ED JAM

"Keeping the pressure down" is a podcast episode about a real life Paedatric Emergency case. The Episode explores what Emergency Fellow Dr Janani Prageshan experienced whilst on a busy evening shift and how she deal with the situation. The conversation explores themes of advocacy, clinical judgment and also how to deal with a specific ophthalmology Emergency. Show notes -Lateral canthotomy and cantholysis - procedures guide and app https://litfl.com/procedure-lateral-canthotomy/ - Eye manual ACI - aci.health.nsw.gov.au ACI-Eye-Emergency-Manual.pdf -Clinical Practice Guidlines Acute eye Injury - Royal Childrens Hospital https://www.rch.org.au/clinicalguide/guideline_index/Acute_eye_injury/ -Periorbital Cellulitis and orbital Cellulitis https://www.rch.org.au/clinicalguide/guideline_index/Periorbital_and_orbital_cellulitis/

This episode I sat down with the experienced emergency nurse practitioner Al Hodge to discuss his new venture into the urgent care space. Al discussed the future of nurse practitioners and the reason why nurse practitioners are useful in urgent cares environments and emergency departments. Within the episode we also discussed a clinical case and how good decision-making can save lives. Al is also a successful Sydney based author. His books are focused within the genres of horror, thriller and fantasy. Show notes * Al hodge instrgram instagram - shire doctors and dentists- Al Hodge * Al hodge- Books - amazon.com.au - Cryptid-Killers-Alister-Hodge- click to buy - amazon.com.au- Plague-War-Outbreak-Alister-Hodge-ebook- click to listen or buy

"Wingin it with Steph Wise " is all about being at the right place at the right time with the right person and the right brains. On this episode I sat down with the amazing Intensive Care Paramedic Steph and talked about a clinical cardiac arrest case that she attended. Steph responded to a job in Sydney south Sydney and what was initial just a trip and fall turned into something a little more. Topics such as cardiac arrest, good sam app, resilience and laughter were all spoken about through the episode. The episode will bring a tear to your eye and also a lot of laughter. Case notes https://www.goodsamapp.org - Good sam app - click to follow - post cardiac arrest care - https://litfl.com/post-cardiac-arrest-care/W

ON this week’s episode I sat down with Nurse practitioner damian valle to talk about a case of septic arthritis. Damo is a nurse pract with a love for teaching and training. The case is an excellent example of why getting a clinical history is important and why reassessment is always so important. On the episode we spoke why doing a complete physical exam is paramount. SHOW NOTES Disseminated gonococcal infection (DGI) results from bacteremic spread of the sexually transmitted pathogen, Neisseria gonorrhoeae, which can lead to a variety of clinical symptoms and signs, such as arthritis or arthralgias, tenosynovitis, and multiple skin lesions.click link to follow Reactive arthritis is conventionally defined as an arthritis that arises following an infection, although the pathogens cannot be cultured from the affected joints. It is generally regarded as a form of spondyloarthritis (SpA). click link to follow Septic arthritis is synonymous with an infection in a joint. Septic arthritis is usually caused by bacteria but can also be caused by other microorganisms. Septic arthritis due to bacterial infection is often a destructive form of acute arthritis. click link to follow

Situational Awareness is something that all Paramedics, Nurses and Doctors need to use on a daily basis. On this episode Theo outlines why it is so imperative in the current context to be situational aware and vigilant as a paramedic. Theo is a paramedic from Tasmania and also runs the "Student Paramedic" a large social media presents on both Instagram, tik tok and YouTube. He flipped his life from a botanist to a paramedic after some eye opening travels overseas. Check out the episode and don't forget to check out theo on instagram student paramedics Show notes * Student Paramedic - Youtube channel click link to follow instagram. student paramedics click link to follow * LACES - click link to read more

Epistaxis (nosebleed) is one of the most common ear, nose, and throat (ENT) emergencies that present to the emergency department. Understanding how to manage it is imperative for all emergency clinicians. This week ENT Registrar Veena , outlines her approach to Epistaxis .The episode we discussed the 5 pillars of epistaxis management Pressure, topicalisation, Visualisation, Packing and Surgical Treatment. The episode will leave you with a better understanding of epistaxis management. Show notes -approach-to-the-adult-with-epistaxis - click to follow link - https://litfl.com/a-case-of-epistaxis/- click link to download - 2023 -

This week I had the privilege to discuss how Dr Simon Potter (Adult/paediatric emergency Consultant) approaches paediatric seizures. Simon gave away some gold in the episode and discussed some important points that all clinicians can take back to their workplace. Themes that were raised are below, * What to do when a child is having a seizures * Why Glucose and ECG's are important * First line, second line and third line therapy in paediatric seizures. * Parental Education * When do we have permission to do nothing SHOW NOTES * Don't forget the bubbles click this to follow - dontforgetthebubbles.com * Emergency treatment with levetiracetam or phenytoin in status epilepticus in children—the EcLiPSE study- click to follow * https://litfl.com/status-epilepticus-in-children/- click link to follow * https://www.schn.health.nsw.gov.au/find-a-service/health-medical-services/paediatric-epilepsy-network-nsw- PENNSW LINK

This week on the EDJAM podcast I sat down with intensive care paramedic Sally. Four months ago whilst folding the washing Sally had a medical event, this event lead to Sal experiencing what it was like to be on the "other-side" of the stretcher. Sally talked through her recent diagnosis and how being a clinician opened her eyes to what patients experience everyday. Show notes * Atrial Septal Aneurysm- click here to read more * A look at Atrial Septal Aneurysm- Journal of cardiology *. Patent Foramen Ovale Closure for Stroke Prevention and Other Disorders

On this episode I sat down with the amazing Dr Cliff Reid to discuss his approach to hypotension. Cliff is a senior Staff Specialist/retrevialist with a special interest in Resuscitation. On the episode we discussed diagnosis, treatment , vasopressors and fluid status. Cliff will leave you with an overload of extremely useful information that you can implement in your own environments. Show Notes Hypotension is usually bad: The significance of non-sustained hypotension in emergency department patients with sepsis Causes of hypotension - and PEA cardiac arrest: the 3 plus 3 rule Lactate doesn’t always mean sepsis! click this link Systolic blood pressure below 110mmHg is associated with increased mortality in blunt major trauma patients click this link

On this weeks episode I sat down and spoke with Alex from 'Student Paramedic Podcast' about her journey through paramedicine and nursing. Don't let age fool you- Alex is 22 but has wisdom for decades. Alex discusses topics such as learning, authentic self, developing resilience to build healthy habits and about not leaving stones unturned. Show notes + LINKS * the-student-paramedic-podcast - click link to listen to the podcast * Reach out and touch base with Alex, to get in contact with her look at her instagram and send her a DM. https://www.instagram.com/thestudentparamedicpodcast/?hl=en * To look into a dual degree in paramedicine and nursing follow the link below https://www.uac.edu.au/undergraduate/courses/acu/105510.shtml

Tara talks about her experiences with mental health from over 20 years working as an intensive care paramedic. She shares her knowledge and some key turning points in her career that shaped her in the profession. Tara spoke about her personal experience and how mental health assessments have changed. Topics that were raised were PTSD, mental health assessments, suicide risk and why duty of care is so important. Show Notes Mental Health Person Centred Approach Tara instagram- click here to send her a Message

On this weeks episode I sat down and chatted with the amazing and very talented Dr Charlotte Durand. Charlotte is an Emergency Doctor with a passion for exercise, sport and a true lover of the great outdoors. This episode was focused around the topic of Concussion and in my opinion is a great episode for not only clinicians but for parents, families an those interested. We talked about CTE, the history of CTE, brain neurochemistry and how we approach concussion in the ED. There is a trigger warning on this episode as Charlotte and myself do talk about themes such as suicide and domestic violence. Charlottes instagram https://www.instagram.com/chardurand/?hl=en Charlotte podcast https://www.acemprimarypodcast.com Links * Boston Concussion Legacy Foundation https://concussionfoundation.org/ * Podcast:OwenThomas&CTE https://www.pushkin.fm/episode/burden-of-proof/ * Case: Rowan Stringer Second Impact Syndrome https://www.ncbi.nlm.nih.gov/pmc/articles/PMC65 36829/ * Parental expectations in the ED https://www.sciencedirect.com/science/article/ab s/pii/S0022347616312057 PAPER: neurometabolic cascade of concussion: https://europepmc.org/article/MED/25232881 * Paediatric Head injury Resources PAPER: Suicide and CTE https://jamanetwork.com/journals/jamaneurology/f ullarticle/2712851 * AustralianSportsBrainBank https://www.brainbank.org.au/ * PAPER: Dysautonomia in teens returning to sport https://www.ncbi.nlm.nih.gov/pmc/articles/PMC790 1578/ *PREDICT Head Injury Guideline https://www.predict.org.au/head-injury-guideline/

On this episode I sat down with Dr John Mackenzie and discussed the complexities of hyperbaric medicine. John discussed indications for hyperbaric treatment, the physiology behind medicine, how the unit works and some interesting cases. DCI, air embolisms, CAGE and even carbon monoxide poising were but a few of the topics discussed on this weeks chat. His reputation definitely proceeded him and let's just say I am sure this episode is going to be loved by all. If you haven't heard of John Mackenzie you are about to listen to a living Legend. Dr John Mackenzie resources * hyperbaric-medicine- Click link * http://hboevidence.wikis.unsw.edu.au/Home * procedures videos Dr John Mackenzie - check this out if you have not already they are amazing. https://emergencyprocedures.medapps.com.au/procedure/575192 * Life in the fast lane https://litfl.com/hyperbaric-oxygen/