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Chile's has unique characteristics which pose several challenges for rescue and retrieval medicine. For more head to: codachange.org/podcasts

Over the past 30 years point-of-care ultrasound has been influencing patient outcomes in critical care environments by finessing patient assessment and optimising management. The newer generation ultrasounds are smaller and more portable, and as a result are joining physicians in the prehospital arena. Are they making a difference though? In the high-stakes environment of mass casualty events, ultrasound may provide the upper hand to clinicians by enhancing diagnostic accuracy, optimising resource utilisation and guiding crucial procedures towards those who need it most. For more head to: codachange.org/podcasts

Mulinda discusses standardising pre-hospital care in Africa and some of the major issues experienced such as access to prehospital care services. For more head to: codachange.org/podcasts

When the Chief of Defence Staff (CDS) of the Canadian Armed Forces decided to create a brand new forward aeromedical evacuation capability, he wanted it completed from the ground-up in a little over one year time. In this talk, Lieutenant Colonel Leilani Doyle recounts how this was accomplished from the early concept, through development and finally to the deployment of the CMERT (Canadian Medical Emergency Response Team) on the UN mission Operation MINUSMA in Mali in 2018. Lessons from the talk focus on three areas: commitment, cooperation and patience. The true test of commitment is seeing an idea actualised. Lieutenant Colonel Doyle and her colleagues had written a memo arguing that the Canadian Armed Forces needed a MERT-type capability. The CDS agreed with them, so despite the daunting nature of the task and tight timelines, they needed to bring the idea to fruition. This project required immense cooperation. When tackling it, the team found experts from various disciplines were generous with their time

Training and psychological preparedness is essential for prehospital and disaster clinicians, in order to effectively care for victims in austere environments. For more head to: codachange.org/podcasts

Resuscitating a critically injured child is one of the most stressful jobs in pre-hospital medicine. We are all human, many of us parents and the unbelievable emotional cost of a child who has life threatening injuries can take its toll. A year of serious paediatric trauma gave me an interesting perspective on paediatric trauma resuscitation and a new take on the word "resilience." For more head to: codachange.org/podcasts

Explore "change" from the early days of PHaRM to the current day. For more head to: codachange.org/podcasts

The future of pre hospital care; Treatments and technologies on the horizon. For more head to: codachange.org/podcasts

Dr Sinead Campbell-Gray will be presenting the story of the Northern Ireland HEMS Service, from the Political and Public campaign to get it started right through to the team-work and hard work involved in making this project a reality. She will outline how the Service has been founded on excellence in Trauma Care and Resuscitation Medicine, how the Clinical Service Model works, some lessons learned along the way, and what the future holds for the Northern Ireland HEMS as it continues to develop and become more established on the Global HEMS stage. For more head to: codachange.org/podcasts

Surviving a cardiac arrest requires an optimised system of care, or Chain of Survival, that comes together as seamlessly as possible following a sudden collapse. No two communities or EMS / ambulance systems are the same and you need to intimately understand both using data to measure and benchmark how you are performing and then work to improve those elements of the system that you can change to improve survival. Improving survival from cardiac arrest is in our DNA at Ambulance Victoria and through our work we have seen cardiac arrest survival more double over the past decade, with Utstein survival rates of 37% across the State of Victoria and 41% in Melbourne. In this talk I will describe our journey of improvement across all elements of our cardiac arrest system of care including accountability, the use of registry data to map the journey from arrest to recovery; partnering to improve survival, the critical role of emerging technology and what the future holds as we strive to further optimise our system wi

This presentation will summarise the best recent science in cardiac arrest and shock management, and bring you up to date with what every one else is talking about. For more head to: codachange.org/podcasts

The Coda community have identified the Climate Emergency as the most urgent threat to global health. There is overwhelming scientific evidence that the climate crisis will become catastrophic if we don't take action immediately. This episode of CodaZero Earth focuses on action stage one – 'identify' and lays the foundations for stage two - 'examine' (as set out in our Five Stage action process). We outline the urgency of the challenges that global healthcare faces and how as health professionals, we must sound the alarm for both our patients and for our children. Conversation one dives into how gas is often positioned as a “safer transition fuel” when in fact it is completely unnecessary and a potential super-pollutant. The panel critically assesses the interrelationship of power, wealth and influence in government and how to overcome the sceptics in the fight for truth about the grave threat the #climateEmergency poses to health. Then, we move on to how the climate crisis is exacerbating existing Injustice a

In Australia a 300 bed hospital uses the same amount of Energy as 5000 to 10000 homes. In many ways what we do at work really does matter. The good news is that this is a solvable problem and in some ways the Covid19 pandemic has shown us the steps to facing the Climate Emergency. Just as we learnt that first step for managing the pandemic was to stop the problem growing by limiting spread with physical distancing we know that our first step in controlling our carbon emissions is to stop burning fossil fuels. Secondly to deal with the crisis already at hand we must build capacity and resilience, not just in our health systems but also in our environmental systems. Thirdly the climate emergency equivalent of the search for a pandemic vaccine is the need for us to find a means of drawing CO2 back out of the atmosphere. We can draw CO2 out of the atmosphere through both our forests and the ocean. We have already worked out these simple steps to solving the #ClimateEmergency, but the problem we face is a lack of

Healthcare accounts for 5-7% of global carbon emissions, which equate to approximately all or the emissions from either Japan or Russia. A large part of those carbon emissions come from the manufacturing of medical devices and pharmaceuticals (‘Procurement’). This provides tremendous opportunities for us to drive how the medical technology industry designs and produces these goods in order to reduce carbon emissions. We must take responsibility for the entire life-cycle of what we consume in the delivery of healthcare – This responsibility is termed ‘Product Stewardship’. However, there is a general lack of Governance in sustainable healthcare delivery. Healthcare workers, hospital administrators and government themselves lack awareness of our shared responsibilities in this area. As clinicians the lowest carbon footprint clinical test is the omission of unnecessary tests. In many ways low-middle income countries lead the way here as they have never embraced the super-cycle of high turnover disposable waste.

Social inequalities mean that many patients without access to universal healthcare are disproportionately affected by the climate crisis given that their chronic health conditions are exacerbated but they cannot afford to seek treatment. Additionally intergenerational inequality means that younger generations will be more adversely affected by the climate emergency, but at the same time are less likely to have a voice in decisions effecting the actions we take now. It is essential that both the healthcare community and industry realise our shared Corporate Social Responsibilities. We must act together on this across the entire health industry supply chain. Additionally our colleges and universities need to be including education on both adaptation and mitigation strategies for the climate emergency into curricula. Currently 85% of medical students from around the world report no education on the #ClimateEmergency. #ClimateEmergency deniers protecting their own interests, threaten our children’s’ future and in

The Coda community identified the Climate Emergency as the greatest threat to global health and we have good reason to be alarmed for both our patients and our children. There is good scientific evidence that the climate crisis could be catastrophic. The global healthcare community comprises over 60 million people and together we can make a difference. Global CO2 emissions continue to rise resulting in more energy trapped in our atmosphere and putting us on the verge of a tipping point. We must act now. We are all used to practising with a time imperative in healthcare, we know that “Time is muscle” for the heart and that “Time is brain” for stoke – In the case of the Climate Emergency… “”Time is Planet”! Part of the problem for governments is that Power, Wealth and Influence skew the discussions around the climate emergency and in some ways the Fossil Fuel Industry has employed similar tactics to those taken by the Tobacco Industry lobbyists. Lobbyists have tried to promote ‘Gas’ as a safer transition fuel a

Financial institutions may not be known sustainability, but tune in to this session to see what is changing. What are the Green Bonds? Social impact bonds?Join Mark Peacock and Roger Harris in conversation.

Drug abuse is a worldwide problem responsible for a considerable number of deaths, functional dependence, and healthcare costs. Use continues to rise throughout the world and synthetic drugs have been added to the repertoire alongside cocaine, heroin, and methamphetamine. The acute intoxicating effects on the brain are well known; however, an understanding of the neurological complications is important in the acute period to guide workup and treatment. This panel is in the SMACC Brain pre-conference workshop will review neurological complications of intravenous drugs including endocarditis and the resultant septic emboli and stroke, intracerebral hemorrhages, and aneurysms. We will also dive into the less well-known neurological sequelae of other drugs including some not-so-uncommon zebras. For more head to: codachange.org/podcasts

Brandon Foreman shares top 10 signs of neurological badness. For more head to: codachange.org/podcasts

Ever wondered what life holds after discharge from ICU for the families and partners of patients with a severe brain injury? This interview-style session will focus on the challenges, unexpected good and bad outcomes, positive and negative impacts on relationships, and other issues experienced by patients’ loved ones post-ICU. Hearing first-hand from a patient’s primary carer will highlight that ICU is only an extremely small component of a patient’s long journey to recovery and remind those involved in neurocritical care that whilst short-term physical outcomes dominate in a patient’s acute ICU stay, it is the long-term functional and social outcomes that ultimately matter most to patients and their families. It is easy to be distracted by the physical problems, but we must not forget the potential impacts of a severe brain injury on higher cognitive functioning when discussing long-term prognoses with families.