Welcome to Episode Fourteen of our podcast series. This features material from our December 2023 print edition of the Clinical Communiqué. This podcast presents key learnings from the coroner’s inquest into the 2016 thunderstorm asthma event in Melbourne in which ten patients tragically lost their lives. We reflect on the terrifying rapidity with which their conditions changed from mildly short of breath to being in extremis, highlighting that it can be a matter of minutes between life and death in thunderstorm asthma. Episode Contents 01:13 Editorial by Associate Professor Nicola Cunningham 05:37 Case #1: Something in the air by Dr Kristin Boyle 20:06 More on the Matter: In the blink of an eye by Associate Professor Nicola Cunningham 34:30 Expert Commentary by Associate Professor Matthew Conron and Associate Professor Eve Denton: Thunderstorm asthma: what causes the "perfect storm"?
Welcome to Episode Thirteen of our podcast series. This features material from our September 2023 print edition of the Clinical Communiqué. This podcast presents the lessons to be learned by examining the failure to hear the concerns of those that should be at the centre of every health care interaction. We present two cases where the patient's families told the coroners that they had not been listened to by the nurses and doctors caring for their loved ones. Episode Contents 01:25 Editorial by Associate Professor Nicola Cunningham 08:14 Case #1: Missing the moments by Dr Angela Sungaila 19:12 Case #2: "I told them but no one came" by Associate Professor Nicola Cunningham 27:36 Expert Commentary by Ms Belinda MacLeod-Smith: Stolen moments and lost lives 38:39 Expert Commentary by Ms Elizabeth Deveny: Engaging patients (and their families) to improve safety
Welcome to Episode Eighteen of our podcast series. This features material from our November 2023 print edition of the Residential Aged Care Communiqué. This podcast presents the lessons to be learned by examining pre-existing circumstances that contributed to two patients’ falls that caused their deaths. A common underlying factor was timeliness of care. Episode Contents 00:45 Editorial 06:22 Case #1 A fatal fall unwitnessed and unchecked 19:41 Case #2 Solving one problem creates another 27:58 Reflections of senior nurses
Welcome to Episode Seventeen of our podcast series. This features material from our August 2023 print edition of the Residential Aged Care Communiqué. This podcast presents the lessons to be learned from the premature deaths of residents due to suboptimal management of diabetes mellitus. Episode Contents 01:10 Editorial 03:51 Case #1 I am fine 14:34 Case #2 An old drug and a known complication 21:41 Reflections of senior nurses 24:04 Commentary: Views of a Diabetes Educator 32:31 Commentary: The Contribution of Pharmacists to the Management of Diabetes in the Aged Care Setting
In this episode we feature two cases of worsening upper airway swelling leading to fatal airway obstruction following routine extubation of patients after surgery. Despite many advances in airway management, extubation-related incidents have not reduced. The cases highlight the actions leading to the loss of airway protection, a failure to recognise the severity of the situation, and an inability to salvage the situation. We also welcome a new narrator Ashleigh Redmond who is a practising registered nurse and actor. This is Episode Twelve of our podcast series and features material from our June 2023 print edition of the Clinical Communiqué. Episode Contents 01:48 Editorial by Associate Professor Nicola Cunningham 06:15 Case #1: A fatal toothache by Suzanne Doherty 19:54 Case #2: Pulling teeth and tubes - a cautionary tale by Dr Jack D'Arcy 36:28 Expert Commentary by Dr Louise Ellard: Extubation: An assessment of risk and strategy