The Critical Care Commute Podcast
By Critical Care Commute
The Critical Care Commute PodcastMay 07, 2024
ECMO with Dr Eddy Fan
We return to our Canadian Critical Care Forum series with this episode.
In this episode, we delve into the world of Extracorporeal Membrane Oxygenation (ECMO) with Dr. Eddy Fan, a leading expert in critical care and ECMO specialist.
Eddy Fan is an associate professor in the Interdepartmental Division of Critical Care Medicine and the Institute of Health Policy, Management, and Evaluation at the University of Toronto and a staff intensivist at the University Health Network/Mount Sinai Hospital. Dr. Fan received his undergraduate degree from the University of Toronto, his medical degree from the University of Western Ontario, and a PhD in Clinical Investigation from Johns Hopkins University. He is currently the Medical Director of the Extracorporeal Life Support Program at the Toronto General Hospital, and the Director of Critical Care Research at the University Health Network/Mount Sinai Hospital. Dr. Fan’s research has focused on advanced life support for acute respiratory failure and patient outcomes from critical illness. These include investigations on the epidemiology and use of mechanical ventilation and extracorporeal life support in patients with ARDS, as well as on the development of ICU-acquired weakness, early rehabilitation in ICU patients, and long-term outcomes in survivors of critical illness. Join us as we take on this huge topic.
Critical Care Without Borders: Dr Rob Fowler.
We take a quick break from our Canada Critical Care Forum series, for a special episode. We had the privilege of hosting Dr. Rob Fowler, visiting professor at the University of Alberta as part of the Dr. Noel Gibney lecture series.
Dr. Fowler is a critical care physician and Tory Trauma Program Chief at Sunnybrook Hospital and Chair of the Canadian Critical Care Trials Group. Rob’s academic interests include access and outcomes of care for critically ill patients and those near the end of life – in a global context. He has assisted or worked with national and international health care organizations during SARS, pandemic and avian influenza, Middle East Respiratory Syndrome, Ebola and COVID-19. Dr. Fowler shared invaluable insights into the concept of "Critical Care Without Borders," emphasizing the universal principles and challenges inherent in critical care medicine. Throughout the episode, Dr. Fowler's passion for improving patient care and his commitment to advancing critical care education and research were evident.
Tune in to this enlightening conversation as we explore the boundless possibilities and inherent responsibilities of providing Critical Care Without Borders.
Inside the COVID Command Centre with Dr Andrew Baker
In this episode, join us for an in-depth conversation with Dr. Andrew Baker, as he reflects on his time as the incident Commander of the Ontario Critical Care COVID Command Centre, during the COVID pandemic.
Dr. Baker offers a firsthand account of the establishment and operation of this crucial hub in the battle against the pandemic, highlighting the collaborative efforts of healthcare professionals, policymakers, and community leaders.
Dr. Andrew Baker is the Chief of the Departments of Critical Care and of Anesthesia, and the Medical Director of the Surgery and Critical Care Program at St. Michael’s Hospital, Unity Health Toronto.
Tune in as we uncover the dedication, innovation, and resilience driving our collective response to this unprecedented crisis.
Atrial Fibrillation in the ICU - Dr Stephanie Sibley
Welcome to our latest episode, recorded live at the Critical Care Forum in Canada. We're joined by Dr. Stephanie Sibley and Dr. Michal Cwhalek, a Critical Care Trainee, to discuss Atrial Fibrillation, the most commonly sustained cardiac arrhythmia in critical care.
Dr Stephanie Sibley is an Assistant Professor in the Department of Critical Care Medicine at Queens University, Kingston, Canada. Her research interests include new onset atrial fibrillation in critically ill patients where she is developing methods for better quantifying atrial fibrillation burden using electronic monitoring, prevention and treatment strategies and determination of long-term atrial fibrillation outcomes.
Join us as we delve into the clinical importance, management approaches, and potential complications of AF in critically ill patients.
Talking A.I. with Drs. Shelly Dev and David Maslove.
Welcome to the 2nd episode in our Critical Care Forum Canada 2023 podcast series, where we interview leading Canadian experts.
In this episode, we explore the intersection of artificial intelligence and critical care medicine with Dr. Shelly Dev and David Maslove, recorded after a panel discussion held at the Conference in Toronto.
Dr Dev is no stranger to our podcast and is a staff intensivist at Sunnybrook Health Sciences Centre, Toronto, Canada, where she serves as the director of education for Critical Care Medicine.
Dr Maslove is a Clinician Scientist and Intensivist at Queen’s University, Kingston, Canada. His research focuses on the use of physiologic and genomic data to advance precision medicine in the ICU.
Dr Hannah Wunsch: Lessons from Polio
Welcome to the inaugural episode of our podcast series, recorded live at the Critical Care Canada Forum meeting of 2023.
In our first episode, we are again joined by the esteemed Dr. Hannah Wunsch, expert in critical care medicine with a keen interest in the historical lessons we can glean from medical breakthroughs of the past.
Today, we will continue exploring the lessons from the fight against polio and they shaped modern critical care practices.
This is just the beginning, so buckle up and get ready to be inspired as we interview Dr. Hannah Wunsch and many more Canadian Critical Care luminaries, recorded live at the Critical Care Canada Forum meeting of 2023.
Preserving Antibiotics for Tomorrow: A Conversation with Dame Sally Davies
Welcome to our first episode of season three! We are kicking off with what is probably one of the most important topics to be discussed in modern medicine today: The rational use of antibiotics.
In this episode, we have the honor of hosting Dame Sally Davies, a renowned figure in global public health and former Chief Medical Officer for England. Dame Sally has been a leading voice in advocating for the rational use of antibiotics to combat antimicrobial resistance. Join us as we sit down with Dame Sally Davies to explore the intricacies of antibiotic stewardship and the urgent need for global action.
Throughout our conversation, we'll delve into the complexities surrounding antibiotic use, discussing the challenges of over prescribing, the rise of drug-resistant infections, and the implications for both human and animal health. This is a conversation you won't want to miss.
Resilient Healthcare Systems and Patient Safety with Dr Neil Spenceley
In our latest episode, we sat down with Dr. Neil Spenceley, pediatric intensivist and Safety expert.
Listen as Dr. Spenceley unpacks safety and proposes a shift from a binary safety approach (safety 1 and safety 2) to resilient engineering and system performance. Dr. Neil emphasizes the holistic view encompassing efficiency, efficacy, safety, and staff well-being.
Drawing from incidents like Three Mile Island, he emphasizes the role of human factors in identifying and resolving issues, understanding work as work is done and the importance of understanding frontline work realities to bridge gaps between protocols and real-world scenarios, advocating for system redesign to reduce complexity.
We hope you enjoy this episode!
Decoding Neuroprognostication with Dr. Julie Kromm
Welcome to our next episode! In this episode, we again delve into the world of neuroprognostication with none other than Dr. Julie Kromm. Dr Kromm is a neurointensivist, who brings a wealth of expertise to the table and was one of the authors on the Canadian Position Statement for Neuro Prognostication after cardiac arrest.
Neuroprognostication is a field that combines the precision of neurology with the nuances of predicting outcomes in patients with severe neurological injury after cardiac arrest. Join us as Dr. Kromm guides us through looking behind the fog, using the physical examination appropriately and what to make of special testing.
Further Reading: 1. Neuroprognostication in the Post Cardiac Arrest Patient: A Canadian Cardiovascular Society Position Statemen. https://doi.org/10.1016/j.cjca.2022.12.014
Elliot Sprague: The Internist's Internist. Being a Cancer Thriver.
Welcome to another episode of "The Critical Care Commute" podcast! In this episode, Peter Brindley and Leon Byker sit down with special guest Elliot Sprague.
Elliot Sprague is an internist known for his unique perspective on healthcare and his remarkable journey through a recent health challenge.
In this episode, Elliot reflects on the shock of being diagnosed with a metastatic malignancy and how it changed his life. He discusses the impact of being present, engaged, and honest with patients, and how it has positively influenced his own well-being.
Elliot also delves into the emotional side of life, sharing how he encourages his son to express and deal with his feelings, describes the importance of naming and acknowledging emotions thus fostering a healthy approach to fear and anxiety.
Tune in to this episode for a profound conversation about life, medicine, and finding joy in the face of adversity. Elliot Sprague's unique perspective serves as an inspiration to both healthcare professionals and listeners navigating their own journeys.
Thank you for joining "The Critical Care Commute" podcast!
The Healthy Exchange: Navigating Healthcare Communication with Andre Picard
Welcome to the Critical Care Commute Podcast, as we delve into the world of healthcare communication with one of the most esteemed voices in the field – Andre Picard.
Andre Picard, a renowned health columnist for The Globe and Mail, brings his wealth of knowledge and experience, providing insights into the vital role that effective communication plays in the world of healthcare. From doctor-patient interactions to public health messaging, Picard offers a unique perspective on how communication shapes our understanding of health issues and influences decision-making at both individual and societal levels.
In this episode, we explore the impact of media on healthcare perceptions, the role of social media in shaping health narratives, and the challenges of conveying accurate information in an era of misinformation. Join us for a thoughtful exploration of the nuances in healthcare communication, as we seek to enhance our understanding of the crucial link between effective communication and the overall well-being of individuals and communities.
Difficult Airway Cases: Letting the panel take us through scenarios.
Welcome back to our second podcast from sunny San Diego! Stay classy, San Diego! Peter and Leon are again joined by Matteo, Jarrod, and Calvin for rapid fire cases! In this episode they discuss approaches to:
Rapid Fire Scenario 1 - Tracheostomy tube displacement.
Rapid Fire Scenario 2 - Hypoxemic patient going into Cardiac arrest
Topicalization Techniques
Handling the Soiled Airway - Video Laryngoscopy vs. Direct Laryngoscopy.
Join us as the team reflects on the benefits of spending time immersed in difficult airway scenarios. Airway management goes beyond mere intubation and involves cognitive skills, team management, and situational awareness. The Difficult Airway Course is a valuable experience for those interested in enhancing their airway management skills.
The Difficult Airway: Panel discussion with Faculty
In this episode, we have the privilege of hosting three luminaries in the field of airway management: Drs. Jarrod Mosier, Calvin Brown, and Matteo Parotto.
As distinguished leaders from the Difficult Airway Course, they bring incredible insights to managing the acute care airway. Whether you're a seasoned practitioner or a healthcare enthusiast, their collective knowledge promises to deepen your understanding and appreciation for the art and science of airway management. Tune in as they share their experiences, innovations, and vision for the future of airway management.
https://www.theairwaysite.com/
Chris Nickson from Life in the Fast Lane: "Are we training intensivists for the future?"
Welcome to the Critical Care Commute Podcast! In today's episode, we delve into the field medical education. Joining us is Dr. Chris Nickson, to explore the question: "Are we training intensivists for the future?"
As advancements in medical technology and our understanding of critical care continue to evolve, it's essential to assess whether our current training programs adequately equip intensivists with the skills and knowledge needed for the challenges ahead. Dr. Chris Nickson, with his wealth of experience and insights, provides a deep dive into the current state of intensive care training, identifies potential gaps, and offers valuable perspectives on how we can better prepare the next generation of intensivists.
Whether you're a healthcare professional, a medical student, or someone interested in the future of critical care, this episode promises to be enlightening and thought-provoking. Tune in as we navigate the landscape of intensive care training and explore the measures needed to ensure that intensivists are well-prepared to meet the demands of the ever-evolving healthcare landscape.
Interview with Dr Alika Lafontaine, past president of the Canadian Medical Association.
Welcome to the Critical Care Commute Podcast! In this episode, we are delighted to be joined by Dr. Alika Lafontaine, a trailblazing physician, advocate, and leader in Canadian healthcare.
Dr. Lafontaine is not only a prominent anesthesiologist and physician leader, but also an influential voice in championing Indigenous perspectives within the broader healthcare system. His journey is one of dedication and overcoming, both characteristics that shaped his career into one of sheer brilliance. Dr. Lafontaine has been at the forefront of initiatives aimed at bridging gaps in Indigenous health outcomes. He is currently the immediate past-President of the Canadian Medical Association.
Join us in this enlightening conversation as we delve into what matters to Dr. Lafontaine. His insights are sure to inspire, educate, and challenge our understanding of what it means to provide truly inclusive and effective healthcare for all.
So, without further ado, let's dive into this interview with Dr. Alika Lafontaine!
Prof. David Menon on Lessons in Traumatic Brain Injury and Neuro Critical Care.
In the grand finale of our "State of the Art 2023" series, we delve into the field of Neuro Critical Care research. We had the privilege of sitting down with renowned Professor David Menon, a leading authority in Neuro Intensive Care.
Don't miss this final episode in our series, where we journey into learning lessons from large collaborations. This episode is a must-listen.
Trials, Sepsis and some COVID with Prof. Mervyn Singer and Dr. Martin Beed
Here it is! The penultimate episode in our "State of the Art" series. Join Peter and distinguished guests, Prof. Mervyn Singer and Dr. Martin Beed as they discuss the world of sepsis and the impact of COVID-19 on ICU trials.
Neuro Intensive Care with Dr Ronan O'Leary
Welcome to another episode in our "State of the Art" series. We are joined by Dr Ronan O'Leary, Consultant and Specialty Lead in Neurosciences and Trauma Critical Care at Cambridge University. Dr. O'Leary brings a wealth of knowledge and experience to the table, making him the perfect guide for our journey through this fascinating and often life-changing field.
Getting it Right the First Time: Lessons in Critical Care from Dr. Anna Batchelor
Welcome to the Critical Care Commute, the podcast where we explore the ever-evolving world of critical care medicine, one conversation at a time. In this episode, we're honored to have a distinguished guest who has dedicated her career to getting it right the first time in critical care. Joining us is Dr. Anna Batchelor, an expert in the field with a wealth of experience and insights to share. Join us for an enlightening conversation, as we explore the art and science of "Getting it Right the First Time" . Whether you're a healthcare professional, a student, or someone passionate about healthcare, this episode is bound to provide valuable insights. Thank you for tuning in to the Critical Care Commute. If you enjoyed this episode, please consider leaving a review and sharing it with your colleagues and friends. Stay tuned for more thought-provoking discussions in the realm of critical care medicine.
[Disclaimer: The information provided in this podcast is for educational and informational purposes only and should not be considered as medical advice. Consult with a qualified healthcare professional for any medical concerns or questions.]
Advanced Cardiac Life Support with Prof. Jerry Nolan.
Welcome back to the Critical Care Commute as we continue our “State of the Art 2023” series. In today's episode, we have a distinguished guest who needs no introduction in the field of Advanced Cardiac Life Support (ACLS).
Joining us today is Professor Jerry Nolan, a renowned expert and thought leader in resuscitation science and ACLS guidelines. Join us for an insightful and informative conversation with Professor Jerry Nolan as we delve deep into the world of ACLS guidelines, resuscitation science, and the critical role they play in saving lives.
Whether you're a healthcare professional or simply interested in the field, this episode is a must-listen.
Thank you for tuning in to the Critical Care Commute. If you enjoyed this episode, please consider leaving a review and sharing it with your colleagues and friends. Stay tuned for more fascinating discussions in the world of healthcare and medicine.
[Disclaimer: The information provided in this podcast is for educational and informational purposes only and should not be considered as medical advice. Consult with a qualified healthcare professional for any medical concerns or questions.]
The COVID Experience in Birmingham and the Post COVID syndrome with Dr Nandy Gautam.
We are back with our "State of the Art" series! Join us as we talk to Dr. Nandy Gautam on the COVID experience in Birmingham, UK, and the Post-COVID syndrome.
Dr. Gautam is a specialist physician and ICU consultant at the Queen Elizabeth Hospital, Birmingham, UK. In this episode, he takes us through his COVID experience working in this very busy Centre during the pandemic, and highlights the Post COVID syndrome experienced in their follow up clinic.
Further Reading:
www.postcovidsyndromebsol.nhs.uk
www.yourcovidrecovery.nhs.uk
www.physiotherapyforbpd.org.uk
Stockley, James & Alhuthail, Eyas & Coney, Andrew & Parekh, Dhruv & Geberhiwot, Tarekegn & Gautam, Nandan & Madathil, Sc & Cooper, Brendan. (2021). Lung function and breathing patterns in hospitalised COVID-19 survivors: a review of post-COVID-19 Clinics. Respiratory Research. 22. 10.1186/s12931-021-01834-5.
Talking about End of Life with Dr Blair Bigham
Join us as we take a brief break from our State of the Art series as we speak to Dr. Blair Bigham about death and the complexities that life sustaining therapies bring when there is dwindling hope.
Blair is an award-winning journalist, scientist and physician who trained in emergency and critical care medicine at McMaster and Stanford Universities. He was a Global Journalism Fellow at the Munk School of Global Affairs and Associate Scientist at St Michael’s Hospital. His work has appeared in newspapers, magazines, newscasts, podcasts and medical journals. He is co-host of the CMAJ Podcast.
He witnesses the relationship between wealth and health on a daily basis, and reports on the undertold stories of patients, healthcare providers, and the systems that help or fail them.
His first book, Death Interrupted: How modern medicine is complicating the way we die became a best-seller.
https://youtu.be/CxdDaFoBYXA
Sustainability with Prof. Hugh Montgomery.
Join us on our next podcast in the "State of the Art" series, as we delve into the realm of sustainability and climate change, guided by the wisdom and insights of Professor Hugh Montgomery.
In this podcast, Professor Hugh Montgomery challenge us to think critically, act responsibly, and embrace the urgent imperative of creating a sustainable and resilient future for all.
Who is Professor Hugh Montgomery? Read here: Hugh Montgomery (physician) - Wikipedia
Prof. Danny McAuley: ARDS, from old friends to new horizons.
Professor McAuley's major interest is Acute Respiratory Distress Syndrome (ARDS). His research strategy in ARDS is to investigate potential novel therapeutic agents in ARDS in vitro, in vivo in human models of ARDS and in phase 2 clinical trials to inform subsequent phase 3 clinical trials. He is currently investigating the role of MSCs, statins and ECCO2R in ARDS.
A Good Day with Dr. Laura Vincent
Join us on this episode as Dr. Laura Vincent discusses what a good day looks like , for ICU staff.
Dr. Vincent is a Consultant in Critical Care and Anaesthesia at Oxford University Hospitals (OUH). She is the simulation and education lead for critical care at OUH and is passionate about multi-disciplinary medical education, with particular focus on human factors, patient safety and the link to staff wellbeing. She is an active faculty member of OxSTaR simulation centre, University of Oxford and delivers human factors and patient safety training.
Comparative Physiology with Dr Matt Morgan.
In this episode we welcome back good friend, Dr. Matt Morgan.
Dr. Morgan is a Consultant in Intensive Care Medicine at the University Hospital of Wales, UK and The Royal Perth Hospital, Australia. He is an adjunct Clinical Professor at Curtin University, an Honorary Senior Research Fellow at Cardiff University and regular columnist at the BMJ. In his off time, he has penned 2 books thus far. In his is first book “Critical" he tells the remarkable stories of patients he has met as a guide through the intensive care unit. His second book, "One Medicine", explores how understanding the lives of animals can help treat human disease.
In this episode, recorded remotely from Perth, Australia, Matt highlights animal physiology to help understand respiratory therapies in the ICU.
Hypoxemia with a Normal Chest X-Ray... and on being bothered! Prof Hugh Montgomery and Dr. Jessica Sullivan
In this episode, we are joined by Professor Hugh Montgomery, leading expert in intensive care medicine, and Dr Jessica Sullivan, Anaesthetic/ITU Registrar. Listen as they share their insights on a challenging clinical scenario: hypoxemia with a normal chest X-ray. What are the pitfalls and pearls of managing hypoxemia with a normal chest X-ray? How has COVID-19 changed our understanding of this phenomenon?
Professor Montgomery practices as a consultant in intensive care at the Whittington hospital in North London. His interest has been in the use of environmental stressors in the exploration of human (patho)physiology – often using a genetic approach. He was the first to discover a 'gene for human fitness'. He has published over 450 articles. He also has a strong interest in environmental impacts on health, and in climate change in particular.
Dr Jessica Sullivan's most recent position was as an Anesthetic/ITU Registrar at the Whittingtoin Hospital, where she worked alongside Prof Montgomery. She is on the organizing committee for the North Thames Anaesthetic Meeting (NTAM) conference. Medicine is not her only passion, she is a keen sportswoman and an ex competitive gymnast. She is currently undertaking training in acrobatics.
Learn more here:
- Hugh Montgomery (physician) - Wikipedia
- AirCraft Circus Academy aerial circus & studio hire, Greenwich, London – AirCraft Circus Academy Performance & Circus Training in London
Focused Ultrasound in Intensive Care (FUSIC) with Drs. Marcus Peck and Jonny Wilkinson
In this episode, we hare joined by awesome guests: Dr. Marcus Peck, a consultant in anaesthesia and intensive care medicine at Frimley Park Hospital and sits on the board of the Intensive Care Society (ICS)’s Focused Ultrasound for Intensive Care (FUSIC) committee; and Dr. Jonny Wilkinson, a consultant in intensive care medicine and anaesthesia at Northampton General Hospital.
So sit back, relax, and enjoy the show!"
Further reading:
1. SONO-Olympiad
- CAEP Conference
2. FUSIC HD.
Comprehensive haemodynamic assessment with ultrasound - Ashley Miller, Marcus
Peck, Tom Clark, Hannah Conway, Segun Olusanya, Nick Fletcher, Nick Coleman,
Prashant Parulekar, Jonathan Aron, Justin Kirk-Bayley, Jonathan Nicholas
Wilkinson, Adrian Wong, Jennie Stephens, Antonio Rubino, Ben Attwood, Andrew
Walden, Andrew Breen, Manprit Waraich, Catherine Nix, Simon Hayward, 2022
(sagepub.com)
Prof. Dan Martin on being Editor-in-Chief of JICS and Oxygen Extremes.
www.plymouth.ac.uk/alumni/invenite/the-big-interview-professor-daniel-martin-obe
Breaking Bad News as a Shakespearean Tragedy - Dr Dale Gardiner.
Welcome to our second episode in our "State of the Art 2023" series, recorded live in Birmingham, UK. In this episode, Dr Dale Gardiner shares his experience in leading UK ICU teaching in breaking bad news - including a structured approach which they call ‘Breaking bad news as a Shakespearean tragedy’.
Dr Dale Gardiner is the Associate Medical Director – Deceased Organ Donation, at NHS Blood and Transplant and a Consultant in Adult Intensive Care Medicine at Nottingham University Hospitals NHS Trust. Take-home message: https://www.youtube.com/watch?v=zxtec2TAV1g
Lecture link (Paywall): Continulus | Breaking Bad News in the ICU: Part A
Devastating Brain Injury - Dr Dan Harvey
Welcome to our "State of the Art 2023 Congress Series," recorded live in Birmingham, UK!
We are absolutely thrilled to bring you the first installment of our podcast series, where we dive deep into groundbreaking topics and innovations discussed right here at this conference.
As we embark on this podcast series, we aim to bring you captivating conversations, enlightening interviews, and thought-provoking discussions straight from the conference floor, background chatter, laughter and tea trolly clanging included!
Our first guest is Dr. Dan Harvey, Professor of Intensive Care Medicine at Nottingham University Hospitals and University of Nottingham. He is Chair of the UK Intensive Care Societies Legal & Ethical Advisory Group, and an author of multiple ICS & FICM guidance documents. Dan has an active research interest with roles including National Lead for Innovation & Research in Organ Donation for NHS Blood and Transplant, Vice Chair of the NIHR’s National Critical Care Group, and is joint Chief Investigator for the SIGNET study, the world’s largest interventional study in organ donation (https://ics.ac.uk/soa23/speakers.html#:~:text=Dr%20Dan%20Harvey,in%20organ%20donation.)
Join us as we talk about devastating brain injury and what it means for patients, health care workers and families.
Prof. John Myburgh talks Fluids, Catecholamines, South Africa and a little bit of Research.
Deep Breathe: Artificial Intelligence in the ICU with Dr Rob Arntfield
Dr. Robert Arntfield is an esteemed physician and researcher based in Canada who has made significant contributions to the field of critical care medicine. His expertise in cardiorespiratory physiology and resuscitation has led him to develop innovative approaches to patient care, including the use of artificial intelligence (AI) in healthcare. In this podcast, Dr. Arntfield will share his insights and experiences on how AI is transforming the healthcare landscape, from its potential to improve patient outcomes to its impact on the healthcare workforce. With his vast knowledge and experience, listeners can expect to gain valuable insights into the future of AI in healthcare and its potential to revolutionize the way we approach patient care.
Further Reading:
Dr. Dustin Anderson, Neurointensivist, talks Anti NMDA receptor encephalitis and ICU EEG.
Join us as we talk to the ridiculously talented Dr. Dustin Anderson, Neurointensivist from the University Hospital in Edmonton, Canada, as he unpacks anti-NMDA encephalitis and the EEG in the ICU.
Dr. Anderson completed his undergraduate training in electrical engineering (UBC) and biochemistry (SFU). Thereafter, he completed the MD/PhD program at the University of Calgary. Dr. Anderson went on to complete neurology training at the University of Alberta, also obtaining certification as an electro-encephalographer (CSCN Diplomate) and neuro-sonologist (ASN Diplomate), followed by Critical Care training and a fellowship in Neurocritical Care at Johns Hopkins. His research focuses on non-invasive neurocritical care monitoring, specifically, evaluating the role of non-invasive ultrasound (ocular ultrasonography and transcranial doppler) in patients with acute liver failure and the clinical utility of continuous EEG versus spot EEG in various clinical scenarios. Not only is he well accomplished in the world of medicine, he is also a musician and plays in a band called "the Heart Failure Research Institute".
Further Reading:
Anderson D, Nathoo N, McCombe JA, Smyth P, Brindley PG. Anti-N-methyl-d-aspartate receptor encephalitis: A primer for acute care healthcare professionals. J Intensive Care Soc. 2021;22(2):95-101. doi:10.1177/1751143720914181 Nathoo N, Anderson D, Jirsch J. Extreme Delta Brush in Anti-NMDAR Encephalitis Correlates With Poor Functional Outcome and Death. Front Neurol. 2021;12:686521. Published 2021 Jul 9. doi:10.3389/fneur.2021.686521
All Things Liver with Prof. Dean Karvellas
Welcome to the Critical Care Commute "Liver" podcast, where we explore all things liver with leading expert, Professor Dean Karvellas, Professor of Medicine,
Division of Gastroenterology (Liver Unit) and the Department of Critical Care at the University of Alberta, Canada. In this podcast, he shares his insights and expertise on a wide range of ICU liver-related topics, including ACLF, extracorporeal support, liver transplantation, liver scores and Acetaminophen (Paracetamol). Join us as we discuss all things liver in the ICU.
Putting the Trial on Trial with Prof. Simon Finfer.
Putting the trial on trial? Not really, but join us and the ludicrously accomplished Prof Simon Finfer (with special guest appearances by his beloved dogs) for this review of all things Clinical Trial. Why we need them, how to design them, what they tell us and what they don't. Professor Simon Finfer works at Sydney's George Institute, Royal North Shore Hospital and University New South Wales. He has led/co-led many of the last two decade's landmark clinical trials in icu (fluid administration, glycemic control, steroid use...you name it).
The Critical Care Review: Listen in or log in, you'll be glad you did!
Dr Rob Mac Sweeney is an Intensivist at the Royal Victoria Hospital in Belfast, and the lead organizer for the Critical Care Review, both the website and conference. 2023's conference is June 14-16, and streamed from the Titanic Centre in Belfast. Join us as Dr. Mac Sweeney explains what makes this meeting one of the top conferences in Critical Care.
Follow this link for the 20223 meeting: CCR23 (criticalcarereviews.com)
The Autumn Ghost with Dr. Hannah Wunsch
Welcome to this episode featuring Dr. Hannah Wunsch, Professor of Anaesthesia and Critical Care Medicine and now published author of her debut book, The Autumn Ghost. In this episode, we explore the story behind Dr. Wunsch's book, the inspiration for its creation, and the message she hopes to convey to readers. The Autumn Ghost is a captivating literary work that delves deep into the origin story of Critical Care Medicine, the fragility of life, and the importance of cherishing the moments we have with our loved ones. Join us as we dive into the pages of Autumn Ghost and explore the profound themes that Dr. Wunsch explores in her writing.
Life, Death and the Bridges in Between - Part II, with Dr Sam Shemie.
Dr. Sam Shemie is a world-renowned expert in the field of critical care and the determination of brain death. He is a pediatric critical care physician and a professor of Pediatrics and Critical Care Medicine at McGill University in Montreal, Canada. Dr. Shemie is also the founder and director of the Canadian Donation and Transplantation Research Program, a national research program focused on improving organ donation and transplantation in Canada.Throughout his distinguished career, Dr. Shemie has made significant contributions to the understanding and practice of brain death determination, which is a critical component of organ donation and transplantation. He has published numerous scholarly articles on the subject, and he has served as an advisor to the World Health Organization, the Canadian Blood Services, and other organizations on issues related to organ donation and transplantation.In this podcast, Dr. Shemie shares his expertise on brain death determination and the ethical considerations that surround this complex topic.
Listeners will gain valuable insights into the science of brain death determination, as well as the challenges that clinicians and families face in making these difficult decisions. Dr. Shemie's thoughtful and compassionate approach to this topic will leave listeners with a deeper understanding of the critical role that organ donation and transplantation play in saving lives.
Life, Death and the Bridges in Between - Part I, with Dr Sam Shemie.
Dr. Sam Shemie is a highly respected expert in the field of critical care medicine. He is a pediatric critical care physician (our first peaditric critical care specialist on the podcast) and a professor of Pediatrics at McGill University in Montreal, Canada. Dr. Shemie has dedicated his career to improving the care of critically ill patients, particularly children. He has a special interest in organ donation and transplantation, and has made significant contributions to the development of donation policies and practices in Canada and around the world.
In this podcast, Dr. Shemie shares his extensive knowledge and experience in the field critical care medicine, as he takes us on a journey of "Life, Death and the Bridges in Between."
Vaccines are for adults too! A multidisciplinary guide to pneumococcal jabs with Dr. Robyn Harrison.
Dr Robyn Harrison is a clinical professor in infectious diseases at the University of Alberta, Canada, and the vice-chair of NACI (the National Advisory Committee on Immunization). She joins us for a topical chat to coincide with new guidelines, and to explore what we can ALL do to keep our patients safer from one of the ICUs biggest issues: that dastardly bacterium Streptococcus Pneumoniae. Many thanks, Robyn; go adult vaccines!
Further Reading:
1. Sprague E, Reynolds S, Brindley P. Patient Isolation Precautions: Are They Worth It?. Can Respir J. 2016;2016:5352625. doi:10.1155/2016/5352625
2. https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/public-health-level-recommendations-use-pneumococcal-vaccines-adults-including-use-15-valent-20-valent-conjugate-vaccines/summary-february-2023.html
3. https://www.cdc.gov/vaccines/adults/index.html
Prof. Mervyn Singer on Sepsis, SIRS, Syndromes, and the State of the Art.
Further Reading:
1. Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801-810. doi:10.1001/jama.2016.0287
2. Shankar-Hari M, Phillips GS, Levy ML, et al. Developing a New Definition and Assessing New Clinical Criteria for Septic Shock: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):775-787. doi:10.1001/jama.2016.0289
3. Póvoa P, Coelho L, Dal-Pizzol F, et al. How to use biomarkers of infection or sepsis at the bedside: guide to clinicians. Intensive Care Med. 2023;49(2):142-153. doi:10.1007/s00134-022-06956-y
4. Singer M. Personalizing Sepsis Care. Crit Care Clin. 2018;34(1):153-160. doi:10.1016/j.ccc.2017.08.011
5. Singer M. Sepsis: personalization v protocolization?. Crit Care. 2019;23(Suppl 1):127. Published 2019 Jun 14. doi:10.1186/s13054-019-2398-5
6. Morelli A, Ertmer C, Westphal M, et al. Effect of heart rate control with esmolol on hemodynamic and clinical outcomes in patients with septic shock: a randomized clinical trial. JAMA. 2013;310(16):1683-1691. doi:10.1001/jama.2013.278477
7. Singer M, Shipley R, Baker T, Cowell A, Brealey D, Lomas D. The UCL Ventura CPAP device for COVID-19. Lancet Respir Med. 2020;8(11):1076-1078. doi:10.1016/S2213-2600(20)30422-7
Prof. Mark Wilson on the GoodSAM platform.
Link to BBC show: www.bbc.co.uk/sounds/play/m0018x4p
Link to GoodSAM evidence: GoodSAM (goodsamapp.org)
Pharmacy Whiteboard: Why we need pharmacists in the ED with Dr. Jonathan Mailman (@pharmastache)
In this his first one, we are joined by Dr Jonathan Mailman, a clinical pharmacist from Victoria BC, Canada, as he discusses the value of clinical pharmacists in the ED. No better time than now as pharmacy appreciation month draws to a close.
Further reading:
Here's the short selection Pharmacy Practice literature (in PMID) by category:Sepsis PMID: 24904184 PMID: 27503060
Trauma PMID: 23943183 PMID: 25797938 PMID: 25768964PMID: 29079370
Resuscitation PMID: 29276268 PMID: 21665406PMID: 18349308 PMID: 22095821
Stroke PMID: 28759998 PMID: 29623155
Cost saving: PMID: 29276268PMID: 30079985PMID: 35158260
BPMH:PMID: 17381374
The Conference is dead! Long live the post-COVID Conference! A discussion with Drs. Oliver Flower and Roger Harris.
This one is a biggie! Join us as we chat with Drs. Roger Harris and Oli Flower, the gurus behind the SMACC and CODA conferences. The topic is, naturally enough, the past and future of the medical conference.
Professor Tim Caulfield on Misinformation, Tribalism and Positive Moderation.
Tim Caulfield (professor, best selling author, Netflix presenter and Order of Canada recipient) joins us for a spirited discussion of so much that matters to so many: COVID, vaccines, masks, science, tribalism and public debate. Informative provocative and (surprisingly?) upbeat.
Further Reading:
On the harm of misinformation: https://cca-reports.ca/reports/the-socioeconomic-impacts-of-health-and-science-misinformation/
Debunking sudden death https://www.thestar.com/news/canada/2022/11/07/why-wont-a-debunked-conspiracy-theory-about-doctors-harmed-by-the-covid-vaccine-go-away.html
And a recent study that is relevant: https://www.nature.com/articles/s41467-022-35653-z
Trauma with Dr. Sandy Widder
Dr Sandy Widder is a Trauma Surgeon, Intensivist and overall amazing human being. She works as an associate professor in the departments of critical care and surgery at the University of Alberta, and is the Assistant Zone Director on Integrated Quality Management for the Edmonton zone in Alberta, Canada. She is passionate about Quality Improvement/Patient Safety and somehow finds time for Health administration in her busy schedule. We were lucky to get her on our podcast!
Join us as she talks about what the general intensivist needs to know about the trauma patient.
Further reading:
- ABC assessment: Early prediction of massive transfusion in trauma: simple as ABC (assessment of blood consumption)? Nunez TC, Voskresensky IV, Dossett LA, Dutton WD, Cotton BA. J. Trauma. 2009. Feb 66 (2): 346-52.
- TXA: Effects of transexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant hemorrhage (CRASH-2): a randomized, placebo-controlled trial. Lancet. 2010. 376: 23-32.
- Fibrinogen: Reversal of trauma-induced coagulopathy using first-line coagulation factor concentrates or fresh frozen plasma (RETIC): a single-centre, parallel-group, open label, randomized trial. Innerhofer P, Fries D, Mittermayer M, Innerhofer N, von Langen D, Hell T et al. Lancet Haematology. 2017. 4 (6): 258-271.
- Stop the bleed: www.stopthebleed.org
- VTE Prophylaxis: Updated guidelines to reduce venous thromboembolism in trauma patients: a Western Trauma Association critical decisions algorithm. Let EJ, Brown C, Moore E, et al. The Journal of Trauma and Acute Care Surgery. 2020. 89 (5): 971-981.
- Geriatric trauma: ACS TQIP Geriatric Trauma Management Guidelines. HTTPS:\\www.facs.org/media/314or1oq/geriatric_guidelines.pdf
- Rib fractures: Western Trauma Association Critical Decisions in Trauma: Management of rib fractures. Brasel KJ, Moore E, Albrecht RA et al. 2017. Journal of Trauma and Acute Care Surgery. 82 (1): 200 - 203.
The physiologically difficult airway - Dr Jarrod Mosier
Doctor Jarrod Mosier is a bit of a polymath, and we were delighted he could squeeze us into his busy life. His day jobs include Intensive Care Medicine and Emergency medicine in Tucson, where he is a professor (at the other UofA: Arizona).He is an expert in all aspects of airway management, ranging from the physiologically difficult airway, through the importance of first pass success, including how to optimize for intubation, the roles of ultrasound and extracorporeal support, and all the way to safe extubation. This was the focus of our wide-ranging entertaining conversation. When away from work Jarrod throws a mean football, dotes on his two kids, and loves getting up into the mountains to snap superb nature photographs.
Further reading:
1. Mosier JM, Sakles JC, Law JA, Brown CA 3rd, Brindley PG. Tracheal Intubation in the Critically Ill. Where We Came from and Where We Should Go. Am J Respir Crit Care Med. 2020;201(7):775-788. doi:10.1164/rccm.201908-1636CI
2. Mosier JM. Physiologically difficult airway in critically ill patients: winning the race between haemoglobin desaturation and tracheal intubation. Br J Anaesth. 2020;125(1):e1-e4. doi:10.1016/j.bja.2019.12.001
Chronic Pain in the ICU with Dr. Saifee Rashiq
As health care providers, we are often called on to manage patients with chronic pain. In the acute setting, how do we manage them well? Join us on this podcast with Dr Saifee Rashiq, as we unravel chronic pain secrets well beyond opioids and other medications.
Dr. Saifee Rashiq is an Anesthesiologist and Pain Medicine Specialist at the University of Alberta in Edmonton and a Professor in its Faculty of Medicine and Dentistry. He studied medicine at University of Nottingham, anesthesia training at the University of Alberta, fellowship in Pain Medicine in Seattle, and a Master’s Degree in Clinical Epidemiology from the Harvard School of Public Health.
His clinical practice combines anesthesia and treating chronic pain patients in a Multidisciplinary Pain Clinic, where his clinical interest is in medically and psychosocially complex patients and non-organic pain syndromes.
He is a loving husband and father of 3 and cycles to work when the weather is fine.
Note that this was an earlier recording and the sound quality is not what we are hoping to achieve.
Further Reading:
1. Beyond nociception: the imprecision hypothesis of chronic pain. G. Lorimer Moseleya, Johan W. S. Vlaeyen. Painjournalonline January 2015, Vol 156, Nr 1. http://dx.doi.org/10.1016/j.pain.0000000000000014
2. Injuries of the Nervous System: On Railway and Other Injuries of the Nervous System. London, Walton and Moberly 17-23.4349,1866.
3. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain. The SPACE Randomized Clinical Trial. Erin E. Krebs, MD, MPH; Amy Gravely, MA; Sean Nugent, BA; Agnes C. Jensen, MPH; Beth DeRonne, PharmD; Elizabeth S. Goldsmith, MD, MS; Kurt Kroenke, MD; Matthew J. Bair; Siamak Noorbaloochi, PhD. JAMA. 2018;319(9):872-882. doi:10.1001/jama.2018.0899
Addressing Burnout, Wellness and Medical Culture: a Special "Blue Monday" Podcast with Dr. Shelly Dev.
In brief, “it’s okay to not feel okay” and “to do well we ought to feel well”. The problem is that many of us don’t feel okay, hence this candid, caring and common-sense podcast. We timed it to coincide with what is- statistically at least- the most depressing day of the year, namely the third Monday of January. Otherwise known as “Blue Monday” it’s a day to take a moment, to reach out, to acknowledge that the job can be tough, and to be reminded that we need to care for the carers. There is nobody better than Dr. Shelly Dev to highlight the importance of burnout, wellness and medical culture. Thank you for your time and for the work you do. Take care of yourself.
Dr. Dev has been a Staff Intensivist at Sunnybrook Health Sciences Centre in Toronto since 2006, after completing her Internal Medicine residency and Critical Care Fellowship at The University of Toronto, followed by a Fellowship in Multimedia Education at the New England Journal of Medicine. She is a Clinician Educator and Associate Professor of Medicine, Director of Education in the Department of Critical Care Medicine at Sunnybrook and lead for Mentorship and Wellness in the Interdepartmental Division of Critical Care Medicine at the University of Toronto. She is an award-winning medical educator of undergraduate, postgraduate and continuing medical education audiences.
In addition to nearly 300 lectures given to national and international audiences about healthcare worker mental health, burnout, resilience and medical culture, Dr. Dev has written and spoken extensively on these topics in the wider media.
But, if asked, she would say her most significant accomplishment to date is continuing to convince 14-year-old Nathan and 12-year-old Jack that it is beyond cool to be seen with your mother in public.