ICU Primary PrepCast

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Dec 23, 2021 • 27min

#Epi 50 - ICU Primary - Bedside preparation Part 7 - Christmas Special

Dr. Mike Lippard, a Melbourne-based clinician, dives into the fascinating science of thermoregulation with a Christmas twist. He explains how Santa maintains his body temperature while traveling the globe, detailing mechanisms like shivering and brown fat thermogenesis. The discussion also covers the intricacies of how thermometers function, including unique types like ingestible sensors. With lively banter and trivia about temperature scales, this episode blends humor and education perfectly, making holiday science both entertaining and insightful.
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Dec 2, 2021 • 25min

#Epi 49 - ICU Primary - Bedside preparation Part 6

In this discussion, Dr. Mike LeFord, an expert in intensive care pharmacology and physiology from Melbourne, dives into the intricacies of bedside exam preparation. He breaks down the components of Total Parenteral Nutrition (TPN) and its essential role in patient recovery. The conversation also navigates carbohydrate digestion from saliva to the bloodstream, illuminating glucose metabolism and its nuances. Lastly, Dr. LeFord sheds light on Basal Metabolic Rate (BMR), including assessment techniques and the importance of tailored nutrition for critically ill patients, with a humorous nod to carbs.
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Nov 2, 2021 • 19min

#Epi 48 - ICU Primary - Bedside preparation Part 5

In this episode, we discuss the pharmacology of oxygen, the physics behind oxygen sensors in the ventilator and the mechanism of oxygen delivery.
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Oct 2, 2021 • 30min

#Epi 47 - ICU Primary - Bedside preparation Part 4

In this episode, we discuss the anatomy of brainstem reflexes along with the pharmacology of mannitol, phenytoin and levetiracetam.
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Sep 2, 2021 • 24min

#Epi 46 - ICU Primary - Bedside preparation Part 3

In this episode, we discuss the modified Pomodoro technique for bedside Primary exam preparation. We examine the neurointensive care patient to discuss the anatomy of CSF production, Cerebral blood flow regulation and physics of ICP monitoring.
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Aug 3, 2021 • 25min

#Epi 45 - ICU Primary - Bedside preparation Part 2

In this episode, we discuss the modified Pomodoro technique to help Primary candidates prepare for their exams during daily bedside ward rounds. 3 questions were discussed in this episode - Pulse oximeter, Comparison between Noradrenaline and vasopressin, and physiological effects of hypoxia.
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Jul 1, 2021 • 26min

#Epi 44 - ICU Primary - Bedside preparation Part 1

Dr Mike Clifford, an ICU expert, discusses bedside preparation for primary exams with a focus on the physics of arterial waveform analysis, pharmacokinetics of Midazolam, and the effect of PEEP on CVS physiology. The podcast emphasizes using a modified Pomodoro technique with 3 questions per bed space to enhance learning during ward rounds.
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Jun 9, 2021 • 26min

#Epi 43 - Primary Viva 3 - Morphine & BMR

This podcast discusses morphine's mechanism of action and effects on various bodily systems, along with considerations for opioid choice in renal impairment. It also explores energy expenditure, basal metabolic rate determination, and factors influencing metabolic rate. The complexities of nutrition, pharmacology, and metabolic rate are covered, including the pharmacology of morphine, alternative drugs, and strategies for approaching exam questions efficiently.
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May 10, 2021 • 22min

#Epi 42 - Primary Viva 2 - Cerebral Blood Flow & NMDA receptor

Discover how the shift to online formats in medical examinations has changed the landscape of assessments. Explore the intricate dynamics of cerebral blood flow and its regulation, unlocking the mysteries behind age-related changes. Dive into the fascinating world of NMDA receptors, their role in pharmacology, and how they influence antipsychotic drug efficacy. Tackle viva preparation with practical strategies and a dash of humor, ensuring candidates feel supported in their intensive care learning journey.
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Mar 10, 2021 • 25min

#Epi 41 - Primary Viva 1 - Propofol & Atropine

Dr. Mike Clifford, a college examiner, discusses the construction of vivas and examiner's expectations in primary exams. Topics include pharmacology of anticholinergics and propofol, nicotinic and muscarinic receptors, effects and uses of atropine and glycopyrrolate, mechanism of action and clinical use of propofol, and tips for navigating viva exams.

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