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

In this episode, we sit down with Dr. Damon Scales and Dr. Niall Ferguson at the Canadian Critical Care Forum. We dive into a little bit of ARDS and spend a whole lot of time talking about the evolving landscape of conferences and critical care research. Tune in for insights from two leaders in the field!

Join us as Prof. Stephen Lapinski answers our questions on Obstetric critical care. Stephen Lapinsky is Director of the Intensive Care Unit at Mount Sinai Hospital, Toronto and Professor of Medicine at the University of Toronto. He graduated from the University of the Witwatersrand, Johannesburg, and trained in Pulmonary and Critical Care Medicine. His clinical practice includes general Critical Care Medicine and ambulatory Respirology. He has a clinical and research interest in critical illness and respiratory disease in the pregnant patient. He is an officer of the North American Society of Obstetric Medicine (NASOM) and is co-Editor-in-Chief of the international journal Obstetric Medicine.

Join us as we discuss ARDS, Research and balancing life as a researcher with Professor Charlotte summers, Director of the Heart and Lung Research Institute (HLRI).

Join James Downar Head of Palliative and End of Life Care and a Critical Care Doc in Ottawa. He has walked the walk on this topic since before its introduction in Canada. Nobody is better qualified to discuss this thorny topic. 

Brian Buchanan, an Associate Professor and ultrasound guru, shares his passion for revolutionizing ultrasound in medicine. He discusses the critical need for effective training and mentorship in critical care ultrasound programs. The conversation touches on the evolution of central line placement, highlighting how ultrasound reduces unnecessary x-rays. Innovations like machine learning and virtual reality are explored, aimed at enhancing ultrasound education. Buchanan emphasizes the importance of balancing traditional methods with cutting-edge technology to improve patient outcomes.