Podcasts about haemorrhage

Aaron is an accomplished musician. He's gifted on a number of instruments and frequently educates us with his Gear Talk. As for Snowy...not so much. He's never so much as owned an instrument. But that's not to say he doesn't appreciate a good axe.   Especially if it's a signature instrument played live by a fave artist. For instance, Micheal Schenker's Flying V. Or one of Lemmy's basses. How about one of the guitars Mantas used to record their classic debut? So this week Aaron has a laundry list of these special instruments to quiz Snowy on how much he'd pay to have these awesome artifacts hanging on the RAM office walls.   Musically, we crank some new and used from Haemorrhage, Slaughter (Can), Spazz, Massacra, Medieval Steel, Iron Curtain, Armoured Angel, Stainless and introduce Quebec bashers Vortex in our "Indie Spotlight".   This is the Ibanez Gem owned by Steve Tai that sparked this topic.   Horns up!! 

It concerns Maura Heffernan (OGorman), a native of Kilkee who lives in Templeglantine in County Limerick. Earlier this month, Maura set off on what should have been the trip of a lifetime: to visit her daughter in Canada. However, Maura's trip took a devastating turn after just six days, when she suffered a brain haemorrhage, from which, sadly, she will never recover. Maura's family are now doing their level best to get her home. To that end, they are instigated fundraising efforts to achieve that aim. To discuss this further, Alan Morrissey was joined by Stephen Curtin, Maura's son-in-law who is speaking on behalf of the family. To fundraise please visit https://www.gofundme.com/f/help-bring-mom-maura-home Photo (c) https://www.gofundme.com/f/help-bring-mom-maura-home

Send us a text Luisma (Haemorrhage, Depopulation Department, x-Avulsed, x-Devourment, x-Out Of Control) takes over the Morgue to talk about the history of the legendary Goregrind band Haemorrhage, His Metal/Crust punk band Depopulation Department, His time with the Red Cross picking up cadavers, and much more. See you at the Morgue! Music:Haemorrhage-Nauseating EmploymentsDepopulation Department-Life KillsHaemorrhage-Dissect, Exhume, Devour...Haemorrhage-911 (Emergency Slaughter)Haemorrhage-Scalpel, Scissors...and Other Forensick Instruments original air date 3/19/2025contact: thetampamorgue@gmail.com  The Tampa Morgue Podcast can be found on Spotify, Amazon Music, Apple Music, Apple Podcasts, YouTube and most places you listen to your podcasts. See you at the Morgue!  

The sudden death of my watchman was an accident after which I vowed to myself to do something for humanity, planned a “hospital on wheel” project in Pakistan, to provide timely treatment to people, keeping blood pressure, cholesterol, and sugar normal can control brain haemorrhage and heart diseases. Listen to the conversation of cardiologist Dr. Ahmed Khan in this podcast - میرے چوکیدار کی اچانک موت ایک ایسا حادثہ تھا جس کے بعد اپنے آپ سےعہد کیا کہ انسانیت کے لیے بھی کچھ کرنا ہے، پاکستان میں “ہاسپٹل آن ویل” کا منصوبہ بنایا، تاکہ لوگوں کو بروقت علاج فراہم کرسکے، بلڈ پریشر، کولیسٹرول، اور شوگر کو نارمل رکھنے سے برین ہیمرج اور دل کے امراض پہ قابو پایا جاسکتا ہے۔ کارڈیالوجسٹ ڈاکٹر احمد خان کی گفتگو سنیے اس پوڈ کاسٹ میں

In this episode of our Summer School, we are joined by Sophie Walker, creator, and host of Australian Birth Stories. With over 17 million downloads, and 500 episodes, Australian Birth Stories podcast has been accredited by the Australian College of Midwives and has been instrumental in educating and empowering both people who are giving birth, as well as birthing partners. Hugh shares the incredible trauma and fear involved with his first experience of birth, and how tools of education and empowerment, such as Lael Stone’s excellent counselling, helped him prepared for birth a second time around. The power of information is invaluable, and Josh opens up about how Hugh’s experience with birth shaped his own, and what the experience was like for him. Sophie, it was such a pleasure. To watch this full episode on YouTube, follow this link: https://youtu.be/3sey26-L4Rw

Subarachnoid haemorrhage is a diagnosis that can't be missed, but it is not a simple process to detect it. The first paper for discussion this month questions if a CT scan within 6 hours is sufficient for exclusion in patients with acute headache. Then there is a large-scale analysis of over 400 million ED visits in the USA, focussing in on the significant issue of self-harm in the homeless population. Next is a paper on a decision tool for suspected acute aortic syndrome, and to finish, a discussion on the change in ED culture around safety since the COVID pandemic.   Read the issue highlights: December 2024 Primary Survey   Articles discussed in this episode: Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study Suicide and self-injury-related emergency department visits and homelessness among adults 25–64 years old from 2016 to 2021 in the USA  Decision analytical modelling of strategies for investigating suspected acute aortic syndrome  Culture of safety in an adult and paediatric emergency department before and after the COVID-19 pandemic   The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

Got a young patient who just won't stop bleeding from their microchip site, vaccine site, or gingiva after deciduous tooth loss? There's a good chance they have a coagulopathy. We see two types of coagulopathy in practice - congenital and acquired - and it's those congenital ones we're discussing today. It's important we pick up on these as soon as possible in the patient's life, to prevent severe haemorrhage at the time of neutering or during other procedures. Identifying congenital coagulopathies starts with understanding what they are, and how they impact our patients - which is exactly what you'll be able to do after this episode. ---

Picture this: you're on the admit shift on a Tuesday morning, and your next patient is a 6-month-old Doberman for routine neutering. Is there anything you'd be particularly worried about before surgery? Is there anything you'd discuss with the client or any tests you'd speak to your vet about? Dobermans are a classic breed affected by von Willebrand's disease, which is a disease that sits somewhere between thrombocytopenia and coagulopathy. If they have it, bleeding is a very real risk. Thankfully, if we know beforehand, we can implement strategies to manage the patient's disease and prevent severe haemorrhage. That starts with understanding von Willebrand's disease and how it works, which is exactly what we're covering in this episode of the Medical Nursing Podcast. ---

In today's episode, Genevieve shares her first pregnancy and birth and details her postpartum joys and challenges. She embraced her ‘goddess energy' in her second trimester but by the third trimester, she really felt the physical limitations of carrying a big baby and only being quite small herself. Her waters broke at home and once she arrived at hospital she was hooked up to syntocinon which is when her contractions intensified so significantly that she requested an epidural. It was only once she'd been discharged and was reading her notes that she discovered she'd had an episiotomy and a postpartum haemorrhage and she talks about how this made her feel. ___________ If you're pregnant, we encourage you to start thinking about your birth recovery now. You need more support in the fourth trimester (the 12 weeks after birth) than you do in pregnancy which can be surprising to many new mothers. It's for this reason that Bare Mum began and now they offer a beautiful collection of practical and supportive products to assist your postpartum healing. All new mums need lower back, abdominal and pelvic floor support after birth. Bare Mum's Postpartum Briefs gently hold you in the first days and weeks, helping you feel confident. Endorsed by the Australian College of Midwives and the Australian Physiotherapy Association, they offer a unique pocket design so you can insert a warm or cold pack to offer soothing relief and assist with caesarean wound or perineal healing. Ideal for caesarean and vaginal birth recovery, Bare Mum Postpartum Briefs are soft, stretchy, and supportive, offering you essential post-birth care. They're a must-have for your hospital bag.Bare Mum is offering you 15% off storewide with the discount code ABS2024See omnystudio.com/listener for privacy information.

In this episode of the St Emlyn's podcast, Iain Beardsell is joined by Dan Horner, a consultant in Emergency Medicine and Neurocritical Care, and Tom Roberts, an Emergency Medicine Registrar and clinical lecturer, to discuss their recently published SHED study on subarachnoid haemorrhage in the Emergency Department (ED). This landmark study, published in the Emergency Medicine Journal, explores the safety of CT scans in diagnosing subarachnoid haemorrhage up to 24 hours after headache onset and evaluates the role of further investigations like a lumbar puncture. The study examines acute severe headache presentations in the ED and the diagnostic approach to ruling out subarachnoid haemorrhage, a critical and often feared diagnosis among emergency physicians. Conducted through the Trainee Emergency Research Network (TURN), the study included over 3,600 patients from 88 UK EDs with acute severe headaches reaching maximum intensity within one hour and no focal neurology. Data collection included CT scans, lumbar puncture results, and 28-day follow-up to identify missed cases of subarachnoid hemorrhage. Key findings from the study revealed a 6.5% prevalence of subarachnoid haemorrhage, with a significant number presenting within six hours of headache onset. The sensitivity of CT scans remained high beyond the traditional six-hour window, suggesting that CT alone could safely rule out subarachnoid haemorrhage up to 18 hours in many cases, potentially reducing the need for lumbar puncture. The risk of missing an aneurysmal subarachnoid haemorrhage after a negative CT was found to be extremely low, around 1 in 1,000. These findings challenge the routine use of lumbar puncture in patients presenting beyond six hours if the CT scan is negative, potentially changing ED practice and reducing unnecessary invasive procedures. The discussion also emphasized the importance of shared decision-making and recognizing that diagnostic testing is about managing probabilities, not certainties. For clinicians, the episode highlights the need to expedite CT scans for patients with acute severe headaches, especially those presenting within 10 minutes of onset, as they are more likely to have significant pathology. Emergency physicians are encouraged to own the decision-making process for ruling out serious causes of headaches and not defer solely to 'specialists'. The SHED study supports extending the diagnostic window for CT scans in ruling out subarachnoid hemorrhage up to 18 hours, reducing the need for lumbar puncture in many cases. This data empowers emergency clinicians to make informed decisions, manage patient expectations, and streamline ED processes.  For more information, listeners are encouraged to read the SHED Study in the Emergency Medicine Journal and explore the related blog post on the St Emlyn's website. Emergency clinicians are also invited to connect with TERN to get involved in future research opportunities.  This episode provides valuable insights for clinicians in managing acute severe headaches, emphasizing a more nuanced approach to subarachnoid hemorrhage diagnosis and the importance of clinical decision-making in the ED.

Aneurysmal subarachnoid hemorrhage (aSAH) is a rare but devastating condition, marked by high global rates of fatality and long-term disability. Key factors influencing patient outcomes include early brain injury, aneurysm rebleeding, and delayed cerebral ischemia. In this podcast, Dr. Chiara Robba and Dr. Laura Galarza explore the epidemiology, treatment strategies, and the identification and management of post-aSAH complications. This exclusive discussion provides valuable insights and practical clinical guidance specifically designed for intensivists.

Dr Adam Power Co-Founder and CEO of Front Line Medical Technologies is a leader in innovative medical devices for trauma and emergency care who is committed to lowering the barriers to bleeding control and resuscitation, having previously worked as a vascular surgeon he quickly realised that there needed to be a better way for haemorrhage control so went on to co-found Front Line Medical Technologies in 2017. In this episode, we delve into the fascinating world of trauma care and the groundbreaking innovations in haemorrhage control, Dr. Powers journey from general surgery to vascular surgery, the importance of preventive medicine alongside the role of new technologies in healthcare and the effect of the pandemic on global healthcare systems. Timestamps: [00:02:38] Quick haemorrhage control techniques. [00:07:00] Gearing up for European CE Mark [00:09:30] From Physician to entrepreneur in med tech. [00:12:51] Shortage of physicians, focus on prevention. [00:15:39] Impact of pandemic on healthcare [00:18:49] Uses for telehealth [00:22:21] Barriers in telehealth Get in touch with Dr Adam Power - https://www.linkedin.com/in/adamhpower/ https://frontlinemedtech.com/ Get in touch with Karandeep Badwal - https://www.linkedin.com/in/karandeepbadwal/ Follow Karandeep on YouTube - https://www.youtube.com/@KarandeepBadwal Subscribe to the Podcast --- Support this podcast: https://podcasters.spotify.com/pod/show/themedtechpodcast/support

In this solo episode, I dive into a variety of listener questions covering topics from our new business ventures and personal updates, to preparing for birth and breastfeeding. I discuss our new services, including infant sleep workshops and private mothers groups, and share personal stories about my family's ongoing house search and health challenges. Key topics include managing gestational diabetes, transitioning toddlers to childcare, and co-sleeping strategies with a newborn on the way. 02:24 Launching Private Mothers Groups07:39 Changing Providers in Public Maternity System11:29 Hand Expressing Colostrum12:29 First Trimester Nausea Tips16:09 Postpartum Haemorrhage 17:49 Managing Gestational Diabetes22:25 Home Birth Insurance Changes25:44 Postpartum and Breastfeeding Tips28:04 Navigating Childcare Transitions29:59 Co-Sleeping with a Newborn and Toddler32:57 Business and Work Plans35:00 Archie's Sleep Journey38:14 Personal Life and Health ChallengesResources mentioned in today's episode:Held Private Mother's GroupsAntenatal Expressing Video TrainingReal Food for Gestational Diabetes book by Lily Nicholls.Sara Wickham PPH InfoRachel Reed Future of Homebirth Midwifery article. I would love to hear your thoughts, questions, and ideas for future episodes so please get in touch on instagram - my insta is @heldmidwifery or through my website www.heldmidwifery.com.au. Remember to subscribe so you don't miss any episodes, and if you're enjoying the podcast I would be ever so grateful if you could rate and review  on your favourite podcast player. Disclaimer: Remember as always the info provided in this podcast does not constitute medical, midwifery, psychological, childbirth, pre-natal or post-natal education or other professional medical advice, and is provided for general information and guidance purposes only. Hannah Willsmore will not be liable for any expenses, losses, damages (including indirect or consequential damages) or costs which might be incurred as a result of your reliance on this information, advice, content or materials. This release includes but is not limited to any claim for personal injury, damages and death of any individual which has received information from Hannah Willsmore. Further, Hannah Willsmore does not make any representations or give any warranties about their accuracy, reliability, completeness or suitability for any particular purpose. If you have any health concerns or questions you should speak with your midwife or doctor.

Ulster rugby's Kathryn Dane speaks on her return to competitive rugby following a brain haemorrhage in 2022.Catch The Off The Ball Breakfast show LIVE weekday mornings from 7:30am or just search for Off The Ball Breakfast and get the podcast on the Off The Ball app.SUBSCRIBE at OffTheBall.com/joinOff The Ball Breakfast is live weekday mornings from 7:30am across Off The Ball

In this week's episode of The Worst Girl Gang Ever, Bex and Laura chat with community member Amy about her personal story of miscarriage after an unexpected pregnancy early in her relationship. She describes the difficult decision to have a medical abortion, the grief and pain she experienced, and the challenges of navigating this in a new relationship. Following a subsequent missed miscarriage, Amy is pursuing medical avenues to understand her fertility struggles. She also discusses her coping strategies, including acupuncture and running, as well as the challenges of navigating her personal situation in a male-dominated workplace. In this episode, you'll discover: Amy's personal experience with an unexpected pregnancy and deciding to have a medical abortion Her fertility treatment and mix of emotions as she continues to navigate her fertility struggles The challenges of navigating her personal situation in a male-dominated workplace The Warriorship is a membership to help you navigate life after baby loss. It covers every stage of the recovery pathway, and provides support, advice, and a range of emotional tools to help you through this difficult time. This is more than a support group. For more information and to join The Warriorship go to: https://theworstgirlgangever.co.uk/warriorship/ The Worst Girl Gang Ever is a real, honest emotive podcast that covers the heartbreaking subject of miscarriage, infertility and baby loss, expect honest conversations about unspoken experiences. Hosted by TWGGE founders Bex Gunn and Laura Buckingham, this show is a chance to break the silence and really open up the dialogue around the topic of miscarriage and pregnancy loss. No more shame, no more taboo - let's ditch that for our children; the ones that will come, the ones that are and the ones that never came to be. Learn more about your ad choices. Visit megaphone.fm/adchoices

Join experienced consultant orthopaedic surgeon Henrik Hedelin as he shares invaluable insights on haemorrhage control in resource-limited settings. Drawing from his extensive field experience in conflict zones and humanitarian missions, Henrik challenges conventional wisdom and offers practical, life-saving techniques for managing severe bleeding. This eye-opening discussion covers the nuances of wound packing, the overuse of tourniquets, and the critical importance of context-specific approaches to trauma care. Whether you're a medical professional, first responder, or anyone interested in emergency medicine, this episode offers essential knowledge that could make the difference between life and death in austere environments.

This episode of Kiwi Birth Tales is proudly brought to you by Your Birth Project.In this episode of Kiwi Birth Tales, I speak to Abby. Some of the topics we cover:Pregnancy symptoms 42 week InductionStretch and sweeps Quick Dilation minimal pain Long pushing stage Cam caught Elsie Birth similarities to Abby's MumRetained Placenta Blood Loss / Haemorrhage up to 3L Breastfeeding challenges Postpartum period through griefCam (Husband) diagnosed with Terminal Brain Cancer after Elsies birth Tongue and Lip tieLoss of Husband Depression and grief Counselling Find Abby on Instagram here or Tiktok here Please seek support for any mental health concerns, some helpful links are below:Mental Health in PregnancyPerinatal Depression and Anxiety Aotearoa Plunket - Dads Mental HealthLittle Shadow - Private Counselling NZYour Birth Project Online Hypnobirthing CourseFind me @kiwibirthtales and @yourbirthproject Hosted on Acast. See acast.com/privacy for more information.

In this episode, we discuss the recently published SWITCH trial which compared the efficacy of decompressive craniectomy with best medical treatment vs best medical treatment alone for deep intra-cerebral hemorrhage.

This week on the podcast we have Lauren and Dan. They share the shift in mindset they experienced when preparing for birth, through the ‘Transform Your Birth' course. Lauren really enjoyed her birth, largely due to the incredible team of midwives from the birth centre and her student midwife. With Dan well prepared and providing loving and practical support, she stayed completely in labour land and experienced that beautiful high after birth. She goes on to have a long pushing stage, a little problem getting the placenta out, and a post-partum haemorrhage, however with the wonderful team around her, she knew she was in the right place for them to manage this - and stayed completely calm through these challenges. A perfect example of great preparation, and a great team to manage whatever unfolds on the day.   Links: Transform Parenting website Transform Your Birth Today Free pregnancy gift Free resource: Medical Necessity vs Choice

In today's episode, we had the privilege of interviewing Deannah who shares her journey through three unique birth experiences. Deannah's first two births were within the MGP program, where she faced challenges such as unwanted interventions and unfamiliar midwives during the birth of her first baby. She discusses how she realised she suffered from postnatal depression (PND), postnatal anxiety (PNA), and postpartum rage (PPR)following her first birth. In her second pregnancy, Deannah took a proactive approach by researching and securing the support of a known midwife who respected her wishes for a hands-off approach during labour, despite experiencing a postpartum haemorrhage. Upon relocating to NSW, Deannah encountered limited options for care models due to her location, prompting her to carefully consider her choice of care provider, especially given her higher risk of postpartum haemorrhage. Ultimately, Deannah opted for a private midwife for her third birth, which took place at home. The skilled midwife's expertise proved invaluable as she effectively managed Deannah's postpartum haemorrhage in the comfort of her own home. Links: Acute PPHManagement of PPHRecognising who is at risk of PPH: targeting anemic women and scoring systems for clinical use. PPH info Comparing the odds of PPH in planned homebirth against planned hospital birth: results of an observational study of over 500,000 maternities in the UKIncidence, trends & severity of primary PPH in Australia: A population-based study using Victorian Perinatal Data Collection data for 764 244 births Risk of Severe PPH in low-risk childbearing women in NZ: exploring the effect of place of birth and comparing 3rd stage management of labor. Support the Show.@homebirthstoriesaustralia Please be advised that this podcast may contain explicit language. Listener discretion is advised.The information, statistics, and research presented in this podcast are for informational purposes only and are not intended to constitute or replace medical or midwifery advice. All information discussed can be found online and is provided in the links in the show notes. It is always recommended to conduct your own research and make informed decisions. We advise you to discuss any topics or concerns with your healthcare provider. While we strive to incorporate the most up-to-date research in our episodes, we do not warrant or guarantee the accuracy of the information discussed on the show.

The Cochrane Pregnancy and Childbirth Group produced more than 650 Cochrane Reviews after its establishment as the first Cochrane Review Group, 30 years ago. Several relate to postpartum haemorrhage, and these were added to in November 2023, with a new review of qualitative research, which was also supported by the Cochrane Effective Practice and Organisation of Care Group. In this podcast, Martha Vazquez Corona, talks with corresponding author Meghan Bohren, head of the Gender and Women's Health Unit at the University of Melbourne in Australia, about this qualitative evidence synthesis and its findings.

The Cochrane Pregnancy and Childbirth Group produced more than 650 Cochrane Reviews after its establishment as the first Cochrane Review Group, 30 years ago. Several relate to postpartum haemorrhage, and these were added to in November 2023, with a new review of qualitative research, which was also supported by the Cochrane Effective Practice and Organisation of Care Group. In this podcast, Martha Vazquez Corona, talks with corresponding author Meghan Bohren, head of the Gender and Women's Health Unit at the University of Melbourne in Australia, about this qualitative evidence synthesis and its findings.

Haemorrhage, hypertensive disorders, and sepsis are responsible for more than half of maternal deaths worldwide. Further, it is estimated that for every death, there are 50 pregnant people with life-threatening morbidity from sepsis. Heartbreakingly, the incidence of puerperal sepsis has risen over the last decade, in some cases doubling, with increasing rates of severe sepsis contributing to mortality. Underlying this trend is increasing virulence of group A streptococcal (GAS) infection. This is suspected to be due to the predominance of emm1 and emm28 genotypes, which have higher associations with mortality, as well as increasing maternal risk factors for infection such as obesity and DM. PLUS, certain GAS antibiotic resistance is on the rise. Group A streptococcus infection remains an important contributor to pregnancy and puerperal morbidity and mortality. Early recognition, diagnosis and aggressive management are Important for favorable outcomes given the serious risk of sepsis and streptococcal toxic shock syndrome. In this episode, we will highlight this alarming rise of Group A strep in the peripartum period including the most recent 2021 International Society for Infectious Disease in Obstetrics and Gynecology (ISIDOG) guidelines regarding GAS in pregnancy. Listen in for details.

Abi is Mum to 4 year old Bill, 2 year old Freya, and 8 week old Ida, living on their rural property 2.5 hours drive from the nearest hospital. Her first two births were medical affairs, involving epidurals, induction and a large postpartum haemorrhage. Her most recent birth, however, was a gentle water birth experience at home, an utterly ordinary, yet simultaneously extraordinary occasion.  Abi shares with us the journey she went on to confidently prepare for a rural home birth, and the buzz of ordinary delights like climbing into bed together as a family after a wondrous birth at day break.  Also discussed in this episode: Meconium stained liquor Lack of initial mother-baby bond Tongue tie Milk oversupply Hypnobirthing The Freya app Breech at 36 - 38wks TENS Sibling involvement with birth Retained membranes Learn about Carla's Soulful Birth course here: https://www.healingbirth.co.nz/birthprep Listen to Carla talk about birth and birth trauma related topics on YouTube: https://www.youtube.com/@healingbirth Follow Carla on Instagram: https://www.instagram.com/healing.birth/

In this second of a two part podcast special Iain and Simon go through twenty of the top papers from the last year or so, as presented by Simon at the Big Sick Conference in Zermatt earlier this year. All the details and more discussion can be found on the blog site. In Part 2 they discuss papers about major haemorrhage, trauma, cardiac arrest and more.  In Part 1 they discuss all things airway, including where we should be intubating patients needing immediate haemorrhage control. VL vs DL, the effect of blade size on intubation success, whether small adult ventilation bags are better than larger versions, intubating comatose poisoned patients, and more.  Papers Jansen JO et al. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. JAMA. 2023 Nov 21;330(19):1862-1871. doi: 10.1001/jama.2023.20850. PMID: 37824132; PMCID: PMC10570916. Davenport R et al. Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury: The CRYOSTAT-2 Randomized Clinical Trial. JAMA. 2023 Nov 21;330(19):1882-1891. doi: 10.1001/jama.2023.21019. PMID: 37824155; PMCID: PMC10570921. PATCH-Trauma Investigators and the ANZICS Clinical Trials Group; Prehospital Tranexamic Acid for Severe Trauma. N Engl J Med. 2023 Jul 13;389(2):127-136. doi: 10.1056/NEJMoa2215457. Epub 2023 Jun 14. PMID: 37314244. Shepherd JM et al Safety and efficacy of artesunate treatment in severely injured patients with traumatic hemorrhage. The TOP-ART randomized clinical trial. Intensive Care Med. 2023 Aug;49(8):922-933. doi: 10.1007/s00134-023-07135-3. Epub 2023 Jul 20. PMID: 37470832; PMCID: PMC10425486. Bouzat P et al. Efficacy and Safety of Early Administration of 4-Factor Prothrombin Complex Concentrate in Patients With Trauma at Risk of Massive Transfusion: The PROCOAG Randomized Clinical Trial. JAMA. 2023 Apr 25;329(16):1367-1375. doi: 10.1001/jama.2023.4080. PMID: 36942533; PMCID: PMC10031505. Torres CM, Kent A, Scantling D, Joseph B, Haut ER, Sakran JV. Association of Whole Blood With Survival Among Patients Presenting With Severe Hemorrhage in US and Canadian Adult Civilian Trauma Centers. JAMA Surg. 2023 May 1;158(5):532-540. doi: 10.1001/jamasurg.2022.6978. Erratum in: JAMA Surg. 2023 Apr 5;: PMID: 36652255; PMCID: PMC9857728. Marsden MER, Kellett S, Bagga R, Wohlgemut JM, Lyon RL, Perkins ZB, Gillies K, Tai NR. Understanding pre-hospital blood transfusion decision-making for injured patients: an interview study. Emerg Med J. 2023 Nov;40(11):777-784. doi: 10.1136/emermed-2023-213086. Epub 2023 Sep 13. PMID: 37704359; PMCID: PMC10646861. Wohlgemut JM, Pisirir E, Stoner RS, Kyrimi E, Christian M, Hurst T, Marsh W, Perkins ZB, Tai NRM. Identification of major hemorrhage in trauma patients in the prehospital setting: diagnostic accuracy and impact on outcome. Trauma Surg Acute Care Open. 2024 Jan 12;9(1):e001214. doi: 10.1136/tsaco-2023-001214. PMID: 38274019; PMCID: PMC10806521. Cheskes S, Verbeek PR, Drennan IR, McLeod SL, Turner L, Pinto R, Feldman M, Davis M, Vaillancourt C, Morrison LJ, Dorian P, Scales DC. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 24;387(21):1947-1956. doi: 10.1056/NEJMoa2207304. Epub 2022 Nov 6. PMID: 36342151. Siddiqua N, Mathew R, Sahu AK, Jamshed N, Bhaskararayuni J, Aggarwal P, Kumar A, Khan MA. High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial. Emerg Med J. 2024 Jan 22;41(2):96-102. doi: 10.1136/emermed-2023-213285. PMID: 38050078. Wilkinson-Stokes M, Betson J, Sawyer S. Adverse events from nitrate administration during right ventricular myocardial infarction: a systematic review and meta-analysis. Emerg Med J. 2023 Feb;40(2):108-113. doi: 10.1136/emermed-2021-212294. Epub 2022 Sep 30. PMID: 36180168. Patterson T, Perkins GD, Perkins A, Clayton T, Evans R, Dodd M, Robertson S, Wilson K, Mellett-Smith A, Fothergill RT, McCrone P, Dalby M, MacCarthy P, Firoozi S, Malik I, Rakhit R, Jain A, Nolan JP, Redwood SR; ARREST trial collaborators. Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest (ARREST): a UK prospective, multicentre, parallel, randomised clinical trial. Lancet. 2023 Oct 14;402(10410):1329-1337. doi: 10.1016/S0140-6736(23)01351-X. Epub 2023 Aug 27. PMID: 37647928. Issa EC, Ware PJ, Bitange P, Cooper GJ, Galea T, Bengiamin DI, Young TP. The “Syringe Hickey”: An Alternative Skin Marking Method for Lumbar Puncture. J Emerg Med. 2023 Mar;64(3):400-404. doi: 10.1016/j.jemermed.2023.01.013. PMID: 37019501.

In this episode, Dr James Shilston returns to talk us through the ins and outs of SAH. 

This episode covers subconjunctival haemorrhage.Written notes can be found at https://zerotofinals.com/medicine/ophthalmology/subconjunctivalhaemorrhage/ or in the ophthalmology section of the 2nd edition of the Zero to Finals medicine book.The audio in the episode was expertly edited by Harry Watchman.

You're listening to the audio version of the PROCOAG trial presentation from the Critical Care Reviews Meeting 2023. The PROCOAG trial investigated the efficacy and safety of early administration of 4-factor prothrombin complex concentrate in trauma patients at risk of massive transfusion. The trial is presented by Pierre Bouzat from Grenoble. Susan Rowell from Chicago, delivers the editorial. The session is chaired by Chris Seymour (Pittsburgh). PROCOAG was published in JAMA in March 2023.

This episode covers subarachnoid haemorrhage.Written notes can be found at https://zerotofinals.com/medicine/neurology/subarachnoidhaemorrhage/ or in the neurology section of the 2nd edition of the Zero to Finals medicine book.The audio in the episode was expertly edited by Harry Watchman.

This episode covers intracranial haemorrhage.Written notes can be found at https://zerotofinals.com/medicine/neurology/intracranialbleeds/ or in the neurology section of the 2nd edition of the Zero to Finals medicine book.The audio in the episode was expertly edited by Harry Watchman.

Topics: - NBL Ewing Theory candidate(s) - Jackomas gets jettisoned - SEN in the toilet? - SEM flops against MEL - Valentine and Sydney reality check incoming  #NBL24 #EveryMomentMatters Patreon: patreon.com/nblpocketpodcast Twitter: Joseph @nblpocketpod Mastodon: Andrew @canion@social.lol | @nblpp@nbl.social Booktopia: https://booktopia.kh4ffx.net/c/2324741/607517/9632 Website: https://www.nblpocketpodcast.com Discord: https://discord.gg/bnqSYK4C

In this episode of Kiwi Birth Tales, I speak to Milly. Some of the topics we cover:EndometriosisFertility Support - ClomophineHypnobirthingPositive PregnancySpontaneous labourLabour at homeFast second half of labourQuick delivery at birth careFetal Ejection ReflexShock post-birthDifficulty latching | Tongue tieBaby Blues2.5years breastfeedingLetrozole for pregnancy 2nd timeBleeding in pregnancyHyperemesis GravidarumPlacenta PreviaPremature birth due to Haemorrhage at 33 weeksEmergency Csection - vertical incisionSCBUDonor Milk10 days in SCBU then homePlease seek support for any mental health concerns, some helpful links are below:Mental Health in PregnancyPerinatal Depression and Anxiety Aotearoa Plunket - Dads Mental HealthLittle Shadow - Private Counselling NZYour Birth Project Online Hypnobirthing CourseFind me @kiwibirthtales and @yourbirthproject Hosted on Acast. See acast.com/privacy for more information.

On this episode I discuss the modern scientific and practical approach to massive haemorrhage in trauma with Dr Justin Morgenstern 

Multiple organ dysfunction syndrome (MODS) is common after major trauma, affecting up to two-thirds of patients with critical injuries. Post-trauma MODS is associated with a mortality of over 20% and poor long-term outcomes in those who survive. Current management is supportive, and there are no specific pharmacological agents that prevent organ dysfunction. The TOP-ART randomised clinical trial, a two-stage study, has tested firstly the safety and efficacy of the early artesunate administration on a cohort of severely injured and bleeding trauma patients and, secondly, the outcomes of artesunate administration on trauma patients at risk of developing MODS. Listen to Joanna Shepherd's interview in the following podcast to learn more about the study's results. Original article: Safety and efficacy of artesunate treatment in severely injured patients with traumatic haemorrhage. The TOP-ART randomised clinical trialSpeakers:Joanna SHEPHERD. Centre for Trauma Sciences, The Blizard Institute, Queen Mary University of London (UK). Rahul COSTA-PINTO. Austin Hospital, Melbourne (AU). ESICM NEXT Committee Member.

Listen to the fifth episode of NCS' INSIGHTS series, this time on Intracerebral Hemorrhage. The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritical care. Learn more about ON CALL®. This episode is sponsored by ceribell. Time is brain when it comes to seizures. Ceribell Point of Care EEG empowers the bedside team to detect or rule out seizure activity in minutes. To learn more, visit ceribell.com. The NCS Podcast is the official podcast of the Neurocritical Care Society.

Date: August 14, 2023 Reference: Ma et. al. The third Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial (INTERACT3): an international, stepped wedge cluster randomised controlled trial. Lancet 2023 Guest Skeptic: Dr. Mike Pallaci is a Professor of Emergency Medicine (EM) for the Northeast Ohio Medical University, and an Adjunct Clinical Professor of […] The post SGEM#413: But Even You Cannot Avoid…Pressure – Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage first appeared on The Skeptics Guide to Emergency Medicine.

Liam Messin of The Lancet Global Health talks to Professor Rizwana Chaudhri and Professor Ian Roberts about their research investigating the association between maternal anaemia and post-partum haemorrhage.Continue this conversation on social!Follow us today at...https://twitter.com/thelancethttps://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv

Major hemorrhage is life-threatening and can occur in a variety of clinical settings. A review paper in CMAJ, entitled "Nonsurgical management of major hemorrhage," advocates for the implementation of massive hemorrhage protocols across all types of hospitals to optimize patient care.Dr. Jeannie Callum, the article's lead author and the Director of Transfusion Medicine at Kingston's Health Sciences Centre speaks with Drs. Blair Bigham and Mojola Omole about her work standardizing massive hemorrhage protocols throughout Ontario. Dr. Callum shares the transformative moment that inspired her to develop a province-wide protocol, starting from the point of roadside patient care.She then details the critical need for precision in managing major hemorrhage, emphasizing a rapid response within the "golden hour." Dr. Callum outlines key components of care such as swift administration of tranexamic acid and the detection of coagulopathy. She then simplifies the main elements of a massive hemorrhage protocol into what she calls "the seven 'T's."In rural settings, Dr. Callum identifies the need for a simplified protocol due to constraints like smaller medical teams and a lack of comprehensive laboratory tests. Despite these challenges, she recommends innovative solutions like the immediate administration of tranexamic acid and encourages physicians to educate themselves about novel point-of-care testing technologies such as viscoelastic testing.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on Twitter @BlairBigham and @DrmojolaomoleTwitter (in English): @CMAJ Twitter (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions

There comes a time in almost everyone's life when we will encounter trauma. Now, that trauma can be from getting punched in the face for the first time to being shamed to dealing with death. But what if your trauma left you in a coma for weeks on end leaving you barely able to remember how to do even the smallest thing? It can be a very lonely road back and my guest today is going to share his journey from that very place to help people reframe the obstacles in their lives. The events in our lives reveal to us just what we are made of. Our character in full display may be far different than the one we thought it would be. For some, this truth only compounds the issue while for others, it galvanizes them into forging a new stronger version of themselves. Well, today my guest has done just that.  At 28, Daniel MacQueen was leading a healthy, active life. After an optometrist appointment to identify the cause of his persistent headaches was cut short, he was handed a sealed envelope and told to go directly to the hospital. What followed, was emergency brain surgery. On June 21, 2014, Dan's reality was shattered by a devastating brain haemorrhage. With no map to guide him on the gruelling path to recovery, Dan had to rely on his grit, perseverance, and resilience to relearn everything he once knew: how to walk, talk and even smile. In this episode: Dan's hero's quest. How Dan's experience has shaped who he is today. (2:20) How to turn down the suck. (6:17) When we can really gain control of our thinking, then our life changes. (11:30) How he handled his second setback. (14:46) Chop wood and carry water. (20:23) Every time you're faced with a tough decision, do you make the decision to go for it? (26:54) “The happiest day of my life” by. (29:53) How to reach Daniel:

In this episode of Kiwi Birth Tales, I speak to Anna about her pregnancy, birth and postpartum journey with her children Hugo + Lucia. In this episode, we discuss:Midwife based in a different townPelvic painPregnancy MassageSpontaneous labourMeconium in watersSterile water injectionsGasTransitionEpisiotomyBreastfeeding challenges Tongue and lip tie MastitisOvulation sticks 2nd pregnancy Marginal cord insertionAntepartum HaemorrhagesBirth centre birth Waterbirth Covid Positive Please seek support for any mental health concerns, some helpful links are below:Perinatal Depression and Anxiety Aotearoa Plunket - Dads Mental HealthLittle Shadow - Private Counselling NZFind me @kiwibirthtales and @yourbirthproject Hosted on Acast. See acast.com/privacy for more information.

Connect with Leyth @LeythHampshire https://www.leythhampshire.com/ 0:00 Intro 0:43 Do you miss London ? 2:12 Having a masters in Entrepreneurial management 3:12 We lost integrity 3:25 Integrity , alignment and values 3:30 Out of alighnment 3:50 Living in Barcelona 4:10 Felt like i was living in a video game 4:35 Sticking out like a sore thumb 7:35 I graduated in 2019 July 8:00 Loosing my integrity 9:20 Lets do some slow travel 10:07 Fun fact 11:00 A beer fest 3 day party 11:37 Waking up 7 days later 13:08 My brain was filling with blood 14:19 My mum flew to Budapest 14:28 I was already being operated on 14:40 I suffered a haemorrhage 17:52 The bleeding is not stopping 19:50 I can't feel half of my body 22:24 I had 4 operations 29:18 Dr Joe Dispenza 30:39 Spending 6 months in rehab 33:40 Acupuncture and Reiki 43:38 My favourite book

Aebhric and Winston discuss current updates about catastrophic bleeding and massive haemorrhage.

In this episode of Kiwi Birth Tales I speak with Lara about her pregnancy and birth stories with babies Levi + Harper. We discuss:- initial pregnancy loss- changing midwife- single umbilical cord artery - spontaneous waters breaking- epidural- ventouse delivery - mental health postpartum- hypnobirthing- positive vaginal birth - foetal maternal haemorrhage - NICUThanks so much to Lara from @puremama for coming and sharing her story with us all!Thanks for listening!@Kiwibirthtales@Yourbirthproject Hosted on Acast. See acast.com/privacy for more information.

2023.02.14 – 0775 – Vocal Fold Haemorrhage Continued talking may lead to ‘vocal nodules' on your folds, which are common with loud, tense, constant talkers. (Polyps are similar but usually occur after a single cough or shout, rather than long-term abuse, and happen when the folds haemorrhage.) Know your body. If your body is hurting (even a sore throat), stop. It's a sign that something is not ‘quite right'. Speaking when hoarse, or worse still, shouting to deliberately make yourself hoarse (yes, some people do this to achieve a lower voice), can be very dangerous in itself and can permanently damage your vocal folds. Hosted on Acast. See acast.com/privacy for more information.

This episode covers postpartum haemorrhage.Written notes can be found at https://zerotofinals.com/obgyn/labouranddelivery/pph/ or in the labour and delivery section of the Zero to Finals obstetrics and gynaecology book.The audio in the episode was expertly edited by Harry Watchman.

Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: [BBC News] Postpartum haemorrhage: Niger halves blood-loss deaths at clinics, published by Sean Ericson on January 21, 2023 on The Effective Altruism Forum. I'm not an expert in this area, but it would seem that this study is an encouraging development in a very important area. Over the research period in Niger, an estimated 1,417 fewer women died from bleeding after childbirth - known as postpartum haemorrhage (PPH) - than otherwise would have. It also prevented tens of thousands of other women from experiencing abnormally high blood loss. PPH now accounts for one in 10 of maternal deaths in Niger, whereas before the project began it accounted for more than three times that. Summary of the Lancet article about the study: Background Primary postpartum haemorrhage is the principal cause of birth-related maternal mortality in most settings and has remained persistently high in severely resource-constrained countries. We evaluate the impact of an intervention that aims to halve maternal mortality caused by primary postpartum haemorrhage within 2 years, nationwide in Niger. Methods In this 72-month longitudinal study, we analysed the effects of a primary postpartum haemorrhage intervention in hospitals and health centres in Niger, using data on maternal birth outcomes assessed and recorded by the facilities' health professionals and reported once per month at the national level. Reported data were monitored, compiled, and analysed by a non-governmental organisation collaborating with the Ministry of Health. All births in all health facilities in which births occurred, nationwide, were included, with no exclusion criteria. After a preintervention survey, brief training, and supplies distribution, Niger implemented a nationwide primary postpartum haemorrhage prevention and three-step treatment strategy using misoprostol, followed if needed by an intrauterine condom tamponade, and a non-inflatable anti-shock garment, with a specific set of organisational public health tools, aiming to reduce primary postpartum haemorrhage mortality. Findings Among 5 382 488 expected births, 2 254 885 (41·9%) occurred in health facilities, of which information was available on 1 380 779 births from Jan 1, 2015, to Dec 31, 2020, with reporting increasing considerably over time. Primary postpartum mortality decreased from 82 (32·16%; 95% CI 25·58–39·92) of 255 health facility maternal deaths in the 2013 preintervention survey to 146 (9·53%; 8·05–11·21) of 1532 deaths among 343 668 births in 2020. Primary postpartum haemorrhage incidence varied between 1900 (2·10%; 2·01–2·20) of 90 453 births and 4758 (1·47%; 1·43–1·52) of 322 859 births during 2015–20, an annual trend of 0·98 (95% CI 0·97–0·99; p

Suzy talks to Laura Green about the practical aspects of major haemorrhage and the evidence underpinning practice. Links   BSH Major Haemorrhage Guidelines

Much to the shock and chagrin on our audience, the stars have aligned here on Terminus to provide an episode of nearly exclusively death metal! Melodies? NO. Keyboards? NO. Satan? KIND OF BUT IT'S COMPLICATED. Before we get into the gruesome and guttural though, we have a small concession for the skinnier and more artistic listeners: that of the debut demo by Grave Chalice, an industrialized black metal project featuring Warg of Heretical Sect which takes a foundation of Grand Declaration of War and enhances it with modern technique- definitely a project to look out for. Ominous carrion winds blow in from the east announcing the arrival of Aparthiva Raktadhara's debut record. Notorious members of the Kolkata Inner Order, the band has taken a surprising move on this release by in large part leaving their warnoise roots for colder, more alienating death metal pastures. The root riffing style of Morbid Angel's most difficult moments is expanded upon with brutal death drum technique and utterly deranged song structures making for something that feels equally at home in 1992 as it does in 2046. No more spoilers- this is one of the best records of the year. On the flipside is the triumphant return of Holocausto Canibal, long-running Portuguese grindgore purveyors whose long absence (at least in terms of full-lengths) has done nothing to soften their bite. Continuing in the footsteps of artists like Haemorrhage, HC provide (human) meat and potatoes goresoaked deathgrind with a crusty hardcore edge that may be more relevant now than ever before. Gravity blasts good, lyrics about space bad- there's a reason this style has existed for almost 30 years. 0:00:00 - Intro/Grave Chalice - Demo MMXXII (Mercurial Gate) 0:17:54 - Aparthiva Raktadhara - Adyapeeth Maranasamhita (আদ্যাপীঠ মরণসংহিতা) (Iron Bonehead) 1:07:21 - Prosanctus Inferi - “Apex Jaws in Madrigal Posture” fr. Noctambulous Jaws Within Sempiternal Night (NWN, 2013) 1:10:55 - Holocausto Canibal - Crueza Ferina (Selfmadegod) 1:43:21 - Outro - Mortuary Punishment - “The Streets” into “Streets of Death II” fr. Pride.Power.Punishment (Independent, 2018) Terminus links: Terminus on Youtube Terminus on Patreon Terminus on Subscribestar Terminus on Instagram Terminus on Facebook thetrueterminus@gmail.com

Nazih Assaad provides his expertise on the treatment of subarachoid haemorrhage. Treatment for aneurysmal subarachnoid haemorrhage (SAH) is an area that has had extensive research but not a great deal of success. Promising animal studies have not turned out as hoped in clinical trials and many questions remain unanswered. Nazih guides the listener through his approach on how to address the complicated presentation of SAH. Firstly, subarachnoid haemorrhages can be graded clinically and radiologically. Clinical grades provide useful prognostic information, with poorer grades less likely to do as well as more favourable grades, despite best medical and intervention management. Nazih mentions the Fisher Scale which is useful for predicting vasospasm and how he integrates both into practise. Nazih will guide you through the four elements in the management of established SAH. Moreover, these are the four areas he believes every clinician working in this space should consider with every patient presenting with a SAH. The first is the effect of the haemorrhage itself on the patient. The sudden rise of intracranial pressure secondary to aneurysm rupture leads to dramatic clinical signs. These includes loss of consciousness and seizure like activity. There are no known agents to reverse the effects of the initial insult. Secondly, managing the degree of hydrocephalus that most, if not all, patients will have if critical. Clinical hydrocephalus is treated with CSF drainage. Thirdly, the prevention of re-haemorrhage is important. In bygone eras, patients with aneurysmal SAH did not have immediate management of the bleed. This has changed. Finally, delayed cerebral ischaemia (usually relating to vasospasm) should be addressed. Gold standard of diagnosis is digital subtraction angiography, and following this, Nazih describes his aggressive management approach.  Nazih takes the listener through what he considers the most critical aspects of managing a patient with an aneurysmal SAH. This talk explores diagnostic techniques, patient examination, surgical options, and other management considerations. He touches on the most recent guidelines and protocols around Australia and the world.  Please note this episode was recorded in November 2018 as part of Brain, a CICM Neuro Special Interest Group meeting click here for more info. For more like this, head to our podcast page #CodaPodcast