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Applying research in the Neuro ICU; Marketing and Branding; follow up after critical illness. For more head to: codachange.org/podcasts

Cooling the severely brain injured patient in the intensive care unit is far from straight forward. Who should be cooled and when? What do you call a fever, and is this the same as the bedside nurse? When should we start, and when should we not? What would make you stop? This talk will explore the cooling journey of a critically unwell brain injured patient in a neuroscience intensive care unit. It will expose all the potential challenges, questions and pitfalls of cooling at the bedside, and suggest some ways to overcome these. For more head to: codachange.org/podcasts

Health care providers who phantom or "quick look" ultrasound examine are causing the viral spread of an epidemic, which we can minimize by responsibly utilizing ultrasound inpatient care and by implementing the coaching that artificial intelligence provides. Current trends in point-of-care ultrasound and how the health care provider community can respond are described: 1. Phantom or‚ Quick look‚ scanning. 2. Faculty credentialing and learning ultrasound. 3. Artificial intelligence technology in ultrasound machinery image acquisition and interpretation. I discuss the phantom or‚ quick look‚ scan and how correcting this behaviour can only come from yourself. Second I describe my experience with faculty credentialing: being told to learn ultrasound on your own or even being given a faculty credentialing ultrasound education plan generally does not work. I describe the passive and active ways to acquire training. You should not rely upon herd immunity. Finally, I discuss how errors in human judgement will occur.

The role of ultrasound in paediatric lumbar puncture. For more head to: codachange.org/podcasts

Action Stage: Stage One - Identify Technology in medicine is advancing at pace, providing unparalleled opportunities to process information and to improve both outcomes and safety for healthcare. But with this good comes many challenges and even dangers. How can we better share information and distribute the opportunities equitably? What are the safety mechanisms and who is providing the oversight? This episode of CodaZero is the first under the Educate pillar. It is the perfect opportunity to start examining the benefits and risks posed by rapidly changing technology within healthcare. The Educate pillar remains at the ‘identify’ stage of our staged action-plan development process. At this stage the conversations are just beginning and are designed to highlight possible area for further action. Join us for this fascinating first session, divided into four concise but richly revealing conversations. Conversation one examines the role of Artificial Intelligence in healthcare. What are the opportunities as we p

Public interest media is vital. However, there is a crisis in public interest journalism and it is not new, but some believe the pandemic may be an extinction event for this discipline. Global media power and wealth have become concentrated into a handful of tech giants. This concentration of power and its’ inherent biases not only poses a threat to public interest journalism but also to global health through medical misinformation. This dystopian concept is rapidly becoming reality and perhaps the only way to overcome this is through connection…. Connecting with those that think differently and challenge our beliefs. If we stay in the echo chamber of our polarised media we will not overcome this problem and it will become the end-game. We must get out of the echo chambers of our polarised media. We must get over our affronts and offences in order to listen. We must lean into these voices and realise that we all have something to learn. For more head to: codachange.org/podcasts

We can have all the evidence in the world in healthcare but at the heart of everything we do and every decision we make there is ‘us’. The Pandemic has seen an incredibly accelerated understanding of Covid19, a virus none of us had heard of before January 2020, but it has seen a change in how Evidenced Based Medicine (EBM) is processed and presented. The ‘E’ continues to represent ‘Evidence’ but the ‘B’ has become ‘Belief’ and the ‘M’ is now ‘Media’. Under the pressure of the pandemic we in healthcare have believed there is a need to act on levels of evidence that pre-Covid we would have thought irrational. So we must adapt our traditional model of EBM to the pace of now and make it faster and more adaptive to become “EBA” or Evidenced Based Agility. We need to have the ability to rapidly filter out the good quality evidence and find ways to translate that into practice. However we must also be agile enough so that if the next month we find the evidence has changed we can admit we were wrong and move on – Thi

We often associate Indigenous cultures with a deep understanding of nature rather than computing or AI. However, deep learning, connected learning and relationships are integral to both AI and indigenous learning. Perhaps indigenous people are the future of AI. It is essential that we bring groups together to design AI. Indigenous cultures walk in multiple worlds and cross many generations. These perspectives are different but often not represented in universities curriculums. Indigenous learning sees health as holistic. Which human doesn’t need to include spiritual, mental, physical, social and emotional dimensions to their healthcare? It is essential as healthcare providers that we give ourselves a ‘software update’ and continue a process of life-long learning, particularly about cultural competence. The indigenous practice of coming together in ‘collectives’ and looking at big data sets yields different outcomes than say a ‘western’ trained epidemiologist might conclude. Indigenous knowledges work by accum

Over the last 5 years there has actually been a confluence of a few different historical threats. We’ve had health data being increasingly digitalised and we’ve had the proliferation of accessible massive scale computing, both of which have un-locked a technique developed in the early 80’s called deep learning, which is really good at pattern recognition over large data sets. Key trends in the last year include the first randomised clinical trials in the clinical application of AI in health, the potential for AI in clinical discovery particularly using multimodal data (including electronic medical records, imaging data, genomic data) and combining that to find patterns in very large data sets. This is the real beginning of precision medicine. Finally there are day to day clinical process applications being used to predict resource allocation or disease outbreaks. At the same time there are some systemic challenges facing AI in health, including workflow integration, bias, equity and just access. How can we mi

Rachel Liu, Creagh Boulger & Sharon Kay will provide a brief introduction into the use of gaming in education, more specifically ultrasound education, with live demos. For more head to: codachange.org/podcasts

In light of trials suggesting pocus delays CPR in cardiac arrest, should we be doing more transesophageal echocardiography in the resus room? A pro-con case-based debate. For more head to: codachange.org/podcasts

Abuse in the financial system impacts over 40% of the adult population, and CommBank is taking action. They studied 11 million transactions within the 3 months period, and found that 8,000 people have received abusive messages in the transaction description. Why would CommBank have an interest in customer vulnerability? Catherine Fitzpatrick has joined Roger Harris and Mary Freer for a fascinating discussion around financial toxicity, and what actions have been taken to combat abuse in the financial system.

Creativity is a highly valued and sought after skill; we all need to solve problems, think in novel ways, and generate ideas, but can creativity be learned? This talk provides a practical framework to help you improve your creative thinking, enhance your problem solving and get greater access to your naturally creative brain. You'll discover how creativity follows a process that can be developed at every stage. You'll learn how to challenge your assumptions and reframe problems. You'll discover techniques to help you generate more ideas and think more laterally. You'll even learn why you have ideas in the shower and how to access more creative brain states. The talk will cover the following: Creativity as a process, and how to build the creative habit How questions help reframe problems and challenge your assumptions How to promote more lateral thinking using divergent thinking strategies Understanding convergent thinking The neuroscience of "A-ha moments" and how to access creative brain states The implicat

It can be particularly challenging to care for dying patients who insist that they are not and request intensive, seemingly futile treatments. Physicians often feel disconnected from such patients. For many, there is the belief that we are different from these patients, more able to accept our own mortality, less likely to desire high intensity, high technology treatments at the EOL. The literature on physician utilization of resources at the EOL paints a different picture. We are reminded how vulnerable we all are to the forces that drive patients towards aggressive treatment at the EOL and in that recognition of our shared humanity, better able to align with our patients. For more head to: codachange.org/podcasts

Clinical supervision in our busy workplaces is hard. We balance patient safety, learning opportunities, and the workloads of senior and junior staff. The conversations we have to navigate this balancing act can affect patient outcomes, and how we feel about each other and our work. But these conversations don't always happen, and may not always go well. Sometimes the feeling of "I'm scared', comes out as, "I don't think we need to intubate the patient".... In a given clinical circumstance, a supervisor might label that assessment as incompetence rather than recognise and address the underlying fear- that might exist for any number of reasons. These are the IFF moments of clinical supervision conversations, Identity, Feelings, Facts. Sometimes the words we use are not the best guide to how we are actually thinking or feeling but they COULD be. Understanding whether our words convey Identity, Feelings or Facts and matching responses to those we are talking with will bring our clinical supervision conversations

Concussions have gained lay person attention over the past several years, due to high profile media stories from military conflict and professional sports. Also known as "mild" TBI, concussion affects millions of patients worldwide, many never seeking formal medical care. Concussion remains a unique injury, in that no one medical speciality "owns" the disease, leaving treatment variable across the world. Concussion is not a mild injury, resulting in a spectrum of sequelae that plague patients for weeks and even longer in a minority of cases. We will explore the downstream implications of concussion on families, employers, patients and finances, tying in clinical outcomes to social impact. For more head to: codachange.org/podcasts

Mark Wilson and John Myburgh discuss intracranial pressure. Some fundamentals, some history to put it all in perspective and all the issues with focusing on just one number. Fascinating insights from two true experts.  For more head to: codachange.org/podcasts

Creativity is a highly valued and sought after skill; we all need to solve problems, think in novel ways, and generate ideas, but can creativity be learned? This talk provides a practical framework to help you improve your creative thinking, enhance your problem solving and get greater access to your naturally creative brain. You discover how creativity follows a process that can be developed at every stage. You learn how to challenge your assumptions and reframe problems. You discover techniques to help you generate more ideas and think more laterally. You even learn why you have ideas in the shower and how to access more creative brain states. The talk will cover the following: Creativity as a process, and how to build the creative habit How questions help reframe problems and challenge your assumptions How to promote more lateral thinking using divergent thinking strategies Understanding convergent thinking The neuroscience of 'A-ha moments and how to access creative brain states The implications for impr

High quality Virtual Reality (VR) gaming is not a thing of the (dystopian) future; the technology is here and showing promising therapeutic benefits for patients. Consumer VR is projected to be a $21Billion global industry by 2020. Home grade systems are available providing deep sensory immersion including touch sensors (haptics). Healthcare has a poor track record of adopting new technologies. We need to understand our work better to forecast where emerging technologies may do a better job for patients and systems. This presentation steps away from VR as an increasingly explored and popular training tool for healthcare workers, and instead looks at the growing evidence of therapeutic benefits of some VR applications. We need to go into our workplaces and hunt for problems we have not yet found good solutions for the answer may just be VR. You are Player One - be ready. For more head to: codachange.org/podcasts

Treatment of cardiac arrest requiring CPR has been transformed by the use of extra-corporeal membrane oxygenation. Patient stabilised on this innovative therapy can be transferred for coronary angiography and possible stent intervention. Time is critical, time is muscle! However when the muscle is gone but the other organs still work what options do we now have? For the patient in sustained unrecoverable cardiogenic shock with neurology intact where should we go? What therapies are appropriate and possible? For more head to: codachange.org/podcasts.