Traumatic Limb Injuries

Limbs can often be involved in traumatic injuries from accidents in the workplace or farming for example. They can have a devastating impact on not only the patient but on bystanders. Today Danielle speaks to Mr Andrew Oppy, Lead Orthopaedic Trauma Surgeon at the Royal Melbourne Hospital to discuss how to approach the trauma patient with a significant extremity injury and provides some great insight into management of the affected limb. Current at date of publication 26/10/2020.

Maxillofacial Trauma

Facial trauma can provide a confronting sight with very real threats to life in airway compromise and major haemorrhage. As with all trauma care, an organised approach to patient assessment is essential: ensuring life threatening injuries are identified and the patient stabilised remains the priority. Mr. Alf Nastri, Head of the Maxillofacial department at The Royal Melbourne Hospital describes those injuries requiring rapid treatment and those that despite their disfigurement can wait until the secondary survey. Current at date of publication 12/10/2020.

Pelvic Trauma

Haemorrhage is a major contributor to mortality in the pelvic trauma patient, and a large number of these patients go on to have other associated injuries. Today we are joined by Dr George Plunkett, Emergency Physician at the Royal Melbourne Hospital to discuss the assessment, identification of injuries and management of pelvic trauma patients including George's tips for ensuring good pelvic binder control. Current at date of publication 28/09/2020.
Thoracic Trauma

Thoracic trauma is a common injury in the multi-trauma patient and a significant cause of mortality. Life threatening injuries identified in the primary survey need to be addressed at the time before moving on to the secondary survey. In this episode Danielle is joined by Mr Phillip Antippa, Cardiothoracic Surgeon and Head of theThoracic Surgery Service at Royal Melbourne Hospital to discuss early identification & management of traumatic chest injuries. Current at date of publication 14/09/2020. 
Traumatic Brain Injury

Early management of traumatic brain injury incorporates minimising secondary brain injury by avoiding periods of hypoxia, hypotension and applying management principles to support the injured brain. In this podcast we are joined by Prof Kate Drummond, Director of Neurosurgery at the Royal Melbourne Hospital to discuss one of the most common and significant causes of morbidity and mortality in Australia. Current at date of publication 08/08/2020.

Hypothermia in Trauma

Trauma patients are predisposed to hypothermia for a variety of reasons including exposure to the environment and disordered homeostasis. Patients who remain hypothermic are at risk of developing serious sequelae such as acidosis and coagulopathy, resulting in an increased risk of mortality.
Today we are chatting with Dr Sharyn Ireland, a Clinical Nurse Educator at The Alfred Emergency and Trauma Centre about early identification of the hypothermic patient, physiological effects of hypothermia and management strategies for the major trauma patient. Current at date of publication 13/07/2020. 

Moving the Critical Trauma Patient

The critical trauma patient undergoes a number of moves throughout their care journey and can be a challenging group to safely manage. Today Danielle is chatting with Dr Shaun Baxter, an Emergency Consultant at The Alfred Hospital as well as Consultant Retrievalist and Clinical Coordinator at Adult Retrieval Victoria to discuss his process for safely moving the unwell trauma patient, including how best to prepare and the importance of clear communication. Current at date of publication 30/06/2020.
Stop the Bleeding

Stopping the bleeding following trauma is of paramount importance in the critical first moments post injury for trauma care providers of both Paediatrics and Adults. Dr Peter Archer, Emergency Medicine Consultant at the Royal Children's Hospital and Consultant Retrievalist for Adult Retrieval Victoria joins us to discuss principles related to haemorrhage control in trauma resuscitation, as well as addressing the topic of  compressive devices to control extremity haemorrhage. Currrent at date of publication 10/06/2020.

Trauma Survey

The time immediately after injury is crucial in the management of the trauma patient. The primary survey is designed to identify and treat life-threatening injuries quickly and is indicated for the evaluation of all trauma patients. In this podcast, Dr Jenny Jamieson, Emergency Medicine Consultant at The Alfred Hospital and Monash Medical Centre talks to us about the principles behind the trauma survey, including the Primary, Secondary and Tertiary assessment, with a focus on the initial identification and management of injuries. Current at date of publication 29/05/2020.


Patterns of Injury

Physical trauma starts with the transfer of energy to the body from an outside source. Dr Joseph Mathew, an Emergency Physician & Deputy Director of the Trauma Service at the Alfred discusses how knowledge of patterns of injury and common mechanisms together with patient presentation can help us to have a healthy clinical suspicion of potential injuries related to that trauma. Joseph shares his knowledge and experience on known injury relationships to strengthen your assessment of a major trauma patient. Current at date of publication 21/05/2020.