Cover image of SMACC
(70)
Health & Fitness
Medicine
Science

SMACC

Updated 3 days ago

Health & Fitness
Medicine
Science
Read more

Talks recorded live at the Social Media and Critical Care conferences. For more info go to smacc.net.au

Read more

Talks recorded live at the Social Media and Critical Care conferences. For more info go to smacc.net.au

iTunes Ratings

70 Ratings
Average Ratings
64
2
1
2
1

TMB

By timbenson1 - May 28 2018
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Great lectures; applicable and inspirational to everyone from the seasoned doc to me, the PA student.

Inspirational talks

By BiteyBunnie - Jul 26 2016
Read more
Amazing talks and cutting edge!

iTunes Ratings

70 Ratings
Average Ratings
64
2
1
2
1

TMB

By timbenson1 - May 28 2018
Read more
Great lectures; applicable and inspirational to everyone from the seasoned doc to me, the PA student.

Inspirational talks

By BiteyBunnie - Jul 26 2016
Read more
Amazing talks and cutting edge!

Listen to:

Cover image of SMACC

SMACC

Updated 3 days ago

Read more

Talks recorded live at the Social Media and Critical Care conferences. For more info go to smacc.net.au

Controversies in Acute Management of Subarachnoid Haemorrhage

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Andy Naidech gives a fascinating and powerful short talk on controversies in management of aneurysmal subarachnoid haemorrhage, followed by discussion from the panel of experts and questions from the crowd. This was recorded at the neuro workshop for SMACC Chicago and was a very popular session.

Jun 03 2016

1hr 6mins

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The Sick and the Dead: Evidence-Based Trauma Resuscitation in 2016 - Andrew Petrosoniak and Chris Hicks

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Resuscitation of the critically ill trauma patient involves a myriad of high-stakes, time-sensitive management decisions. The landscape is shifting rapidly: new evidence on hemostatic resuscitation and component therapy in hemorrhagic shock, peri-arrest point-of-care ultrasound, novel approaches to resuscitative thoracotomy and trauma RSI have at once clarified and muddied the waters. In this rapid-fire, case-based session, Petro and Hicks will debate some of the recent and potentially practice changing literature to assist with key inflection points in the care of the sickest -- and sometimes deadest -- trauma patients, and engage in some trauma dogmalysis in the process.

Feb 04 2017

30mins

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Learning from Excellence - Adrian Plunkett

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Our attempts to improve safety and quality in healthcare have tended to focus on learning from error. Intuitively, this seems like a good idea: if we make a mistake, we would like to learn why it happened and how to stop it happening again. But errors only occur in a minority of clinical encounters, so our focus is quite narrow. We may be missing learning opportunities from the episodes when things have gone very well. Furthermore, by focussing entirely on learning from adverse events, we run the risk of creating a culture of negativity, fear and avoidance. In this presentation, I will challenge the deficit-based approach to learning (i.e. learning from error) as the sole instrument to improve quality. I will also introduce the following concepts: our innate negativity bias - why we can't help spotting errors, and why tend to overvalue their significance; the second victim phenomenon; Safety-2; intrinsic vs. extrinsic motivation; and Appreciative Inquiry. I will describe a complementary approach to learning in healthcare: Learning from Excellence, and how our team established an Excellence Reporting system in our intensive care unit.
www.learningfromexcellence.com @adrianplunkett

Feb 22 2017

23mins

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Is survival predetermined in the critically ill - Mervyn Singer

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Multiple biomarkers - physiological, biochemical, biological - can prognosticate early in critical illness, even in the ED. This implies the die is already cast (literally as well as figuratively) so we are simply prolonging death is those predetermined to die. We thus need to adopt a completely different strategy for such patients. This also applies to trial design, especially where survival is the endpoint.

Oct 24 2016

20mins

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Get Your Tech On - Haney Mallemat

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Technology (tech) makes our lives in many ways, yet that same technology is lacking from healthcare. Many of the things that are used in our daily lives can be applied to providing better healthcare to our patients and bring specialized care to any corner of the planet. This talk will discuss some of the ways such technology is being used and ideas for care in the future.

Oct 04 2016

26mins

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A world of new threats

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For retrieval medicine specialists and pre hospital care providers, terrorist attack is one the new threat! Terrorist attack is not an accident: It is a human activity whose purpose is to kill, injure, the maximum casualties to disrupt society, to spread the feeling of fear of panic and insecurity in the population. Terrorism is not blind, it is an organized strategy, much more complex than any natural or technological disaster. To oppose an aggressive strategy a static plan is not enough, you must develop a counter strategy comprehensive and adaptable to multiple scenarios. Effective leadership, combining the expertise of the Police, Rescue and Emergency Care allows a customized solution using the elements prepared in advance. One of the worst threats is the multiple sites multi-modal attack, like in Mumbai or in Paris. To face such a complex situation you may need: - Improvement of pre hospital and in hospital organization for massive casualties. Alert shared by all services, close coordination between Rescue Police and Emergency care, backup on a regional basis, strategic allocation of resources and keeping reserve for the next attack are some of the options that may be extremely helpful. - Improvement of care for injuries related to military weapons: Major penetrating trauma caused by powerful (kamikaze) bombings and assaults riffles. Management of these victims is very different of the care of a multiple trauma patient after a traffic accident. Adaptation of the principles of the military “damage control” to civilian practice is mandatory. From the scene to the operating room and the critical care unit all actions must be coordinated to prevent the death triad: Hypothermia, coagulopathy and acidosis. The action of Health Care Services is not limited to medical care, it is also a first step of resilience: By maintaining the quality and the organization of care despite surprise, violence and aggression you oppose directly the objectives of terrorism.

Oct 13 2016

13mins

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What I learned from Dr John Hinds - Fred McSorley

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Allow me to introduce to you this extraordinarily talented doctor. John Hinds became involved in our motorcycle racing medical team as a medical student and progressed to inspirational teacher and natural leader. He had a burning passion for improving the care of the injured and on qualification it was evident he was destined for greatness within the world of critical care. In his role as Delta 7 for the Northern Ireland Ambulance Service and as a travelling doctor at motorcycle races in Ireland Doc John brought the highest standards of care and compassion to the most unfortunate at their hour of greatest need. I took this young man as my pupil teaching him the role of motorcycle doctor and quickly realised this exceptional doctor was truly special. In truth the pupil quickly became the master and I had the privilege of 15 years of working alongside him as his wingman.

Nov 03 2016

11mins

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Framing the issue: when climate change is a medical emergency

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Humans aren't wired for connecting immediate pleasure (unprotected sex, alcohol, drugs, cigarettes) with some ethereal medium-term risk. As a result, 'public health campaigns' rarely work. Meanwhile, we make decisions far less based on 'fact' than on 'emotion'. When did you ever see a chocolate ad telling you about the ingredients? This may be why we have failed to convince public or politicians alike to take action on climate change. Hugh will discuss such issues from his personal work in the climate change field over 20 years, giving examples of what he has tried- and why most of what he has done has failed.

Dec 06 2019

11mins

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Voices in my Head - Sara Gray

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We are all imperfect, this is the human condition. Pursuing a career in resuscitation means that some of our failures can lead to significant consequences, for our patients and ourselves. In medicine, we rarely talk about our short-comings, but this silence leads to isolation and shame. This likely contributes to our significant rates of burnout, anxiety, depression and suicide. We need to change the conversation and start talking about this issue; we need to break the silence. We need to train in mindfulness, in self-compassion and in empathy. These skills may be just as important as learning the new evidence or guidelines for clinical care. Do you have a case that haunts you? So do the rest of us. Let’s start talking about it, and learning how to fail better. Resources to consider: 1. www.Selfcompassion.org This is Dr Kristin Neff’s website, complete with a self-compassion quiz, and then exercises and resources for those who fail the quiz! She also has a book, if you prefer that format. 2. Pema Chodron. Fail, fail again, fail better. A short, and lovely commencement address with excellent advice for failing better. https://www.amazon.ca/Fail-Again-Better-Advice-Leaning/dp/1622035313 3. Angela Lee Duckworth. Grit. A marvelous book about the essence of perseverance. Or if you don’t like books, consider her TED talk at https://www.ted.com/talks/angela_lee_duckworth_grit_the_power_of_passion_and_perseverance 4. Brene Brown. The Gifts of Imperfection. A book about failure, and acceptance of failure. Again, if books aren’t your thing, she has a hugely popular TED talk about vulnerability: https://www.ted.com/talks/brene_brown_on_vulnerability and a website/online learning community: https://www.courageworks.com/

Apr 01 2018

24mins

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Hardcore EM: Vasopressors in the ED

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Hardcore EM: Vasopressors in the ED by John Greenwood

Dec 14 2018

20mins

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Emergency Medicine: The big issues

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In the busy world of emergency medicine it's easy to focus on the here and now, there is always something that demands immediate attention. What of the future? How will demographics, workforce, technology, finance and politics affect the practice of emergency medicine? This talk explores these issues and charts a future that will be very different to today.

Sep 06 2016

23mins

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Leadership is a Trait of an Individual - Resa E. Lewiss

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In this talk I will summarize the pearls, pitfalls, and lessons shared by leaders in my own life, both inside and outside of medicine. In my experience, leadership is not a particularly male or female quality. It is a trait of an individual. Individuals tend to dichotomize into leaders and into followers. And people know good leaders “You know the way you know about a good melon” When Harry Met Sally I will share with the audience my lessons and personal examples on leadership. Some of these include 1. There is never a need to publicly embarrass someone. Always give the person an out and speak in private. 2. Make a decision. Being indecisive is perceived worse than making a wrong choice. 3. Know your strengths and build on those. Know your weaknesses and identify people for whom those are strengths and bring them onto your team 4. “People may forget what you say, they may forget what you do, but they will never forget the way you make them feel.” Maya Angelou 5. Leaders must be comfortable with solitude 6. Leaders are not afraid to ask for what they need.

Nov 29 2016

26mins

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" Prehospital Care: The Future is Now" - Brian Burns

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Trauma is an epidemic. It is globally the biggest killer in young people.This talk will outline the current deficits that exist in alerting and turning on the system in major trauma. I will outline how technology can not alone improve this but also improve response, add extra resources and moreover improve communication from roadside through to the resuscitation room.

Mar 18 2018

29mins

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Neuro ICU: ICH: Reversal of anticoagulation (PATCH trial, NOACs, TPA)

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Neuro ICU: ICH: Reversal of anticoagulation (PATCH trial, NOACs, TPA) by Jordan Bonomo

Oct 30 2018

17mins

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Diagnosing critical neuromuscular disease - physical exam findings, ancillary tests - Brandon Foreman

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Controversies in critical neuromuscular disease by Brandon Foreman

Apr 03 2018

14mins

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SMACCForce: Force of habit-effective situational awareness in resuscitation

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SMACCForce: Force of habit-effective situational awareness in resuscitation by Mike Lauria

Feb 24 2019

12mins

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SMACCForce: "Out for blood"

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"Out for blood" by Bill Hinckley 

Sep 25 2018

6mins

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Emerging Toxicology - Steve Aks

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Poisons and novel agents are a moving target in the clinical arena. This talk begins with a historical look at decontamination and pitfalls that have been discovered along the way. The advent of intubation and critical care was a major boon in the improvement in mortality from poisoning. The Scandinavian Method is described and is an important lesion to this day. The rise of antidotes is mentioned.

Emerging drugs are highlighted in the context of where we have come from. The phenylethylamine compound structure and corresponding variants are described. The importance of the principles of supportive care as learned in the Scandinavian method is emphasized. Other emerging topics including synthetic cannabinoids, and anti-NMDA receptor antagonists are discussed. Emerging interventions of prescription naloxone, and ED ECMO are outlined. High vigilance for new agents, and innovative treatments will enable clinicians deal with these evolving trends.

Mar 14 2016

21mins

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Prehospital Ketamine – Is there anything it can’t do?

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PHARM Physician, Per Bredmose, provides an in-depth look at Ketamine in the prehospital setting. Per discusses the uses, benefits and potential complications of Ketamine, providing tips and tricks from his wealth of experience.

Apr 19 2016

30mins

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Is the Answer Really “Always Ketamine”? - Peter Brindley interrogates: Reuben Strayer

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A no-holes barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

Apr 29 2018

16mins

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Best Emergency Medicine literature of the year 2018/19

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Ken Milne the author of skeptics guide to emergency medicine SGEM reviews the hottest critical care literature for 2018 2019. Ken reviews articles from the Lomaghi trial on magnesium for rate control in Atrial fibrillation, Expulsive therapy for renal calculi with Tamulosin, Oxygen therapy in critical illness in the Iota trial and finally aromatherapy for nausea and vomiting.

Dec 09 2019

14mins

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Performing Arts and Medicine: Brindley interviews Khairil Musa

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Peter Brindley interviews Khairil Musa about Performing Arts, specifically dance, and how this complements his career in critical care.

Dec 09 2019

29mins

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Resus in Emergency: Road to Resus Chapter 2

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Episode 2: Series of three episodes spanning the patient journey from roadside pre-hospital trauma through the emergency and resuscitation rooms to the Intensive Care unit. In this first episode Ashley and Rueben use a panel of experts to examine some of the major pre-hospital resuscitation controversies including Pre-hospital intubation and blood tranfusion.

Dec 09 2019

28mins

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Gender Equality in Healthcare: Stepping up when you need to ‘attend’ to your cause

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After many years of feeling frustrated about gender inequity and harassment in healthcare, I decided to do something about it. My advocacy in the age of social media has been a surprising and exhilarating journey, and led me to believe that even the most ordinary person, when activated around a cause, can have impact.

Dec 09 2019

11mins

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Creativity in: Fiction

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Exploring the many aspects of creativity which may, or may not, assist you in a life of critical care medicine.

Dec 09 2019

38mins

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Paediatric Constipation

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Paediatric constipation is a common problem and the biggest problem clinicians make is not taking a thorough bowel history. Forty percent of paediatric patients in Emergency have abnormal bowel habit. Constipation is not what you pass as a bowel habit but what you don't pass - Its what is left behind that causes the constipation.

Dec 09 2019

25mins

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Critical Care Nutrition: Are the Citically Ill Actually Hungry?

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The delivery of nutrition to the critically ill is incredibly complex. There is little evidence that providing standard nutritional requirements of 25K/cal/Kg improves outcome. Foremost amongst this evidence is the TARGET trial, a large randomised controlled trial of 4000 patients in Intensive care.

Dec 09 2019

13mins

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Pre-hospital Resuscitation: Road to Resus Chapter 1

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Road to Resus is a three day series of a patient experience, with critical decision points at every turn allowing the audience to decide on the course of action after hearing from topic experts.

Dec 09 2019

23mins

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Framing the issue: when climate change is a medical emergency

Podcast cover
Read more

Humans aren't wired for connecting immediate pleasure (unprotected sex, alcohol, drugs, cigarettes) with some ethereal medium-term risk. As a result, 'public health campaigns' rarely work. Meanwhile, we make decisions far less based on 'fact' than on 'emotion'. When did you ever see a chocolate ad telling you about the ingredients? This may be why we have failed to convince public or politicians alike to take action on climate change. Hugh will discuss such issues from his personal work in the climate change field over 20 years, giving examples of what he has tried- and why most of what he has done has failed.

Dec 06 2019

11mins

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SMACCForce: Prehospital Neurosurgery

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SMACCForce: Prehospital Neurosurgery by Mark Wilson

Mar 06 2019

11mins

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SMACCMini: I am the Decider

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SMACCMini: I am the Decider

Mar 06 2019

19mins

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SMACCMini: He's a bit different, he's a surgeon

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SMACCMini: He's a bit different, he's a surgeon by Ross Fisher

Mar 06 2019

19mins

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SMACCMini: The snakes and ladders of paediatric DKA - how to win every time

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SMACCMini: The snakes and ladders of paediatric DKA - how to win every time by Heather Murray

Mar 06 2019

20mins

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SMACCMini: So you think you can dance? Play and purposeful skills in PEM

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SMACCMini: So you think you can dance? Play and purposeful skills in PEM by David Krieser

Mar 05 2019

22mins

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Hardcore ICU: Critical Care game changers

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Hardcore ICU: Critical Care game changers

Mar 05 2019

14mins

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Hardcore ICU: Talking to patients and their families about critical illness

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Hardcore ICU: Talking to patients and their families about critical illness

Mar 05 2019

22mins

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SMACCMini - Micro

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SMACCMini - Micro by Hazel Hilton

Mar 05 2019

20mins

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Hardcore ICI: End of Life Care in the ICU

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Hardcore ICI: End of Life Care in the ICU

Mar 05 2019

19mins

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Hardcore ICU: Panel Debate

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Hardcore ICU: Panel Debate

Mar 04 2019

13mins

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Hardcore ICU: When I prescribe blood on ICU

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Hardcore ICU: When I prescribe blood on ICU

Mar 04 2019

11mins

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