Dr. Darryl Abrams, Associate Medical Director of the Medical ECMO Program at New York-Presbyterian/Columbia University, dives into the transformative world of extracorporeal cardiopulmonary resuscitation (eCPR). He breaks down key trials like ARREST and Prague OHCA, highlighting their impact on clinical practice. The discussion covers challenges in implementing eCPR, including patient selection and ethical considerations regarding access to this advanced care. Abrams also contrasts healthcare models in the U.S. and Canada, shedding light on disparities in treatment.

Dr. Sean van Diepen, an Associate Professor and Co-Director at the Mazankowski Alberta Heart Institute, shares his expertise on extracorporeal life support in cardiogenic shock. He discusses the evolution of mechanical circulatory support, highlighting findings from the DANGER trial showing a 20% mortality reduction with the Impella device. The ECLS-SHOCK trial raises concerns about complications despite lack of mortality benefit. Van Diepen emphasizes the need for better patient selection and collaborative care in this critical area of cardiac medicine.

In this captivating conversation, Major General Tim Hodgetts, the recently retired top medical advisor for UK forces, shares his transformative journey in emergency medicine. He discusses revolutionary advancements in combat casualty care, influenced by his early traumatic experiences. Hodgetts highlights the importance of international collaboration and cultural dynamics in multinational medical teams. He also delves into coping mechanisms for trauma, emphasizing peer support, and reflects on his ongoing commitment to education and community service in both military and civilian healthcare.

Dr. Rebecca Mathew, a cardiologist and critical care specialist at the University of Ottawa Heart Institute, shares insights on refractory cardiac arrest practices. She discusses advanced techniques like double sequential defibrillation and the use of antiarrhythmics like amiodarone and lidocaine. The episode highlights the role of ECPR and the challenges of patient selection. Additionally, Dr. Mathew emphasizes the importance of patient engagement in critical care and the need for a cultural shift in clinical trial participation to improve treatment outcomes.

Dr. Janek Senaratne, a dual-trained cardiologist and intensivist from Edmonton, shares cutting-edge insights on post-cardiac arrest care. He discusses the recently published Canadian guidelines, emphasizing the necessity for standardized management to enhance patient outcomes. Key strategies like the role of coronary angiography, temperature control, and effective decision-making are explored. Dr. Senaratne also touches on critical management strategies in the first 72 hours post-arrest, focusing on individualized treatment approaches and recent trial findings on oxygen and CO2 management.

Recorded live at the Toronto Critical Care Canada Forum, this episode features a conversation with Prof. Derek Angus, Professor at the University of Pittsburgh, senior editor at JAMA, and Vice Chair of Innovation. We discuss the evolution of healthcare systems, the art of decision-making, the role of AI, and how to inspire the next generation of clinicians. Chapters: Welcome to the Forum Introductions and reflections on the energy of in-person conferences post-COVID. Setting the stage with Dr. Angus and his storied career. Conferences: More Than Just Science The dual role of conferences as spaces for rigorous science and informal discussion. How smaller, focused meetings like CCR foster deeper conversations. How We Communicate Science Reflections on the digital age: Do we risk dumbing things down too much? The balance between simplicity and nuance in medical publishing. The AI Frontier in Medicine Separating hype from reality: Why AI isn’t replacing doctors just yet. The cognitive load of decision-making and where technology fits in. Thinking, Fast and Slow Exploring System One and System Two decision-making. The growing interest in how groups make decisions in critical care settings. Redefining Careers in Medicine Moving beyond traditional roles to focus on leadership, innovation, and teamwork. Advice for the next generation on thinking outside the box. Building Better Healthcare Systems Shifting accountability from individual outcomes to system-wide improvement. Transparency and trust: Why they’re essential for the future of healthcare. Closing Thoughts Dr. Angus reflects on his legacy and hopes for the next wave of clinicians. A heartfelt thanks and a promise for more conversations ahead.

Dr. John Kellum, a Professor of Critical Care Nephrology and author of "Code Green: How the Big Lie in Healthcare Affects Us All," dives deep into the intricacies of U.S. healthcare. He delves into the evolution from the 1980s, shedding light on corporate greed and its impact on patient care. Kellum discusses the erosion of trust among healthcare providers and patients, the psychological toll on professionals, and actionable solutions for reform. Most importantly, he emphasizes the vital role patients can play in advocating for systemic change.

Join hyperbaric specialist Dr. Jeff Kerrie, known for his expertise in hyperbaric oxygen therapy, as he unpacks the fascinating history and science behind this unique medical field. Discover how HBOT effectively treats conditions like decompression sickness and carbon monoxide poisoning. Dr. Kerrie dives deep into its role in managing severe infections and surgical cases, the critical timing needed for treatments, and newer applications such as sudden hearing and vision loss. An enlightening conversation that sheds light on the future of hyperbaric medicine!

In this episode, Peter Brindley and Leon Byker sit down with Dr. Rob Bevan, immediate past president of the College of Intensive Care Medicine (CICM) and Critical Care Director at Auckland City Hospital, Auckland, New Zealand. Dr. Bevan shares his journey through leadership in intensive care, the role of intensive care colleges, and the evolution of critical care training. He also explores the political, social, and ethical dimensions of critical care, from workforce sustainability to the unique role of intensivists as brokers of care. Episode Highlights: The Evolution of CICM: History of the CICM and the differences between the CICM and similar organizations globally. Training for Critical Care: The training pipeline in Australasia. Advocacy and Political Engagement: The role of the CICM in advocating for intensive care resources. The Value of College Convocations: Celebrating new fellows and their families and the role of meaningful ceremonies. The Intensivist as a Broker of Care: Defining the role of the ICU specialist in complex patient care. The Future of Critical Care Workforce: Addressing workforce challenges and it's sustainability. The Upcoming CICM Annual Meeting: Highlights of the upcoming 2025 meeting in Tasmania. Reflections on Leadership and Administration: Dr Bevan's Journey into administration and why it matters.

Coping with dying and saying what needs to be heard: Elliot Sprague Introduction: In this emotional episode, Peter Brindley, Leon Byker, and Elliot Sprague revisit Elliot’s journey with metastatic cancer, a year after his initial appearance on the podcast, Elliot reflects on the impact of living with a terminal illness, sharing life lessons, and offering insights on how he continues to thrive despite a difficult prognosis. This episode Elliot talks about acceptance, gratitude, and the importance of living each moment fully. Topics Discussed: Elliot’s cancer journey since his last appearance. Transition from curative treatment to a palliative diagnosis. The emotional challenges of facing terminal illness. Acceptance of reality and choosing how to live each day. The role of gratitude in maintaining emotional well-being. Coping with the loss of professional identity. Legacy-building and leaving meaningful gifts for loved ones. The importance of honest conversations about death. Support systems: family, friends, and the medical community. Practical tools for mindfulness and mental well-being. Timeline: 00:00 - 01:30: Introduction and re-welcoming Elliot Sprague to the show. 01:31 - 05:20: Elliot updates on his cancer journey, including treatment successes and setbacks. 05:21 - 10:00: The shift from a curative approach to palliative care. 10:01 - 15:45: Acceptance, gratitude, and how Elliot thrives with his diagnosis. 15:46 - 20:55: Discussing HyPEC surgery and reflecting on end-of-life realities. 20:56 - 25:30: Legacy-building, gratitude practice, and leaving meaningful messages for loved ones. 25:31 - 30:10: Coping with family grief and how Elliot's wife Danielle plays a crucial role. 30:11 - 35:50: The power of mindfulness in Elliot’s journey and how it changed his outlook. 35:51 - 40:15: The role of humor and connection in facing terminal illness. 40:16 - 45:00: Final reflections, messages of gratitude, and an emotional conclusion. Thank you Elliot for joining us! https://www.gofundme.com/f/dr-elliott-sprague-and-family?attribution_id=sl:c52d4c83-2649-4ce0-a003-651776f01205&utm_campaign=man_sharesheet_ft&utm_medium=customer&utm_source=email