Welcome to our first episode in a series on Cardiac Intensive Care, recorded live at the Critical Care Canada Forum 2024. We kick off by looking at the latest Clinical Practice Update on post cardiac arrest care and refractory cardiac arrest.

The "Canadian Cardiovascular Society/Canadian Cardiovascular Critical Care Society/Canadian Association of Interventional Cardiology Clinical Practice Update on Optimal Post Cardiac Arrest and Refractory Cardiac Arrest Patient Care" CCS was published in 2024, and provides comprehensive recommendations for the management of patients following cardiac arrest.

Join us as Dr Janek Senaratne unpacks this Clinical Practice Update (CPU), and guides us through the evidence for the recommendations made.

Dr. Janek Senaratne is a dual-trained cardiologist and intensivist based in Edmonton, Alberta. He serves as an Associate Clinical Professor in the Department of Medicine at the University of Alberta. University of Alberta In his clinical roles, Dr. Senaratne practices at the University of Alberta Hospital and Grey Nuns Hospital, and is one of the Vital Heart Response physicians for the province.

Further Reading:

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.

Health Economics 101: "Code Green - How the big lie in health care affects us all."

Prof. John Kellum, is a Professor of Critical Care Nephrology and now provocative author! Join us as he talks to us about his book: "Code Green - How the Big Lie in Healthcare Affects Us All."

Conflict Declaration:

The hosts and producers of this podcast declare no financial gain or conflict of interest from this episode or the promotion of Code Green. Our only goal is to share the insights and expertise of Dr. Kellum with our audience.

Episode Chapters:

1. Welcome and Introduction
2. Why Code Green? The inspiration behind the book.
3. The Evolution of U.S. Healthcare: From the 1980s to today.
4. The "Big Lie" in Healthcare: How hospitals maintain profits while claiming financial distress.
5. Trust and Its Erosion in Medicine: Exploring the misalignment between physicians, hospitals, and patient care.
6. Burnout or Moral Injury? Understanding the psychological toll of compromised care.
7. Aligning Values with Care: Dr. Kellum’s actionable solutions for a better healthcare system.
8. The Role of Patients in Reform: How patients can become advocates for systemic change.
9. Closing Thoughts and Takeaways: Dr. Kellum’s message to healthcare professionals and patients alike.

Further Resources:

• Code Green: How the Big Lie in Healthcare Affects Us All