Episodes
Published 05/25/23
Simulation refers to an artificial interpretation of real world processess and is used as an educational tool within the healthcare setting. Join Sally and Kahl as we chat to Jack Matulich who works within the simulation team and Angela who is a nurse educator within the ICU. They enlighten us around the process of simulation and how it can be used as a learning tool within the hospital setting.
Published 05/25/23
Whilst we are all familiar with the components of cardiac output. Cardiac output = Heart rate x Stroke volume, in this months podcast Harley and myself chat to Dr Ravi Mistry about how each element of cardiac output is manipulated in the intensive care using drugs and other adjuncts.
Published 02/20/23
Approximately 1-5% of patients are admitted to ICU for liver failure. The liver can be the initiator of remote organ damage and the development of multiple organ dysfunction syndrome during liver injury, therefore requiring the support of multiple organs in the intensive care unit.   Join Kahli and Sally as we talk to Jack Simpson, ICU intensivist, about all things liver failure and how we manage it in ICU.
Published 01/13/23
Renal Replacement Therapy (RRT) is a complex treatment for patients both in and out of the ICU environment.  There are multiple different modes, machines and functions and this episode is about addressing the confusion and answering all your questions in relation to RRT. Below are the links to articles referred to throughout the podcast Systematic review and meta-analysis of renal replacement therapy modalities for acute kidney injury in the intensive care unit   ...
Published 09/28/22
Diabetes has a prevalence of 1.2million people in Australia and places a massive burden on the healthcare system. Today we have Daniel Jones who is a resident at Tweed Heads hospital in to talk about diabetes, from diagnosis through to management. Hope you enjoy 
Published 04/03/22
Ventilation is the bread and butter of Intensive Care but how do we liberate a patient from the ventilator?  Join us for a discussion where we identify how to wean a patient from the ventilator, the role of physiotherapists in assisting with this weaning and tackling some basic ventilation questions.
Published 12/29/21
Yes i know this sounds niche, but anti-arrythmics are commonly used within the hospital and Intensive care setting and come in a multitude of different classes. Senior pharmacist Dan Adams and Senior ICU registrar Jay Mahendra Ray join us to talk about different arrhythmias and the different classes of anti-arrythmics we use in ICU.
Published 11/22/21
 Ketogenic diet in refractory seizures, this episode whilst niche was so interesting to learn about. With our guests Damien (ICU registrar) and Lisa (Dietician) we delve into ketosis and what that means for our seizing patients.
Published 10/18/21
This month we have Dr Mat Brun with us to discuss ARDs.  We run through how ARDs develops and the different treatment options available within the ICU.
Published 09/10/21
Pancreatitis is an inflammatory condition of the pancreas which causes the activation of pancreatic enzymes that causes destruction of the pancreas itself.  In this episode of Podfour we chat to Dr David Parker an upper GI surgeon and Dr Angelley Martinez an ICU intensivist about the care and management of pancreatitis throughout the patients journey from admission to discharge.
Published 08/14/21
Sepsis and septic shock are leading causes of death worldwide as identified by the Surviving Sepsis Campaign which initiated the implementation of the surviving sepsis campaign bundles in an effort to reduce morbidity and mortality. Intensivist Peter Velloza joins us to talk about sepsis in general and within the ICU.
Published 07/16/21
The acute pain service is a multidisciplinary team specialised in addressing acute pain in patients within the hospital. Alongside this service runs an opioid stewardship program which addresses the misuse of opioids and pain medications not just within the hospital but within the community. We were privileged to have Dr Yvette McKellar who is a senior staff specialist anaesthetist and clinical lead of the Acute pain team, Andrea Freeman who is a CNC within the acute pain team and James...
Published 06/17/21
Occupational therapists work with sick, injured or disabled patients by helping to develop, recover, improve as well as maintain the skills needed for every day living. In an ICU setting where does occupational therapy fit in? We talk to senior occupational therapist Alexandra Walters about what occupational therapy can offer to patients in ICU.
Published 05/12/21
Cardiac Advanced Life Support (CALS) is a course   that covers the management of the deteriorating and/or arresting patient following cardiac surgery. The CALS algorithm is considered the standard to optimally manage an arresting cardiothoracic patient and this podcast will explore the elements of this protocol. Join us as we chat to Dr Chris Hebel an ICU intensivist who runs the CALS course at GCUH and Sarah Croton, ICU CN who assists with the CALS course and has also been involved in...
Published 03/15/21
The subject of recreational drugs might be a bit taboo, but working within the ICU there are a large number of patients who either incidentally or purposefully overdose or have a history of drug abuse. Our senior pharmacist Dan explores the different types of drugs typically used by our patients, which receptors these drugs work on and the effects they can have on our patients. 
Published 02/01/21
Subarachnoid haemorrhage (SAH) is the sudden leaking of a blood vessel in the subarachnoid space in the brain. We chat to Dr Teresa Withers the director of neurosurgery at GCUH and Angelly Martinez, ICU Intensivist about all things SAH. We follow a case study from medical history, presentation, interventions and management in ICU. We were really looking forward to this chat and it did not disappoint. We hope you can learn a few things from this one and it can shed some light on the...
Published 01/08/21
The trauma team is a specialised team within Gold Coast University Hospital that provide care to trauma patients from pre-admission to post discharge. In ICU we catch a brief glimpse of the initial phases of care for trauma patients before they are stepped down to the ward. The trauma team follow these patients through all aspects of their admission from their arrival in ED, theatre, ICU, ward and then transfer home. Join us as we unpack the role of the trauma team, led by Bhavik Patel...
Published 12/07/20
Today we gain an insight into the ICU experience through the eyes of the patient. With us we have Jess Eels and Tony Wilson who are both nurses within our ICU but have also been on the other side as a patient. Their experiences are eye opening to us as nursing/medical staff and help to guide how we nurse our patients that are sedated and intubated.
Published 11/04/20
Extracorporeal membrane oxygenation (ECMO) is a technique which provides cardiac and respiratory support to people who's heart and lungs are unable to provide an adequate amount of gas exchange or perfusion to sustain life. Dr James Winearls along with ECMO CN Jacquie Whincup and fellow CN Lisa Mackie are around the table today to talk all things ECMO and to delve into the retrieval process.
Published 10/11/20
Delirium is defined as a disturbance in mental abilities that results in confused thinking and reduced awareness of surroundings. In ICU we focus on prevention strategies instead of treatment of delirium. This episode we have Senior physiotherapist Lauren and CNC Niki to discuss strategies that are used to prevent delirium.
Published 09/07/20
Diabetic ketoacidosis (DKA) is a serious diabetic complication that, when severe is often seen in Intensive care. ICU registrar Ivan Basic gives us an insight into this condition and how to manage it within the ICU.
Published 08/05/20
If you do not work in the Intensive care or Emergency department, organ donation can be a foreign concept. Today we chat with Mandy who is the organ donation coordinator for the Gold Coast. Just in time for donation awareness week at the end of July.   https://donatelife.gov.au  
Published 07/05/20
Part Two of this episode focuses on valvular surgery such as valve replacement/repair for issues such as stenosis and regurgitation. We also look at nursing care of a cardiothoracic patient post op.
Published 03/25/20
In Part one of this episode i chat with Jucel a registered nurse within the ICU and Sylvio Provenzano one of GCUH's cardiothoracic surgeons about Coronary Artery Bypass Grafts (CABG), cannulation for bypass and the bypass machine itself. 
Published 03/25/20