdown Nov 04, 2015

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An all-star panel of world sepsis experts discuss the controversial areas. Expertly hosted by Scott Weingart and lubricated with on-stage alcohol.

REBOA: Who, What and Why - Deborah Stein Oct 30, 2015

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Hemorrhage is the leading cause of preventable death following trauma. Deborah Stein talks REBOA - who, what and why...

Beating Sepsis in South America: What are the challenges? - Flavia Machado Oct 29, 2015

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Beating sepsis in Latin America is a serious challenge. Flavia Machado descibes the 5 major issues & how they're being tackled.

Education Theory for the Clinician by Sherbino Oct 28, 2015

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Education Theory for the Clinician - Jonathan Sherbino will improve the quality and efficiency of how you teach.

What is a Good Death? by Ashley Shreves Oct 23, 2015

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Shreves shows palliative care providers how to re-align with their patients and provide the highest quality end-of-life experience.

Karim Brohi on Tranexamic Acid in Trauma Oct 22, 2015

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Karim Brohi on tranexamic acid in trauma. With the "TXA denier's handbook" laminated with sarcasm, Karim's talk is a must-hear.

smaccDUB Rego Information Oct 22, 2015

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Roger & Oli go through the latest information about registration for smaccDUB, discussing the program, workshops, student rego, the ticket release, why Dublin, other pre-confernece events, the social program and accommodation. See you in Dublin!

Peter Brindley on The battle of Heroism vs Safety in healthcare Oct 21, 2015

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The battle is on...who will win out? The heroic healthcare individual or the faceless safety checklist? Brindley takes saftey talks to a new level. A true SMACC highlight.

HINDS: Crack the Chest. Get Crucified. Oct 21, 2015

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John Hinds shows us why he will be so dearly missed in this superb talk from SMACC Chicago. This is about resuscitative thoracotomy but really so much more.

Opioids - Pain, Compassion, Addiction, Malingering Oct 16, 2015

Show notes

Opioids are extraordinary agents that have been used for millennia for the relief of pain and suffering; however, the history of opioids is also one of abuse and addiction. In the US, we are in the midst of a devastating iatrogenic chapter in this history, a prescription opioid epidemic that kills 15,000 Americans per year by overdose and destroys hundreds of thousands of lives and families.In this presentation we will consider the magnitude and consequences of the current epidemic; describe how clinical organizations and clinicians were appropriated by the pharmaceutical industry so that Americans–5% of the world’s population–consume more prescription opioids than the rest of the world combined; and discuss strategies for managing patients who present to emergency departments with acute or chronic pain complaints that account for our competing mandates to palliate and protect.These strategies center on an assessment of the likelihood that using opioids will deliver benefit or cause harm. For patients at low risk to be harmed by opioids, utilize aggressive multimodal analgesia, including opioids as needed to control acute pain, and prescribe optimal outpatient non-opioid analgesia with a small number of breakthrough opioids if indicated. For patients at high risk to be harmed by opioids, including patients with chronic pain and patients with flags for opioid misuse, avoid using opioids in the ED and outpatient settings, utilize non-opioids to manage symptoms, and, when misuse is suspected, nudge the patient to addiction treatment. The goals of optimal opioid stewardship are to provide effective symptom relief while preventing de novo cases of addiction, to control the supply of opioids in the community, and to protect existing addicts from further harm while promoting recovery. For slides, the HELPCard treatment referral business card, and phraseology to use when managing patients at risk for opioid misuse, go to http://emupdates.com/help

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