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.
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 on the packet"? This is a perspective and caution on the use of guidelines and pathways and a plea to remember critical thinking and clinical acumen.
30 Jul 2021
Episode 18 - The Transfer Conversation
Transfer conversations are often a source of a lot of angst, frustration and irritation for clinicians in Emergency Departments on both ends of those conversations. This is a compilation of interviews with clinicians from both sides providing their insights, perspectives and wisdom on what makes them work and how to approach them.
24 Jun 2021
Episode 17 - Under Pressure
Working in Emergency Departments can place us in high pressure situations. How we handle that pressure in performing our roles is a learned process as much as any other. Emergency Physician Dr Karen Coss provides us with her insights and knowledge on how to approach these situations.
13 Apr 2021
Episode 16 - Pneumothorax - when less is more
A quick review of the history of pneumothorax and of intercostal catheters before a reflection on NEJM article January 2020 - Conservative versus Interventional Treatment for Spontaneous Pneumothorax.
14 Dec 2020
Episode 15 - The Difficult Consult
In this episode Dr Simon Tucker provides insights into how he manages what can be very stressful interactions in the daily life of a doctor in the Emergency Department - the difficult consult.
27 Oct 2020
Episode 14 - Perspective is Key
The view of life as a female Emergency Physician across cultures and countries.
9 Sept 2020
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.
14 Jun 2020
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.
12 May 2020
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.
27 Feb 2020
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.
17 Feb 2020
Episode 8 - A Walk in the pARC - paediatric appendicitis
A wander through the evidence and possible implications of this new calculator for aiding diagnosis of paediatric appendicitis.
17 Feb 2020
Episode 7 - Acute Coronary Syndrome - at last some consistency - PACSA
So many permutations of times and values for Troponin. So many different responses to ECG. What exactly IS a STEMI anyhow? The Pathway for Acute Coronary Syndrome Assessment from ACI is finally some consistency. Here are the highlights.
17 Feb 2020
Episode 6 - The Headache of Headache in ED
"To do or not to do?" is a common question in ED and never more so when it comes to considering where to go in assessing and managing headache. These are some thoughts, reflections based on the available evidence. Hope it doesn't give you a headache!
17 Feb 2020
Episode 5 - COPD - who's driving here?
Just when you think you have a grip on the back story....You haven't. Just how does oxygen affect respiratory status in acute exacerbations of COPD?
17 Feb 2020
Episode 4 - Back Pain - What a pain!
A quick wander through the limited evidence on approaching this problem in the ED. Why do we do it so differently? What are the risks? What should we tell patients?
17 Feb 2020
Episode 3 - The mythical UTI
We blame so much on the water works and it seems we test almost anyone with a bladder for UTI but what is the truth? Can you feel it in your waters?
17 Feb 2020
Episode 2 - Salty or Balanced?
A debate that never gets old - which fluid do I give?
16 Feb 2020
Episode 1 - Diagnostic Reasoning
Thinking about thinking - Emergency Medicine is all about decision making. More importantly it is about decision making when under time pressure. So how should we consider the way we think?
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