show episodes
 
Bridging the gap between literature and practice in pediatric intensive care. Featuring guests from around the world and pediatric intensive care specialists Greg Kelly (Westmead Children's Hospital Sydney), Peta Alexander (Boston Children's Hospital), Karen Choong (McMaster Children's Hospital Canada) and Mike Clifford (Royal Children's Hospital Melbourne) Pediatrica intensiva won’t tell you the answers, because no one knows what they are, but we can give you a chance to hear respected expe ...
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Western Sydney Health Check

Western Sydney Local Health District staff

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Hear from leading healthcare experts in Western Sydney and the patients they're treating. Western Sydney Local Health District (WSLHD) provides healthcare to the people of western Sydney at Westmead, Blacktown, Mount Druitt, Auburn and Cumberland hospitals.Proudly produced by WSLHD.
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This season is about airway management or airways that scare me and this episode, we discuss the respiratory unstable patient or the patient who's a "physiologically difficult airway" because they have bad lungs. We were incredibly lucky to have the amazing Robi Khemani from CHLA, a world expert on respiratory disorders in #pedsICU, join us and be …
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In this powerful episode, we are joined by Dipti Zachariah from Western Sydney Local Health District’s Multicultural Health Services and Nat, a member of her team. Dipti and Nat provide extensive support to help culturally and linguistically diverse (CALD) women and survivors of Female Genital Mutilation (FGM) find their voice. With International W…
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Children with complex airway surgery are airways that truly scare us. Though a small number of patients in pedsICU, they can stay a long time and are at risk of death and morbidity from their underlying conditions, co-existing conditions, their treatment and ICU acquired problems. Managing these patients requires a high level of understanding, comm…
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Airway Management remains the single highest risk time for our patients in pedsICU & pedsCICU. We've known about problems for long time, but finally gaining attention, new ways of thinking & new ways to use drugs & devices- there's a lot more gray then there used to be. We'll discuss resuscitation and airway management in child with cardiac disease…
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What are the pediatric #ECMO scenarios that even experts struggle with? "Challenging Pediatric ECMO Scenarios" Special Collaboration w @PCICS @ECMOPedi and @PedsIntensiva 3 cases covering what our expert hosts and panelists all decided were three of the HARDEST scenarios to deal with: 1. VA ECMO for respiratory support; 2. L heart decompression on …
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Airway management remains the single highest risk time for our patients in pediatric ICU. We've known about these problems for a long time, but they're finally gaining the attention they deserve with registry projects and multicenter studies, new ways of thinking that move away from old dogmas and new ways to use our drugs and devices. One of the g…
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Culture and Practice Change are a vital element to implement ICU based rehabilitation in the pediatric ICU - because even when we know what to do it can be really hard to get our large and diverse teams on board and manage resource limitations, change fatigue and differing views. Here, experts from around the world discuss how they implemented chan…
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Long term & technology dependent aka "chronic critically ill" #pedsICU patients with Dr Rob Graham @BostonChildrens @karen_choong @drgregkelly @drpetaalexander Our #ICUrehab season focussed on preventing PICU morbidities & improving recovery. Our successes in #pedsICU mean that most kids survive & we increasingly see survivors with chronic complex …
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There is a growing awareness of the broad range of problems that patients and their families can face after a stay in the #pedsICU which is now known as Post Intensive Care Syndrome - pediatrics Nurse researcher and clinician Joseph Manning developed the PICS-p framework and has deep experience in following up these patients and families after they…
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Analgesia and/or Sedation is provided to almost all the patients in the #pedsICU but it is something that often lacks precision. In this episode we speak to intensivist Prof Jayashree Muralidharan, #pedsICU nurse Sharon Prior and pharmacist Jonathon Wong Pediatrica Intensiva season 3 is guest edited by Professor Karen Choong from McMaster Universit…
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With the COVID-19 lockdown extended through August, many causes of stress and anxiety in our lives right now are beyond our control. But there is a tool within your control that anyone can harness: mindfulness meditation. David Johnson introduced the practice to Western Sydney Local Health District staff last year to help manage the additional stre…
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Mitch first experienced anxiety and depression as a high school student, and in the years that followed he struggled with suicidal thoughts and post-traumatic stress disorder. He is now a lived experience peer worker with the Towards Zero Suicides team at Western Sydney Local Health District, meaning he uses his own experience to help others experi…
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We're mad about sport in western Sydney but it still might come as a surprise that there are some extremely talented athletes who work for Western Sydney Local Health District (WSLHD). Alvina Ng always loved the Ninja Warrior franchise but never imagined she would take on the famed obstacle course known as Mt Midoriyama. The Auburn Hospital emergen…
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Delirium is a hugely important topic in the #pedsICU with up to 90% of some patient populations being affected and impacts on disease severity, length of stay and quality of life, even months after discharge. It is related to underlying disease, but also to the drugs and abnormal environment that we expose our patients to. Chani Traube and Deb Long…
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Emma Watkins is best known as the girl with the bow in hair. The singing, dancing, drumming, Yellow Wiggle delights audiences across the globe with her dazzling warmth and energy. But what people didn’t realise was behind the scenes, Emma was in serious pain for a long time – silently suffering from a debilitating condition known as endometriosis. …
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Early Mobilization in the #pedsICU with groundbreaker Sapna Kudchadkar from Johns Hopkins Early Mobilization is enormously important because while survival continues to increase, so do the numbers of children who leave PICU with a new functional limitation. Survival is not enough anymore - it's all about the quality of survival Pediatrica Intensiva…
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Julia can remember looking down at her broken arm, the bone through the skin, as the propeller of the helicopter that carried her to Westmead Hospital for lifesaving surgery whirred to life. She was riding her motorcycle on Valentine’s Day when she had a head-on collision with a four-wheel-drive, destroying her bike and nearly claiming her life. Ju…
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Survival in PICU continues to increase around the world. The hidden cost of this is ever increasing numbers of children with severe, sometimes lifelong, problems from their critical illness and intensive care stay. Joining us as a guest editor for this season is one of the world experts on this topic - Professor Karen Choong from McMaster Universit…
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From training with the Cronulla Sharks to lying in a hospital bed, Fine Kula’s heroic battle with brain cancer captured hearts across western Sydney, the Shire, and Australia last year. The rising NRL star was diagnosed with medulloblastoma at the start of 2020, and underwent treatment at Westmead Hospital. Fine and his oncologist Dr Vivek Bhadri j…
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One in four young people in Australia will suffer from some kind of mental health issue. But how do you bring up the topic with them? It’s a question many parents agonise over, and one that we tackle in our latest podcast episode of Western Sydney Health Check for NSW Youth Week. Carlie Dodds, clinical psychologist with our Prevention Early Interve…
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Western Sydney is home to Australia’s tallest health building – the Central Acute Services Building at Westmead Hospital – and we’re celebrating its official opening in this week’s Western Sydney Health Check podcast. NSW Premier Gladys Berejiklian and Health Minister Brad Hazzard visited on Monday 22 March to open Westmead Hospital’s new 14-storey…
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Associate Professor Nirmala Pathmanathan - the Westmead Breast Cancer Institute Executive Director - delves into spotting the signs and treating breast cancer and Carol Boulous shares her story of survival. How to check for breast cancer: National Breast Cancer Foundation Breast Cancer Network Australia Sydney Breast Cancer Foundation McGrath Found…
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6th regular episode of Pediatrica Intensiva with Aparna Hoskote, consultant in cardiac ICU at Great Ormond St Hospital London. The time around the stage 1 procedure is the time of the highest mortality for single ventricle patients, up to 15%. What we do in the #pedsICU really matters for these patients but there is very little high quality evidenc…
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It was a typically busy day in Westmead Hospital’s emergency department when administration officer Elizabeth Rasmussen suddenly felt severely unwell. “It was like an atomic bomb was going to go off in my head, there was just nothing like it,” she said. A quick check from a colleague revealed her blood pressure was through the roof, prompting an ur…
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5th regular episode of Pediatrica Intensiva with Peta Alexander from Boston Children's, Mike Clifford from Royal Children's Melbourne & Greg Kelly from Westmead Children's Sydney. The interstage is a time of incredibly high mortality despite the fact it only lasts a few months. These patients can get sick for a variety of reasons between the mundan…
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Despite having two heart procedures in one week, Gloria Ring is counting her blessings. We took our microphone to the bedside of the 76-year-old Northmead resident for a special podcast episode to capture the reality of a hospital stay — complete with a few interruptions from a cleaner hard at work in the bathroom! Gloria talks about what brought h…
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Mention Australia to people overseas and one of the first things that comes up is our array of deadly snakes and giant spiders. But how worried should we actually be? Clinical and forensic toxicologist Professor Naren Gunja joins us on this episode to shed some light on the creepy crawlies found across Sydney. Naren talks about the death adders, br…
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Carol Wilson never has to buy her husband Ian another Christmas gift. The doting wife gave her partner of more than 40 years the incredible gift of a kidney — just in time for Christmas for Ian, a local shopping centre Santa. Carol and Ian join us on this episode to discuss how they made the decision and the "phenomenal" care they received from Wes…
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December 12 marked 20 years since the first nurse practitioners (NPs) were endorsed in Australia. There are now over 2,000 around the country, including more than 30 in Western Sydney Local Health District — but what exactly is an NP? Joining us to answer this question is transplant nurse practitioner Kathy Kable and sexual health nurse practitione…
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A landmark report in 2005 revealed that Aboriginal and Torres Strait Islander people have shorter life expectancies and are more like to die in childhood, along with other gaps compared to non-Aboriginal Australians. How have we progressed in the 15 years since toward closing the gap? In this episode we speak to WSLHD Aboriginal Health Strategy dir…
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4th regular episode of Pediatrica Intensiva with Liz Crowe - Senior PICU Social Worker Having a child with single ventricle disease is an extraordinarily stressful time for the child, the family, and the staff who are involved. Liz Crowe is a world expert on these matters with over 20 years experience clinical work and a recently completed PhD on g…
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