Podcast appearances and mentions of peter brindley

In this episode, hosts Leon Byker and Peter Brindley are joined by Dr. Elizabeth Viglianti, an assistant professor at the University of Michigan, Pulmonologist and Critical Care Specialist, to discuss the crucial issue of gender based harassment in medicine. Gender-Based Harassment refers to any unwelcome behavior, comment, or conduct that demeans, intimidates, or disadvantages someone based on their gender or gender identity. This can include derogatory remarks, exclusion, stereotyping, unequal treatment, or threats, whether or not the behavior is sexual in nature. In the workplace, it undermines professional dignity and contributes to a hostile or inequitable environment.Dr. Viglianti shares her personal experience that led her to study this field, detailing the prevalence and impact of such harassment. The discussion covers key findings from the National Academies of Science, Engineering, and Medicine's framework on addressing sexual and gender based harassment, gender disparities, organizational factors contributing to harassment, and her research on the topic. Practical steps and recommendations for institutions to mitigate harassment are also explored.00:00 Introduction and Welcome01:08 Personal Experience with Sexual Harassment03:06 Understanding Gender Based Harassment in Medicine05:34 Organizational Factors and Solutions07:50 Gender Disparities in Academic Medicine17:42 Impact on Trainees and Reporting Challenges24:46 Addressing Patient-Perpetrated Harassment28:59 Practical Strategies and Training32:26 Conclusion and Call to Action

Join hosts Iain Beardsell and Natalie May at the London Trauma Conference as they welcome Peter Brindley back to the St Emlyn's podcast. In this engaging episode, they delve into the nuances of social media, digital footprints, and the burgeoning influence of artificial intelligence in medicine. Brindley discusses the importance of maintaining an authentic digital presence and addresses the impact of misinformation and disinformation in the digital age. They explore the challenges and opportunities presented by AI in clinical decision-making and share insights on navigating this evolving landscape as healthcare professionals. Tune in for a thought-provoking conversation on staying relevant and responsible in a digitally-driven world. 00:00 Introduction and Welcome 01:40 Understanding Digital Footprint 03:53 Navigating Information and Misinformation 05:41 The Role of AI in Information Search 08:45 AI in Clinical Decision Making 15:28 The Kardashian Index and Social Media Influence 17:39 Conclusion and Final Thoughts

In this episode, Peter Brindley and Leon Byker sit down with Dr. Rob Bevan, immediate past president of the College of Intensive Care Medicine (CICM) and Critical Care Director at Auckland City Hospital, Auckland, New Zealand. Dr. Bevan shares his journey through leadership in intensive care, the role of intensive care colleges, and the evolution of critical care training. He also explores the political, social, and ethical dimensions of critical care, from workforce sustainability to the unique role of intensivists as brokers of care. Episode Highlights: The Evolution of CICM: History of the CICM and the differences between the CICM and similar organizations globally. Training for Critical Care: The training pipeline in Australasia. Advocacy and Political Engagement: The role of the CICM in advocating for intensive care resources. The Value of College Convocations: Celebrating new fellows and their families and the role of meaningful ceremonies. The Intensivist as a Broker of Care: Defining the role of the ICU specialist in complex patient care. The Future of Critical Care Workforce: Addressing workforce challenges and it's sustainability. The Upcoming CICM Annual Meeting: Highlights of the upcoming 2025 meeting in Tasmania. Reflections on Leadership and Administration: Dr Bevan's Journey into administration and why it matters.

Coping with dying and saying what needs to be heard: Elliot Sprague Introduction: In this emotional episode, Peter Brindley, Leon Byker, and Elliot Sprague revisit Elliot's journey with metastatic cancer, a year after his initial appearance on the podcast, Elliot reflects on the impact of living with a terminal illness, sharing life lessons, and offering insights on how he continues to thrive despite a difficult prognosis. This episode Elliot talks about acceptance, gratitude, and the importance of living each moment fully. Topics Discussed: Elliot's cancer journey since his last appearance. Transition from curative treatment to a palliative diagnosis. The emotional challenges of facing terminal illness. Acceptance of reality and choosing how to live each day. The role of gratitude in maintaining emotional well-being. Coping with the loss of professional identity. Legacy-building and leaving meaningful gifts for loved ones. The importance of honest conversations about death. Support systems: family, friends, and the medical community. Practical tools for mindfulness and mental well-being. Timeline: 00:00 - 01:30: Introduction and re-welcoming Elliot Sprague to the show. 01:31 - 05:20: Elliot updates on his cancer journey, including treatment successes and setbacks. 05:21 - 10:00: The shift from a curative approach to palliative care. 10:01 - 15:45: Acceptance, gratitude, and how Elliot thrives with his diagnosis. 15:46 - 20:55: Discussing HyPEC surgery and reflecting on end-of-life realities. 20:56 - 25:30: Legacy-building, gratitude practice, and leaving meaningful messages for loved ones. 25:31 - 30:10: Coping with family grief and how Elliot's wife Danielle plays a crucial role. 30:11 - 35:50: The power of mindfulness in Elliot's journey and how it changed his outlook. 35:51 - 40:15: The role of humor and connection in facing terminal illness. 40:16 - 45:00: Final reflections, messages of gratitude, and an emotional conclusion. Thank you Elliot for joining us! https://www.gofundme.com/f/dr-elliott-sprague-and-family?attribution_id=sl:c52d4c83-2649-4ce0-a003-651776f01205&utm_campaign=man_sharesheet_ft&utm_medium=customer&utm_source=email

In this EM Cases podcast Anton chats with Dr. Peter Brindley and Dr. Leon Byker who have a deep interest in the Culture of Medicine to explore what culture in medicine is, why culture is so important, and then drive home 10 strategies to improving the culture in our departments emphasizing the importance of human connection, empathy, open communication, and a willingness to learn from mistakes in creating a positive and fulfilling work environment, so that we love our work, we love our department, we love taking care of our patients and our patients have better outcomes... Support EM Cases and Free Open Access Medical Education by making a donation now: https://emergencymedicinecases.com/donation/

Welcome to another episode of "The Critical Care Commute" podcast! In this episode, Peter Brindley and Leon Byker sit down with special guest Elliot Sprague. Elliot Sprague is an internist known for his unique perspective on healthcare and his remarkable journey through a recent health challenge. In this episode, Elliot reflects on the shock of being diagnosed with a metastatic malignancy and how it changed his life. He discusses the impact of being present, engaged, and honest with patients, and how it has positively influenced his own well-being. Elliot also delves into the emotional side of life, sharing how he encourages his son to express and deal with his feelings, describes the importance of naming and acknowledging emotions thus fostering a healthy approach to fear and anxiety. Tune in to this episode for a profound conversation about life, medicine, and finding joy in the face of adversity. Elliot Sprague's unique perspective serves as an inspiration to both healthcare professionals and listeners navigating their own journeys. Thank you for joining "The Critical Care Commute" podcast!

Join Dr. Leon Byker as he talks to Dr Peter Brindley about CRM on the telephone. Yes, the hunter becomes the hunted! Dr. Brindley is an Intensive Care Doctor, Professor of Critical Care, Adjunct Professor of Anesthesiology and Adjunct Professor of Medical Ethics at the University of Alberta, Edmonton, Canada. He has special interest in Human Factors, Crisis Resource Management, Medical Communication, Airway Management, Resuscitation Prognostication, End of life care, and lastly Resilience and wellbeing in healthcare workers. In this episode we discuss the importance of isolating oneself when taking a call, "conserving bandwidth", building a relationship on the phone, triaging patients as red, orange or green to assist in decision making, avoiding technical language and recognizing discomfort with end-of-life matters some health care workers may experience. Further reading: Brindley PG, Cardinal P. Optimizing crisis resource management to improve patient safety and team performance: a handbook for all acute care health professionals. Royal College of Physicians and Surgeons of Canada. Collège Royal des médecins et chirurgiens du Canada; 2017.

Peter Brindley joins you again to bring you The Great Re-Engagement, alongside Pelesa Motshabi Chakane, Silvia Perez-Protto and Andrew Shaw.   This episode explores the future of healthcare, and the ways to utilise the global community, research, and technology to enable greater contentment for clinicians to enable excellent healthcare at a global level.   What will successful medicine look like in 10 years' time if we get it right? It is a daunting prospect to consider. Palesa hopes that the positivity that has been borne out of the Covid-19 pandemic continues. She believes it will be the capacity for the healthcare system to utilise the unity that has been exhibited over the last two years will be the driving force for ongoing positive change. Ideally, this leads to healthcare for everyone, prevention of sickness and disease and exceptional care for the whole person. Silvia speaks of her dream of the abolition of healthcare disparity and universal access for all.   Andrew hopes that the medical community will engage both science and art to make these dreams reality. Andrew speaks about the integration of technology into the practise of medicine and explores the potential benefits and disadvantages. Further he speaks to the changing nature of healthcare to be servicing customers as opposed to patients. This comes with greater choice for individuals accessing healthcare. He sees this “relationship based” healthcare as key to ensuring technology does not become all consuming.   Prevention, rather than cure, is a key tenant to the development of healthcare in Andrew's opinion. This sentiment is founded on an agreement to a moral contract by the medical community. The moral contract contains within it a right to affordable and accessible healthcare for all.   Silvia feels poor data collection, especially in terms of underrepresented groups, is hindering the design and implementation of health care systems. The way forward is meaningful engagement with all patients to better design systems. Palesa provides a viewpoint from a system in lower income countries. Whilst the medium and high-income countries are faced with challenges surrounded by the rising use of technology and perhaps patient disengagement, Palesa makes the point that for most of the world, burden of disease is still the major challenge to be faced. Utilising technology in an appropriate way to bridge the gap between low- and high-income countries is the way forward   Balancing education, research and clinical care is another challenge that is becoming more and more apparent. Andrew thinks that clinical care is, and must be, at the forefront of medical practise. It is what the patients hold most highly and for good reason. Whilst education and research are important, these pursuits may be best to be left to those who are legitimately good at them. The team discuss the best ways to balance being pulled in multiple directions whilst keeping the patients at the forefront.   For more like this, head to our podcast page. #CodaPodcast

This episode discusses the effect of the pandemic on healthcare professionals at an individual level, and how this has broad reaching ramifications at a team and industry level across different country contexts.   IN THIS PODCAST PETER BRINDLEY IS JOINED BY HUGH MONTGOMERY, LIZ CROWE, AND SHELLY DEV TO DISCUSS WELLNESS, RESILIENCE, BURN OUT AND BEING A HEALTHCARE WORKER IN THE WORLD NOW. THIS EPISODE EXPLORES JOB SECURITY, PUBLIC RECOGNITION, AND THE EFFECT OF THE PANDEMIC AT A PERSONAL LEVEL FOR DOCTORS AND NURSES.   In the context of the pandemic, the good comes with the bad – as Liz explains. Throughout the pandemic we have seen health care professionals experience trying work conditions the world over. However, it is one of the few industries that did not experience staff layoffs and work reduction. On the other hand, all healthcare systems in the world are imperfect. Throwing a pandemic into the mix produced even more challenges. It was therefore unlikely that the mental health and satisfaction from work was going to improve over the past two years. Hugh discusses the disposition of healthcare workers in London during the pandemic – one of the hardest hit regions in the world. Whilst the pandemic initially provided an opportunity for intensive care doctors and nurses to do what they are trained to do; the ongoing nature has proven to be challenging. The doctors in his system are weary – both mentally and physically. Shelly highlights the touching nature of working within a close team during this difficult period. In her experience there is a comradery that has been emphasised through the pandemic. However, Shelly states that even in non-pandemic times healthcare workers have struggled to cultivate a healthy relationship with the rest of their lives outside of work. Therefore, her first thoughts at the start of the pandemic were not of the intellectually interesting challenge, but rather what was going to happen with her family. On a broader scale, Shelly posits these hardships may lead to more and more healthcare professionals leaving the industry.   Tune in to this authentic perspective on healthcare worker wellbeing with Peter Brindley, Hugh Montgomery, Liz Crowe & Shelly Dev. Overcoming the Great Resignation through Realisation: Part 1 For more like this, head to our podcast page. #CodaPodcast     This podcast is brought to you by Teleflex

In Part 2 of this podcast Hugh Montgomery, Liz Crowe, and Shelly Dev along with Peter Brindley continue their discussion on wellness, resilience, burn out and being a healthcare worker in the world now. IN THIS EPISODE THE TEAM DISCUSSES THE BROADER ORGANISATION STRUCTURE AND HOW THIS CONTRIBUTES TO (OR DETRACTS FROM) TEAMWORK AND HEALTHCARE WORKER WELLNESS AND SATISFACTION. Shelly delves into the topic of the organisations and whether they are supporting the clinicians on the ground in the best possible way. Senior leadership, in her opinion, has done a major disservice to healthcare workers in their support and leadership roles. The support needed on the ground transcends yoga classes and healthy cooking recipes. Organisational support needs to acknowledge the needs and desires of healthcare staff, namely, to deliver excellent care and have good days at work in the context of a healthy life. Liz suggests that although the organisational leadership is important for the overall wellbeing of the workforce, they are one aspect of a broader picture. She believes that leaders should be mentored in leadership. Teaching people basic communication and feedback skills would make a huge difference. Similarly, fostering a culture of togetherness and unity amongst separate entities of a larger organisation would lead to greater worker satisfaction and lead to better outcomes for patients. HUGH RAISES THE POINT OF CLINICAL OUTCOMES BEING INFLUENCED BY ENGAGEMENT OF HEALTHCARE PROVIDERS BY SENIOR MANAGEMENT. Management teams engaging with clinical staff seem to increase the patient care being delivered. Hugh provides his thoughts as to why this may be the case. Without senior management support, clinicians are increasingly overworked in a system that is constantly pushing back. This can, and does, lead to staff finally breaking and resigning on the spot. The core the issue of healthcare worker burnout and dissatisfaction is simple Shelly states. In her view, everyone in healthcare at their core are good and decent people. They desire support and structures that allow them to enact this value in their everyday work. Although the solutions to the broad range of problems facing health systems across the globe are not as straight forward, remembering this fact is a good starting point. From here, the team provide some of their insights into the way forward.     Tune in to this authentic perspective on healthcare worker wellbeing with Peter Brindley, Hugh Montgomery, Liz Crowe & Shelly Dev. Overcoming the Great Resignation through Realisation: Part 2 For more like this, head to our podcast page. #CodaPodcast     This podcast is brought to you by Teleflex

In this episode of ACEP Frontline, we gather three worldwide medical leaders and their trauma expertise to talk about the Textbook of Acute Trauma Care. Joining me are Dr. Peter Lax, Dr. Peter Brindley, and Dr. Alex Psirides. We cover time zones and topics from around the world. Textbook Amazon link... https://www.amazon.com/Textbook-Acute-Trauma-Care-Peter-ebook-dp-B09PTMSKXF/dp/B09PTMSKXF/ref=mt_other?_encoding=UTF8&me=&qid=1652035476

In part 2 of The Great Rejection, Peter Brindley and Tim Caulfield return to continue their discussion of misinformation in the world of health science. This episode examines how to teach the public to think critically, how to deal with uncertainty as a clinician and how to better understand the pros and cons of transparency. How do we teach science in an ever-expanding world of knowledge and information? Tim suggests going back to first principles and reinforcing to the public that science is a process. Secondly, Tim highlights how basic educational tools can make a big difference when teaching the public to cut through the noise. Moreover, creating engaging content with accurate messaging can help turn the tide on misinformation in the public realm. This brings Tim and Peter to the idea of uncertainty and how it sits with the public. The research suggests that the public wants the scientific community to be honest about uncertainty. Reassuringly, the same research tells us that by being honest, an institution or medical body does not lose any credibility. Tim points out the incredible uptake of mask wearing in some countries. This is despite misinformation being disseminated online, an indication of the willingness to acknowledge uncertainty and still act in accordance with advice. Tim discusses the downsides of population engagement. Whilst transparency is positive on its own, it may not achieve the aims originally intended. Tim highlights public reactions to literature retractions, medical debates, and conflicting results as an example of scientific transparency being counterproductive. However, that is science! And it is messy – as such it does not always lead to good, especially in the short term. However, Tim contends that whilst the ‘backfire effect' (the negative ramifications of debunking scientific claims) exists, the real-world implications are small. Therefore, scientists and medical professionals should not worry too much about retracting or debunking previously established evidence. Finally, for more like this, head to our podcast page #CodaPodcast For more on Tim Caulfield, click here.

Peter Brindley and Timothy Caulfield answer the big questions around how science and health are represented in the public sphere. What is science? When do we accept it and when do we reject it? The representation of science and medical information on social media has erupted in recent times – in large part thanks to the Covid-19 pandemic. Along the way, misinformation has come to the forefront. Why do people believe misinformation, where does it come from and what damage is it doing? These questions are not new, however in the modern world (pre- and post-Covid) they are in the public conversation more than ever. Tim believes that the spread of misinformation is one of the greatest challenges of today – sparking an ‘Infodemic'. The ideological nature of misinformation has also grown in recent times. Whilst Tim contends that it has always been there, it has become more dominant with the ever-growing popularity of social media. Social media is not going anywhere. As such, we must learn to live with it, and employ its use in such a way to be proactive and productive. Tim talks to the positives of social media, in particular its ability to decrease feelings of social isolation as well as its entertainment and information value. However, the current information environment rewards extremism, polarisation, and the spread of misinformation. So, is social media the symptom, the disease or both...? As Tim explains, it is all the above. How can healthcare professionals move towards a positive use of social media?  Tim believes engagement is constructive and he favours healthcare professionals and peak medical bodies being on social media. Finally, Tim addresses the shifting landscape when it comes to healthcare engaging on social media. Tim believes that clinicians can (and should) share valuable content online. For more like this, head to our podcast page. #CodaPodcast

This episode focuses on learnings from the COVID-19 pandemic. Important lessons our global Intensive Care community, your local ICU and you personally might take away from what the novel coronavirus has caused - at least so far. Previous episodes of this series (a series best listened to in episode order) have allowed you to hear the experiences of busy ICU clinicians, the work of an ICU clinical psychologist, and some supportive strategies different institutions have used during the pandemic. Here you'll listen to the valuable thoughts and considerations about topics including personal wellbeing, awareness of mindset, effects on healthcare workers as a group and even some possible gains from the pandemic hardship. In this sixth episode of the “Persevering Through A Pandemic” series, the guests (in order of appearance) are Dr Rana Awdish, Dr Hayley Gershengorn, Dr Laura Rock, Dr Wes Ely, CCRN Simone Hannah-Clark, Dr Peter Brindley, Dr Matt Morgan, Dr Hugh Montgomery, Dr Georg Auzinger and Dr Julie Highfield. I firmly believe that ICU clinicians across the world need to spend time reflecting, processing or simply healing from this pandemic. Reinvigorating ourselves from the difficulties we've suffered and restoring ourselves for whatever is to come. My hope is this episode will help you to do this. Thank you for listening to these wise and thoughtful Intensive Care clinicians speak about how they've been “Persevering Through A Pandemic”.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing.   -------------------- Links to featured guests (in order of appearance) Dr Rana Awdish Dr Rana Awdish on Twitter @RanaAwdish Dr Hayley Gershengorn Dr Hayley Gershengorn on Twitter @HBGMD Dr Laura Rock Dr Laura Rock on Twitter @drlaurarock Dr Wes Ely Dr Wes Ely on Twitter @WesElyMD CCRN Simone Hannah-Clark CCRN Simone Hannah-Clark on Twitter @kiwi_yankee Dr Peter Brindley Dr Peter Brindley on Twitter @docpgb Dr Matthew Morgan Dr Matthew Morgan on Twitter @dr_mattmorgan Dr Hugh Montgomery Dr Hugh Montgomery on Twitter @hugh_montgomery Dr Georg Auzinger Dr Julie Highfield Dr Julie Highfield on Twitter @DrJulie_H   Links to other resources (in order of mentioning) Book "Every Deep-Drawn Breath" (by Wes Ely)   Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 15 with Peter Brindley Mastering Intensive Care podcast - Episode 33 with Wes Ely Mastering Intensive Care podcast - Episode 36 with Hayley Gershengorn Mastering Intensive Care podcast - Episode 41 with Rana Awdish Mastering Intensive Care podcast - Episode 47 with Matt Morgan Mastering Intensive Care podcast - Episode 48 with Laura Rock Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery Mastering Intensive Care podcast - Episode 57 with Georg Auzinger Mastering Intensive Care podcast - Episode 60 with Simone Hannah-Clark Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

Intensive Care clinicians are used to being busy. Critically ill patients constantly arrive in the ICU with no awareness of staff workload at that moment. So being busy has not been the major problem of the COVID-19 pandemic. The difficult emotional responses to physical exhaustion, mental strain, heart-breaking human loss and the unpredictability of SARS-CoV-2 have been significant, and the commonly held attitude of “just power through” has not been sustainable. Instead, the most critical influence on the overall wellbeing of Intensive Care practitioners has been the degree to which they have felt supported socially. Maintaining social support and cohesion is hard. Intensive Care professionals have often depended on social support through camaraderie and workplace culture yet have been crying out during this healthcare crisis to hospital administrators, often in vain, for direct and valuable supportive measures for staff wellbeing. The pandemic has therefore required a more healing and individual-focused type of supportive strategy. Coming up with successful strategies is not easy and a specific strategy will not support all individuals in all contexts. So, ICU teams have had to try a mixture of strategies, philosophies, support groups, or simply caring attitudes to provide effective staff wellbeing support. In this fifth episode of the “Persevering Through A Pandemic” series, you'll hear some of the types of supportive actions that my guests in this series have witnessed in their ICUs and hospitals. My guests on the episode (in order of appearance) are Dr Hugh Montgomery, Dr Rana Awdish, CCRN Simone Hannah-Clark, Dr Hayley Gershengorn, Dr Laura Rock, Dr Matt Morgan, Dr Peter Brindley, Dr Wes Ely and Dr Georg Auzinger. There is so much we can learn from the COVID-19 pandemic. My hope is this episode will help you as a listener to reflect on and to process your own pandemic experience whilst hearing lessons you might take away to your Intensive Care community. Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they've been “Persevering Through A Pandemic”.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing.

Are you sick of COVID? How have you coped in this pandemic? And what's it actually felt like to live and work throughout this last two years?   Concerned for the wellbeing of healthcare professionals in the hardest hit ICUs during the COVID-19 pandemic I interviewed a group of clinicians previously featured on the podcast. With an emphasis on personal wellbeing, I aimed to uncover their feelings, their struggles, their perspectives and their take-aways from this prolonged global healthcare crisis. My hope is to help you to reflect on and to process your pandemic experience, and to hear lessons you might take away to your Intensive Care community. In this first of a series of 6 episodes you'll hear the voices of Dr Laura Rock, Dr Peter Brindley and Dr Wes Ely, which were recorded in April/May 2021. Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they've been “Persevering Through A Pandemic”.   Andrew Davies

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit. See omnystudio.com/listener for privacy information.

Who are you?  More importantly, who are WE?  Kicking off #resusTO, Peter Brindley talks about we come together, or fail to come together, to work as inter professional teams, and what we can do to make things better, safer, and hell — more fun.

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit.  See omnystudio.com/listener for privacy information.

A podcast with Iain and Simon summarising all the latest content from the St Emlyn's blog in April 2021. Topics discussed include Vaccine Induced Thrombocytopenic Thrombosis, how our own biases can effect our critical appraisal and whether we need to worry about grading the quality of FOAMed resources. Thanks for listening. Please check out the blogs themselevs at www.stemlynsblog.org and consider subscribing and rating us on iTunes.  If you'd like to see some more from Peter Brindley you can watch one of his SMACC talks here. 

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit.  See omnystudio.com/listener for privacy information.

An audio review of a paper in the Journal of Intensive Care Medicine with two of the authors. Assessing on-line medical education resources: A primer for acute care medical professionals and others Peter G Brindley, Leon Byker, Simon Carley, Brent Thoma https://doi.org/10.1177/1751143721999949

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit.  See omnystudio.com/listener for privacy information.

Sign up today: http://betterhelp.com/solvinghealthcareand use Discount code “solvinghealthcare"Solving Healthcare Seminars & Merchandise.solvinghealthcare.ca/shopUse promocode kwadcast20 for 20% our seminarsProceeds will be going to Feeding Frontline Healthcare Providers:gf.me/u/xstpfkDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wBridges Over Barriers:https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit See omnystudio.com/listener for privacy information.

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit.  See omnystudio.com/listener for privacy information.

In this month's EM Quick Hits podcast: Anand Swaminathan on lateral canthotomy, Emily Austin on pediatric cannabis poisoning, Reuben Strayer on an approach to hyperthermia, Brit Long on diagnosis and management of malignant otitis externa, Jesse McLaren on ECG diagnosis of occlusion MI in patients with BBB and Peter Brindley on prone CPR... The post EM Quick Hits 24 Lateral Canthotomy, Cannabis Poisoning, Hyperthermia, Malignant Otitis Externa, BBB in Occlusion MI, Prone CPR appeared first on Emergency Medicine Cases.

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit. 

Guest:  Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit.

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit. 

Anne Creaton is interviewed by Peter Brindley. She talks about her experience in setting up Emergency Medicine Training in Fiji and give advice to those who may want to work in a similar setting. www.codachange.org/podcasts  

SponsorsLow Carb & Ketogenic Approaches to Health:Solving Healthcare and the Resource Optimization Network present our first virtual summit!Purchase the recorded summit:https://solvinghealthcare.ca/lowcarbKim Sutton:  http://solvinghealthcare.ca/kimsuttonCharityHelp children in need in our community. Check out our charitable initiative,Bridges Over Barriers:https://www.educationfoundationottawa.ca/students-in-crisis/bridges-over-barriers/MerchandiseShop our Solving Healthcare merchandise and help support our community! All proceeds will be going to Give A Milehttps://solving-healthcare.myshopify.com/NewsletterHave you signed up for our newsletter yet? Keep track of everything going on at Solving Healthcare by subscribing at the link below:https://resourceoptimizationnetwork.us19.list-manage.com/subscribe?u=45cbdf2bcb2b4aaebef54a196&id=124e477919 WebinarsSubscribe to our expert-led, interactive webinar series:https://resourceoptimizationnetwork.us19.list-manage.com/subscribe?u=45cbdf2bcb2b4aaebef54a196&id=ed860b52f9Catch up on our previous webinars on our Youtube channel:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w/videosHow to subscribe to the podcast:Solvinghealthcare.caMake sure to subscribe to the Solving Healthcare podcast! You can find us on Apple Podcasts, Spotify, iHeart Radio, Castbox or Simplecast. Links to each platform can be found below:solvinghealthcare.ca/podcastSocial platforms:Twitter https://twitter.com/kwadcastInstagram https://www.instagram.com/kwadcast/Youtubehttps://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w/videos 

This energetic talk starts with discussing the importance of Human Factors in Acute Care Medicine, and then pivots to how these ideas can be applied to understanding burnout, resilience, coping, and practical aspects of culture change in medicine. These ideas are all presented within the context of the COVID pandemic.

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit. 

This engaging, provocative, and practical talk uses examples from the COVID-19 outbreak but is relevant in all those who practice Emergency Medicine, Anaesthesia, or Critical Care Medicine before, during, or after pandemics. It starts with discussing the importance of how AMOTOR differs from AMITOR (airway management in the operating room) and how and why it is more perilous and nuanced. It discusses what it means to have a difficult airway and further divide this difficulty into anatomic, physiologic, and situational. We then focus on situational difficulty and the importance of mastering Human Factors and Team factors. We offer novel airway insights and common misconceptions regarding airway management including cricothyroidotomy and glottic impersonation. The goal is simple but profound: to keep airway teams strong and patients alive.

Guest: Dr. Peter Brindley, Full-time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and its NeuroSciences Intensive Care Unit.

Episode NotesSign up with Audible: https://amzn.to/2T44qsxAn unmatched selection of audiobooks performed by world-class talent.3 titles for each month of their gift membership: 1 audiobook + 2 Audible Originals.30% off any additional audiobooks.Anywhere, anytime listening with the free Audible app.Free and easy audiobook exchanges.An Audible book library they'll own forever.Sign up today: http://betterhelp.com/solvinghealthcareand use Discount code “solvinghealthcare"Solving Healthcare Merchandise.https://solving-healthcare.myshopify.com/Proceeds will be going to Feeding Frontline Healthcare Providers:gf.me/u/xstpfkDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wFeeding Frontline Staff COVID-19:https://www.gofundme.com/f/feeding-our-frontline-workersBridges Over Barriers:https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

Guest: Dr. Peter Brindley, Full-Time Critical Care Physician at the University of Alberta Hospital in the General Systems Intensive Care Unit and it's NeuroSciences Intensive Care Unit.  

Drs. Sara Gray, Emily Austin, Chris Keefer, Justin Morgenstern, Sarah Reid, Chris Hicks, Peter Brindley and Andrew Cameron share their experience with the COVID-19 pandemic and offer some practical tips on human factors, pandemic airway checklist, deliberate practice airway safety course, pediatric COVID management considerations, and Sara Gray's 4 step COVID wellness program... The post EM Quick Hits 15 – COVID-19 Practical Tips, Pediatric COVID and Human Factors appeared first on Emergency Medicine Cases.

Peter Brindley interviews Khairil Musa about Performing Arts, specifically dance, and how this complements his career in critical care.

Have you visited any of your past patients or their families in their homes? Would this be difficult? What might you learn? Medicine is mostly a series of stories of people’s lives. This is a privilege we often overlook. In Intensive Care we usually only have a glimpse into each life, an almost unrecognisable flash of physical suffering, medical procedure, bedside vigil and hopefully recovery, but sadly we often miss the end of the story. What happened to that person? Did they recover? Did they regain their previous life? What do they remember? Dr Matt Morgan, a Welsh Intensivist, didn’t enjoy missing the end of these stories, and he wasn’t sure that laypeople really understood what we do in the ICU. So he took it upon himself to visit some of the patients or their families who he had helped care for in the Intensive Care Unit. And what he learned helped him write his recently published book “Critical - science and stories from the brink of life”. Matt is a Consultant in Intensive Care Medicine at the University Hospital of Wales, and an Honorary Senior Research Fellow at Cardiff University in the UK. After completing medical school in Cardiff, where he still lives and works, Matt studied ethics at Bristol University, served as a junior doctor in the RAF, and subsequently chose the path of intensive care medicine, training in the UK and Australia, and completing a PhD. Matt is passionate about public engagement and has contributed to multiple scientific articles. The book “Critical” takes readers on a tour around the intensive care unit, meeting some of his most interesting and memorable cases. These stories include a pregnant woman who survived for weeks without a heart beat, the son of a police officer who was critically injured in a drug lab explosion, a judge who returns to the court room where he needed CPR, and an 18-year-old student who sadly died from sepsis after a trip to Africa. Throughout the book, Matt also highlights public health messages like the importance of bystander CPR, the harms of alcohol, the benefits of organ donation and how medicine is currently battling what should be done with what can be done. In this podcast conversation you’ll hear Matt speak about his new book, and also about: How he has tried to mix science, history, emotions and humans together in his writing How hard it was to visit some of the patients and their families he wrote about in his book The value of doing this “deep follow up” The story of Vivi, who is understood to be the world’s first ever Intensive Care patient How we can increase our use of narrative medicine including in medical note writing The changes he’s made to the process of his ward round Some of his thoughts on burnout and how he deals with the demands of work The importance he places on sleep His views on mindfulness What he says and does in a family meeting The question he thinks is crucial in a family meeting How he involves trainees in these meetings Some advice for difficult conversations The value of reading outside of intensive care and outside of medicine His obsession with animal physiology His thoughts on changes we need to make in intensive care Matt is an excellent writer with a gift for describing disease and concepts very simply. He speaks articulately too. Please enjoy listening to Matt Morgan. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean insights to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient’s lives.   -------------------- Links to people, organisations and other resources mentioned: Dr Matt Morgan website Matt Morgan on twitter Book “Critical” (by Matt Morgan) Blog piece “The ward round is broken” (by Matt Morgan) Blog piece “Burnout in healthcare workers - are we surprised” (by Peter Brindley and Matt Morgan) Other BMJ blog pieces by Matt Morgan Other blogs by Matt Morgan If this then that (IFTTT) Book “Why we Sleep” (by Matt Walker) Mastering Intensive Care podcast - Episode 40 with Ed Litton Mastering Intensive Care podcast - Episode 41 with Rana Awdish Mastering Intensive Care podcast - Episode 46 with Deborah Cook 2019 World Congress of Intensive Care Medicine New Normal Project podcast New Normal Project podcast - Episode 56 with Brad Dalrymple Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Email Andrew Davies

EM Quick Hits is a brand new EM Cases podcast that contains 5 minute segments chosen from 10 specific topics by 10 different experts and educators. These topics are ones that either are not taught very well in training and/or that physicians tend to be not completely comfortable with. They include toxicology, trauma, ophthalmology, orthopaedics, resuscitation, human factors, addiction and pediatric emergencies. The EM Quick Hits Team is: Emily Austin, Peter Brindley, Chris Hicks, Michelle Klaiman, Anna MacDonald, Natalie May, Justin Morgenstern, Andrew Petrosoniak, Hans Rosenberg, Arun Sayal and Anand Swaminathan... The post EM Quick Hits 1 Massive PE, Gabapentin for Alcohol Withdrawal, Dental Avulsions, Pediatric Eye Exam, Best Resuscitation Fluid appeared first on Emergency Medicine Cases.

This podcast was recorded at the Intensive Care Society State of the Art meeting in London 2018. Simon Carley interviews Prof Peter Brindley on the interface of technology, humans and humanity in critical care. The audio was recorded live and at the venue so there is a fair bit of background noise, but we hope that this does not distract from a wide ranging and fascinating podcast.  

A no-holds barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

A no-holds barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

A no-holes barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

A no-holes barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

A no-holes barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

Peter G. Brindley MD, FRCPC, FRCP (Edin) FRCP (Lond). Peter is a full-time Critical Care Physician at the University of Alberta Hospital, Canada and professor of Critical Care Medicine, Anaesthesiology, and Medical Ethics. He has 100 peer-reviewed manuscripts, 30 book chapters, over 70 lesser manuscripts and one textbook focusing on resuscitation; crisis management; human factors; and improving teamwork & communication.  He was a founding member of the Canadian Resuscitation Institute; former Medical-Lead for Simulation, and prior Education Lead for Surgery, Anaesthesia and Critical Care at the UofA. He is on the Board for the Canadian Critical Care Society, and the organizing committee for five major conferences. He has delivered over 400 invited presentations in ten countries, and over 50 plenaries. He welcomes disagreements because he doesn’t want to be wrong a moment longer than necessary.   

Session 14.2: Lessons from the Canadian bush - Peter Brindley, Canada

We're ready to RAGE again! This one is 85:26 min long and includes: Introduction... kind of (starts 00:00 min) ‘What's bubbling up?' (starts 02:08 min) — Dr Smith's ECG blog, DAS Guidelines for tracheal intubation of the critically ill, "The Human Factor" and trauma team performance. ‘DNR' (starts 14:58 min) — the RAGE team discuss the concept of 'do not resuscitate' and consensus resuscitation plans, challenges and tips for family discussions and decision-making, and a host of tricky situations (e.g. the family that wants 'everything', patients who want to be organ donors, suspension of DNR orders for operations, and patients with advance care plans who attempt suicide).. ‘A blast from the past' by Peter Brindley on ‘Joseph Lister' (starts 80:44 min) ‘Words of Wisdom' from Karel Habig (starts 83:41 min)

What is the future of Artificial Intelligence and critical care medicine? I ask Rinaldo Bellomo who, for the past 30 years, has been at the pointy end of critical care research including high technology and predictive algorithms. I managed to get Rinaldo Bellomo to talk to me at SMACC in Berlin. It was a bit of an intellectual mismatch. If you work in intensive care then you know who this man is. If you don't work in intensive care you may somehow be unaware of the 1000+ articles he has authored, the gazillions of dollars of research grants he has won, the 150 conferences he has given talks at. From where I am standing it looks like he invented the kidney before he invented renal replacement therapy, before he invented every study ever about CRRT. I may be exaggerating there, there were some studies by other people. The great thing about Rinaldo is that he got to where he is with a child like enthusiasm and a wicked sense of humour. That is the sort of thing that makes a good Jellybean. So what do you talk to a man who has over 1000 PubMed citations about, I mean if I try to reference any studies he may well have published them as editor of Critical Care and Resuscitation, he may have reviewed them or he may have mentored the researcher. Otherwise he wrote almost all the remaining contents of PubMed. So I thought I might need to artificially enhance my own intelligence to be able to stand up to this bloke. Artificial Intelligence in medicine is a thing at the moment, we hear about Google investing in it and apps replacing GP consultations. As it happens Rinaldo has been working and publishing on this from the critical care stand point. https://www.wired.com/2017/06/googles-ai-eye-doctor-gets-ready-go-work-india/ http://www.techradar.com/news/creating-the-google-of-medicine-meeting-the-human-ceo-behind-the-ai-doctor Now if I was running Google I would have tried to interact with Rinaldo already. I presume organisations with those sorts of resources are constantly looking at research like his and seeing how they can use it. So I asked the Professor about artificial intelligence in medicine. I asked him how you deal with an approach from these enormous companies because he has had them. Then he gets going. I can hardly get a word in edge-ways. Which is a good thing. We try to get all Aldous Huxley about it. It is an interesting chat It’s all about humans at the end of the day. Rinaldo is just human too, how does he keep the studies coming, why does he keep working at it? Turns out it’s the voices in his head, this is his hobby, his passion and if you try to take this away from him he will at least be grumpy and possibly a lot more than grumpy. To finish off we started talking about dasSMACC and his debate with Peter Brindley on MeSearch vs Research. Trying to keep up with Peter Brindley without tripping up is pretty hard. Rinaldo nailed it. We pick apart the risks of doing that and the risks of using risqué humour. There was one joke which missed the mark about Irish people but in truth that moment really just spurred me on to get Rinaldo in on the podcast. This is a good one. He thinks and talks faster than me so see if you can get it on iTunes or any podcast player that you allows you to play it at half speed. Rinaldo Bellomo; living legend. Crit Care Med. 2012 Aug;40(8):2349-61. doi: 10.1097/CCM.0b013e318255d9a0. A controlled trial of electronic automated advisory vital signs monitoring in general hospital wards. Bellomo R et al Vital Signs to Identify, Target, and Assess Level of Care Study (VITAL Care Study) Investigators. Crit Care. 2017 Mar 14;21(1):52. doi: 10.1186/s13054-017-1635-z. Effect of an automated notification system for deteriorating ward patients on clinical outcomes. Subbe CP, Duller B, Bellomo

Whilst the skills of applying life support and resuscitation take up most of our training, they are relatively easier to master than the skills that allow us to become good at diagnosis, good at communication, and most of all good at being resilient over a whole career so we can satisfactorily work with others and deal with the stress of working in intensive care. Peter Brindley, a Canadian intensivist from Edmonton, thinks that these “human factors” are crucial for us to master, especially in the second half of our careers, when we should be striving to be simply “a good person”. In this episode Peter reflects, tells some stories, and invites us to consider many important topics that will help us become better people. These include reflection, simulation, mental rehearsal, debriefing, dealing with upset people and the feeling of being an “imposter”. Peter is a full-time critical care doctor at the University of Alberta Hospital. He is a Professor of Critical Care Medicine, Anaesthesiology, and Medical Ethics. He has published papers and given talks widely. He was a founding member of the Canadian Resuscitation Institute; and was previously Medical-Lead for Simulation, Residency Program Director, and Education Lead at the University of Alberta. He is proudest of his two children, neither of whom care one iota what titles he may or may not possess. He is convinced that happiness rests in finding meaning and showing gratitude - he occasionally succeeds. This is the second in a series of DasSMACC special episodes, where I interviewed speakers from the recent DasSMACC conference held in Berlin. In addition to the human factors described above, we also spoke at length about burnout, its relationship to resilience, and the potential benefits of both working less (like part-time) and of having eccentric hobbies or passions. Peter spoke on several other topics including: His life journey from growing up in the United Kingdom to becoming a Canadian for all of his adult life The country of Canada, it’s national identity and it’s intensive care system The hallmarks of good teams Rudeness and its iatrogenic effects (including when family members are rude) The components of communication – including verbal, paraverbal and non-verbal A situation when Peter was accused of unprofessional behaviour and how he dealt with that How Peter has used a mini-sabbatical to reflect and to think about the next part of his career Exercise and the risk that it, other hobbies and material things can become like fetishes How our careers can be broken into thirds of “learning, earning and returning” but that we should consider all three in even the smaller periods like weeks or months The benefits of having an identity that is more than simply being a doctor His time on a cruise ship where he worked as an anonymous doctor How he is more proud of his writing of poetry and travel-writing than some of the medical papers he has published. With this podcast, and the previous episodes, please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. You can send any comments through the Life In The Fast Lane website, facebook (masteringintensivecare), twitter (@andrewdavies66) or by simply emailing andrew@masteringintensivecare.com.   Show notes (people, organisations, resources or links mentioned in the episode): Dr Peter Brindley: https://www.ualberta.ca/medicine/about/people/peter-brindley DasSMACC website: https://www.smacc.net.au/ Dr Sara Gray: https://saragray.org/ Dr Chris Hicks: http://stmichaelshospitalresearch.ca/researchers/christopher-hicks/

The RAGE team talks to Peter Brindley about a new, free crisis resource management book and CRM Brindley-style, and we reflect on the recent dasSMACC conference. The usual stuff is there too: what's bubbling up?, a blast from the past about John Scott Haldane, and some Words of Wisdom from Peter Brindley to finish. Show notes available at: http://ragepodcast.com/rage-talks-crm-brindley-style-dassmacc/

Airway management requires a lot things; it requires not only technical skills and specific considerations of anatomy and physiology but a co-ordinated team who can communicate clearly and react to a whole slew of potentially challenging situations. On this month's Best Case Ever podcast we use the framework of a new mnemonic PREPARE to discuss human factors, situational awareness and some airway tips and tricks with intensivist Peter Brindley, human factors expert Chris Hicks and EM-intensivist Sara Gray... The post Best Case Ever 57 PREPARE mnemonic for Airway Management appeared first on Emergency Medicine Cases.

Modern acute care medicine is eye-wateringly complex and potentially dangerous. It really can't be delivered safely without deliberately addressing our teamwork (in both acute and chronic situations). Unfortunately, historically, human factors were commonly left to chance, and recently have been threatened by decerebrate checklists and meaningless psychobabble. Practical strategies exist (thank goodness!) and will be reviewed. We have much to learn, but must also avoid overly simple answers to exceedingly complex problems. It's time to get back to basics and away from the BS. Come be part of a practical revolution

Peter Brindley, an intensivist from Canada, and Jon Gatward (of the Critical Care Airway Management Course fame) discuss a recent paper by Peter and a group of airway experts, which discusses airway management outside the operating room and how to better prepare. Clearly this isn't a new concept but there hasn't been much written from the ICU perspective about this, and it's something many of us deal with all the time. Every place has their own way of managing airways but there are so many good ideas in this paper that it might just change your practice!

PRO: Medicine is a complex craft. Acute medicine is more complex. Excellence is delivering effective acute care depends on recognising the broad base of basic sciences, clinical experience, and results of clinical trials. Central to all decisions has to be how these will benefit the patient – both in the short term as well and longer term so that survivors of acute illness are left with the best possible outcome for that patient, their caregivers and the community at large. This is a daunting concept under time-limited, information-limited conditions. Clinicians are often left with uncertainty about the impact of decisions and rely on short-term surrogate measurements to justify treatment options. Consequently, assessing outcomes are invariably confounded by associations that bear little relationship to causation or biological plausibility. Such confounders are often demonstrated in observational studies and RCTs with low levels of internal validity, particularly those conducted in single centres and/or driven by protagonists of a particular intervention. Carefully conducted RCTs with high levels of internal validity – those that produce believable results from rigorous study design and those that produce results that are generalisble to specific patient populations remain the only way to mitigate bias and produce clinically-relevant answers to improve patient-centred outcomes. Critical Care Medicine leads the way in producing high-fidelity RCTs that have fundamentally changed clinical practice, not only in terms of producing better patient-centred outcomes, but also by producing unequivocal evidence to stop or avoid using of previously harmful treatments that had been enthusiastically embraced by clinicians and guideline developers. Such examples of benefit include the CRASH-2 and ARDS-net trials, and of preventing harm, the SAFE, NICE-SUGAR, RENAL, CHEST, DECRA and FEAST studies among others. The net impact of these pivotal trials has been the prevention of millions of deaths and the saving of millions of dollars. Such is the basis of GOOD clinical practice and these trials must be seen as a source of knowledge, science and pride … that ultimately improve patient outcomes .   CON:  

You owe it to yourself (and to your patients) to learn about burnout and resilience in healthcare workers. This talk aims to be brutally honest, occasional humorous, and quite personal about the speaker's experience and what he learnt along the way. Burnout is shockingly common. Burnout is also bloody important when it comes to our productivity, empathy, culture, and even our outcomes. Fortunately there are internal and external strategies. This talk hopes to address them head-on, and without the usual BS. After all, you can't do well unless you are well.

Resuscitation- what's the point. Cardiopulmonary resuscitation (CPR) is unique as the only medical intervention performed on anyone without explicit contrary documentation. Therefore, CPR need to be understood in terms of societal expectations, legal mandates and professional duties. We also need to understand not just the the likelihood of survival, but also the likelihood of disability and the cost (both literally and figuratively) to patients, healthcare workers, and to an already stretched healthcare system. Even the term 'resuscitation' means different things to different people...and that's before we even wade into such terms as 'autonomy', 'paternalism' and 'patient-focused care'. In short, doctors, nurses patients and families can no longer shy away from discussing CPR: it's time to talk. It can be a remarkable way to prevent premature death, it can also squander finite resources and be the beginning of a terrible ordeal for frail patients and frazzled families.

The battle is on...who will win out? The heroic healthcare individual or the faceless safety checklist? Brindley takes saftey talks to a new level. A true SMACC highlight.