CotEcast

CotEcast (Care of the Elderly podcast) is for clinicians who look after older patients. Entertaining discussion, debate, analysis and interviews related to Geriatric and General Medicine. Part of AEME, the Association for Elderly Medicine Education. aeme.org.uk

"Ask the Expert.....Stroke Series": Complications and secondary prevention 04/02/2024

"Ask the Expert.....Stroke Series": Complications and secondary prevention Welcome to the fourth episode in our new CotECast series: “Ask the Expert“. This series we will be delving deeper into some of the hot topics in geriatrics and have started with a stroke mini-series! Dr Chris Taylor is back with Jonny and Emma to discuss both the complications that may develop in patients admitted with stroke and secondary prevention. /episode/index/show/cotecast/id/30651568

“Ask the Expert…..Stroke Series”: Acute treatment of ischaemic stroke 09/07/2023

“Ask the Expert…..Stroke Series”: Acute treatment of ischaemic stroke Welcome to our new CotECast series: "Ask the Expert". This series we will be delving deeper into some of the hot topics in geriatrics and we are going to be starting with a stroke mini-series! This is the thrid episode in this mini-series and Dr Chris Taylor is back to discuss acute treatment of ischaemic strokes. /episode/index/show/cotecast/id/27973827

"Ask the Expert.....Stroke Series": Imaging 06/15/2023

"Ask the Expert.....Stroke Series": Imaging Welcome to the second episode in our new CotECast series: "Ask the Expert". In this series we will be delving deeper into some of the hot topics in geriatrics and we have started with a stroke mini-series! Today we are joined by Dr Chris Taylor, stroke physician, to discuss imaging in patients with suspected stroke. /episode/index/show/cotecast/id/27163659

"Ask the Expert.....Stroke Series": Diagnosis and Assessment 04/24/2023

"Ask the Expert.....Stroke Series": Diagnosis and Assessment Welcome to our new CotECast series: "Ask the Expert". This series we will be delving deeper into some of the hot topics in geriatrics and we are going to be starting with a stroke mini-series! Today we are joined by Dr Chris Taylor, stroke physician, to discuss diagnosis and assessment of patients with a suspected stroke. Useful Links: Shake,rattle and roll: The Epley Manoeuvre (and Dix Hallpike) MiniGem: Peter Johns HINTS examination educational video: https://www.youtube.com/watch?v=1q-VTKPweuk /episode/index/show/cotecast/id/26639169

"What we've learnt this week...." Episode 14 06/04/2021

"What we've learnt this week...." Episode 14 Welcome to the fourteenth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! Join Christina, Dilani, Emma and Hannah this week as they discuss an unusual cause of medication related hypernatraemia, CT head scans as part of delirium work up, FRAX and progressive supranuclear palsy. Useful links this week: FRAX: Sign Guideline 157: PSP Association: https://pspassociation.org.uk/information-and-support/what-is-psp/ /episode/index/show/cotecast/id/19355657

"What we've learnt this week...." Episode 13 03/22/2021

"What we've learnt this week...." Episode 13 Welcome back to CotEcast! Having had a little break from recording due to Covid-19 the AEME gang are back with the thirteenth episode in the “What we’ve learnt this week…” series. /episode/index/show/cotecast/id/18426071

AEME's top tips for new doctors 09/02/2020

AEME's top tips for new doctors Christina, Dilani, Emma and Hannah get together this week to talk about their top tips for the new doctors! /episode/index/show/cotecast/id/15861296

"What we've learnt this week...."Episode 12 07/22/2020

"What we've learnt this week...."Episode 12 Welcome to the twelfth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! /episode/index/show/cotecast/id/15317678

CotEcast Reflections on Covid-19 06/14/2020

CotEcast Reflections on Covid-19 Emma, Christina and Dilani are back to reflect on some of the learning points they have taken from away looking after older people during the Covid-19 pandemic /episode/index/show/cotecast/id/14818562

"What we've learnt this week..." Episode 11 11/16/2019

"What we've learnt this week..." Episode 11 Welcome to the eleventh episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! /episode/index/show/cotecast/id/12058442

"What we've learnt this week"....Episode 10 10/08/2019

"What we've learnt this week"....Episode 10 Welcome to the tenth episode in the "What we've learnt this week..." series. These are short, 15 minute podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on Twitter! This week Nick, Christina and Emma discuss silver trauma. /episode/index/show/cotecast/id/11568029

"What we've learnt this week..." Episode 9 03/09/2019

"What we've learnt this week..." Episode 9 Welcome to the ninth episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week Chris, Emma and Vicky are recording during lunch at their regional geriatrics teaching day. They will be discussing myeloma and MGUS; attendance and carers allowance and dual anti platelet therapy in minor stroke and high risk TIAs. Useful links this week are: https://www.bmj.com/content/363/bmj.k5130/rr-0 /episode/index/show/cotecast/id/8942438

"What we've learnt this week..." Episode 8 02/10/2019

"What we've learnt this week..." Episode 8 Welcome to the 8th episode in the series of "What we have learnt this week...". Tonight Vicky, Emma and Christina talk about UTI guidelines in the over 65s, AF and anticoagulation risk calculators, DOLs and antibiotics in the older patient. /episode/index/show/cotecast/id/8590958

G4J18 Top Tips 01/15/2019

G4J18 Top Tips Episode 7 in the "What we've learnt this week..." series /episode/index/show/cotecast/id/8272157

"What we've learnt this week....Episode 6" 10/24/2018

"What we've learnt this week....Episode 6" Welcome to the 6th episode in the "What we've learnt this week" series. Nick and Emma are in Berlin for the European Geriatric Medicine Society International Congress and share some of the top tips they have picked up from the conference. Heard of "prognostic paralysis"? "Theraputic illusion"? Gamification in medical education? We hadn't either! Useful links this week: 1. Morin L, Vetrano DL, Grande G, Fratiglioni L, Fastbom J, Johnell K. Use of medications of questionable benefit during the last year of life of older adults with dementia. J Am Med Dir Assoc. 2017;Epub. 2. You have to pay for the full game but the trailer is experience enough! 3. European Renal Best Practice Group summary document on Management of older patients with chronic kidney disease /episode/index/show/cotecast/id/7306202

"What we've learnt this week..." Episode 1 09/27/2018

"What we've learnt this week..." Episode 1 Join Vicky, Pete and Emma in the first of our new series of CotEcasts entitled "What we have learnt this week....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week we discuss a useful analogy for frailty, myth-busting MSUs, a brief review of fluid prescriptions and top tips of managing patients with Parkinson's disease . Useful links: Paper Boats BGS blog at MSU and fluid Mini-gems at NICE fluid guidelines at PD medication calculator at /episode/index/show/cotecast/id/7100504

"What we've learnt this week..." Episode 5 09/25/2018

"What we've learnt this week..." Episode 5 Join Pete, Christine and Emma for the fifth episode in the "What we've learnt this week.." series. We've got some useful tips on iron supplements, urological conditions in the elderly and renal impairment. Let us know your thoughts @ElderlyMedEd /episode/index/show/cotecast/id/7091310

"What we've learnt this week....." Episode 4 09/09/2018

"What we've learnt this week....." Episode 4 Welcome to the fourth episode of "What we've learnt this week..." Vicky, Emma and new AEME member Christina discuss confusing C.Diff results, alcohol in the elderly, geriatric trauma and consider the language we use when talking to relatives of patients with dementia. Useful links this week: https://www.nhs.uk/live-well/alcohol-support/calculating-alcohol-units/ https://www.bgs.org.uk/resources/silver-book http://www.heftemcast.co.uk/wp-content/uploads/2015/07/About-HECTOR.pdf https://twitter.com/dr_shibley?lang=en /episode/index/show/cotecast/id/7024229

"What we have learnt this week...." Episode 3 08/21/2018

"What we have learnt this week...." Episode 3 Welcome to the third episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week Chris, Emma, Pete and Nick are discussing steroid therapy in pneumonia; tips for picking up dysphasia; drooling in Parkinson's disease and online tools to aid shared decision making in relation to medication ie. Statin therapy Useful links this week: https://www.cochrane.org/CD007720/ARI_treatment-corticosteroids-beneficial-and-safe-people-pneumonia /episode/index/show/cotecast/id/6950682

"What we've learnt this week...." Episode 2 08/13/2018

"What we've learnt this week...." Episode 2 Listen to Pete, Emma and Nick talk through their top tips in the 2nd episode of "What we have learnt this week.....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! /episode/index/show/cotecast/id/6921947

How to make managing your patient's pain less painful! 07/02/2018

How to make managing your patient's pain less painful! The AEME gang sit down to discuss the recently updated British Geriatric Society guidelines on the assessment of pain in the older patient. Discussion topics: 1. Do we assess pain in the older patient well? If not, why not?! 2. What are the barriers to eliciting a good pain history? 3. What analgesics should you start and how? 4. Are there any non-pharmacological options for pain relief out there? Our CotEcast Commandments: 1. Do not think pain is part of the normal ageing process 2. Remember to ask about pain 3. Start low and go slow 4. Remember to regularly reassess response and side effects of analgesia References, Links and Resources: The Assessment of Pain in Older people: UK National Guidelines; Pat Schofield, Age and Ageing, Volume 47, Issue supp_1, 1 March 2018 Guidance on the management of pain in older people; Age and Ageing 2013; 42: i1–i57. doi: 10.1093/ageing/afs200 http://www.bgs.org.uk/pdfs/pain/age_ageing_pain_supplement.pdf /episode/index/show/cotecast/id/6768487

OPMentor CotECast 03/18/2018

OPMentor CotECast The whole AEME team get together to discuss progress with our OPMentor scheme. If you want to find a mentor in your area then check out our website at . If you are interested in becoming a mentor sign up at . /episode/index/show/cotecast/id/6377689

'Med Reg' Revisited 02/08/2018

'Med Reg' Revisited Vicky, Pete, Nick and Emma talk about the realities of being the med reg on-call – it’s not as bad as you think! We also discuss different reasons for going out of programme during geriatric training. Let us know your thoughts! Join in the discussion online using the hashtag #cotecast Links: /episode/index/show/cotecast/id/6240431

Geriatrics for Juniors 2017: Post conference COTEcast 11/06/2017

Geriatrics for Juniors 2017: Post conference COTEcast Pete and Nick are joined by AEME founder Mark Garside and long term AEME friend Zoe Wyrko. At the end of the conference they reflect on Geriatrics for Juniors 2017 including what they learnt from the day. /episode/index/show/cotecast/id/5916723

Academic training in Geriatrics 08/28/2017

Academic training in Geriatrics Pete and Nick are joined by Claire McDonald and Sarah Richardson who are both academic geriatricians. Together, they talk about how to get into academic work and research within geriatrics including academic clinical fellow posts. /episode/index/show/cotecast/id/5683007

Polypharmacy for junior doctors 07/26/2017

Polypharmacy for junior doctors Pete and Nick are joined by geriatric registrars Emma and Chris. In this COTEcast we are tackling the issues around polypharmacy in the elderly. We discuss why it is a problem and how to manage it. We also offer some tips for junior doctors who are starting new jobs soon on how to approach a patient with polypharmacy. Links: STOPP/START tool: Deprescribing Canadian initiative: Anticholinergic burden score calculator: /episode/index/show/cotecast/id/5581488

Technology in Medical Education 06/05/2017

Technology in Medical Education "Nick and Mark are joined by Lewis Potter, founder of geekymedics.com. Together they talk about the pros and cons of technology in medical education as well as the future of technology based learning. Lewis also tells us what geekymedics.com has to offer" Links: 1. 2. : The dark side of technology in medical education /episode/index/show/cotecast/id/5420583

Reflections from the British Geriatrics Society Spring conference 05/08/2017

Reflections from the British Geriatrics Society Spring conference Pete, Vicky and Nick are live at the British Geriatrics Society Spring Conference and are joined by ACCS acute medicine trainee Lily Shevlin. They discuss what they have learned from the conference, important topics such as DNACPR forms and treatment escalation plans, fears of being the medical registrar and how to attract more junior doctors to the field of geriatric medicine.Links: 1. Recommended Summary Plan for Emergency Care and Treatment (RESPECT) 2. Our COTEcast series on the worries doctors have about the medical registrar role: 3. OPMentor, our online mentorship scheme for junior doctors: 4. Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine: 5. Mouth care matters: 6. Slido: 7. Geriatrics for juniors conference 2017: /episode/index/show/cotecast/id/5338631

Inpatient management of Patients with Cognitive Impairment 04/03/2017

Inpatient management of Patients with Cognitive Impairment Nick is joined by consultant geriatrician with a specialist interest in dementia and delirium Emily Lyon, and geriatric registrar Jude Randall. Together they discuss how to improve the management of inpatients with dementia as well as how to spot delirium and manage acutely agitated patients. /episode/index/show/cotecast/id/5232090

NOACs vs Warfarin 09/22/2016

NOACs vs Warfarin Will we still be using warfarin in 5 years time? CotEcast returns in a new shorter format, designed to get listeners thinking and talking about issues related to the care of older patients. Pete, Mark and Nick discuss the pros and cons of warfarin vs NOACs in AF, strategies for choosing the most appropriate anticoagulants, and how to involve patients in shared decision-making. Agree, disagree, or have anything to add? Join in the discussion online using the hashtag #cotecast Links: NICE AF Anticoagulation Resources /episode/index/show/cotecast/id/4687395

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