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We are in the business of saving lives but we are missing the low hanging fruit. To save lives, we must teach ourselves but crucially, we must teach the public to do the basics exceptionally well. The first link in the chain, the bystanders, have to be involved and have to know what to do. Mike Abernethy talks to us about the importance of bystander action. For more head to: codachange.org/podcasts

Neurosurgery is time critical. Our job is essentially trying to avoid death and relieve pressure on the brain as quickly as possible. Acting rapidly is the most important thing we can do but achieving this in the outback and rural communities is challenging. How do we streamline the process to ensure that we care for all people, regardless of geographical location? For more head to: codachange.org/podcasts.

Every child born today will be affected by the climate emergency and affected at every stage of their lives. Canadian sub-arctic is already 2.5c warmer than 70 years ago. Unfortunately, all sorts of health impacts are linked to the climate crisis. Heat stress, chronic disease from air pollution, infectious diseases, malnutrition, famine, displacement… to name a few. We are already resigned to increased global warming which is now locked in for decades to come, so healthcare professionals need to find ways to cope with the ramifications of this inevitability. We need to take action on two broad fronts, firstly Mitigation to prevent further rises in global temperatures by decarbonising, and secondly Adaptation to prevent as best we can the catastrophic effects on our patients' health. The choices we make right now will have massive impacts on our children and their children. We can take action at a Micro level (our personal actions), Meso level (our hospitals, universities, and local communities) and Macro leve

The NHS has committed to a net-zero target in 2040, for the carbon emissions that they control directly and a target of 2045 for the broader emissions they can influence. So why is the NHS doing this? It has heeded the science pointing to the climate emergency as the biggest health threat of the 21st century. Nine in ten NHS staff say that they want to see the NHS act more sustainably. What is a net-zero target? As the title suggests Net Zero emissions mean achieving a balance between the production and removal of Green House Gas emissions (GHG). For the NHS this requires actions to remove emissions across an ambitious and wide supply chain... from buildings to pharmaceuticals, MRI scanners, syringes, inhalers, and so on. It also includes the emissions that come from the patients, from visitors, from travel to and from the NHS, and from emissions well beyond the borders of the UK. So how will this be achieved? The NHS has an 80% reduction target by 2028. Most importantly, it will only commit to companies that

In this episode, we examine some achievable, sustainable and most importantly, meaningful actions that healthcare can take on the climate crisis. Firstly, the climate emergency is not only a healthcare emergency but also a wealth emergency. Financial markets have realised the monetary cost of not taking action to reduce carbon emissions and now whether governments like it or not, the markets are driving change. Secondly, as investors, we have enormous power through our personal superannuation funds. Simple actions in how we invest personally, can have very meaningful outcomes in driving change to lower carbon emissions. Thirdly, at the healthcare delivery level, we learn from the bold initiatives undertaken by the NHS in the UK to adopt a net-zero emissions policy. As healthcare workers, we have a basic premise to 'first do no harm' which behooves us to examine the carbon footprint of our healthcare delivery. Finally, we must recognise that every child born today will be impacted throughout their lives by the

Re-evaluating how your super is invested can have a huge impact on mitigating the effects of the climate emergency. Why... because most people are invested in the companies that are responsible for climate destruction. The broader Superannuation system is currently worth about $3 trillion. By 2038, it is projected to be worth $10 trillion. With that size comes immense power. Have you ever thought to engage with your super fund and ask, “what are you doing about the climate crisis?” It’s one small step towards influencing massive change. When it comes to healthcare professionals, we are committed to a better world, but this needs to include our actions outside of the hospital. As healthcare providers, we don't want to support the Tobacco industry, we wouldn't want to invest in Asbestos and equally, we shouldn't be letting our super finance the fossil fuel industry. It is confronting to think that we may be profiting from our super being invested in companies that are huge carbon polluters. We cannot stand idle

Financial markets have recognised that the climate emergency is also a financial emergency. A report out of Harvard recently stated that nearly 1 in 5 deaths globally are associated with burning fossil fuels. Incredibly, the Covid19 pandemic has changed how we see the climate crisis in a number of ways. Firstly, it resulted in an unprecedented decline in global energy consumption during 2020. Secondly, it showed us that in order to deal with the pandemic we must listen to science and take action at a global level. Thirdly and somewhat conveniently, a trade war emerged between Saudi Arabia, the U.S and Russia over oil, leading to a collapse in the price of both oil and liquid natural gas (LNG) and a 60% decline in the leading global oil companies. This resulted in pressure on the financial sector to transform their thinking around fossil fuels, as they realised the potential for the climate crisis to become a wealth crisis. A 60% collapse in the value of Exxon is a very good reminder to financial leaders that

We hear from passionate advocates in different medical fields, as they impart wisdom and discuss how we can all work to be advocates for what we believe in. As healthcare workers, we constantly work together as a team. We need to utilise that teamwork to stand up for what we believe in. For more head to: codachange.org/podcasts 

A trauma patient has come in and they have a life threatening, non-compressible haemorrhage. We have a Code Crimson on our hands. In this scenario, your team and your performance can make a big difference to the outcome. We need to rely on protocols, standardised care, implicit communication and shared expectations to manage this as effectively and efficiently as possible. This is what Code Crimson is all about. For more head to: codachange.org/podcasts

The logistical challenge of opening a COVID-19 treatment centre in a developing country is enormous. There is a significant lack of resources such as PPE and essential drugs, as well as medical specialists and sophisticated technology. Khairil Musa reflects on a deployment to Yemen and how in a city with 1.8 million people, having access to only 7 ICU beds led to devastating consequences. During the height of the pandemic, the city recorded an 8 fold increase in the daily death rate. So how do we learn from this and provide a better outcome for the future? The bottom line is COVID needs a global response. Governments need a united approach, with adequate resources, infrastructure, and medical expertise. In times of uncertainty and tragedy, we need to remember our humility. For more head to: codachange.org/podcasts

Every two years the processing power of computers doubles, while the cost halves. Advances in technology are making ultrasound more accessible and effective than ever. To adequately use ultrasound you need three things - Have a machine - Be able to acquire the images - Interpret and utilise the images effectively, safely and accurately Ben Smith and Jacob Avilla run us through how technology has enabled ultraportable, ultracheap ultrasound and how this stands to make an incredible global impact. For more head to: codachange.org/podcasts

We all have to be advocates for the role we play in patient care. We have to collectively navigate and challenge the decision makers to ensure progress into the future. For more head to: codachange.org/podcasts

Resa Lewiss talks to us about the evolution of point-of-care Ultrasound in Trauma, focusing on the FAST examination. Three takeaways: 1. Ultrasound cannot replace CT scan. 2. Ultrasound is a data point in your patient care management. 3. Ultrasound decreases time to definitive management. For more head to: codachange.org/podcasts

The exciting possibilities for tomorrow’s medicine are endless. There’s the chance that we could revolutionise diagnostics with AI. There’s the opportunity for us to use smart phones and wearable technology to allow health professionals to deliver care outside of hospitals. There’s the possibility to use 3D printing to manufacture drugs at local pharmacies, personalising drug treatment for individual patients. These are all possible with technologies that exist today. However, on average it takes 17 years to implement new technology. How can we change this? We must never stop asking the questions that begin with “what if”. For more head to: codachange.org/podcasts

RCTs deliver the most reliable evidence to guide how we treat our patients but they are badly designed, inaccurately reported and misunderstood. We can do better. For more head to: codachange.org/podcasts

Professor Owler discusses his experience in his various roles to achieve successful outcomes both in terms of health policy as well as legislative changes. He will discuss the role of doctors in this process and how to interact with government, media and stakeholders to achieve better outcomes for patients and the community. For more head to: codachange.org/podcasts

In this episode of CodaZero Cure our stellar line-up of panellists take a deep dive into Sepsis post Covid-19 and reflect on the many opportunities and challenges presented. First, we hear from vaccination uptake expert, Julie Leask, on Covid, vaccination and medical misinformation. Julie highlights some of the key drivers of vaccination hesitancy in society and challenges us, as health professionals, to work together to better inform our community. Next, Senior Intensive Care Registrar, Khairil Musa, presents a moving talk about his experience of managing Covid on the front line in Yemen. Reflecting on an unbelievable experience, Khairil describes the extent of the pandemic and how a lack of resources and infrastructure led to devastating consequences. Our panel examine the clinical management of Covid and what lessons can be learnt to ensure we improve in the future. How do we empower global organisation's to respond to Covid-19 in the best way possible? Access to information and public awareness is the sol

It's a challenge to think of a single large multicentre RCT or therapy introduced to critical care in the last 20 years that has meaningfully improved outcomes, yet across the board our outcomes improve year on year, largely due to improvements in Process getting the diagnosis right earlier, instituting therapies that work sooner, and minimising iatrogenic injury. The implementation of ultrasound into bedside clinical practice in emergency departments and intensive care units have accelerated that improvement in process, with new technologies now potentially putting personal ultrasound into the hands of medical students and junior doctors and changing the way medicine is learned and practiced. Are you ready? How will you supervise and train them? How can you implement this technology in your practice? For more head to: codachange.org/podcasts

If we harness the experiences of hundreds of colleagues who have managed the same rare clinical event we would discover what works, what doesn't and why. For more head to: codachange.org/podcasts

There is enormous concern within the health community regarding public misinformation and the successful rollout of vaccines. They are concerned about the psychological safety of medical professionals in the post-pandemic world. They are worried about the emotional toll that long periods of separation from family and friends have on people from around the world. Now more than ever, we should share our knowledge and experiences on an international scale. We should not lose the sense of equity and the focus on standardisation. And most importantly, we need to listen to what our community is saying and put that at the heart of what we do. For more head to: codachange.org/podcasts