Neuro Resus

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**Neuro Resus**

Podcasts on topics relevant to intensive care medicine

Latest Episodes:

Tips and tricks for getting through the second part Nov 14, 2017

Show notes

Tips and tricks for getting through the second part

Tips and tricks for getting through the first part of the exam Nov 12, 2017

Show notes

Tips and tricks for getting through the first part of the exam by Dr Kelly Jones.

Crucial Conversations with Government Oct 31, 2017

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Crucial Conversations with Government with Professor Chris Baggoley

What do people value most? – is longevity the main goal? Oct 23, 2017

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A/Professor Charlie Corke explores what people value most when it comes to their end of life plans.

The implication of the 'covenant'' of care - are we on the same page? Oct 23, 2017

Show notes

This paper explores whether surgeons and intensivists differ through the effect of the "surgical covenant of care". This covenant is very much a product of the shared journey taken by both surgeon and patient and is well described in medical literature. This literature is reviewed and learnings highlighted. In addition to this covenant, a number of other differences that may impact on how surgeons behave are also explored. These include the culture of surgeons and their training, models of administration for ICU units, the nature of professional decision making and the effects that age, experience and visiting surgical appointments might have on Intensivist- Surgeon relationships in an ICU. Finally, a number of pointers to better inter-professional practice are offered.

Shared decision making - making it work Oct 23, 2017

Show notes

Who decides? For thousands of years, doctor knew best, but recently respect for patient autonomy has emerged as a key ethical principle in decision making. This has led to the suggestion that decisions should be shared between patients, families and the medical team. An international consensus conference embraced this model for end of life decision making in ICU. But what is shared decision making, does it improve outcomes and is it legally safe? This podcast suggests that the answer so far is a definite maybe.

Identifying patients who have poor prognosis Oct 16, 2017

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A/Professor Neil Orford explores the identification of patients who have poor prognosis at the CICM ASM 2017.

Epidemiology of patients with poor prognosis at ICU admission Oct 12, 2017

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This presentation by Professor Bala Venkatesh is ICU focussed and will cover:

What categories of patients?
Impact on the patient
Impact on the caregivers
Impact on ICU practice
Economic costs
Compliance with stated preferences
Drivers for this change
Current level of training
How we as a speciality should take the lead in education and making the change.

Prof Lars Lundell talks to Doug Lynch. CICM x Jellybean No. 4 (Jellybean 74) Aug 30, 2017

Show notes

Professor Lars Lundell. Professor of Surgery Karolinska University Hospital Stockholm. What this man doesn't know about the oesophagus is probably not worth knowing. What he knows about so many other things is worth knowing. Professor Lundell's visit to Australia will not soon be forgotten. His distinct style and his willingness to grasp controversial issues made his multiple lectures at the ASM memorable. From his first talk about critical care aspects of GI surgery to his last asking "Is obesity a surgical disease?" Lars repeatedly surprised the audience. During this recording he again surprises with his commentary upon obesity, bariatric surgery and its future. The talk turns to the real public health problem we have to face and thus to global politics. Lars' talks are worth seeking out via the CICM website. Indeed Lars had so much interesting stuff to say that this podcast, at 30 minutes, is twice the usual length. Sit back and listen. Each year the CICM holds its Annual Scientific Meeting. The Meeting has always been focused upon a single issue or organ system. This year the theme was Gastroenterology entitled "A Gut Reaction; ICU Gastroenterology from beginning to end." The lectures presented at the meeting have been recorded and will all be shared among the delegates and some will also be shared with all comers via the Intensive Care Network (www.IntensiveCareNetwork.com), the celebrated "#FOAMed" website. (Free Open Access Medical Education.) The organisers of the ASM invited #FOAMed podcaster/interviewer Dr Doug Lynch to come along to engage some of the leading lights of the meeting in conversation and record them. These recordings are the latest in a series of podcasts/blogcasts playfully called "Jellybeans". They are entirely spontaneous chats with interesting people; short, completely unscripted, 100% unedited and recorded in one take. It is essentially an uninterrupted live recording. The focus is unapologetically on the quality of the conversation rather than the quality of the audio recording. The host of the interview is a fast talking Irish doctor, a jack of all trades but a master of none, a perpetual student and a trainee of the CICM. The "Jellybean" is an itinerant podcast that regularly appears on www.LifeinTheFastLane.com, www.IntensiveCareNetwork.com and many other websites. Over 100 conversations have been recorded with persons of interest. They are on iTunes and Stitcher Radio. The CICM ASM Jellybean series each start with a biographical component and then the conversation follows its own path. The subject matter is usually that which dwells upon the fringes of intensive care medicine; human factors, education, ethics, equality, gender, personal histories, possible futures and all the other challenges that we so often face. Being so they compliment the lectures but do not attempt to repeat them. We hope you enjoy finding out a little more about the people behind the CICM Annual Scientific Meeting. The four CICM x Jellybean co-branded recordings are part of a larger collection. It is only these four that are formally associated with the College. Doug Lynch is not a representative of the college and any views expressed are his own.

Raw Science 11: Pulmonary Perfusion Aug 25, 2017

Show notes

By Steve Morgan & Sophie Connolly Welcome back to the Basic Science Clinic podcast on ICN. Post-hiatus we are ready to reinvigorate the examination of oxygen cascade physiology, from the prevailing atmosphere down to the only organelle that boasts its own bespoke genome, the mitochondrion. In the last podcast we decomposed the minutiae of passive respiratory gas diffusion across the alveolar capillary membrane. Prior to expounding the pre-eminence of V/Q ratios in determining gas exchange sufficiency, we need to publically vivisect the pulmonary circulation to bring you the belated Raw Science 11, pulmonary perfusion. This detailed inspection of pulmonary perfusion is the longest podcast yet, no doubt we got slightly carried away and thus we have broken it up into three more comfortably digested sections. Section 1 (start to 18:24) will include the historical bit and both adult and fetal anatomy. Section 2 (18:30 to 40:26) examines pulmonary haemodynamics and the integrated control of pulmonary vascular tone. Section 3 (40:35 to end) details the protean functions of the pulmonary endothelium and endothelial glycocalyx, the determinants of transvascular fluid flux in the lung, all with reference to the pathophysiology of acute lung injury. The pulmonary circulation participates in gas exchange, blood filtration, metabolic regulation of endogenous vasoactive mediators, drug uptake, metabolism and excretion and the regulation of lung interstitial fluid homeostasis, a dexterous function devastated by the clinical syndrome of ARDS. Understanding the idiosyncracies of the pulmonary circuit is imperative for interpreting heart-lung interactions that influence V/Q distribution & gas exchange efficiency as well as overall cardiovascular performance, particularly during positive pressure ventilation in the context of concomitant shock states.

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