ED JAM

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

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On this weeks episode I (benny) did a solo session about my tips for education and how I am approaching education this year. Hope you like it. My aim is to encourage anyone in the teaching space.

Show notes 

High fives motivate: the effects of gestural and ambiguous verbal praise on motivation

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145712/

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 

 

Fleeing from a war and lost in the bush alone for 3 weeks at the age of 9 was only the start to Chol Dengs Life. Chol Deng an Emergency Nurse from Sydney describes his early life in africa and what lead to him needed a kidney transplant in 2022. The story will have you on the edge of your seats in disbelief. The podcast just shows you that giving up isn't an option for Chol Deng. 

 

                                               Show notes 

* Click link to read about dialysis - life in the fast lane 2023

* donatelife.gov.au click link to learn how to be a donor 

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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 weeks episode I sat down with Clinical Nurse Consultant Daniel Van Vorst to discuss the MTP (massive transfusion protocol). Daniel is an esteemed emergency nurse with over 12 years of experience in a large  tertiary hospital.  Within the podcast Dan spoke about the role of MTP, indications , challenges, and the benefits of having a blood coordinator role  during major resuscitations. Dan also unpacks an amazing case, and talks about the benefits of administering blood early and how the MTP can save lives. Dan also opens up and lets us know what motivates him and what keeps him fresh after working in a high stress environment . 

 

SHOW NOTES 

 

Presentation of the MTP- click link to follow 

MTP policy - click this link to read a policy on the MTP

Daniel QI project on the MTP- click this link to view

 

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 

This week I sat down and interviewed Dr Louis Traynor about febrile neonates. Louis is an Emergency Consultant with a keen interest in Emergency Paediatrics. On the episode we discussed neonatal fevers, how we manage/diagnose febrile neonates and why listening to parents is so important. The episode will leave you with a well rounded approach to febrile neonates. 

SHOW NOTES 

• (Don't forget the bubles.com )click here to be directed to the don't forget the bubbles website, it is an amazing resource
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• Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pantel et al , 2021
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• Updates on the Evaluation and Management of Febrile Neonates
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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

Expecting the unexpected is the name of the game in emergency work. On this episode I sat down after a fresh case with Dr Bec to chat about how to deliver a baby safely in an Emergency Department. Bec is an amazing human with a passion for women's health. Bec talked us through how clinicians can approach a delivery and gave us a few examples of how to approach delivery safely. Bec talked about her career and why sometimes taking your time can help on the journey to becoming a confident and competent doctor. Themes that were raised were stages of labour, vaginal deliveries, shoulder dystocia, breech deliveries, drugs and when to get help immediately. 

 

Show Notes 

* health.qld.gov.au normal birth - click link to read

* aci.health.nsw.gov.au- delivery in the Emergency Department

www.aafp.org- shoulder Dystocia

* Women’s experiences of breech birth decision making: An integrated review- 2022- click link to read