Podcast

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Episode 19 – The Illusion of Certainty

Medicine has seen the proliferation of guidelines/pathways/clinical decision rules in a dizzying white noise of advisories.

Keywords: guideline, pathway, variance

23 mins

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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.

Keywords: isobar, transfer conversations

48 mins

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Episode 17 – Under Pressure

Working in Emergency Departments can place us in high pressure situations.

Keywords: stress management, psychological skills

31 mins

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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.

Keywords: intercostal catheter, pneumothorax

22 mins

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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.

Keywords: consult, conflict

35 mins

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Episode 14 – Perspective is Key

The view of life as a female Emergency Physician across cultures and countries.

31 mins

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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.

25 mins

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Episode 11 – What is this wellbeing thing?

Wellbeing in the ED.

Keywords: wellbeing

31 mins

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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.

28 mins

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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.

20 mins

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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.

Keywords: paediatric, score, appendicitis, clinical decision tool

22 mins

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Episode 7 – Acute Coronary Syndrome – at last some consistency – PACSA

So many permutations of times and values for Troponin.

Keywords: acute coronary syndrome, edacs, troponin, heart score

19 mins

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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.

Keywords: lumbar puncture, subarachnoid, headache

19 mins

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Episode 5 – COPD – who’s driving here?

Just  when you think you have a grip on the back story….You haven’t.

Keywords: oxygen therapy, copd, hypercapnia

15 mins

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Episode 4 – Back Pain – What a pain!

A quick wander through the limited evidence on approaching this problem in the ED.

Keywords: nsaids, muscle relaxants, back pain

26 mins

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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?

Keywords: urinary tract infection, urinalysis, antibiotics

18 mins

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Episode 2 – Salty or Balanced?

A debate that never gets old – which fluid do I give?

Keywords: balanced solutions, saline

13 mins

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Episode 1 – Diagnostic Reasoning

Thinking about thinking – Emergency Medicine is all about decision making.

Keywords: thinking, cognitive error

25 mins

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Phone + 61 413 378 907

Email andrewjoseph.bezzina@health.nsw.gov.au

Address

Scenic Dr, Nowra NSW 2541