Essential Critical Care Podcast

Looking for a specialty that combines procedural work with consultation, private practice and in-patient care?  Need something with a seemingly endless array of options for subspecialisation? Gastroenterology may well be just what you're looking for.  Dr Simone Kaye joins Todd on the Careers in Health podcast to find out what it's really like See omnystudio.com/listener for privacy information.

Extracorporeal membrane oxygenation (ECMO) has an established role as a rescue therapy in severe respiratory failure. But could there be benefit in using it earlier, to avoid the potential complications associated with mechanical ventilation? Dr Aidan Burrell is an intensivist and researcher from The Alfred Hospital in Melbourne, Australia, and he joins Todd on the first podcast from the 2021 Noosa ANZICS CTG meeting. See omnystudio.com/listener for privacy information.

The marvel that is modern Intensive Care has the capacity to save lives, and help survivors live long and satisfying lives.  But it comes at a cost, both in terms of patient experience and cost. Anecdotally, the number of patients with life-limiting illnesses are being referred for management in the ICU.  This trend has given some clinicians pause to consider whether traditional ICU is the best place for their care. Dr Matt Maiden led a team who studied the incidence of life limiting illness in ICU patients, and he joins Todd on the podcast to discuss the results and their implications. See omnystudio.com/listener for privacy information.

As the COVID-19 pandemic continues unabated, the search for meaningful therapies is being led by clinical researchers. Dr Lise Estcourt is a consultant haematologist who has led major studies into the role of convalescent plasma in the treatment of COVID-19. She joins Todd on the podcast to summarise the data so far. See omnystudio.com/listener for privacy information.

Can you cut it? Being a surgeon is as much a way of life as it is a profession.  In this podcast, Felicity Adams joins Todd to chat about her experiences in training to become, and then being, a surgeon. See omnystudio.com/listener for privacy information.

James Cox is a Queensland-trained orthopaedic surgeon with subspecialty interests in hip, knee and pelvic trauma. He joins Todd on the podcast to describe his path to specialty, and what life is like as an Orthopaedic Surgeon See omnystudio.com/listener for privacy information.

Intensive Care Medicine is a highly exciting and variable specialty, but it also carries with it the stress of caring for patients and their families under enormous duress. Dr Rob Bevan is an Intensivist and supervisor of training at Middlemore Hospital in Auckland, New Zealand, and the current vice president of the Australia New Zealand College of Intensive Care Medicine XDJ8eVCAs0ecJIoJq6sf See omnystudio.com/listener for privacy information.

Sudden cardiac arrest is a common event.  Rarely though, it can be a feature of acute Subarachnoid Haemorrhage. What impact does this have on the patient's prognosis? A recent review of a binational ICU patient registry set out to explore this question, and one of the authors, Professor Andrew Udy, joins Todd on the podcast to discuss their findings See omnystudio.com/listener for privacy information.

Despite increased focus on gender inequities in healthcare in recent years, female doctors still experience the effects of systemic discrimination.  Rather than teaching them how to cope with discrimination, proactive strategies such as enhanced negotiations skills may help to level the playing field. Fiona McKenzie is a management consultant and mediator, and she has developed a framework for teaching negotiation skills to female doctors, helping them achieve their goals and progress their careers. She joins Todd on the podcast to discuss her program More information about Sustainable Negotiation can be found at www.resolvingmatters.com.au See omnystudio.com/listener for privacy information.

Dr Craig Mitchell has spent nearly 20 years providing general anaesthesia and critical care services.  His career encompasses private and public work, routine and emergency cases, critically ill patients and rural practice.  Somehow, he's also found time to explore non-medial business interests to, as a co-founder of a boutique winery and wine bar. His story serves as an example of the wide and varied opportunities available to medical graduates See omnystudio.com/listener for privacy information.

Malnutrition is common in ICU, and it stands to reason that it should impact on functional recovery. Lee-anne Chapple is a senior dietician in critical care at the Royal Adelaide Hospital, and an NHMRC Early Career Fellow at the University of Adelaide.  She joins Todd on the podcast to discuss her work in protein metabolism in critically ill patients See omnystudio.com/listener for privacy information.

Traditionally, anaesthetists have ventilated patients undergoing prolonged surgery with supra physiological tidal volumes to prevent collapse and improve oxygenation.  But is this safe?  Evidence from the critical care sphere suggests ventilator induced lung injury may be minimised with a more conservative approach. Dharshi Karalapillai is an Intensivist-Anaesthetist from Melbourne's Austin Hospital, and is lead author of a paper which explored the role of a low volume ventilation strategy. See omnystudio.com/listener for privacy information.

So what makes a cardiologist tick? Professor Christian Hamilton-Craig has experienced the full spectrum of cardiology, from academia and research to bedside clinician, taking the good with the bad along the way. In this absorbing interview he describes the path his career has taken, the options available to those interested in cardiology, and the enjoyment he derives from it to this day. See omnystudio.com/listener for privacy information.

Does metabolic acidosis cause harm to critically ill patients?  Or is it just an epiphenomenon of severe illness? In this podcast, lead investigator of the VITAMINS trial, Tomoko Fujii, joins Todd to discuss her latest program of research, the SODIBIC trial. See omnystudio.com/listener for privacy information.

Colin McArthur is an Intensivist and director of research at Auckland City Hospital in New Zealand, and is the Co-lead for the Australia-New Zealand arm of the REMAP-CAP study, which today releases the results of its first domain study, corticosteroids. Colin joins Todd on the podcast to discuss the results of this important trial See omnystudio.com/listener for privacy information.

David Cooksley is an experienced Emergency and Retrieval Physician who currently works in the Emergency Department at the Sunshine Coast University Hospital and for LifeFlight Retrieval Medicine at their Maroochydore helicopter base.  He has worked for four different retrieval services including twice with the London’s Air Ambulance, which is widely regarded as the world’s best pre-hospital trauma service. He is also a Wing Commander in the RAAF Specialist Reserve and is the Air Force’s Principal military critical care aeromedical transport team instructor and has successfully completed overseas training in military pre-hospital combat critical care. Today David joins Todd on the podcast to share his experiences in retrieval medicine. See omnystudio.com/listener for privacy information.

Transporting the ventilated patient is one of the highest risk processes critically ill patients will face Lina Bergman is a critical care nurse and researcher from Gothenberg in Sweden, and she joins Todd on the podcast to discuss her research into this delicate process. See omnystudio.com/listener for privacy information.

As the COVID-19 pandemic surges ahead, researchers are desperately seeking evidence to support a range of potential disease modifying treatments.  On this episode, Prof Tony Gordon from Imperial Hospitals in London joins me to discuss one such potential therapy, convalescent serum.  Tony is a prominent intensivist researcher and is the UK chief investigator for the REMAP-CAP study. See omnystudio.com/listener for privacy information.

On this episode of the Careers in Health Podcast, Todd is joined by General Practitioner Dr Anita Holland.  Originally from the UK, Anita has settled on the Sunshine Coast in Queensland, Australia, and has specialised interests in obstetrics, paediatrics and women's health. In this fabulous interview, Anita chats about the highs and lows of general practice, and how the flexibility it affords has allowed her to explore her other passions. See omnystudio.com/listener for privacy information.

Critical illness can have an overwhelming effect on the long term quality of life of survivors of ICU. On this thought provoking interview, Professor Carol Hodgson joins Todd on the podcast to discuss the latest publication in her research program, the PREDICT trial, which was presented at the 2020 ANZICS Clinical Trials Group meeting in Noosa. See omnystudio.com/listener for privacy information.