Sepsis is everywhere. We hear lots of news stories about sepsis patients, and the solution seems easy. Follow the guidelines, identify sepsis, and treat it early. As always it’s not so simple. How is sepsis defined? How is it identified? And which patients need urgent treating? Are the current sepsis Read more…
PicPod 27 is about death. We try so hard to stop our patients from dying, and yet we cannot stop all of them. How have death rates changed over the past 30 years? Have the patients dying changed? Has the mode of death changed? Is this because of better treatment, Read more…
We are better at making children survive. But are we better at making them survive well? What are the trends in survival and outcome quality over time? There is obvious benefit to children needing PIC, but does PIC do harm to patients? How can we minimise this? What kind of Read more…
This episode is a three way discussion including Mark Russell, currently a senior fellow in Adelaide. In a Dickensian manner, we have a PIC consultant past, present, and future. What is it like? How does it feel? When you turn up to a resuscitation, and your badge says PIC consultant, Read more…
Patients with status epilepticus are one of the most common reasons for admission to Paediatric Intensive Care. There are two important questions: when should we stop the seizure, and how? We go through evidence of when harm increases with a seizure. Can we define a threshold of when we need Read more…
Welcome to PicPod 23. This episode we talk about new technology on PICU. Does Point of Care Ultrasound (POCUS) work? Is it worthwhile? Does it help our assessment of the patient? Should we throw away our stethoscopes? Including an interview with Michael Griksaitis, POCUS aficionado, and co-founder of the UK Read more…
In PicPod 21 we looked at survival for oncology patients on Paediatric Intensive Care. In PicPod 22 we consider what is different about these patients, and what complications they can have. Almost all organ systems can be affected: but how, in what way, and how do we treat them? And Read more…
Oncology patients in intensive care. Bad news: high mortality high morbidity, it’s hardly worth admitting them. Right? NO! WRONG! Historical data shows extremely high mortality, but modern papers and evidence shows low mortality, around the levels seen in non-oncological patients with similar levels of organ dysfunction. What are the numbers? Read more…
So much more about TBI. Following on from last week’s part 1, here is more on the same theme. There’s too much to mention, and Picpod is off on holiday for a week. Details and references will be posted next week. https://media.blubrry.com/picpod/picpod.net/wp-content/uploads/2019/02/PicPod-20-TBI-2.mp3 Podcast: Play in new window | Download
There is so much on paediatric traumatic brain injuries that we have had to split this topic in to two podcasts. For the first part, we talk about the guidelines (and how they should be displayed). Decompressive craniectomies: should we? Cooling (briefly). The epidemiology of paediatric brain injury: firearms, cycling Read more…