TopMedTalk

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EBPOM USA | Roundtable; Big data and predictive analytics | EBPOM USA - Chicago 2018 Oct 11, 2018

Show notes

How do hospitals and institutions best use their assets in a world of big data where we can deploy predictive analytics and the new metrics they make available to us? Currently we tend to use the clumsy metrics of averages when there now exists the possibility to use more high fidelity predictive patterns adapted to the unique flow of users and situations. Learn how constraint based optimisation and forecasting has allowed for an exponential rise in the effectiveness of our already existing resources.

Desiree Chappell and her guests Sanjeev Agrawal, President & CMO at LeanTaaS, ex Google, Aloqa and Collegefeed and Mike Grocott, Anaesthesia and Critical Care Medicine, University of Southampton.

Patients are the experts in being patients | TopMedTalk Top Ten Oct 11, 2018

Show notes

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far.

"Patients are the experts in being patients"

The penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care.

This is the final segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California).

Here Shawna speaks about "innovation as a team sport".

The Opioid crisis, can we kick the habit? - Q&A | EBPOM USA - Chicago 2018 Oct 10, 2018

Show notes

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed the talk "The Opioid crisis, can we kick the habit?". Along with various questions from the audience, both at the conference and listening live online, Desiree Chappell presents an entertaining conversation with Matthew McEvoy. Presented by Desiree Chappell with Matthew McEvoy, Vice-Chair for Educational Affairs and Professor of Anesthesiology at Vanderbilt University Medical Center.

Sir Bruce Keogh The NHS at 70 | TopMedTalk Top Ten Oct 10, 2018

Show notes

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far.

The NHS, a national institution beloved by the people of the United Kingdom is 70 years old. EBPOM celebrated this fact with a talk that gets right to the heart of why this institution is so special and also how it can move forward in the brave new world we find ourselves in now.

This piece was streamed live, from the IET at EBPOM 2018, on www.topmedtalk.com

Sir Bruce Keogh KBE, FRCS, FRCP, is a giant in the world of UK healthcare. A British surgeon and physician who specialises in cardiac surgery he was, until this year, Medical Director of the National Health Service in England and National Medical Director of the NHS Commissioning Board (NHS England).

Go check out the website: www.topmedtalk.com

The Opioid crisis, can we kick the habit? | EBPOM USA - Chicago 2018 Oct 09, 2018

Show notes

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 10 minutes, lays out the case for kicking the opioid habit, specifically in America. Use this to help build the case for reducing the use of opioids at your institution.

Presented by Matthew McEvoy, Vice-Chair for Educational Affairs and Professor of Anesthesiology at Vanderbilt University Medical Center

Fluid - Matters; Part 2 Total body water and electrolytes | TopMedTalk Top Ten Oct 09, 2018

Show notes

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far.

This discussion focuses on the perioperative quality initiative's (POQI) intense focus this year on total body water and electrolytes. How often should we weigh patients to monitor water balance? What can we learn from a real understanding of the circulation of interstitial fluid and lymphatics? What is the role of diuretics for the perioperative practitioner? Also, haemodilution, what should you do if you have a patient with a positive post operative fluid balance and a low haemoglobin? Finally, how do we deal with Sodium balance and Chloride?

Coming from this summer's POQI hosted at Duke University in North Carolina, USA 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 the Faculty of Medicine and Pharmacology Vrije University in Brussells.

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

Wrong surgery or wrong patient? - Q&A | EBPOM USA - Chicago 2018 Oct 08, 2018

Show notes

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Mike Grocott's talk; "Wrong surgery or wrong patient?". Various questions from the audience follow after a short conversation between Mike and our Editor in Chief Monty Mythen. Presented by Monty Mythen with his guest Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton.

RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results | TopMedTalk Top Ten Oct 08, 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, as voted for by our listeners: "RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results." The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on the second day of The Royal Collage of Anaesthetists' annual conference at the British Museum this is the moment the team get to pick over the results in detail. One of the biggest trials ever, it has both raised questions and provided answers. Inevitably there has been a huge debate, this piece puts all the major questions and concerns to the organiser of the trial. Send us your thoughts on The RELIEF trial: contact@topmedtalk.com

Presented by the TopMedTalk team; Professor Monty Mythen, Dr Joff Lacey, Desiree Chappell and Professor Mike Grocott, with their guest Paul Myles, Head of Alfred Health's and Monash University's Department of Anaesthesia and Perioperative Medicine and organiser of the RELIEF trial.

Wrong surgery or wrong patient? | EBPOM USA - Chicago 2018 Oct 07, 2018

Show notes

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 15 minutes, lays out the case for shared decision making so you can avoid carrying out surgery which is not right for either the surgeon or patient. Use this to help build the case for shared decision making at your institution by demonstrating that it hits the 'triple aim for populations' by simultaneously delivering a better patient experience, health care and cost.

Presented by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton.

I want to dance at my daughter's wedding | TopMedTalk Top Ten Oct 07, 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/