TopMedTalk

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I want to dance at my daughter's wedding | TopMedTalk Highlight Oct 17, 2018

Show notes

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.

"I want to dance at my daughter's wedding"

What are the goals of healthcare providers, how do we measure success and why does value based care matter? Insight from The American Association of Retired People puts the focus in this conversation upon the patient. How do they measure value? What do they want and why?

This piece features Desiree Chappell with two of the guest speakers from the American College of Perioperative Medicine's 2018 conference; Eric J Schneidewind president of the AARP and Kevin Bozic, Chair of Surgery & Perioperative Care at the Dell Medical School.

It's a clip taken from a longer conversation which you can listen to in full here: https://www.topmedtalk.com/the-beauty-of-shared-decision-making/

The Roundtable on NELA and shared decision making | TopMedTalk Highlight Oct 16, 2018

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This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making" What is the standard of care given to patients who are getting an 'emergency laparotomy'? How do you use national data on a local level? Also in this conversation; teaching patients, learning from patients, shared decision making and bringing together the preferences of the patient and practitioner. There is also reaction to the keynote speaker, Sir Bruce Keogh, who's full speech is available as a podcast here: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/

Presented by Desiree Chappell this roundtable discussion involves her two guests; Angela Coulter, a UK based health policy analyist and researcher, and Sarah Hare of the National Emergency Laparotomy Audit (NELA).

The Global Council on Brain Health | ASA 2018 Oct 15, 2018

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This fascinating piece is essential listening from the ASA 2018. Originally streamed live on www.topmedtalk.com during our live coverage of the conference in San Francisco.

Hear how the American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United Kingdom, are to focusing on brain health, in response to the demands of their members.

Further conversation includes how practitioners both explain the risks of surgery and also calm possible misunderstandings or fears regarding them, as well as wider reflections on 'The Brain Health Initiative'.

Presented by Desiree Chappell with Mike Grocott and their guests Lee Fleisher, Professor of Anesthesiology and Critical Care, University of Pennsylvania and Sarah Lock, Senior Vice President for policy at the American Association of Retired People (AARP) and the director of 'The Global Council on Brain Health'.

The Brain Health Initiative | TopMedTalk Highlight Oct 15, 2018

Show notes

We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year.

Here you will find a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in the arena of brain health and risk minimisation?

Featuring Desiree Chappell interviewing her guests, Carol Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI) and Lee A. Fleisher Chair of Anesthesiology and Critical Care, University of Pennsylvania.

Join us on www.topmedtalk.com and sign up for our email updates and never miss a live streamed conference again.

Also - you can find Slido here: http://www.slido.com/ - the 'event code' you require is #tmtasa18

Henrik Kehlet: Recovery is all about inflammation! | ASA 2018 Oct 14, 2018

Show notes

On the morning of the first day of the 2018, annual conference, of the American Society of Anesthesiologists (ASA) Monty Mythen and Desiree Chappell were lucky enough to get an exclusive interview with Professor Henrik Kehlet.

Henrik Kehlet is a gastrointestinal surgeon and former professor of surgery, Copenhagen University, and now professor of perioperative therapy and Head of Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University.

He has published more than 650 articles within perioperative pathophysiology, pain relief and surgical outcome summarized into the concept of 'fast-track surgery', which also includes a focus on perioperative fluid management.

TopMedTalk is live at the ASA 2018 in San Francisco, this piece was originally streamed live on the website: www.topmedtalk.com

Go there now to find out how you can be a bigger part of TopMedTalk, not only can you listen to the conference but also you can contribute questions to our programmes here:

http://www.slido.com/ - the 'event code' you require is #tmtasa18

Direct laryngoscopes should be consigned to history? | TopMedTalk Highlight Oct 14, 2018

Show notes

The debate 'Direct laryngoscopes should be consigned to history' was hosted by The Royal College Of Anaesthetists and carried out by our two guests on this piece. TopMedTalk sat down to have our own mini-debate during the conference.

Presented by Joff Lacey and Monty Mythen with their two guests; Professor Tim Cook, Consultant in Anaesthesia and ICM, Royal United Hospitals, Bath and Dr William Harrop-Griffiths, St Mary's Hospital, Imperial College Healthcare NHS Trust.

Join us on www.topmedtalk.com and sign up for our email updates and never miss a live streamed conference again.

Also - you can find Slido here: http://www.slido.com/ - the 'event code' you require is #tmtasa18

EBPOM USA - CHICAGO 2018 | Frailty assessment, why and how? Part 2 | EBPOM USA - Chicago 2018 Oct 13, 2018

Show notes

In this, the second of a two part piece, the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed.

Originally streamed live on www.topmedtalk.com the talk was part of EBPOM 2018 in Chicago.

Presented by Dr Bobbie Jean Sweitzer, Associate Professor and Director of pre-operative medicine at the University of Chicago.

Treating Patients Properly | TopMedTalk Top Ten Oct 13, 2018

Show notes

Today's piece is called "Treating Patients Properly" and was recorded at EBPOM USA, Atlanta.

Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when a perioperative care doctor became a patient. A fascinating conversation, streamed live from Atlanta Georgia during the second day of TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum".

Hosted by Desiree Chappell and Monty Mythen. Featuring Dr Paul Wischmeyer, Professor of Anaesthesiology and Surgery at Duke Anesthesiology and TopMedTalk's Henry Howe, a medical student at Bristol University.

Join us on www.topmedtalk.com and sign up for our email updates and never miss a live streamed conference again.

Also - you can find Slido here: http://www.slido.com/ - the 'event code' you require is #tmtasa18

Frailty assessment, why and how? Part 1 | EBPOM USA - Chicago 2018 Oct 12, 2018

Show notes

In this two part piece the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed.

Originally streamed live on www.topmedtalk.com the talk was part of EBPOM 2018 in Chicago.

Presented by Dr Bobbie Jean Sweitzer, Associate Professor and Director of pre-operative medicine at the University of Chicago.

The FEDORA Trial | TopMedTalk Top Ten Oct 12, 2018

Show notes

We're playing TopMedTalk's top ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts of the past year.

This piece was originally presented during the Third Annual Quality Improvement Leadership Forum, 2018, at the Union League Club in Philidelphia.

The trial looked at the effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised controlled trial (FEDORA trial).

Randomised Controlled Multicentre trial; n=420; GDHT vs Control

Conclusions:

"Oesophageal Doppler monitor-guided GDHT reduced postoperative complications and hospital length of stay in low–moderate risk patients undergoing intermediate risk surgery, with no difference in mortality at 180 days."

Click here for full text.

http://bjanaesthesia.org/article/S0007-0912(17)54207-5/fulltext

Also - you can find Slido here: http://www.slido.com/ - the 'event code' you require is #tmtasa18

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