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.
Spinal Imaging in Trauma

Identifying potential injuries of the spine of a trauma patient and choosing the best imaging modality to investigate these may be challenging to navigate, particularly where radiology services have limited availability and/or accessibility. Associate Professor Dinesh Varma, Director of Trauma and Emergency Radiology at The Alfred Hospital, talks us through how factors such as clinical assessment, and mechanism of injury can play a vital role in decision making for imaging, and tips on clearing the spine. Current at date of publication 14/05/2020.
Oral Anticoagulants and Major Trauma

Trauma patients are at high risk of developing Trauma Induced Coagulopathies; the patient sub-group already using prescribed oral anticoagulants for pre-existing illness are at an even greater risk of developing complications related to this. Dr Giles Kelsey, Consultant Haematologist at The Royal Melbourne Hospital and The Alfred Hospital talks to us about assessment, identification and management of bleeding patients from trauma with a particular focus on those on Oral Anticoagulant Medication. Current at date of publication 01/05/2020.

Hot Debriefing after Major Trauma

Debriefing after trauma is an important quality improvement process that allows the team as a whole to reflect on their performance after a high stakes clinical scenario. Dr Luke Phillips, an Emergency Physician at The Alfred Hospital talks to us about the principles of debriefing after a major trauma with a focus on “Hot Debriefing”.  Current at time of publication 05/03/2020.

Obstetric Major Trauma

The obstetric trauma patient presents as a complex scenario for all clinicians. We often get distracted by the unborn child, but foetal survival depends on effective maternal resuscitation. With the use of case studies, Dr Emma West – Consultant Emergency Physician at the Royal Melbourne Hospital, talks us through the initial assessment and management priorities of the pregnant major trauma patient. Current at date of publication 5/03/2020.