The Medical Take

S2 EP10 - High Dependency Unit Care

Thu, 03 Aug 2023 23:00:00 GMT

Dr Pauline Grose (Lead Consultant for Medical HDU at Glasgow Royal Infirmary) joins us to talk about the exciting and intimidating topic of HDU. What makes a unit an HDU? How can we best decide which patients will benefit from transfer to HDU? And what are the challenges?

The Faculty of Intensive Care Medicine website:

https://www.ficm.ac.uk/

Intensive Care Society website

https://ics.ac.uk/

Scottish Intensive Care Society Audit Group

https://www.sicsag.scot.nhs.uk/index.html

The Society for Acute Medicine

https://www.acutemedicine.org.uk/

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S2 EP09 - Palliative Care

Mon, 10 Jul 2023 23:00:00 GMT

Dr David Gray (Consultant in Palliative Care) chats to us about his approach to palliative care, and gives tips and tricks on best management for patients who might be nearing the end of life.

Scottish Palliative Care Guidelines:

https://rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/

Guidance At End Of Life (GAEL) for Health Care Professionals:

https://rightdecisions.scot.nhs.uk/ggc-clinical-guidelines/

Macmillan Cancer Support – Difficult conversations (including REDMAP):

https://www.macmillan.org.uk/coronavirus/healthcare-professionals/difficult-conversations

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S2 EP08 - Pulmonary Embolism

Wed, 24 May 2023 23:00:00 GMT

Arrianne and Daniel discuss pulmonary embolism.

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S2 EP07 - Care of the Renal Transplant Patient

Wed, 10 May 2023 23:00:00 GMT

Daniel and Arrianne are joined by Kirsty Crowe to talk about care of the renal transplant patient.

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S2 EP06 - Difficult Conversations

Wed, 19 Apr 2023 23:00:00 GMT

Dr Robert Docking (Consultant in Intensive Care Medicine and Anaesthesia) in conversation with Arrianne about difficult conversations: what are they and how can we make them less difficult for all involved.

NHS GG&C Guidance At End Of Life (GAEL) for Health Care Professionals: https://www.palliativecareggc.org.uk/?page_id=66

Macmillan Difficult conversations:

https://www.macmillan.org.uk/coronavirus/healthcare-professionals/difficult-conversations

Cruse Scotland:

https://www.crusescotland.org.uk/

Difficult Conversations: We need to talk about dying:

https://www.hazelwhitedesign.co.uk/videos/v/difficult-conversations-why-we-need-to-talk-about-dying

With the End in Mind: How to Live and Die Well - Kathryn Mannix

Listen: How to Find the Words for Tender Conversations - Kathryn Mannix

The Way We Die Now - Seamus O'Mahony

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S2 EP05 - Cognitive Biases in Medicine

Wed, 05 Apr 2023 23:00:00 GMT

Nicola Cooper Consultant Physician & Clinical Associate Professor in Medical Education at Nottingham University joins the team to talk about how we make decisions and how we can make better ones. ABC of Clinical Reasoning (2nd edition), edited Nicola Cooper and John Frain.

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S2 EP04 – Chest Pain in Pregnancy

Thu, 23 Mar 2023 00:00:00 GMT

Beth Routledge (Consultant in Acute Medicine) brings us a case to discuss of a pregnant patient with chest pain and teaches us what is the same in the investigation and management of the pregnant and non-pregnant patient, and where we need to think differently.

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S2 EP03 – Common Arrhythmias

Thu, 09 Mar 2023 00:00:00 GMT

Daniel speaks to David Hunter, Specialty Registrar in Cardiology, about the approach to tachy- and bradyarrhythmias covering their initial treatment in the hospital environment and when to phone your local friendly cardiologist.

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S2 EP02 – Frailty in Older Patients

Thu, 23 Feb 2023 00:00:00 GMT

The guest for this episode on frailty in older people is Dr Jenni Burton, NES/CSO Clinical Lecturer & Honorary Specialist Registrar at the University of Glasgow and ST6 in Geriatric & General Internal Medicine, discussing what frailty is, what effects it can have, and what we can do about it.

BGS Silver Book 2: https://www.bgs.org.uk/resources/resource-series/silver-book-iiRCP & SAM Acute Care Toolkit

4AT: https://www.the4at.com/

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S2 E01 – Seizures

Thu, 09 Feb 2023 00:00:00 GMT

Returning for a second series of The Medical Take, Arrianne Laws and Daniel Lynagh talk about the assessment of a patient who has presented with a LOC.

Case history - patient in their 20s found collapsed, awake but confused on a Friday night in town. Was out with friends but got separated.

What are the things that are immediately going through your head?

https://cks.nice.org.uk/topics/epilepsy/diagnosis/differential-diagnosis/

https://cks.nice.org.uk/topics/epilepsy/diagnosis/assessment/

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Bonus HIV diagnosis and management

Thu, 02 Feb 2023 00:00:00 GMT

Dr Celia Jackson joins Laura discussing cases around the diagnosis and management of HIV

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S1 EP09 - Headaches in Pregnancy

Wed, 15 Sep 2021 23:00:00 GMT

In the final episode of series 1, Dr Beth Routledge and Dr Arrianne Laws discuss headaches in pregnancy. People get headaches all the time, and pregnant patients are no exception. When should we be taking these more seriously and doing more tests, and what treatments can we use for a pregnant patient? We speak to Dr Beth Routledge to find out.

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S1 EP08 - Breathlessness

Wed, 01 Sep 2021 23:00:00 GMT

We see multiple patients every day who present with shortness of breath, but what's the best way to work them up? How can we tell those with a dangerous problem that needs something done about it now from those with less acute issues? Daniel Lynagh and Laura Gillespie discuss how best to approach the clinical assessment of a breathless patient.

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S1 EP07 - DKA and HHS

Wed, 04 Aug 2021 23:00:00 GMT

Sugars run high in this week’s episode as we discuss diagnosis, investigation and management of patients with diabetic emergencies. We’re joined by Joe Timmons, Specialist Trainee in Diabetics & Endocrinology to guide us through ketoacidosis, hyperosmolar states and more!

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S1 EP06 - Anogenital Ulceration

Wed, 21 Jul 2021 23:00:00 GMT

Dr Arrianne Laws and Dr Laura Gillespie discuss different presentations of anogenital ulceration. We talk about how to ask those more 'sensitive' questions; what investigations to order; and initial management.

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S1 EP05 - Upper GI Bleeding

Wed, 07 Jul 2021 23:00:00 GMT

We’re joined by Dr Jennie Cathcart to talk about the presentation, investigation and management of gastrointestinal bleeding. What does the generalist need to know?

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S1 EP04 - Giant Cell Arteritis

Wed, 23 Jun 2021 23:00:00 GMT

A patient presents with raised inflammatory markers and a headache: what should you do? Is this just an older patient with a viral illness and sinusitis or are they in danger of losing their sight and need steroids ASAP? We discuss a case.

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S1 EP03 - Acute Kidney Injury

Wed, 09 Jun 2021 23:00:00 GMT

The creatinine is rising, but you don’t know why. We can help! From initial management to trying to figure out who needs something more sophisticated than a urinalysis checked, we guide you through this everyday clinical problem with our guest Benjamin Elyan.

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S1 EP02 - Feedback in the Clinical Environment

Wed, 26 May 2021 23:00:00 GMT

We’ve all been asked for feedback and not known what to say beyond a generic ‘no concerns’, ‘gain more clinical experience’ response. We’ll talk about why doing better matters, and give you tips on giving good-quality feedback.

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S1 EP01 Chest Pain

Wed, 12 May 2021 23:00:00 GMT

A clinical presentation we’re faced with multiple times a day, which has almost as many possible causes. We talk about how to tease those apart.

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