The Medical Take

Dr Pauline Grose (Lead Consultant for Medical HDU at Glasgow Royal Infirmary) joins us to talk about the exciting and intimidating topic of HDU. What makes a unit an HDU? How can we best decide which patients will benefit from transfer to HDU? And what are the challenges? The Faculty of Intensive Care Medicine website: https://www.ficm.ac.uk/ Intensive Care Society website https://ics.ac.uk/  Scottish Intensive Care Society Audit Group https://www.sicsag.scot.nhs.uk/index.html The Society for Acute Medicine https://www.acutemedicine.org.uk/ Hosted on Acast. See acast.com/privacy for more information.

Dr David Gray (Consultant in Palliative Care) chats to us about his approach to palliative care, and gives tips and tricks on best management for patients who might be nearing the end of life. Scottish Palliative Care Guidelines: https://rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/Guidance At End Of Life (GAEL) for Health Care Professionals: https://rightdecisions.scot.nhs.uk/ggc-clinical-guidelines/Macmillan Cancer Support – Difficult conversations (including REDMAP):https://www.macmillan.org.uk/coronavirus/healthcare-professionals/difficult-conversations Hosted on Acast. See acast.com/privacy for more information.

Arrianne and Daniel discuss pulmonary embolism. Hosted on Acast. See acast.com/privacy for more information.

Daniel and Arrianne are joined by Kirsty Crowe to talk about care of the renal transplant patient. Hosted on Acast. See acast.com/privacy for more information.

Dr Robert Docking (Consultant in Intensive Care Medicine and Anaesthesia) in conversation with Arrianne about difficult conversations: what are they and how can we make them less difficult for all involved.NHS GG&C Guidance At End Of Life (GAEL) for Health Care Professionals: https://www.palliativecareggc.org.uk/?page_id=66Macmillan Difficult conversations: https://www.macmillan.org.uk/coronavirus/healthcare-professionals/difficult-conversationsCruse Scotland:https://www.crusescotland.org.uk/ Difficult Conversations: We need to talk about dying:https://www.hazelwhitedesign.co.uk/videos/v/difficult-conversations-why-we-need-to-talk-about-dying With the End in Mind: How to Live and Die Well - Kathryn MannixListen: How to Find the Words for Tender Conversations - Kathryn MannixThe Way We Die Now - Seamus O'Mahony Hosted on Acast. See acast.com/privacy for more information.

Nicola Cooper Consultant Physician & Clinical Associate Professor in Medical Education at Nottingham University joins the team to talk about how we make decisions and how we can make better ones. ABC of Clinical Reasoning (2nd edition), edited Nicola Cooper and John Frain. Hosted on Acast. See acast.com/privacy for more information.

Beth Routledge (Consultant in Acute Medicine) brings us a case to discuss of a pregnant patient with chest pain and teaches us what is the same in the investigation and management of the pregnant and non-pregnant patient, and where we need to think differently. Hosted on Acast. See acast.com/privacy for more information.

Daniel speaks to David Hunter, Specialty Registrar in Cardiology, about the approach to tachy- and bradyarrhythmias covering their initial treatment in the hospital environment and when to phone your local friendly cardiologist. Hosted on Acast. See acast.com/privacy for more information.

The guest for this episode on frailty in older people is Dr Jenni Burton, NES/CSO Clinical Lecturer & Honorary Specialist Registrar at the University of Glasgow and ST6 in Geriatric & General Internal Medicine, discussing what frailty is, what effects it can have, and what we can do about it.BGS Silver Book 2: https://www.bgs.org.uk/resources/resource-series/silver-book-iiRCP & SAM Acute Care Toolkit4AT: https://www.the4at.com/ Hosted on Acast. See acast.com/privacy for more information.

Returning for a second series of The Medical Take, Arrianne Laws and Daniel Lynagh talk about the assessment of a patient who has presented with a LOC.Case history - patient in their 20s found collapsed, awake but confused on a Friday night in town. Was out with friends but got separated.What are the things that are immediately going through your head?https://cks.nice.org.uk/topics/epilepsy/diagnosis/differential-diagnosis/https://cks.nice.org.uk/topics/epilepsy/diagnosis/assessment/ Hosted on Acast. See acast.com/privacy for more information.

Dr Celia Jackson joins Laura discussing cases around the diagnosis and management of HIV Hosted on Acast. See acast.com/privacy for more information.

In the final episode of series 1, Dr Beth Routledge and Dr Arrianne Laws discuss headaches in pregnancy. People get headaches all the time, and pregnant patients are no exception. When should we be taking these more seriously and doing more tests, and what treatments can we use for a pregnant patient? We speak to Dr Beth Routledge to find out. Hosted on Acast. See acast.com/privacy for more information.

We see multiple patients every day who present with shortness of breath, but what's the best way to work them up? How can we tell those with a dangerous problem that needs something done about it now from those with less acute issues? Daniel Lynagh and Laura Gillespie discuss how best to approach the clinical assessment of a breathless patient. Hosted on Acast. See acast.com/privacy for more information.

Sugars run high in this week’s episode as we discuss diagnosis, investigation and management of patients with diabetic emergencies. We’re joined by Joe Timmons, Specialist Trainee in Diabetics & Endocrinology to guide us through ketoacidosis, hyperosmolar states and more! Hosted on Acast. See acast.com/privacy for more information.

Dr Arrianne Laws and Dr Laura Gillespie discuss different presentations of anogenital ulceration. We talk about how to ask those more 'sensitive' questions; what investigations to order; and initial management. Hosted on Acast. See acast.com/privacy for more information.

We’re joined by Dr Jennie Cathcart to talk about the presentation, investigation and management of gastrointestinal bleeding. What does the generalist need to know? Hosted on Acast. See acast.com/privacy for more information.

A patient presents with raised inflammatory markers and a headache: what should you do? Is this just an older patient with a viral illness and sinusitis or are they in danger of losing their sight and need steroids ASAP? We discuss a case. Hosted on Acast. See acast.com/privacy for more information.

The creatinine is rising, but you don’t know why. We can help! From initial management to trying to figure out who needs something more sophisticated than a urinalysis checked, we guide you through this everyday clinical problem with our guest Benjamin Elyan. Hosted on Acast. See acast.com/privacy for more information.

We’ve all been asked for feedback and not known what to say beyond a generic ‘no concerns’, ‘gain more clinical experience’ response. We’ll talk about why doing better matters, and give you tips on giving good-quality feedback. Hosted on Acast. See acast.com/privacy for more information.

A clinical presentation we’re faced with multiple times a day, which has almost as many possible causes. We talk about how to tease those apart. Hosted on Acast. See acast.com/privacy for more information.