TopMedTalk

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EBPOM 2019 | Who delivers Prehab? Nov 04, 2019

Show notes

How can a multidisciplinary group collectively define and maintain what they do while maintaining a patient centred approach? How focused can prehabilitation become? Should personal trainers be more widely involved in perioperative medicine? What is the correct terminology when it comes to expertise in the various areas of your team? Should practitioners be expected to apply lifestyle behaviour changes which other members of our team advocate to patients?

Why is a collaborative approach so important to perioperative medicine?

The ELLICSR Kitchen is here: https://www.ellicsr.ca/en/clinics_programs/ellicsr_kitchen

Presented by Daniel Santa Mina, Assistant Professor at University of Toronto & Scientist in ELLICSR at the Princess Margaret Cancer Centre.

TopMedTalk | The Grenfell Inquiry Nov 03, 2019

Show notes

The Grenfell fire was a national tragedy for Great Britain. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind the fire and what is now being done to make sure nothing like it is allowed to occur again. This is the complete presentation.

Presented by Martin Howe of Howe and Co Solicitors at The 21st Current Controversies in Anaesthesia & Peri-Operative Medicine and SIAA Autumn Congress, Dingle, Ireland, 2019.

Please note: This podcast contains information younger listeners may find disturbing.

Clare Gerada | TopMedTalks to... Nov 02, 2019

Show notes

Why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here about 'The Practitioner Health Programme' and hear why anaesthetists are uniquely placed to deal with the inevitable pressures related to healthcare and how they can become leaders, helping to destigmatise and tackle mental health issues.

Presented by Desiree Chappell and Monty Mythen with their guest Dr Clare Gerada, Medical Director, Physician Health, Practitioner Health Service.

EBPOM 2019 | UK Centre for Perioperative Care Nov 01, 2019

Show notes

The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. Led by the Royal College of Anaesthetists to facilitate cross-organisational working on perioperative care for the benefit of patients. A partnership between patients and the public, other professional stakeholders including Medical Royal Colleges, NHS England and the equivalent bodies responsible for healthcare in the other UK devolved nations. The aim is to improve quality of care, support patients and professionals as well as influence policy, technology, research and innovation.

CPOC launched on 20 May 2019 at the Anaesthesia 2019 event.

Follow them on Twitter at @CPOC_News

There is a page on the Royal College of Anaesthetists' website here: https://www.rcoa.ac.uk/cpoc

Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor.

TopMedTalk | The Grenfell Inquiry - Part 3 Oct 31, 2019

Show notes

This is part 3 of 3.

Presented by Martin Howe of Howe and Co Solicitors at The 21st Current Controversies in Anaesthesia & Peri-Operative Medicine and SIAA Autumn Congress, Dingle, Ireland, 2019.

Please note: This podcast contains information younger listeners may find disturbing.

TopMedTalk | The Grenfell Inquiry - Part 2 Oct 30, 2019

Show notes

This is part 2 of 3.

Presented by Martin Howe of Howe and Co Solicitors at The 21st Current Controversies in Anaesthesia & Peri-Operative Medicine and SIAA Autumn Congress, Dingle, Ireland, 2019.

Please note: This podcast contains information younger listeners may find disturbing.

TopMedTalk | The Grenfell Inquiry - Part 1 Oct 29, 2019

Show notes

The Grenfell fire was a national tragedy for Great Britain in 2017. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind the fire and what is now being done to make sure nothing like it is allowed to occur again.

This link takes you to an article on the BBC's website about the fire: https://www.bbc.co.uk/news/uk-england-london-40272168

Presented by Martin Howe of Howe and Co Solicitors at The 21st Current Controversies in Anaesthesia & Peri-Operative Medicine and SIAA Autumn Congress, Dingle, Ireland, 2019.

Please note: This podcast contains information younger listeners may find disturbing.

EBPOM 2019 | Psychology and behavioural change Oct 28, 2019

Show notes

The historical focus in prehabilitation has been on exercise, how can the insights of psychology and behaviour change techniques be applied to the field? Should psychosocial outcomes and behaviour change be factored into your practice?

There's consistent evidence that anxiety around the time of diagnosis is predictive of post operative pain; depression increases the risk of chronic pain; psychological factors also impact on wound healing and functional recovery. Meanwhile low confidence and depression have been shown to effect outcomes.

How can psychological behaviour change techniques be embedded into encouragement to involve themselves in exercise training in advance of their operation?

For more on the Wesfit trial go here: http://www.wesfit.org.uk/

Presented by Chloe Grimmett, National Institute of Health Research (NIHR) post-doctoral Research Fellow and Senior Research Fellow for the Macmillan Survivorship Research Group at the University of Southampton; behavioural science lead for Wessex-Fit-for Surgery (WesFit) trial, a large randomised controlled trial of physical and psychological prehabilitation prior to cancer surgery and is a member of the National Cancer Research Institute clinical studies Lifestyle and Behaviour Change Group and the NIHR Cancer and Nutrition Collaborative.

EBPOM Highlight | Heart disease in pregnancy Oct 27, 2019

Show notes

What is the scope of the problem? What about lesions and risks? What are the general principles of management? What should we expect when it comes to outcomes?

Presented by Fiona Walker, Cardiologist, trained in grown-up congenital heart disease (GUCH) and maternal cardiology in Toronto and at UCLH. She is the Service lead for GUCH (2005 – present) and head of the maternal cardiology programme at University College London Hospitals (UCLH).

John Myburgh | TopMedTalks to... Oct 26, 2019

Show notes

Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 so we wanted to get a very important contribution from him: What are the big takeaways from some of the larger trials such as Saline versus Albumin Fluid Evaluation (SAFE)? What about the long term implications of Crystalloid versus Hydroxyethyl Starch Trial (CHEST)? What new trials should be on the horizon - given the information we now have?

Monty Mythen speaks with his guest Professor John A Myburgh, Intensive Care Medicine, University of New South Wales; Director of the Division of Critical Care and Trauma at the George Institute for Global Health and Senior Intensive Care Physician at the St George Hospital, Sydney. He holds honorary Professorial appointments at the University of Sydney and Monash University School of Public Health and Preventive Medicine.

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