Talking Trauma

Trauma focused educational miniseries produced for health care clinicians involved in the care of major trauma patients in Victoria. Each episode brings evidence based information through discussions with trauma experts on pertinent topics for trauma care. The series is produced on behalf of Victoria’s Department of Health and Human Services, in collaboration with State Trauma Committee.

The role of the Transport Accident Commission in Trauma 01/13/2021

The role of the Transport Accident Commission in Trauma In the most recently published Victorian State Trauma Registry report, 39% of all trauma cases were transport related. Trauma prevention and road safety continues to play a huge part in the reduction of major trauma in Victoria and today we are joined by Samantha Cockfield, Head of Road Safety for the Transport Accident Commission (TAC) to provide insight into current issues facing Victorian road users and the role of the TAC. Current at date of publication 14/01/2021. /episode/index/show/traumavictoria/id/17539472

Rehab from the Roadside 01/03/2021

Rehab from the Roadside Victims of major trauma have a varied profile, including age, demographic & geographic location. Today Danielle speaks with Melissa Webb, trauma and orthopaedic allied health team leader at The Alfred Hospital to gain an understanding of the importance of a multidisciplinary approach to care and consider rehab and planning beginning from the roadside. Current at date of publication 04/01/2021. /episode/index/show/traumavictoria/id/17407289

The role of Paediatric and Infant Perinatal Emergency Retrieval (PIPER) in Trauma 12/28/2020

The role of Paediatric and Infant Perinatal Emergency Retrieval (PIPER) in Trauma Children are vulnerable to injury for a number of reasons. In Victoria, the Paediatric Infant Perinatal Emergency Retrieval (PIPER) service is available to retrieve critically injured children from referring hospitals and provide safe, expert, emergency inter-hospital care. Today we speak with Dr Sile Smith, a Paediatric Intensive Care Consultant from the Royal Children’s Hospital and Medical Co-lead for PIPER about the role PIPER has in Paediatric Major Trauma. Current at date of publication 28/12/2020. /episode/index/show/traumavictoria/id/17339711

Emergency Management of Airway in Trauma 12/21/2020

Emergency Management of Airway in Trauma Emergency management of the difficult airway in the major trauma patient is always a daunting task. Complications may arise as a result of emergency intubations but failure or delay in securing an adequate airway may contribute to unacceptably high morbidity and mortality rates. Today we are talking to Dr Peter Fritz, Consultant Emergency Physician at The Alfred Hospital about Airway Management in the trauma patient. Current at date of publication 21/12/2020 /episode/index/show/traumavictoria/id/17273840

Spinal Trauma 12/13/2020

Spinal Trauma Early care of Spinal Cord Injury (SCI) can have a significant effect on long-term outcomes for these patients. The natural progression of SCI, in particular rising spinal cord oedema, may lead to an exacerbation of symptoms in the hours following an accident. Today we speak with A/Prof Andrew Nunn, Director of the Victorian Spinal Cord Services at Austin Health who provides insight into early management of the patient suffering a potential spinal injury. Current at date of publication 21/12/2020. /episode/index/show/traumavictoria/id/17084999

Adult Retrieval Victoria & the Victorian State Trauma System 12/06/2020

Adult Retrieval Victoria & the Victorian State Trauma System The Victorian State Trauma System is one of the best in the world, with Adult Retrieval Victoria playing a significant role in making this a success. Today Danielle talks with Dr David Anderson, Acting Medical Director of Ambulance Victoria and an Intensivist at The Alfred Hospital to discuss how ARV operates within the state trauma system and gives you an inside look into behind the scenes of coordinating the care and retrieval of a major trauma patient. Current at date of publication 7/12/2020. /episode/index/show/traumavictoria/id/17084450

Traumatic Limb Injuries 10/25/2020

Traumatic Limb Injuries Limbs can often be involved in traumatic injuries from accidents in the workplace or farming for example. They can have a devastating impact on not only the patient but on bystanders. Today Danielle speaks to Mr Andrew Oppy, Lead Orthopaedic Trauma Surgeon at the Royal Melbourne Hospital to discuss how to approach the trauma patient with a significant extremity injury and provides some great insight into management of the affected limb. Current at date of publication 26/10/2020. /episode/index/show/traumavictoria/id/16540511

Maxillofacial Trauma 10/11/2020

Maxillofacial Trauma As with all trauma care, an organised approach to patient assessment is essential: ensuring life threatening injuries are identified and the patient is stabilised is the priority. Facial injuries that are not affecting the airway or causing life threatening haemorrhage can be assessed as part of the secondary survey, no matter how disfiguring the injuries may appear. Today we are joined by Alf Nastri, Head of the Maxillofacial department at Royal Melbourne Hospital. /episode/index/show/traumavictoria/id/16176077

Pelvic Trauma 09/27/2020

Pelvic Trauma Haemorrhage is a major contributor to mortality in the pelvic trauma patient, and a large number of these patients go on to have other associated injuries. Today we are joined by Dr George Plunkett, Emergency Physician at the Royal Melbourne Hospital to discuss the assessment, identification of injuries and management of pelvic trauma patients including George's tips for ensuring good pelvic binder control. Current at date of publication 28/09/2020. /episode/index/show/traumavictoria/id/15995231

Thoracic Trauma Management 09/13/2020

Thoracic Trauma Management Thoracic trauma is a common injury in the multi-trauma patient and a significant cause of mortality. Life threatening injuries identified in the primary survey need to be addressed at the time before moving on to the secondary survey. In this episode Danielle is joined by Mr Phillip Antippa, Cardiothoracic surgeon and Head of Thoracic Surgery Service at Royal Melbourne Hospital to discuss early identification & management of traumatic chest injuries. /episode/index/show/traumavictoria/id/15994940

Traumatic Brain Injury 08/08/2020

Traumatic Brain Injury Early management of traumatic brain injury incorporates minimising secondary brain injury by avoiding periods of hypoxia, hypotension and applying management principles to support the injured brain. In this podcast we are joined by Prof Kate Drummond, Director of Neurosurgery at the Royal Melbourne Hospital to discuss one of the most common and significant causes of morbidity and mortality in Australia. Current at date of publication 08/08/2020. /episode/index/show/traumavictoria/id/15529577

Hypothermia in trauma 07/13/2020

Hypothermia in trauma Trauma patients are predisposed to hypothermia for a variety of reasons. Patients who remain hypothermic are at risk of developing serious sequalae such as acidosis and coagulopathy resulting in an increased risk of mortality. /episode/index/show/traumavictoria/id/15181280

Moving the critical trauma patient 06/20/2020

Moving the critical trauma patient The critical trauma patient undergoes a number of moves throughout their care journey and can be a challenging group to safely manage. Today Danielle is chatting with Dr Shaun Baxter, an Emergency Consultant at The Alfred Hospital as well as Consultant Retrievalist and Clinical Coordinator at Adult Retrieval Victoria to discuss his process for safely moving the unwell trauma patient, including how best to prepare and the importance of clear communication. Current at date of publication 20.06.2020. /episode/index/show/traumavictoria/id/14896577

Stop the bleeding 06/10/2020

Stop the bleeding Stopping the bleeding following trauma is of paramount importance in the critical first moments post injury for trauma care providers of both Paediatrics and Adults. Dr Peter Archer, Emergency Medicine consultant at the Royal Children’s Hospital and consultant retrievalist for Adult Retrieval Victoria discusses principles related to haemorrhage control in trauma, as well as addressing the topic of compressive devices to control extremity haemorrhage. Current at date of publication 10/06/2020. /episode/index/show/traumavictoria/id/14763932

Trauma Survey 05/28/2020

Trauma Survey The time immediately after injury is crucial in the management of the trauma patient. The primary survey is designed to identify and treat life-threatening injuries quickly and is indicated for the evaluation of all trauma patients. Dr Jenny Jamieson, Emergency Medicine Consultant at The Alfred Hospital and Monash Medical Centre talks to us about the principles behind the Trauma Survey, with a focus on the initial identification and management of injuries. Current at date of publication 29/05/2020. /episode/index/show/traumavictoria/id/14609669

Patterns of Injury 05/21/2020

Patterns of Injury Physical trauma starts with the transfer of energy to the body from an outside source. Dr Joseph Mathew, an Emergency Physician & Deputy Director of the Trauma Service at the Alfred discusses how knowledge of patterns of injury and common mechanisms can help us to have a healthy clinical suspicion of potential injuries related to that trauma. Joseph shares his knowledge and experience on known injury relationships to strengthen your assessment skills. Current at date of publication 21/05/2020 /episode/index/show/traumavictoria/id/14412533

Spinal Imaging in Trauma 05/14/2020

Spinal Imaging in Trauma Identifying potential injuries of the spine of a trauma patient and choosing the best imaging modality may be challenging to navigate, particularly where radiology services have limited availability. Associate Professor Dinesh Varma, Director of Trauma and Emergency Radiology at The Alfred Hospital, talks us through how factors such as clinical assessment, and mechanism of injury can play a vital role in decision making for imaging, and tips on clearing the spine. Current at date of publication 14/05/2020. /episode/index/show/traumavictoria/id/14412191

Oral Anticoagulants and Major Trauma 05/01/2020

Oral Anticoagulants and Major Trauma Trauma patients are at high risk of developing Trauma Induced Coagulopathies; the patient sub-group already using prescribed oral anticoagulants for pre-existing illness are at an even greater risk of developing complications related to this. Dr Giles Kelsey, Consultant Haematologist at The Royal Melbourne Hospital and The Alfred Hospital talks to us about assessment, identification and management of bleeding patients. Current at date of publication 01/05/2020. /episode/index/show/traumavictoria/id/14226932

Hot Debriefing after Major Trauma 03/05/2020

Hot Debriefing after Major Trauma Debriefing after trauma is an important quality improvement process that allows the team as a whole to reflect on their performance after a high stakes clinical scenario. Dr Luke Phillips, an Emergency Physician at The Alfred Hospital talks to us about the principles of debriefing after a major trauma with a focus on “Hot Debriefing”. Current at time of publication 05/03/2020. /episode/index/show/traumavictoria/id/13420373

Obstetric Major Trauma 03/05/2020

Obstetric Major Trauma The obstetric trauma patient presents as a complex scenario for all clinicians. We often get distracted by the unborn child, but foetal survival depends on effective maternal resuscitation. With the use of case studies, Dr Emma West – Consultant Emergency Physician at the Royal Melbourne Hospital, talks us through the initial assessment and management priorities of the pregnant major trauma patient. Current at date of publication 5/03/2020. /episode/index/show/traumavictoria/id/13419950

Blunt Abdominal Trauma 01/29/2020

Blunt Abdominal Trauma Blunt abdominal trauma makes up a significant proportion of traumatic injuries in Australia. Dr Joseph Matthew, from Alfred Hospital helps us to gain a better understanding of blunt force mechanisms & the impact of a shift to more conservative management approaches has seen on trauma outcomes. /episode/index/show/traumavictoria/id/12928499

Paediatric Major Trauma 01/28/2020

Paediatric Major Trauma Children are vulnerable to injury for a variety of reasons and trauma continues to be their leading cause of morbidity and mortality. Dr Claire Wilkin, Paediatric Consultant Emergency Physician joins us to talk through the challenges of managing a paediatric trauma patient and shares her experience, tips and tricks to assist clinicians the next time they care for a Paediatric Major Trauma. /episode/index/show/traumavictoria/id/12911906

Fluid Resuscitation in Major Trauma 11/14/2019

Fluid Resuscitation in Major Trauma This episode will get you thinking about intravenous fluid choices for when you are next managing a hypovolaemic trauma patient. Dr. John Dyett, an Intensive Care Specialist at Eastern Health & Retrieval Consultant at Adult Retrieval Victoria discusses the key principles of fluid resuscitation in the severely hypovolemic Major Trauma patient. John explains the aims for haemostatic resuscitation, rationales for blood product administration and how to prevent or modify the effects of the lethal triad. /episode/index/show/traumavictoria/id/12043325

Interventional Radiology in Major Trauma 10/29/2019

Interventional Radiology in Major Trauma /episode/index/show/traumavictoria/id/11833808

The Role of Ultrasound in Trauma 08/13/2019

The Role of Ultrasound in Trauma The role of ultrasound has evolved over the past 30 years and now plays an important role in trauma care, both diagnostically & procedurally. In this episode Dr. Amaali Lokuge an Emergency Physician at the Royal Melbourne Hospital & Clinical Lead for Ultrasound talks us through how ultrasound has become an extension of her clinical practice with the rapid assessment and diagnosis of traumatic injuries. Current at date of publication; 13/08. /episode/index/show/traumavictoria/id/10870109

Trauma Handover 08/05/2019

Trauma Handover The exchange of clinical information is critical in reducing risk and prioritising care for the trauma patient. Dr Helen Stergiou an Emergency & Trauma Physician from Alfred Health explains why it is important to be prepared & use a structured approach to handover the clinical information & accountability across the patients care pathway. Current at date of publication; 05/08/2019. /episode/index/show/traumavictoria/id/10775453

VSTORM and Trauma System Performance 08/04/2019

VSTORM and Trauma System Performance Victorian State Trauma Outcomes Registry Monitoring Group (VSTORM) is a fundamental element of the Victorian State Trauma System. Dr Ben Beck the Deputy Head of Prehospital, Emergency & Trauma Research at Monash University joins us to explain VSTORM’s role in monitoring system performance, informing service provision & development with an aim to reduce preventable deaths and permanent disability from major trauma. Current at date of publication; 05/08/2019. /episode/index/show/traumavictoria/id/10771850

Understanding the Victorian Burns Service 07/22/2019

Understanding the Victorian Burns Service Yvonne Singer the Victorian Burns Program Coordinator has a wealth of knowledge when it comes to managing burns. In this episode Yvonne talks us through how current burns literature is guiding best practice, giving valuable tips to clinicians for assessing & managing major burns, and gives us an inside perspective of the Victorian Adults Burns Service, at the Alfred. Current at date of publication, 22/7/2019. /episode/index/show/traumavictoria/id/10618259

Ambulance Victoria's response to a Major Trauma Incident 07/09/2019

Ambulance Victoria's response to a Major Trauma Incident Ambulance Victoria (AV) is often the first responder to a major traumatic incident. Ian Hunt, MICA Paramedic and Manager of the Emergency Management Unit explains how AV respond, coordinate & communicate in the event of a major trauma incident, whilst ensuring AV’s normal business and service to the community has little interruption. If only there was a big red button. Current at date of publication; 09/07/2019. /episode/index/show/traumavictoria/id/10462400

Managing Psychological Trauma 07/09/2019

Managing Psychological Trauma Managing patients and families psychological trauma is challenging & is often delayed as we are absorbed in the initial management and lifesaving treatment of a major trauma patient. /episode/index/show/traumavictoria/id/10462295

Talking Trauma

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