TopMedTalk

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Fluid Matters - The nil by mouth (NPO) debate | TopMedTalk Nov 28, 2018

Show notes

This piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implemented both in the UK and at various medical centres in the US. Hear how and why the old 'nil by mouth' or 'NPO' policy has changed in many instances.

From water to carbohydrate drinks, to black coffee, the thinking has changed in many institutions but part of the battle is in educating patients and their well meaning friends and relatives.

These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there.

Chaired by Professor Monty Mythen and featuring; Dr Tim Miller, anesthsiologist from Duke University Medical Centre; Professor Mike Grocott, Professor of Anaesthesia and Critical Care at the University of Southampton; Professors Paul Wischmeyer and Stuart Grant, from the Department of Anesthesiology, Duke University and featuring questions from the audience.

Join in the debate: contact@topmedtalk.com

Fluid Matters - 'The Great American Fluid Debate' | TopMedTalks Nov 27, 2018

Show notes

This is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicine" conference of this year.

These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there.

The two pieces Monty mentions in the podcast, featuring Paul Myles, are found here:

"THE RESULTS"

https://www.topmedtalk.com/the-relief-trial-results/

"YOUR ESSENTIAL DEEP DIVE"

https://www.topmedtalk.com/rcoa-11-the-relief-trial-your-essential-deep-dive-into-the-results/

And you can find the other piece here:

"JOURNAL CLUB; BALANCED VERSUS SALINE"

https://www.topmedtalk.com/journal-club-saline-solution/

Presented by Monty Mythen featuring; Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton; Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University; Professor Stuart Grant, MB ChB, FRCA Director, Medical Student Education, Duke University School of medicine and Tim Miller, anaesthsiologist from Duke University Medical Centre.

Fluid Matters - Fluid Responsiveness and venous capacitance | POQI Nov 26, 2018

Show notes

This conversation reflects a discussion at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume and fluid responsiveness" but, as this conversation explains, it was renamed "Fluid Responsiveness and venous capacitance".

With a genuinely multidisciplinary approach on display here this piece gives you a glimpse at the inner workings of the POQI process. How does macro circulation interlock with micro circulation and cellular function? How do people on the ground measure stroke volumes? What do you do when passive leg raising is not appropriate? How do we address hypovolemia? How do you define fluid responsiveness at the bedside?

Presented by Desiree Chappell and Mike Grocott with their guests David Kaufman Associate Professor, Director, Medical Intensive Care Unit at NYU School of Medicine, NYU-Langone Medical Center and Dr Greg Martin Director, Research Network, GaCTSA; Director, Predictive Health Institute; Research Director, Emory Critical Care Center.

Unlocking the Secrets of the Mighty Mitochondria | Xtreme Everest Nov 25, 2018

Show notes

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought "from the mountainside to the bedside" so that the care for our sickest patients may be improved.

In this podcast, Andrew Murray, discusses the findings from his studies on Everest in which he has investigated novel mechanisms that control mitochondrial function under hypoxic conditions. It is hoped that his discoveries will facilitate major breakthroughs in tailoring medical interventions to improve the outcome of critical care patients.

Presented by Joff Lacey with his guest; Andrew Murray a reader in metabolic physiology at the University of Cambridge. Since 2005, Andrew has been a member of the Xtreme Everest research group, studying mitochondrial function in cardiac and skeletal muscle at high altitude.

Fluid Matters - Total body water and electrolytes | POQI Nov 24, 2018

Show notes

These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there.

Coming from this summer's Peroperative Quality Initiative (POQI) hosted at Washington Duke University in Durham this podcast is presented by Monty Mythen and Henry Howe with their guests Tom Woodcock, an independent consultant in patient safety, medical law and ethics, and Manu Malbrain, Professor at Faculty of Medicine and Pharmacology Vrije University in Brussells.

The website mentioned in this piece is here: https://www.fluidacademy.org/

The growing popularity of new media in medical education | IFAD Nov 23, 2018

Show notes

This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique potential of this medium. Also - how has social media, video casting and live streaming altered the way conferences are both organised, executed and received?

Finally, our team of experts tackle the eternal question; where to next?

Presented by Joff Lacey with his guests; David Lyness, Doctor in Anaesthetics and Intensive Care Medicine at Belfast Health and Social Care Trust, Segun Olusanyam Specialty Trainee in Intensive Care Medicine, Jamie Strachan, Intensive Care Medicine and Anaesthesia Registrar & Council Member of the Royal College of Anaesthetists and Dr Cian McDermott Consultant in Emergency Medicine at Mater Misericordiae University Hospital.

Streamed live from the International Fluid Academy Day (IFAD) in Amsterdam on www.topmedtalk.com

You can also join in with IFAD for free online https://www.fluidacademy.org/

Discussing The Paradigm Shift in Fluid Therapy | IFAD Nov 23, 2018

Show notes

This podcast is an exclusive discussion regarding the second session at The International Fluid Academy Day (IFAD) in Amsterdam.

This in depth discussion is a reaction to the session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid therapy', results from some of the most recent trials and 'How to set-up a fluid guideline'.

The team also reflect a little more on the first session.

Presented by Joff Lacey with Monty Mythen and Henry Howe.

Streamed live from the International Fluid Academy Day (IFAD) in Amsterdam on www.topmedtalk.com

You can also join in with IFAD for free online https://www.fluidacademy.org/

TopMedTalk at IFAD | Understanding Fluid Physiology Nov 23, 2018

Show notes

Download this podcast for an exclusive discussion regarding the first session at The International Fluid Academy Day (IFAD) on Friday morning in Amsterdam.

This in depth discussion is a reaction to the first session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid physiology'; 'From Frank-Starling to Guyton-Hall'; 'Understanding edema formation' and 'Where does the albumin go?'.

Presented by Joff Lacey with Monty Mythen and Henry Howe.

Streamed live from the International Fluid Academy Day (IFAD) in Amsterdam on www.topmedtalk.com

You can also join in with IFAD for free online https://www.fluidacademy.org/

Fluid Matters - Definite definitions, fluid physiology | POQI Nov 23, 2018

Show notes

This conversation was recorded on the morning of the second day of the Perioperative Quality Initiative (POQI) meeting hosted at Washington Duke University in Durham.

These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there.

Presented by Desiree Chappell with Professor Monty Mythen, Henry Howe and their guest Tim Miller, anaesthsiologist from Duke University Medical Centre and organiser of the POQI meeting.

Have you joined the International Fluid Academy yet? Nov 23, 2018

Show notes

Live from the International Fluid Academy Day (IFAD) in Amsterdam; the team explain how you can join in for free online https://www.fluidacademy.org/ and give us a bit of the history of the conference along with some of the discussion points you can expect to hear.

Presented by Joff Lacey with Henry Howe, Monty Mythen and their guest Manu Malbrain, Professor at the Faculty of Medicine and Pharmacology Vrije University in Brussells and organiser of the conference.

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