TopMedTalk

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Cold, kill or cure? Live from the ISEH (Part 1) May 27, 2018

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A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum.

How can cold water adaption help people deal with medical issues? There's evidence to suggest that cold water adaption reduces inflamation, can open water swimming help with issues such as chrohn's disease? On the other hand how important is it to ensure patients do not become cold while in our care? Hypothermia is never good, how important is it to keep patients warm? Keeping patients and their environments warm is discussed, as is pre-warming, going beyond the standard blankets and patient insulation to include active warming and even patients exercising as a method of warming up. Further to this conversation, how do you measure a patient's temperature?

The conversation features Professor Monty Mythen and his two guests; Dr Simeon West, consultant anaethetist at (University College London Hospitals) UCLH who sits on the board at Regional Anaesthesia UK (RAUK) and Mark Harper Consultant Anaesthetist at Brighton and Sussex University Hospitals, with a research interest in the prevention of perioperative hypothermia and the use of cold water adaptation for theraputic purposes. There are also questions from the audience.

This piece is part one of a two part series.

RCoA 13 - The GIRFT (Getting It Right First Time) Project May 26, 2018

Show notes

How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are dealt with by a world class professional perioperative physician. Learn how that process and its success then spread out into other areas of healthcare within his institution. Do you need to develop a broad knowledge of all surgery and medicine so that you understand what is going on within the different surgical specialities? Following this discussion is had about the GIRFT (Getting It Right First Time) project. The stated aim is 'to help improve the quality of care within the NHS by reducing unwarranted variations, bringing efficiencies and improving patient outcomes'. This piece gives you the detail from one of the joint clinical leads. Presented by Monty Mythen, Joff Lacey and Desiree Chappell with their guest Dr Michael Swart, Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital and advisor to the UK Department of Health for the Enhanced Recovery Programme.

RCoA 12 - Should direct laryngoscopy be consigned to the history books? May 25, 2018

Show notes

The debate 'Direct laryngoscopes should be consigned to history', hosted by The Royal College Of Anaesthetists and carried out by our two guests on this piece.

Here we get into the advantages and challenges behind the two techniques; video laryngoscopy and direct laryngoscopy. The conversation explores the fact that these skills are a key part of the job of practitioners, are we "de-skilling" the profession in an overly enthusiastic race toward new technology or are some resisting it simply because it's not what they are used to?

Where do you stand on this fascinating debate? Send us your thoughts on email: contact@topmedtalk.com

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.

RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results. May 24, 2018

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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.

RCoA 10 - The Royal College of Anaesthetists, leading the debate. May 23, 2018

Show notes

How does The Royal College of Anaesthetists' move forward from here? A stunning conference with internationally renowned speakers from all around the world, the perioperative process continues to grow and the NHS is leading the world in healthcare. This conversation gets into some of the issues this momentum can now be focused on.

How has the conversation moved forward, how has the RCoA contributed to this and where should we be looking to now?

Recorded towards the end of the first day of the Royal College of Anaesthetists' annual conference Monty Mythen, Desiree Chappell and Mike Grocott interview their guest Russell Ampofo, Director of Education, Training and Examinations for The Royal College of Anaesthetists.

RCoA 09 - What is the Lifelong Learning platform? May 23, 2018

Show notes

The Royal College of Anaesthetists' Lifelong Learning platform will replace the e-Portfolio and include a logbook functionality. It's expected to go live in August 2018. Find out the details here.

This piece was recorded as part of TopMedTalk's coverage of the RCoA's annual conference at The British Museum in 2018. Joff Lacey presents, with his guests Esma Doganguzel and Lina Fazlanie, from the Royal College of Anaesthetists' Lifelong Learning team.

Email us your feedback: contact@topmedtalk.com

RCoA 08 - NAP6: Perioperative Anaphylaxis May 23, 2018

Show notes

NAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. Find out the details behind this intriguing study, how long did it take, how does the data impact upon our day to day practice?

There follows a deep dive into the results and recomendations that NAP 6 has produced. Packed with useful information this podcast is one of the stand out pieces of our coverage of the Royal College of Anaesthetists' annual conference in London.

Joff Lacey presents with his guest Professor Tim Cook, Consultant in Anaesthesia and ICM, Royal United Hospitals, Bath.

Email us: contact@topmedtalk.com

RCoA 07 - Big data, AI and the changing face of medicine May 23, 2018

Show notes

Can artificial intelligence drive new changes in care and the value of big data? We're already comfortable with using tools that help us to do our job better, what are the opportunities and pitfalls related to this new technology?

Are we ready yet for big data? The changes it may cause are staggering but equally; nuance is the friend of truth, do we have enough 'data literacy' to handle it all? Also - can the way you pronounce 'scone' give you an idea of your life expectancy?

How do we balance privacy concerns with the need for data to be accessible? Can such information be truly anonymised? Discussion moves here to 'Google flu tracker' and its, initially quite good, results.

Finally how do doctors adapt to the new world where they are being told in front of their patients what the right course of action is? Will patients retain trust in the Doctor's decisions?

Taken from day two of our coverage of the Royal College of Anaesthetists' annual conference at The British Museum in London. Presented by Desiree Chappell, Monty Mythen and Joff Lacey, with their guest Professor Iain Moppett, Professor of Anaesthesia and Perioperative Medicine, University of Nottingham.

RCoA 06 - Geriatric care and the value of teamwork May 23, 2018

Show notes

How do we best negotiate working in a multidisciplinary team? Generalisations regarding surgeons and anaesthetists only ever work generally, the specifics of each practitioner and their priorities inevitably contrast. How do we keep sight of these broad differences without falling foul of stereotypes?

The conversation evolves; how does the surgical journey fully utilise the team based perioperative approach? With specific focus on geriatric care there is further discussion regarding shared decision making, something which has been part of that discipline for many years.

The debate regarding when a patient becomes geriatric is explored. Is it age which defines that or do symptoms and comorbidities qualify the term?

Recorded on the first day of the Royal College of Anaesthetists' annual conference at The British Museum. Desiree Chappell and Monty Mythen interview their guests Professor Jenifer Weller, Head of the Centre for Medical and Health Sciences Education, University of Auckland and Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas' NHS Trust.

Join the debate: contact@topmedtalk.com

RCoA 05 - 'If you're struggling ... seek help' May 23, 2018

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.

Share your thoughts with us: contact@topmedtalk.com

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