Podcasts

​The role of the Transport Accident Commission in Trauma

In the most recently published Victorian State Trauma Registry report, 39% of all trauma cases were transport related. Trauma prevention and road safety continues to play a huge part in the reduction of major trauma in Victoria and today we are joined by Samantha Cockfield, Head of Road Safety for the Transport Accident Commission (TAC) to provide insight into current issues facing Victorian road users and the role of the TAC. Current at date of publication 14/01/2021.

Rehab from the Roadside

Victims of major trauma have a varied profile, including age, demographic & geographic location. Today Danielle speaks with Melissa Webb, Trauma and Orthopaedic Allied Health Team Leader at The Alfred Hospital to gain an understanding of the importance of a multidisciplinary approach to care and consider rehab and planning beginning from the roadside. Current at date of publication 04/01/2021.

The role of Paediatric and Infant Perinatal Emergency Retrieval (PIPER) in Trauma

Children are vulnerable to injury for a number of reasons with motor vehicle collisions (MVC’S) accounting for almost half of the fatalities in children. In Victoria, the Paediatric Infant Perinatal Emergency Retrieval (PIPER) service is available to retrieve critically injured children from referring hospitals and provide safe, expert, emergency inter-hospital care. Today we speak with Dr Sile Smith, a Paediatric Intensive Care Consultant from the Royal Children’s Hospital and Medical Co-lead for PIPER about the role PIPER plays in the management of Paediatric Major Trauma. Current at date of publication 28/12/2020.
Emergency Management of Airway in Trauma

Emergency management of a diificult airway in the major trauma patient is always a daunting task. Complications may arise as a result of emergency intubations, but failure or delay in securing an adequate airway may contribute to an unacceptably high morbidity and mortality rates. Today we are talking to Dr Peter Fritz, Consultant Emergency Physician at The Alfred Hospital about Airway Management in the trauma patient. Current at date of publication 21/12/2020.
Spinal Trauma

Early specialist care of Spinal Cord Injuries (SCI) can have a significant effect on long-term outcomes for these patients. The natural progression of SCI, in particular rising spinal cord oedema, may lead to an exacerbation of symptoms in the hours following an accident. Today we speak with Associate Professor Andrew Nunn, Director of the Victorian Spinal Cord Services at Austin Health who provides insight into early management of the patient suffering a potential spinal injury. Current at date of publication 14/12/2020.

Adult Retrieval Victoria and the State Trauma System

The Victorian State Trauma System is one of the best in the world, with Adult Retrieval Victoria playing a significant role in making this a success. Today Danielle talks with Dr David Anderson, Acting Medical Director of Ambulance Victoria and an Intensivist at The Alfred Hospital to discuss how ARV operates within the state trauma system and gives you an inside look into behind the scenes of coordinating the care and retrieval of a major trauma patient. Current at date of publication 7/12/2020.

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. 

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