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The Critical Debrief

Podcast de Dr Caroline Wilson, Dr Kit Rowe, Dr Pramod Chandru, Dr Samoda Mudalige, Dr Shreyas Iyer

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Tecnología y ciencia

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The team from Network Five Emergency Medicine present a fresh new podcast with clinical updates, analysis and deep dives into the world of Emergency Medicine!

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2 episodios

Portada del episodio The Pitt S1E02 Debrief

The Pitt S1E02 Debrief

🎙️ The Critical Debrief – The Pitt S1E02 Debrief Duration: ~65 minutes Hosts: Shreyas Iyer, Pramod Chandru, Caroline Wilson Topic: Clinical updates in cardiology, antimicrobial stewardship, and febrile infants, followed by a case-based discussion of The Pitt Episode 2. Show notes generated with AI assistance. 🎞️ Episode Synopsis (AI) In Episode 2, the team explores ACS updates, AI ECG interpretation, antibiotic stewardship, and febrile infant risk stratification. The second half applies these principles through a discussion of The Pitt Episode 2, focusing on ethical decision-making, paediatric toxicology, mandatory reporting, and airway management in trauma. ⏱️ Episode Timestamps 00:00 – Intro / housekeeping 02:04 – Cardiology update: ACS, OMI concepts 10:28 – AI ECG (Queen of Hearts) 18:42 – Antibiotic duration 26:10 – Febrile infants (61–90 days) 35:23 – The Pitt Episode 2 recap 39:50 – End-of-life care 46:30 – Paediatric THC ingestion 54:40 – Mandatory reporting 1:02:10 – Airway management in trauma 📚 References & Resources (in order of discussion) 1. Heart Foundation & CSANZ (2025) – ACS Guideline - https://www.heartfoundation.org.au/for-professionals/acs-guideline-overview - Referenced during ACS discussion; outlines modern troponin and risk pathways. 2. Meyers HP et al. (2025) – Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (Queen of Hearts by PMcardio) - https://pubmed.ncbi.nlm.nih.gov/40763602/ - Validation study of Queen of Hearts AI detecting occlusion MI. 3. Zahavi A et al. (2025) – Short vs. long antibiotic treatment for pyelonephritis and complicated urinary tract infections: a living systematic review and meta-analysis of randomized controlled trials - https://pubmed.ncbi.nlm.nih.gov/40228579/ - Short-course antibiotics non-inferior for pyelonephritis. 4. Aronson PL et al. (2025) – Prediction Rule to Identify Febrile Infants 61–90 Days at Low Risk for Invasive Bacterial Infections - https://publications.aap.org/pediatrics/article-abstract/156/3/e2025071666/203219/Prediction-Rule-to-Identify-Febrile-Infants-61-90?redirectedFrom=fulltext - Low-risk stratification for febrile infants. 5. Aronson PL et al. (2025) – Risk of Bacterial Infections in Febrile Infants 61 to 90 Days Old With Respiratory Viruses - https://publications.aap.org/pediatrics/article-abstract/156/1/e2025070617/202105/Risk-of-Bacterial-Infections-in-Febrile-Infants-61?redirectedFrom=fulltext - Lower bacterial infection risk in viral-positive infants. 6. Pantell RH et al. (2021) - https://publications.aap.org/pediatrics/article/148/2/e2021052228/179783 - Foundational AAP febrile infant guideline. 7. Wang GS et al. (2016) - https://jamanetwork.com/journals/jamapediatrics/fullarticle/2534480 - Paediatric cannabis toxicity data. 8. NSW Mandatory Reporter Guide - https://dcj.nsw.gov.au/children-and-families/protecting-our-kids/mandatory-reporters/mandatory-reporters--what-to-report-and-when/the-mandatory-reporter-guide--mrg-.html - Framework for reporting child safety concerns. 9. Difficult Airway Society Guidelines - https://das.uk.com/guidelines/das_intubation_guidelines/ - Principles of difficult airway management. 10. ATLS – American College of Surgeons - https://www.facs.org/quality-programs/trauma/atls/ - Trauma airway management principles. 📬 Contact the Team 📧 hello@n5em.com We’d love your feedback or suggestions!

18 de mar de 2026 - 1 h 2 min
Portada del episodio Episode 1 - The Pitt Debrief

Episode 1 - The Pitt Debrief

🎙️ Episode 1: The Pitt Debrief  Duration: ~74 minutes Hosts: Shreyas, Pramod, and Caroline Topic: Podcast relaunch, clinical updates, and our review and take-homes from The Pitt, Episode 1. Show notes generated with AI assistance. 🎞️ Episode Synopsis  In this debut of The Critical Debrief, the team reflects on personal changes and the transition from Network 5 to a more independent, creative podcasting approach. The core of the episode unpacks the clinical realism and challenges featured in The Pitt, using it as a springboard for nuanced discussions about real emergency medicine, ethics, teamwork, and clinical procedures. ⏱️ Episode Timestamps * 00:00 – Intro * 14:00 – Updates segment: Staff turnover and patient mortality * 23:00 – Chance fractures in children * 38:00 – NGT insertion in children – NSW Health policy * 45:00 – Main segment: The Pitt – Is it real? * 50:00 – Involuntary detention – ethics and law * 57:00 – Hyperkalaemic arrest * 1:05:00 – Tamponade and pericardiocentesis * 1:12:00 – Rhabdomyolysis and renal failure 📚 References & Resources (in order of discussion) 1. BMJ Open (2023) – Nurse and doctor turnover and patient outcomes in NHS acute trusts in England 🔗 Nurse and doctor turnover and patient outcomes in NHS acute trusts in England: retrospective longitudinal study | The BMJ [https://www.bmj.com/content/387/bmj-2024-079987] ⏱️ ~14:00 2. Meta-analysis: Intra-abdominal injuries in Chance fractures 🔗 A meta-analysis of the incidence of intra-abdominal injuries associated with thoracic or lumbar flexion-distraction injuries - PubMed [https://pubmed.ncbi.nlm.nih.gov/40273660/] ⏱️ ~23:00 * Summary of 8 retrospective studies (no direct source linked) * Key figure: 55% intra-abdominal injury rate in paediatrics 3. NSW Health Policy (2025) – Nasogastric and Orogastric Tube Insertion and Management in Neonates, Infants and Children 🔗 Nasogastric and Orogastric Tube Insertion and Management in Neonates, Infants and Children [https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2025_012.pdf] ⏱️ ~38:00 * Confirm NGT position based on pH < 4 with approved strips * X-rays not routinely required 4. The Pitt – TV Series ⏱️ ~45:00 * Used as a case-based teaching tool for this episode * Discussion includes realism, pace, portrayals of ED culture 5. NSW Mental Health Act (2007) 🔗 https://legislation.nsw.gov.au/view/html/inforce/current/act-2007-008 [https://legislation.nsw.gov.au/view/html/inforce/current/act-2007-008] ⏱️ ~50:00 * Discussed in the context of involuntary detention criteria 6. NSW Capacity Toolkit 🔗 Capacity Toolkit | Communities and Justice [https://dcj.nsw.gov.au/resources/capacity-toolkit.html] ⏱️ ~50:00   7. ACI Emergency Procedures App 🔗 https://app.emergencyprocedures.org/ [https://app.emergencyprocedures.org/] ⏱️ ~1:05:00 * Referenced during the pericardiocentesis segment * Contains guidance, videos, and checklists 8. Press Ganey Patient Satisfaction Scores 🔗 https://www.pressganey.com/ [https://www.pressganey.com/] 🔗 JAMA Study – Fenton et al. (2012) [https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1108766] ⏱️ ~47:00 * Debated as a metric for quality care * Study showed association with increased hospitalisation and mortality 📬 Contact the Team We’d love your feedback or suggestions! 📧 hello@n5em.com Want to hear about a paper?  Have a topic that you want us to discuss? Let us know — your ideas shape this podcast!

23 de sep de 2025 - 1 h 14 min
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Soy muy de podcasts. Mientras hago la cama, mientras recojo la casa, mientras trabajo… Y en Podimo encuentro podcast que me encantan. De emprendimiento, de salid, de humor… De lo que quiera! Estoy encantada 👍
Soy muy de podcasts. Mientras hago la cama, mientras recojo la casa, mientras trabajo… Y en Podimo encuentro podcast que me encantan. De emprendimiento, de salid, de humor… De lo que quiera! Estoy encantada 👍
MI TOC es feliz, que maravilla. Ordenador, limpio, sugerencias de categorías nuevas a explorar!!!
Me suscribi con los 14 días de prueba para escuchar el Podcast de Misterios Cotidianos, pero al final me quedo mas tiempo porque hacia tiempo que no me reía tanto. Tiene Podcast muy buenos y la aplicación funciona bien.
App ligera, eficiente, encuentras rápido tus podcast favoritos. Diseño sencillo y bonito. me gustó.
contenidos frescos e inteligentes
La App va francamente bien y el precio me parece muy justo para pagar a gente que nos da horas y horas de contenido. Espero poder seguir usándola asiduamente.

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