Steve McGloughlin's guest appearances

Steve McGloughlin

Coda Change

Mastering Intensive Care

Whateley

ASN lectures podcast

Flavia Machado

Anthony Delaney

Rinaldo Bellomo

Ed Litton

Roger Harris

Oliver Flower

Peter Brindley

Sarah Yong

Scott Weingart

Paul Young

Imogen Mitchell

Simon Finfer

John Myburgh

Alex Psirides

Mervyn Singer

OwlTail

Despite the advances of modern critical care, there is remarkably little that has been demonstrated to change the trajectory of septic shock. We still rely on early recognition, good supportive care and appropriate antimicrobials to help these patients. This talk will focus on why these therapies are still the mainstays and how we need to work hard to ensure that in the near future – novel therapies and complex supportive care mechanisms such as ECMO can help the sickest patients.

Despite the advances of modern critical care, there is remarkably little that has been demonstrated to change the trajectory of septic shock. We still rely on early recognition, good supportive care and appropriate antimicrobials to help these patients. This talk will focus on why these therapies are still the mainstays and how we need to work hard to ensure that in the near future – novel therapies and complex supportive care mechanisms such as ECMO can help the sickest patients.

Steve McGloughlin: "Septic Shock – Beyond antibiotics, fluids and inotropes – is there benefit from ECMO or novel therapies?"

In the midst of the global COVID-19 pandemic, this episode focuses on the pandemic planning all ICUs should be doing - if they haven’t already been overwhelmed. This week a Working Group of 30 colleagues released the Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines. This episode features the Chair of that Working Group, A/Prof Steve McGloughlin. Steve is an intensivist, an infectious diseases physician, and the Director of the ICU at the Alfred Hospital in Melbourne, one of the largest Australian ICUs. In this conversation, Steve talks about:  How he is “hoping for the best and preparing for the worst” His confidence in the Australian Intensive Care system How and why the ANZICS COVID-19 Guidelines were developed Measures for increasing ICU capacity His belief that intensive care can be offered to all who might benefit in the pandemic The need to communicate more in a crisis to ease anxiety The value of asking “Are you confident we know what we are doing as a team”? PPE being safe as long as the equipment is used properly His ICU developing the role of a PPE monitor The hierarchy for negative pressure room use Splitting teams into 3 so workers are either on, on call, or totally off What the guidelines recommend about high flow nasal oxygen, non-invasive ventilation &amp; ECMO The lack of evidence for medications and COVID-19 Looking after our teams by ensuring a degree of confidence How he will deal with the social isolation The ways we might obtain additional intensive care trained healthcare workers His thoughts on older health care workers and their risks  If you are in a place where the number of COVID-19 patients are ramping up, I really think this is a must listen episode.   We are all in this together.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you’ll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient’s lives.   --------------------   Links related to Steve McGloughlin  A/Prof Steve McGloughlin A/Prof Steve McGloughlin on LinkedIn Alfred Intensive Care Unit   Links to resources (in order of mentioning)  WHO situation reports on COVID-19  ANZICS COVID-19 guidelines (Version 1) ANZICS JAMA Network Video “Coronavirus in Italy - Reports From The Front Lines”   Links related to Mastering Intensive Care podcast  Mastering Intensive Care podcast - Episode 47 with Matt Morgan  Mastering Intensive Care podcast - Episode 58 on "COVID-19 - We are all in this together" Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

In the midst of the global COVID-19 pandemic, this episode focuses on the pandemic planning all ICUs should be doing - if they haven’t already been overwhelmed. This week a Working Group of 30 colleagues released the Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines. This episode features the Chair of that Working Group, A/Prof Steve McGloughlin. Steve is an intensivist, an infectious diseases physician, and the Director of the ICU at the Alfred Hospital in Melbourne, one of the largest Australian ICUs. In this conversation, Steve talks about: <ul> <li>How he is “hoping for the best and preparing for the worst”</li> <li>His confidence in the Australian Intensive Care system</li> <li>How and why the ANZICS COVID-19 Guidelines were developed</li> <li>Measures for increasing ICU capacity</li> <li>His belief that intensive care can be offered to all who might benefit in the pandemic</li> <li>The need to communicate more in a crisis to ease anxiety</li> <li>The value of asking “Are you confident we know what we are doing as a team”?</li> <li>PPE being safe as long as the equipment is used properly</li> <li>His ICU developing the role of a PPE monitor</li> <li>The hierarchy for negative pressure room use</li> <li>Splitting teams into 3 so workers are either on, on call, or totally off</li> <li>What the guidelines recommend about high flow nasal oxygen, non-invasive ventilation &amp; ECMO</li> <li>The lack of evidence for medications and COVID-19</li> <li>Looking after our teams by ensuring a degree of confidence</li> <li>How he will deal with the social isolation</li> <li>The ways we might obtain additional intensive care trained healthcare workers</li> <li>His thoughts on older health care workers and their risks</li> </ul> If you are in a place where the number of COVID-19 patients are ramping up, I really think this is a must listen episode. We are all in this together. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you’ll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient’s lives. -------------------- Links related to Steve McGloughlin <a href="https://www.alfredhealth.org.au/find-a-doctor/bio/dr-steven-mcgloughlin" rel="nofollow" target="_blank"> A/Prof Steve McGloughlin</a> <a href="https://www.linkedin.com/in/steve-mcgloughlin-20749069/" rel="nofollow" target="_blank">A/Prof Steve McGloughlin on LinkedIn</a> <a href="https://www.alfredicu.org.au/" rel="nofollow" target="_blank">Alfred Intensive Care Unit</a> Links to resources (in order of mentioning) <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports" rel="nofollow" target="_blank"> WHO situation reports on COVID-19</a> <a href="https://www.anzics.com.au/wp-content/uploads/2020/03/ANZICS-COVID-19-Guidelines-Version-1.pdf" rel="nofollow" target="_blank"> ANZICS COVID-19 guidelines (Version 1)</a> <a href="https://www.anzics.com.au/" rel="nofollow" target="_blank">ANZICS</a> <a href="https://www.youtube.com/watch?v=TKS1pahoPRU" rel="nofollow" target="_blank">JAMA Network Video “Coronavirus in Italy - Reports From The Front Lines”</a> Links related to Mastering Intensive Care podcast <a href="http://masteringintensivecare.libsyn.com/episode-47-matt-morgan-mixing-science-history-emotion-and-humanity-in-telling-critical-stories" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 47 with Matt Morgan</a> <a href="http://masteringintensivecare.libsyn.com/episode-58-covid-19-we-are-all-in-this-together" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 58 on "COVID-19 - We are all in this together"</a> <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

59 - Steve McGloughlin - Preparing for the COVID-19 pandemic

Antibiotic Use for Sepsis in Critical Care: Steve McGloughlin Steve McGloughlin presents his thoughts on antibiotics and their use in sepsis and critical care. Steve discusses the ABC of sepsis… the trouble is after A for Antibiotics there is not a whole lot else! In sepsis and severe infection, the goal is to change the trajectory of the patient, away from death and to a more favourable outcome. The tools that are currently on offer in critical care are pretty simple. There are things to support the patient such as fluid and ventilators. In addition, we consider goal directed therapy. In terms of definitive therapy, the list is quite small. Perhaps only antibiotics and source control can be turned to. Antibiotics are a powerful tool. So much so that the number needed to treat is around four. They are also very commonly used. 70-80% of patients in the ICU will get antibiotics – far higher than nearly all other treatments. Steve has some basic advice for the use of antibiotics to enhance their effectiveness. Go early as possible when prescribing and administering. In saying that, he cautions to move beyond simple antibiotic prescribing regimes. Whilst we need early antibiotics, we need the right antibiotics. Why? Alexander Fleming warned against drug resistant bugs when developing penicillin. There has been reports of pandrug resistant organisms (bug against which no known drug is effective) in multiple countries and 214 000 neonatal sepsis deaths per year are attributed to resistant pathogens. Steve concludes with a discussion on what more we need when considering sepsis. We need more than antibiotics. As it stands one definition covers all categories of sepsis. The result is a homogenous treatment protocol. In reality, the source, the bug and the pathology all change the disease and all call for an individualised treatment regime. That is the future. For more like this, head to our podcast page. #CodaPodcast

Antibiotic Use for Sepsis in Critical Care: Steve McGloughlin Steve McGloughlin presents his thoughts on antibiotics and their use in sepsis and critical care. Steve discusses the ABC of sepsis… the trouble is after A for Antibiotics there is not a whole lot else! In sepsis and severe infection, the goal is to change the trajectory of the patient, away from death and to a more favourable outcome. The tools that are currently on offer in critical care are pretty simple. There are things to support the patient such as fluid and ventilators. In addition, we consider goal directed therapy. In terms of definitive therapy, the list is quite small. Perhaps only antibiotics and source control can be turned to. Antibiotics are a powerful tool. So much so that the number needed to treat is around four. They are also very commonly used. 70-80% of patients in the ICU will get antibiotics – far higher than nearly all other treatments. Steve has some basic advice for the use of antibiotics to enhance their effectiveness. Go early as possible when prescribing and administering. In saying that, he cautions to move beyond simple antibiotic prescribing regimes. Whilst we need early antibiotics, we need the right antibiotics. Why? Alexander Fleming warned against drug resistant bugs when developing penicillin. There has been reports of pandrug resistant organisms (bug against which no known drug is effective) in multiple countries and 214 000 neonatal sepsis deaths per year are attributed to resistant pathogens. Steve concludes with a discussion on what more we need when considering sepsis. We need more than antibiotics. As it stands one definition covers all categories of sepsis. The result is a homogenous treatment protocol. In reality, the source, the bug and the pathology all change the disease and all call for an individualised treatment regime. That is the future. For more like this, head to our <a href="https://codachange.org/podcasts/" rel="nofollow" target="_blank">podcast page</a>. #CodaPodcast

Antibiotic Use for Sepsis in Critical Care: Steve McGloughlin