TopMedTalk
829 episodes - English - Latest episode: over 4 years ago - ★★★★★ - 23 ratingsTopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go
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Episodes
03 Xtreme Everest | Cardiovascular Adaptation to Hypoxia.
July 25, 2018 09:00 - 21 minutes - 14.5 MBPresented by, Daniel Martin, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. This series also includes: THURSDAY: Metabolic Adaptation to Hypoxia. Andrew Murray Oxygen Therapy: The Yin and Yang of Our Favorite Drug. Monty Mythen. FRIDAY: Oxygen and the Brain. Chris Imray The Epigenetics of Hypoxia. Kay Mitchell SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016, David MacLeod ...
02 Xtreme Everest | What Happens to Healthy Humans in Hypoxia?
July 24, 2018 09:00 - 24 minutes - 16.9 MBPresented by, Denny Levett, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. -- What Happens to Healthy Humans in Hypoxia? Denny Levett. This series also includes: WEDNESDAY: Cardiovascular Adaptation to Hypoxia. Daniel Martin THURSDAY: Metabolic Adaptation to Hypoxia. Andrew Murray Oxygen Therapy: The Yin and Yang of Our Favorite Drug. Monty Mythen. FRIDAY: Oxygen and the Brain. Chris Imray ...
01 Xtreme Everest | Critical Care - Can we Learn from Environmental Physiology?
July 23, 2018 09:00 - 27 minutes - 18.6 MBPresented by, Professor Mike Grocott, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. -- Human Tolerance of Hypoxia: Going to Extremes to Understand Critical Illness. This series also includes: TUESDAY: What Happens to Healthy Humans in Hypoxia? Denny Levett WEDNESDAY: Cardiovascular Adaptation to Hypoxia. Daniel Martin THURSDAY: Metabolic Adaptation to Hypoxia. Andrew Murray Oxygen Therapy: The ...
POPS Part 4| Education, education, education.
July 22, 2018 14:00 - 6 minutes - 4.36 MBThe Guy's and St Thomas's POPS team offer a fellowship, here the discussion covers both that and the wider issue of getting students and younger practitioners into this growing area of health care. How do we get undergraduates to learn the skills which simple demographics show are going to become more and more crucial as the trend towards a longer life span continues in the Western world? Monty Mythen and Desiree Chappell continue their conversation with Dr Jugdeep Dhesi, Clinical Lead, PO...
POPS Part 3| The Frailty Unit
July 22, 2018 09:00 - 5 minutes - 4.09 MBThe Frailty Unit is part of the service offered by the Proactive care for Older People undergoing Surgery (POPS) team at Guy's and St Thomas's Hospital. Could something like this work outside of the context of the UK's National Health Service? What are the advantages of being able to safely discharge frail patients who may instead have ended up back in the hospital system? Monty Mythen and Desiree Chappell continue their conversation with Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultan...
POPS Part 2| POPS - meet more of the team from Guy's and St Thomas's
July 21, 2018 14:00 - 18 minutes - 12.4 MBIn part two of this series we continue looking at the POPS (Proactive care for Older People undergoing Surgery) team at Guy's and St Thomas's Hospital. How does having a POPS team facilitate specialist education at the institution? What other opportunities are there for patients and staff as a result of innovations such as this? Finally - what are the drugs that anaesthetists commonly prescribe to patients which people who work on this side of the service aren't so keen on? Desiree Chapp...
POPS Part 1| TopMed talk at Guy's and St Thomas's Hospital in Central London
July 21, 2018 09:00 - 29 minutes - 27 MBWhat is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How do the team apply the techniques of this programme to the perioperative pathway of a patient? Would a service like this be useful at your practice? Can your institution accommodate a fully comprehensive geriatric assessment and optimisation process? Furthermore, should a programme like this be rolled out across the UK and co...
The Great World Fluid Debate: John Myburgh
July 20, 2018 09:00 - 37 minutes - 25.8 MBHere we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 but we still 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...
The Measurement of Exercise Tolerance before Surgery (METS) trial. CPET predicts major complications.
July 19, 2018 09:00 - 15 minutes - 10.6 MBThe Measurement of Exercise Tolerance before Surgery (METS) trial has both raised, and answered, complicated questions. In the immediate wake of EBPOM 2018, this conversation explores some of the deeper issues and big take home moments from the trial. How will it change practice? Will it alter the use of the Duke Activity Status Index (DASI) for example? Cardiopulmonary Exercise Testing (CPET) clearly predicts major complications and is more predictive than the comparators. Why is this not c...
EBPOM 2018 - 12 | The importance of CPET and NELA
July 16, 2018 09:00 - 20 minutes - 13.9 MBWhat are the benefits of Cardio Pulmonary Exercise Testing (CPET) in cancer patients? What is the evidence that suggests prehabilitation changes outcomes? Furthermore, what is the National Emergency Laparotomy Audit (NELA) and what are its benefits? Presented by Joff Lacey and Desiree Chappell with their guests; Carolyn Johnston, consultant Anaesthetist in St Georges hospital in London and Improvement lead for the National Emergency Laparotomy Network (NELA.org.uk) and Malcolm West, Nation...
The Second Annual Prehabilitation World Congress - Part 2
July 13, 2018 09:00 - 6 minutes - 4.32 MBKey messages and big takeaways from a hugely successful meeting, The Second Annual Prehabilitation World Congress, held in Eindhoven, The Netherlands. What was the 'dare to dream' section? How is the business case for prehabilitation being made? Also - listen out for details of the third World Congress and discover how you can get involved. Mike Grocott presents with his guests; Sandy Jack, MD, PhD, Senior Researcher, Southampton University Hospital, United Kingdom, Gerrit Slooter, MD, P...
The Second Annual Prehabilitation World Congress - Part 1
July 12, 2018 09:00 - 6 minutes - 4.48 MBWhat's the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation? How are randomised trials showing outcome data in a positive way? Furthermore, according to some of the keynote speakers, what were the highlights and big headlines at this important gathering? Mike Grocott presents with his guests Olle Ljungqvist, Prof. of Surgery, MD, PhD, Surgeon, Örebro University Hospital & Karolinska Institutet, Sweden and Franco Carli, Prof. MD, PhD, Anesthesiologist, McGil...
Prehabilitation and rehabilitation; the importance of movement
July 11, 2018 09:00 - 2 minutes - 1.83 MBWhat is pre-habilitation and how important is early mobilisation to perioperative post-operative rehabilitation? Desiree Chappell presents with her guests Dr Steve Flanagan, Chair of Physical Medicine and Rehabilitation at NYU Langone and Colleen Walsh, Assistant Professor, Nursing University of Southern Indiana, President, National Association of Orthopaedic Nurses. This piece taken from a longer conversation to be heard here: https://www.topmedtalk.com/rehabilitation-exercise-is-real-...
I want to dance at my daughter's wedding.
July 10, 2018 09:32 - 6 minutes - 4.37 MBWhat 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 & Perio...
ISEH Highlight: Kill or cure? Cold water adaption therapy.
July 08, 2018 12:58 - 5 minutes - 3.77 MBCold water adaptation for theraputic purposes. How can you gain the benefits of this unusual but increasingly popular activity? Open water swimming is discussed, how long you need to do it and what the benefits are. It's suggested that it might work because it is an anti-inflammatory. There's even the suggestion it can help with issues such as chrohn's disease. This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-1/ This edit...
EBPOM 2018 - 6 | TRIPOM at TopMedTalk live pt2
July 07, 2018 09:42 - 27 minutes - 19 MBTopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England. This conversation is driven by questions from listeners online and attendees in the audience. What do you do when it comes to 'screening for frailty? Should it be physical frailty or mental frailty? What do we then do with that information? How do we acknowledge the fact that, over the perioperative period, a 'f...
EBPOM 2018 - 5 | TRIPOM at TopMedTalk live pt1
July 06, 2018 14:07 - 33 minutes - 26.9 MBTopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England. This conversation is driven by questions from listeners online and attendees in the audience. Two pain management experts alongside the TRIPOM representatives and Desiree and Monty respond in detail to some of the key controversies in Perioperative medicine. Is there an opioid crisis and is it unique to the USA?...
EBPOM 2018 -2 | Join us on the topmedtalk.com live stream now!
July 04, 2018 09:36 - 5 minutes - 3.72 MBBack in London for EBPOM 2018! This piece features a quick rundown of some of the things you can expect to hear from www.TopMedTalk.com on our live streaming page. As always highlights of that will feature in the main podcast but, while the conference is on, we're streaming it live. TO LISTEN CLICK ON THIS LINK HERE: https://playall.sharp-stream.com/topmedtalk.mp3?autoplay=true This edition of TopMedTalk is presented by Desiree Chappell, Joff Lacey and Vicki Morton. Join in the deb...
EBPOM USA Part 3| A Perioperative Practicum with Dr Lee A. Fleisher
July 02, 2018 09:00 - 31 minutes - 21.6 MBThis is the third presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://www.ebpom.org/EBPOM-USA-...
EBPOM USA Part 2| A Perioperative Practicum with Professor Monty Mythen
July 01, 2018 09:00 - 28 minutes - 19.5 MBThis is the second presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from our Editor In Chief, Professor Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: ht...
EBPOM USA Part 1| A Perioperative Practicum with Professor Sol Aronson
June 30, 2018 09:00 - 28 minutes - 19.6 MBThis is the opening address and first presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPO...
ISEH Highlight: How do you measure a patient's temperature?
June 29, 2018 09:00 - 4 minutes - 2.75 MBHow and where do you measure a patient's temperature? This is a detailed answer to a frequently asked question, various methods are discussed. This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-1/ This edition of TopMedTalk was recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum. The conversation features Professor Monty Mythen and his two gues...
Fluid - Matters | Part 6 'Goal Directed Fluid Therapy'
June 28, 2018 09:00 - 36 minutes - 25.2 MBThis is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the subsequent debate that follows. It ends up moving into the subject of 'enhanced recovery after cardiothoracic surgery' and what lessons we can learn from excessive hemofiltration during on bypass surgery. Chaired by Professor Monty Mythen and featuring a presentation by Dr Tim M...
Journal Club Express: Intraoperative hyperoxia and surgical site infections
June 27, 2018 09:00 - 2 minutes - 1.85 MBEffect of intraoperative hyperoxia on the incidence of surgical site infections: a meta-analysis B. Cohen, Y.N. Schacham, K. Ruetzler, S. Ahuja, D. Yang, E.J. Mascha, A.B. Barclay, M.H. Hung, D.I. BACKGROUND Whether supplemental intraoperative oxygen reduces surgical site infections remains unclear. Recent recommendations from the World Health Organization and Center for Disease Control to routinely use high inspired oxygen concentrations to reduce infection risk have been widely critic...
Fluid - Matters | Part 5 the nil by mouth (NPO) debate
June 26, 2018 09:00 - 10 minutes - 7.39 MBFluid Matters - the ‘nil by mouth’ or ‘NPO’ debate This piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implimented 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 relativ...
RCoA Conference Highlight: Global views on Perioperative Medicine - real concerns - prisms or schisms?
June 25, 2018 09:00 - 11 minutes - 8.15 MBHow do we develop a way to teach perioperative medicine and once that's in place, how should it be overseen? What sort of official endorsement might it need? Developing a broad knowledge of the process is distinct from being a specialist, how do we develop that further - without developing a schism? This complicated topic is discussed alongside more detail regarding the future for this area. Presented by Monty Mythen and Mike Grocott with their guests; Joel Symmons, Staff Consultant Anae...
ISEH Highlight: ERAS what's the 'secret sauce'?
June 24, 2018 09:00 - 4 minutes - 3.22 MBThis piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows tackles some of the essential elements of perioperative care. This conversation is taken from a longer piece to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-2/ For further expert discussion regarding the Drink, Eat, Mobilise, Sleep (DrEaMS) concept there is another short piece you can find here: https://www.topmedtalk.c...
Fluid - Matters | Part 4 'The Great American Fluid Debate'
June 23, 2018 09:00 - 29 minutes - 20.2 MBThis 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. The debate is framed as "restrictive versus liberal" but, as you'll hear, those terms are questioned by panel members. How do the results of 'The Relief Trial' figure in this debate? Is the pendulum of progress swinging too far - from overly liberal to too restrictive? What can the research and detailed data around t...
Controversies in perioperative medicine; "is pain the fifth vital sign"?
June 22, 2018 09:00 - 30 minutes - 21.1 MBWhat is 'the morpheus consortium'? What's the current thinking on pain management and the 'opioid crisis'? On reflection were people wrong to emphasise the message that 'pain is the fifth vital sign'? How did 'pain management' instead become 'opioid management'? The UK has had a slightly different ride to the US in this respect, although not without its problems, could that be due to this 'fifth vital sign' message being less popular on the other side of the atlantic? Is it important t...
Controversies in perioperative medicine
June 21, 2018 09:05 - 21 minutes - 9.74 MBMonty sits down with one of the co-organisers of this year's meeting in Orlando and discusses this year's annual conference, "Controversies in perioperative medicine". The discussion encompasses pain relief, opioids, the increased use of ultrasound and the use of particular blocks during abdominal surgery. As ultrasound improves how is perioperative medicine changing? What are the challenges presented by larger patients? What are the potential problems with an ultrasound guided tap block? ...
Fluid Matters | Part 3 Fluid Responsiveness and venous capacitance
June 20, 2018 09:19 - 26 minutes - 18.2 MBThis conversation reflects a discussion had 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...
Fluid - Matters | Part 2 Total body water and electrolytes
June 19, 2018 09:00 - 37 minutes - 25.9 MBThis discussion focuses on the perioperative quality initiative's intense focus this year on total body water and electrolights. 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, ...
Enhanced recovery for cesarean section patients
June 18, 2018 09:00 - 16 minutes - 11.3 MBHow does perioperative care relate to obstetrics? Who does it benefit, the patient, the hospital or both? How does it help to engage pregnant patients through the perioperative process? Furthermore, does the issue of addiction arise in this area? Coming from this summer's Peroperative Quality Initiative (POQI), hosted at Washington Duke University in Durham, this podcast features Monty Mythen and Desiree Chappell interviewing their guests Dr Attila Kett, anaesthesiologist and Chairman at S...
Fluid - Matters|Part 1 Definite definitions, fluid physiology
June 17, 2018 15:51 - 33 minutes - 23.1 MBNames, titles and definitions were sliced, diced and discussed at the Perioperative Quality Initiative (POQI). This conversation, recorded on the morning of the second day of the meeting and featuring some of the participants, reflects that. "Stress volumes" and "Pre-load" are a couple of examples given in this piece. Everyone involved knew what these words described but once discussions got into detail it became clear multiple definitions were at play. Part of the point of an initiative l...
ISEH Highlight: Getting it right first time (GIRFT)
June 16, 2018 09:00 - 7 minutes - 4.87 MBWe begin with a question from the audience; 'how do we drive change in our institutions towards enhanced recovery after surgery?' The GIRFT (Getting It Right First Time) project is explained. The Health Foundation is also mentioned. This conversation is taken from a longer piece to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-2/ This edition of TopMedTalk was recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery ...
Journal Club Express - multimodal pain management
June 15, 2018 09:00 - 2 minutes - 1.93 MBAssociation of Multimodal Pain Management Strategies with Perioperative Outcomes and Resource Utilization: A Population-based Study. Memtsoudis SG1, Poeran J, Zubizarreta N, Cozowicz C, Mörwald EE, Mariano ER, Mazumdar M. BACKGROUND: Multimodal analgesia is increasingly considered routine practice in joint arthroplasties, but supportive large-scale data are scarce. The authors aimed to determine how the number and type of analgesic modes is associated with reduced opioid prescription, c...
RCoA Conference Highlight: Do we still care about direct laryngoscopy?
June 14, 2018 09:00 - 11 minutes - 8.02 MBThe debate 'Direct laryngoscopes should be consigned to history' was hosted by The Royal College Of Anaesthetists and carried out by the two guests on this piece. The conversation explores the fact that this skill is 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? This piece is taken from a longer conversation, to be found here: https:/...
ISEH Highlight: Give your patients a warm welcome.
June 13, 2018 09:00 - 5 minutes - 4.02 MBThe patient experience can be quite passive and, as a result, people can lose temperature quickly. The consequences can be very negative, this conversation revolves around how you can keep your patients warm. This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-1/ This edition of TopMedTalk was recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum. ...
'Anesthesia and Analgesia' go big on POQI
June 12, 2018 09:00 - 22 minutes - 15.4 MBThis piece focuses on the latest print issue of 'Anesthesia and Analgesia' which is saturated with coverage of the Perioperative Quality Initiative (POQI), the most recent meeting of which was sponsored by the American Society of Enhanced Recovery (ASER). This conversation acts as an update on where some of the latest thinking is as regards perioperative medicine. It includes a deep dive into gastrointestinal tract dysfunction and allows you to find out the best "whey" to an enhanced recov...
Good noises for ultrasound.
June 11, 2018 09:00 - 20 minutes - 14.2 MBMost people are familiar with ultrasound these days, next to the stethoscope and thanks largely to baby photographs, it's one of the most frequent public facing technologies in medicine. New developments in transesophageal echocardiography have brought about huge advancements in its use as a technology; not to mention the incredible images now available from three dimensional echocardiography. As ultrasound becomes more available and more portable this conversation gives you an idea of whe...
An interview with Professor Monty Mythen, our Editor in Chief
June 10, 2018 09:00 - 13 minutes - 9.41 MBWhat is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis? Broadcaster Nick Margerrison speaks with our Editor in Chief about TopMedTalk and perioperative medicine. We regularly enjoy reading your feedback: [email protected]
RCoA Conference Highlight: It's time to get it right, first time
June 09, 2018 09:00 - 7 minutes - 4.84 MBThe 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. This piece is taken from a longer piece to be found here: https://www.topmedtalk.com/rcoa-13-the-girft-getting-it-right-first-time-project/ Also, if you'd like to hear more about The GIRFT (Getting It Rig...
Journal Club Express: ICU Nurse-Led Communication, shorter stay and better ratings?
June 08, 2018 09:11 - 3 minutes - 2.37 MBA Randomized Trial of a Family-Support Intervention in Intensive Care Units Douglas B. White et al. for the PARTNER Investigators Surrogate decision makers (e.g. family and friends) for incapacitated, critically ill patients can understandably find it very difficult to make decisions related to goals of care. Having to make such decisions can cause them psychological distress and may lead to treatment that is not exactly what the patient might have chosen if they could speak for themse...
RCoA Conference Highlight: When do you become geriatric?
June 07, 2018 09:00 - 6 minutes - 4.58 MBGeriatricians naturally fit into the perioperative sphere. Shared decision making is an obvious aspect of this, as is preoperative assessment and the consideration of the risks and benefits of surgery. Also in this piece; when do you become geriatric? This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/rcoa-06-geriatric-care-and-the-value-of-teamwork/ Desiree Chappell and Monty Mythen interview their guest Dr Jugdeep Dhesi, Clinical Lead, POPS an...
RCoA Conference Highlight: Perioperative medicine for the world
June 06, 2018 09:00 - 7 minutes - 5.28 MBHow can perioperative medicine be part of helping less developed healthcare systems? The considerations are different but the principles remain the same. The birth of the NHS gave parity of esteem to anaesthetists, the benefits of this are felt by us all in the Western world, could it be argued that this visionary decision might actually help other healthcare systems to evolve more rapidly? This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/rcoa-04-...
RCoA Conference Highlight: Big data privacy concerns are legitimate
June 05, 2018 09:00 - 5 minutes - 3.71 MBBig data is a complicated topic and here you will find a discussion about the need to balance the rights of the individual against an obligation to explore and unlock the treasures it offers for wider society. How do we hammer home the fact that responsibly recording data is part of a practitioner's duty of care? 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 and Joff Lacey, with t...
RCoA Conference Highlight: Need help? Ask for it.
June 04, 2018 09:00 - 4 minutes - 2.93 MBThe pressures of being an anaesthetist are difficult to discuss for some, this conversation might be the start of that for you or a colleague. The message is clear; practitioners are human and they must ask for help if they need it. This piece is taken from a longer piece to be found here: https://www.topmedtalk.com/rcoa-05-if-youre-struggling-seek-help/ Presented by Desiree Chappell and Monty Mythen with their guest Dr Clare Gerada, Medical Director, Physician Health, Practitioner Heal...
RCoA Conference Highlight: Antibiotics - when is the right time?
June 03, 2018 09:00 - 3 minutes - 2.56 MBNAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. This conversation deals with the question; when is the best time to administer antibiotics? This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/rcoa-8-nap6-perioperative-anaphylaxis/ Joff Lacey presents with his guest Professor Tim Cook, Consultant in Anaesthesia and ICM, Royal United Hospitals, Bath. Join in the conversation: c...
What next for TopMedTalk?
June 02, 2018 09:30 - 11 minutes - 7.79 MBTopMedTalk set itself a target of over 10,000 downloads in the first year. Much to everyone's delight and surprise, we've smashed that target already! This piece is a chance to hear how you can become a bigger part of what we are doing here; it could be as simple as you connecting with us online, sharing some of our content on your social media feed, emailing us your feedback ([email protected]), or even coming to one of the many meetings we're scheduled to attend: www.ebpom.org/meeti...
RCoA Highlight: Who leads the way in perioperative medicine ?
June 02, 2018 09:00 - 3 minutes - 2.7 MBThe NHS has helped to put the UK into a leading position in perioperative medicine, elsewhere there have been pioneers and innovators pushing it forward. How has this leadership in perioperative medicine become a force for change and improvement worldwide and what are the common themes that emerge as we take a global perspective on the discipline? This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/rcoa-04-the-royal-college-of-anaesthetists-world-lea...