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It has been said that more people suffer harm from our management of diabetic ketoacidosis than those that do from the disease itself. So how do we avoid these pitfalls in the emergency department? Adan Atriham is an emergency physician from Ho
Many doctors will take leadership positions during their careers, but the skills required to succeed in these roles do not come naturally to all. Hash Abdeen is the Chair of the Council of Doctors in Training for the Australian Medical Associat
The stress of exams, clinical practice, finances and major life events takes a toll on junior doctors. The added burden of COVID-19 has pushed many to the edge. Tahnee Bridson is an inspiring young doctor who saw an opportunity to help by esta
Acute cardiogenic pulmonary oedema is a common presenting complaint in the emergency department. Dr Roberto Cosentini is an emergency physician from Bergamo in Italy. He joins Todd to discuss the use of NIV in the management of these patients.
Transcutaneous pacing is an important emergency skill. In this podcast, senior emergency medicine trainee Dr Tim Balfour joins Todd to discuss the indications for pacing, describe the process of applying and adjusting it, and share some tips a
As the world wrestles with the COVID-19 pandemic, it’s clear that much depends on our ability to vaccinate a large proportion of the population. Like all medications, vaccines have their side effects, and the most notable at present is an unusu
The intravenous cannula may be the most common procedure performed in healthcare. You probably perform several of them a day, without thinking twice. However, without attention to detail, it’s possible the humble cannula could cause your patie
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 enhance
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, cortico
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 wo
Violence in healthcare staff is anecdotally increasing. A recently released paper casts further light on this important issue, and explores whether the National E Admission Target (NEAT) is a new factor in triggering such episodes against ICU
Paracetamol (acetaminophen) overdose is increasing, and with a variety of formulations available, the management can quickly become complex.Dr Angela Chiew is a Clinical Toxicologist and Emergency Physician from Sydney's Prince of Wales Hospi
Paul Secombe is an intensive care physician at the Alice Springs Hospital in Australia. He is the lead author of a recent review of the presentation, resource needs and outcomes of indigenous Australians admitted to an intensive care unit. He
Dr Jocelyn Lowinger initially trained as a GP before working in health, where she first came into contact with professional coaching. Fascinated by the idea, she undertook further training, and now offers this service across the healthcare ind
Associate Professor Daryl Jones is an intensivist from The Austin Hospital in Melbourne, Australia. He joins Todd on the podcast to discuss the nature of in-hospital cardiac arrest in the era of a modern Rapid Response Team.See omnystudio.com/
Managing acute pain is a common task faced by all junior doctors. With a range of analgesics available, and a seemingly endless variety of conditions to apply them to, this task can become quite complex. In this podcast, Todd chats with Dr Nell
Ensuring patients get the right treatment at the right time is a core ambition of a modern healthcare system, and there is no better example of this than the early administration of antibiotics in patients with severe sepsis.Daniel Cudini is a
Dr Rob Dickson is a 6th year trainee of the Australian College of Remote and Rural Medicine in the tiny Tasmanian hamlet of Queenstown, and recently ventured to the Southernmost continent as an Antarctic Medical Practitioner. He joins Todd on t
Sepsis is usually associated with fever. This highly conserved response has a range of theoretical benefits, including enhanced immune functioning and increased microbial response to antibiotics. But what happens when patients are hypothermic
Traumatic cardiac arrest is associated with a terrible prognosis - or is it? In this fabulous Osler Podcast, Todd is joined by ED, Pre-hospital and ICU physician Dr Adam Holyoak to talk about the presentation, outcomes and management of patient
Blood is a precious commodity at the best of times, but no where more so than on the African continent. The incidence of children presenting with sepsis and critical anaemia is frightening, and overwhelms the availability of blood. There is so
The role of vitamin C and thiamine in the management of vasoplegic septic shock has been a highly controversial and topical issue in modern critical care in the past 2-3 years. Tomoko Fujii, research fellow at the Monash-ANZICS Research Centr
Ed Litton joins Todd on this podcast from the 21st Annual ANZICS CTG in Noosa, Australia, to talk about his new study, TICTOC. TICTOC a registry based trial evaluating the safety and efficacy of a targeted approach to ordering diagnostic tests
Its one of the most difficult issues we wrangle with in critical care - how are decisions made about the capacity of a patient to determine their own treatment. Earlier this year, the Medical Journal of Australia published an insightful artic
When should we give fluids in sepsis? How much? This is a question that has troubled emergency physicians, intensivists and anaesthetists for decades. Given how common the condition is, it is surprising that there is such a paucity of quality
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