Neuro Resus
A podcast covering topics relevant to intensive care medicine, focusing on neuro-resuscitation and critical care. Hosted by Dr. Oliver Flower, it provides insights for healthcare professionals in the ICU.
Episodes
The 10 p.m. SAH Call: Neuroanaesthesia for Aneurysmal Subarachnoid Haemorrhage
In this episode of the Neuro Resus Podcast, Oli Flower speaks with Dr Andy Lindberg, neuroanaesthetist at Royal North Shore Hospital, about the anaesthetic management of aneurysmal subarachnoid haemorrhage. The conversation follows a high-grade SAH patient from emergency airway management through EVD insertion, aneurysm securing, clipping, coiling, intraoperative rupture, vasospasm management, and
SAH AI Pre-hospital ED Chaos Podcast
Subarachnoid haemorrhage is one of the most time-critical and high-stakes emergencies in medicine. But in the real world, it rarely presents neatly. In this episode, Oli Flower is joined by two AI co-hosts — Simon (GPT-5.3) and Claude (Sonnet 4.6) — to work through the pre-hospital and emergency department management of SAH using a real-world scenario: a 42-year-old woman with a thunderclap headac
Vasospasm in aSAH - A Conversation with AI
This podcast episode features a conversation between Dr Oli Flower and his AI co-host, Simon (ChatGPT 4o), focusing on vasospasm and delayed cerebral ischemia (DCI) in aneurysmal subarachnoid haemorrhage (aSAH). The discussion covers: The distinction between radiological vasospasm (imaging finding) and DCI (clinical syndrome). The evolution of understanding DCI's multifactorial causes, beyond jus
EVD tips and tricks
Catherine Bell takes us through how to troubleshoot problems commonly encountered when looking after patients who have an external ventricular drain (EVD) in situ. Issues with using brain tissue oxygen monitors are also discussed. A highly practical session aimed at bedside clinicians. This presentation was delivered by Catherine Bell at CODA2022. Want more content about EVD? Visit neuroresus.com
aSAH: Dilating the Dogma of Vasospasm
Angiographic vasospasm and more accurately, delayed cerebral ischemia, continue to contribute to morbidity and mortality in patients with aneurysmal subarachnoid hemorrhage (SAH). It is known that angiographic vasospasm is common after SAH, occurring in two-thirds of patients. This presentation was delivered by Rob Loch MacDonald at CODA2022. Want more content about aSAH? Visit neuroresus.com or s
Subarachnoid Haemorrhage: a patient and family experience
Lizzy suffered a substantial aneurysmal subarachnoid haemorrhage that left her critically unwell, requiring a long stay in intensive care recovering from the consequences and complications of this devastating form of stroke. Now a couple of years after her haemorrhage, Lizzy has come so far. She and her husband Gordon describe their experiences, right from the day it all began and through those tu
Brain Tissue Oxygen Monitoring - The Bonanza Trial (It's Not What You've Got It's What You Do With It)
Andrew Udy talks about the ongoing BONANZA Trial which is assessing whether an algorithm that incorporates both ICP and brain tissue oxygen (PbTO2) can improve outcomes after traumatic brain injury (TBI). Like with all monitoring, how the PbTO2 is interpreted and managed is critical and the devil is in the detail! More on BONANZA here More on BOOST3 here This presentation was delivered by Andrew
Ketamine for Brain Injury
Historically, when it came to brain injury, ketamine had a bad rap. Much of that dogma was dispelled in the last 20 years, and ketamine is now frequently used as an induction agent in acute brain injury, especially traumatic brain injury, partially due to the favorable effects on haemodynamics. However a new application of ketamine is now being explored - whether ketamine may be able to reduce se
Cortical Spreading Depolarisation in Neurological Disease - An Introduction
Cortical spreading depolarization (CSD) is a spreading loss of ion homeostasis, altered vascular response, change in synaptic architecture, and subsequent depression in electrical activity following an inciting neurological injury. This presentation was delivered by Toby Jeffcote at CODA2022. Want more content about CSD? Visit neuroresus.com or subscribe to be notified of new podcast releases via
There is no such thing as mild, moderate and severe TBI
Andrew Chow vs Andrew Udy This debate was set up to discuss the issues with categorising traumatic brain injury (TBI). The current system using GCS to divide patients into mild, moderate and severe has been criticised in recent times, with calls for a more nuanced approach. The debate was a just bit of fun but does highlight the key issues. Chowie didn't get to choose which side to argue for :) A
TBI: when to stop and when to give time
Dr Nick Little is an experienced Neurosurgeon who's looked after patients with traumatic brain injury for his whole career. Here he discusses the difficulties of prognostication following traumatic brain injury (TBI). This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit neuroresus.com or subscribe to be notified of new podcas
EEG and Status Epilepticus
Tania Farrar is a neurologist and epileptologist with expertise in continuous EEG (cEEG) and status epilepticus (SE). This talk covers what a seizure is, what status is, including focal and generalised status epilepticus. This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit neuroresus.com or subscribe to be notified of new pod
Neuro Rehab: What Does Severe Disability Mean?
Stuart Browne is a Neuro Rehab specialist from Sydney. He discusses what "severe disability" really means. Severe disability is more common than many realise - about 6% of the Australian population. Stuart discusses how health is more than simply physical recovery and how it is a multidimensional construct. He covers how permanent disability doesn't necessarily equate to a poor quality of life. H
Paediatric Stroke
Shree Basu is a Paediatric Intensivist in Sydney. She discusses how Paediatric stroke presents, what neuroimaging is required and what interventions are available, including thrombolysis and the role of endovascular thrombectomy. The blood pressure targets in ICU are discussed; while there isn't strong evidence to support these targets, it does make sense and is a separate hot topic in adult strok
Hypertensing SCI - Gold standard or whacky?
After spinal cord injury (SCI), there aren't many interventions we have available that actually make a difference. Augmenting blood pressure to increase spinal cord perfusion pressure is an attractive concept that may improve neurological outcomes following SCI. We know that hypotension can make SCI worse. Clinical studies looking at blood pressure augmentation are mostly old, retrospective and f
Managing Complications of Chronic SCI
20 million people around the world are living with a spinal cord injury (SCI). The medical issues they develop over the years differ to any other patient cohort. These complications include autonomic dysreflexia, management of pressure areas, specific infections, nuanced peri-operative care and highly specific issues such as baclofen pump management and syringomyelia. In this podcast Spinal Rehab
Hypertonic Saline vs Mannitol - The Answer!
The perennial debate of which osmotic agent to use to reduce elevated ICP still rages on. Who better than Mr Deranged Physiology himself, Aleks Yartsev, to take us through the pros and cons of each and work out a practical strategy. This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit neuroresus.com or subscribe to be notified
EVACUATE: The New Frontier of ICH Management
A Talk by Amal Abou-Hamden on intracerebral haemorrhage (ICH) and the latest developments in the management of this devastating form of stroke, including the ongoing EVACUATE trial, a randomized controlled trial of ultra-early, minimally invasive, haematoma evacuation versus standard care within 8 hours of intracerebral hemorrhage. This podcast was recorded at the Brain Symposium which took place
Optimal Cerebral Perfusion Pressure
Mark Weedon takes us through the increasingly utilised concept of an optimal cerebral perfusion pressure (CPPopt) for each unique patient. This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit neuroresus.com.
The Power of Words: Language and Death
Social Worker Victoria Whitfield and Bereavement councilor Louise Sayers discuss the power of words when health professionals are communicating topics around of death and serious injury with relatives and patients in critical care. They use role plays to bring theories to life. This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this
Developing EM - Colombia, March 9-11 2020
Oli Flower talks to Mark Newcomb and Lee Fineberg about the upcoming Developing EM conference in Cartagena, Colombia. March 9-11, 2020. All the details are here: https://developingem.com
Top 10 critical care papers of recent times
Top 10 critical care papers of recent times Dr Paul Young From CICM Trainee Symposium 2019
Medical ethics, organ donation, quality, informatics, quality, education, research
Dr David Anderson: Medical ethics / organ donation. Dr Angelly Martinez: Quality / committees. Dr Chris Mason: Informatics / EMR / committees. Dr Alex Psirides: Quality / director's perspective. Dr Claire Seiffert: Education / simulation. Dr Paul Young: Research / director's perspective. From CICM Trainee Symposium 2019
How I manage: Productivity and self-organisation
How I manage: Productivity and self-organisation Dr David Anderson From CICM Trainee Symposium 2019
How I manage: Passing (and failing) the CICM exams
How I manage: Passing (and failing) the CICM exams. Dr Julia Coull From CICM Trainee Symposium 2019
How to be an awesome ICU registrar (nurse's perspective)
Paediatrics for the adult Intensivist
Paediatrics for the adult Intensivist. Dr Yolanda Coleman From CICM Trainee Symposium
Best practice organ donation
Where's the balance?
Antidotes
Antidotes. Dr Brad Wibrow From CICM ICU Updates
Shocking tox-2 (Hot Tox)
Shocking tox-2 (Hot Tox). Dr Katherine Isoardi From CICM ICU Updates
Extracorporeal therapies for toxin ingestion
Extracorporeal therapies for toxin ingestion. Dr Darren Roberts From CICM ICU Updates 2019
Drug induced metabolic acidosis
Drug induced metabolic acidosis. Dr Kylie McArdle. From CICM ICU Updates 2019
Recreational/Illicit drugs update
Recreational/Illicit drugs update. Dr David Pearson CICM ASM 2019 - ICU Updates
Shocking Tox 1
Shocking Tox 1. Dr Katherine Isoardi From CICM ASM 2019 - ICU Updates
Paracetamol- Old dog new tricks
Paracetamol- Old dog new tricks. Dr Angela Chiew CICM ASM 2019 - ICU Updates
Diagnosis and management of coagulopathy and traumatic brain injury
Associate Professor Samuel Galvagno: My bloody head: Diagnosis and management of coagulopathy and traumatic brain injury. From CICM ASM PROGRAM 2019.
Lifting the lid on decompressive craniectomy
Associate Professor Lindy Jeffree: Lifting the lid on decompressive craniectomy. From CICM ASM PROGRAM 2019.
Emerging neuromonitoring techniques in TBI
Professor Andrew Udy: Emerging neuromonitoring techniques in TBI. From CICM ASM PROGRAM 2019.
Does ICP monitoring in TBI really help?
Dr Paul Goldrick: Does ICP monitoring in TBI really help? From CICM ASM PROGRAM 2019.
Tropical envenomation
Dr Peter Pereira: Tropical envenomation. From CICM ASM PROGRAM 2019.
Blasts
Professor Michael Reade: Blasts. From CICM ASM PROGRAM 2019.
Mass Casualty & Terrorism
Professor Mark Midwinter: Mass Casualty & Terrorism. From CICM ASM PROGRAM 2019.
Burns
Dr Anthony Holley: Burns. From CICM ASM PROGRAM 2019.
Trials on the horizon
Professor Michael Reade: Trials on the horizon. From CICM ASM PROGRAM 2019.
Pelvis
Dr Ben Parkinson: Pelvis. From CICM ASM PROGRAM 2019.
Airway
Dr Andrew Potter: Airway. From CICM ASM PROGRAM 2019.
Penetrating injuries
Professor Mark Midwinter: Penetrating injuries. From CICM ASM PROGRAM 2019.
Solid organs
Professor Chad Ball: Solid organs. From CICM ASM PROGRAM 2019.
Traumatic cardiac arrest
Dr Adam Holyoak: Traumatic cardiac arrest. From CICM ASM PROGRAM 2019.
Aorta
Dr Roxanne Wu: Aorta. From CICM ASM PROGRAM 2019.
Brain
Associate Professor Samuel Galvagno: Brain. From CICM ASM PROGRAM 2019.
Paediatric burns
Professor Roy Kimble: Paediatric burns. From CICM ASM PROGRAM 2019.
Contemporary management of spinal injury
Dr Jonathon Ball: Contemporary management of spinal injury. From CICM ASM PROGRAM 2019.
Haemothorax: To drain or not to drain?
Professor Chad Ball: Haemothorax: To drain or not to drain? From CICM ASM PROGRAM 2019.
Ribs: To fix or not to fix?
Miss Kate Martin: Ribs: To fix or not to fix? From CICM ASM PROGRAM 2019.
Reading between the lines
Associate Professor Kirsten Vallmuur: Reading between the lines. From CICM ASM PROGRAM 2019.
Interventional radiology: standing member or invite only?
Dr Lucian Roseverne: Interventional radiology: standing member or invite only? From CICM ASM PROGRAM 2019.
Prevention is better than cure
Professor Roy Kimble: Prevention is better than cure. From CICM ASM PROGRAM 2019.
Reversing DOACS
Dr Nicola Curry: Reversing DOACS. From CICM ASM PROGRAM 2019.
Thromboembolism
Associate Professor Samuel Galvagno: Thromboembolism. From CICM ASM PROGRAM 2019.
Tranexamic Acid
Professor Stephen Bernard: Tranexamic Acid. From CICM ASM PROGRAM 2019.
Erythropoietin & other inflammatory modulators
Associate Professor Craig French: Erythropoietin & other inflammatory modulators. From CICM ASM PROGRAM 2019. Supported by Donate Life
Trauma by Remote
Professor Chad Ball: Trauma by Remote. From CICM ASM PROGRAM 2019
Remote Trauma
Dr John O'Neill: Remote Trauma. From CICM ASM PROGRAM 2019
Why do we need a NCCTRC?
Associate Professor Dianne Stephens: Why do we need a NCCTRC? From CICM ASM PROGRAM 2019
Anything a Hospital Can Do; I Can Do First.
Dr. Stephen Rashford: Anything a Hospital Can Do; I Can Do First. From CICM ASM PROGRAM 2019
FELICITY HAWKER PAPER PRESENTATIONS
SESSION 3 FELICITY HAWKER PAPER PRESENTATIONS Chairs: Dr Matthew Maiden & Dr Raj Goud From CICM ASM PROGRAM 2019
Debate: Goal directed vs Ratio-based Transfusion
Dr Nicola Curry & Dr James Winearls: Debate: Goal directed vs Ratio-based Transfusion. From CICM ASM PROGRAM 2019
Innovations in Transfusion
Dr. Zoe McQuilten: Innovations in transfusion. From CICM ASM PROGRAM 2019
ECMO
Associate Professor Samuel Galvagno: ECMO. From CICM ASM PROGRAM 2019
REBOA
Professor Mark Midwinter: REBOA. From CICM ASM PROGRAM 2019
RAPTOR
Professor Chad Ball: RAPTOR. From CICM ASM PROGRAM 2019
CHRISTCHURCH: What happened, what we did and how we did it…
CHRISTCHURCH Chair: Dr Ray Raper Dr James Mckay: What happened, what we did and how we did it… Dr Louise Hitchings: What we learned, and what we would like you to know. From CICM ASM PROGRAM 2019.
Delirium and Withdrawal in the Paediatric ICU
A Podcast by Shree Basu and Corrine Balit
Managing Analgesia and Sedation in Paediatric ICU
A Podcast by Shree Basu and Corrine Balit
Post Resus Care in Paediatric ICU
A podcast by two intensivists from Westmead PICU on post resuscitation care.
Immune diseases - What about all those MABs
Monoclonal antibodies (MAbs), guided by molecular studies and personalised medicine are changing the face of clinical medicine. They hold the promise of controlling diseases and improving survival whilst reducing the side effects of some 'traditional' therapies. MAbs are being used in conditions familiar to intensivists such as asthma, invasive candidiasis, RSV infection, reversal of novel antico
Malignancy
The incidence of cancer is increasing in line with our ageing population, with a greater number of patients requiring ICU admission for support managing complications of their malignancy, it's therapy, or conditions unrelated to their underlying cancer. Despite these indications, the presence of a cancer diagnosis has been a common reason for refusal of ICU admission, or admission with treatment l
Massive Stroke
There have been significant developments in the diagnosis and management of ischaemic stroke. This started with trials showing a benefit for decompressive craniectomy after a malignant hemispheric stroke in patients under 60 undergoing surgery within 48 hours. The evolution of CT and MRI have enabled us to better image not only the ischaemic core of the stroke, but also the surrounding hypo-pe
