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Medcast news and blog

Advance your practice - look beyond meeting NMBA requirements for CPD

Seeking guidance on which courses to prioritise before the CPD year concludes? You're not alone! Essential CPD for Australian nurses covering skills, patient care & standards.

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Post-operative fall - using an ABCDE assessment to identify risks
Post-operative fall - using an ABCDE assessment to identify risks
Susan Helmrich

Marjory is a 68 year old in-patient who is 2 days post hip replacement. She is on rivaroxaban (xarelto) for VTE prophylaxis. You find her sitting on the floor of the bathroom, alert but in pain.

International Nurses Day and the spirit of lifelong learning: honouring the legacy, empowering the future
International Nurses Day and the spirit of lifelong learning: honouring the legacy, empowering the future
Susan Helmrich

Reflecting on the legacy of Florence Nightingale, we can draw parallels between her reforms and passion and the continued drive and passion of nurses today. The most powerful changes often start with a single spark of curiosity reigniting our purpose and refining our practice as we rediscover the ‘why’

Gas trapping & breath stacking - What is your asthmatic patient telling you?
Gas trapping & breath stacking - What is your asthmatic patient telling you?
Susan Helmrich

This article explores the risks and management of dynamic hyperinflation in mechanically ventilated patients with status asthmaticus. It outlines causes such as airway obstruction and bronchospasm, and provides strategies for adjusting ventilation settings to minimise gas trapping, support cardiac function, and reduce complications like pneumothorax and systemic hypotension.

Ready - Set - Resus
Ready - Set - Resus
Susan Helmrich

While cardiac arrest is often a rare event, the high stakes nature means we need to be able to respond instinctively, ensuring immediate effective action when it matters most. How do you stay prepared in-between ALS or PALS courses?

Critical care nutrition: enteral vs parenteral recommendations for the ICU patient
Critical care nutrition: enteral vs parenteral recommendations for the ICU patient
Susan Helmrich

Nutrition plays a vital role in the recovery of critically ill patients. Evidence-based recommendations for patients in the ICU focus on the timing, energy requirement and protein targets as well as the role of micronutrients. The route of administration is not always straightforward and best guided by the patient's clinical needs, indications and contraindications.

Essential CPR practice tips to pass your online BLS assessment
Essential CPR practice tips to pass your online BLS assessment
Grace Larson

This blog provides essential CPR practice tips for healthcare professionals completing online BLS assessments. It emphasises following the DRSABCD flowchart, inflating the training manikin before use, maintaining 100-120 compressions per minute with a metronome or music, and ensuring CPR is only performed on a manikin. A demonstration video is included.

Acute Kidney Injury (AKI) - Clinical Opal
Acute Kidney Injury (AKI) - Clinical Opal
Jenny Browne

We explore the case of Edward, a patient with acute kidney injury (AKI), focusing on renal protection strategies. It explores fluid management, blood pressure control, nephrotoxic drug adjustments, and electrolyte monitoring. Treatment considerations include vasoactive medications, dialysis options like CRRT, and medication dosing to support renal recovery and prevent complications.

The first five minutes - prioritising care in the ICU
The first five minutes - prioritising care in the ICU
Susan Helmrich

Admission of an unstable patient into the ICU requires a smooth transition of care with all team members pitching together to balance critical assessments, with immediate interventions to stabilise the patient. Do you understand your role?

Managing pacing failure in post-operative cardiac surgery: causes and solutions
Managing pacing failure in post-operative cardiac surgery: causes and solutions
Grace Larson

Wayne is a 68-year-old post-CABG patient with third-degree heart block on temporary epicardial pacing who suddenly experiences a bradycardia and hypotension.