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The Communiqués Podcasts

The Communiqués Podcasts

by The Communiques

Education Medicine Mental Health

Season 7

Future Leaders Communiqué Episode #13: Rural

Welcome to Episode Thirteen of our podcast series. This features material from our October 2024 print edition of the Future Leaders Communiqué. Our guest editor is Dr Erica Musgrove, a doctor in training at Alice Springs Hospital, who presents a compelling edition highlighting some of the challenges of providing patient care in rural and remote settings. This podcast presents a case from rural Australia where a culmination of missed opportunities and systemic issues resulted in a poor patient outcome during an interhospital transfer. Our expert commentators are Dr Simon Judkins is an Emergency Physician and the Past President of the Australasian College for Emergency Medicine and Dr Bridget Honan who is an emergency physician working in Grafton Hospital (Bundjalong Country), and with the Central Australian Retrieval Service in Mparntwe (Alice Springs). Episode Contents 04:08 Guest Editorial by Dr Erica Musgrove 08:29 Editorial by Professor Joseph Ibrahim 11:04 Case: Midnight in the Outback by Dr Erica Musgrove 32:42 Expert Commentary #1: Navigating systems and pathways by Dr Simon Judkins 39:12 Expert Commentary #2: A junior doctor's guide to retrieval by Bridget Honan 44:41 Comments from our peers

Season 6

Residential Aged Care Communiqué Episode #22: Community Access

Welcome to Episode Twenty-two of our podcast series. This features material from our November 2024 print edition of the Residential Aged Care Communiqué. This podcast presents two cases highlighting the challenges of facilitating and supervising community access for residential clients. Our expert commentary addresses ‘The influence of the system's design on tragic failures of governance and care’ in this edition is written by Mr Anthony Black. Episode Contents 00:58 Editorial by Prof Joseph Ibrahim 03:49 Case #1: Always ready to help by Dr Chelsea Baird 12:45 Case #2: A Man Who Loved Walking by Dr Supriya Rama Krishnan 16:00 Expert Commentary: The influence of the system's design on tragic failures of governance and care. by Mr Anthony Black 24:02 Comments from senior nurses 31:06 2024 National Mental Health Webinar Series

Residential Aged Care Communiqué Episode #21: Geriatric Trauma

Welcome to Episode Twenty-one of our podcast series. This features material from our August 2024 print edition of the Residential Aged Care Communiqué. This podcast presents two cases highlighting the poorer outcomes that can occur for older persons following trauma and the how the desired goals of care may influence decision-making in a trauma scenario. Our expert commentary on ‘Trauma Geriatricians’ in this edition is written by Dr Kate Gregorevic. Episode Contents 00:40 Editorial by Prof Joseph Ibrahim 03:10 Case #1: A small fall but major injuries by Prof Joseph Ibrahim 12:19 Case #2: A fall with head strike by Supriya Rama Krishnan 17:07 Expert Commentary: Trauma Geriatricians by Dr Kate Gregorevic

Future Leaders Communiqué Episode #12: Interns

Welcome to Episode #12 of the Future Leaders Communiqué podcast. In this episode, we review a coroner’s investigation into the unexpected death in hospital of a complex major trauma patient. As the case unfolds, issues around protocols, junior doctor autonomy, and senior supervision within the treating team arise. Episode Contents 01:20 Guest Editorial by Dr Kee Whye Chin 05:17 Editorial by Dr Brendan Morrissey 07:40 Prescribing a protocol unsupervised by Dr Kee Whye Chin 21:46 Expert Commentary #1: The building blocks of solid foundational years—Supervision, safeguards, and structural supports in junior doctor training by Dr Emma Ku 30:58 Expert Commentary #2: Empowering our interns—The learning of professionalism, and the attributes and responsibilities that define the role of the junior doctor by Associate Professor Bruce P Waxman 39:18 Comments from our peers

Clinical Communiqué Episode #16: Print Communication

Welcome to episode 16 of the Clinical Communiqué, based on the June 2024 edition of the Clinical Communiqué. In this episode we feature two surgical cases that each portray several clinical themes, but at the heart of both is the theme of communication. In their ensuing inquests, the coroners explored how the treating teams communicated with the patient and their family members - where conversations around consent, post-operative complications, and open disclosure were lacking; and how those treating teams communicated with their own colleagues - where missed opportunities in communication hindered timely diagnoses. Episode Contents 00:59 Editorial by Associate Professor Nicola Cunningham 06:46 Case #1: Closing the loop by Dr Rachel Marr 23:30 Case #2: A critical procedure by Dr Kristin Boyle 36:52 Expert Commentary: At the Core: communication as a key to patient safety by Dr Mary Dahm 48:05 Expert Commentary: The Australian Open Disclosure Framework – past, present and future by Mr Peter McDermott

Residential Aged Care Communiqué Episode #20: Terminal Sedation

Welcome to Episode Twenty of our podcast series. This features material from our May 2024 print edition of the Residential Aged Care Communiqué. This podcast examines particularly challenging aspects of palliative care for persons with dementia, for those who have lost decision-making capacity and terminal sedation. We present two clinical cases that provide contrasting narratives. Our expert commentary is written by Dr Kylie Staggard and Dr Aaron Bak Ong Wong drawing on their combined extensive experiences in geriatric medicine and palliative care medicine. Episode Contents 01:03 Editorial 03:08 Case #1: Live and let die by Dr Huong Nguyen 14:38 Case #2: An inconsequential error by Prof Joseph Ibrahim 20:22 Expert Commentary: Frontotemporal dementia and terminal sedation by Dr Kylie Staggard and Dr Aaron Bak Ong Wong 31:12 Reflections from senior nurses

RACC Podcast Episode 19: Medication Allergy

Welcome to Episode Nineteen of our podcast series. This features material from our February 2024 print edition of the Residential Aged Care Communiqué. In this episode we examine the case of a resident who died due to being administered a medication to which he had a known allergy. The case highlights lessons about how we gather and evaluation information. Our expert commentator is Dr Natali Jokanovic, a practising pharmacist with a research background. Episode Contents 01:21 Editorial 03:58 Case #1: Credible but not reliable 17:32 Expert Commentary: Medication allergies and challenges in residential aged care 23:33 Reflections from senior nurses 25:58 Obituary: Vale Maree Amanda Cameron PSM

CC Podcast Episode #15: Older Drivers

Welcome to Episode 15 of the Clinical Communiqué Podcast, based on the March 2024 print edition of the Clinical Communiqué. In this podcast episode the two cases demonstrate two main risk profiles in older drivers – the driving risks when a patient is bodily capable but easily disorientated, and the driving risks when a patient is mentally sharp but physically slow. Episode Contents 01:20 Editorial by Associate Professor Nicola Cunningham 06:20 Case #1: A determined risk 18:39 Case #2: Lost and confused 25:27 Expert Commentary: Driving in older age: A complex challenge

Season 5

CC Podcast Episode #14: Thunderstorm asthma

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"?

CC Podcast Episode #13: Failure to hear concerns

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

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