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POET 6.03 | Surgery school

TopMedTalk

Release Date: 12/13/2019

Total ERAS is essential to clear the backlog | TopMedTalk show art Total ERAS is essential to clear the backlog | TopMedTalk

TopMedTalk

"Data is key and having champions is key" This piece provides a truly transatlantic in-depth perspective on an area of opportunity highlighted by our needs in the wake of COVID 19; now more than ever true enhanced recovery after surgery (ERAS) is essential. Optimising value, reducing the need for return visits, decreased length of stay, there is almost no aspect of perioperative medicine and enhanced recovery that is not going to be crucial for our institutions in the near and present future. A data driven approach makes it clear, there is no other way forward. Also in this podcast a...

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Perioperative Frailty with Jude Partridge | EBPOM 2020 London show art Perioperative Frailty with Jude Partridge | EBPOM 2020 London

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"If I were to develop a simple uncomplicated urinary tract infection, I may well be able to continue to go to work as I was being treated for that illness but if an older frail patient develops a similar uncomplicated urinary tract infection, that can be a very significant illness, that patient may well be unable to walk or transfer as they could" Frailty in the perioperative period - what is it, what is it not and how do we work with and manage it before, during and after an operation so as to increase the value of care to our patients? The opening article refered to in this piece is here: ...

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SNAP-2 EPICCS; summary results | EBPOM London 2020 show art SNAP-2 EPICCS; summary results | EBPOM London 2020

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"It's useful to reflect on what SNAP-2 EPICCS might offer us in the brave new world that we find ourselves in with Coronavirus" The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care after Surgery (SNAP-2 - EPICCS) study launched in March 2017 around the UK. More than 2,200 investigators at more than 250 sites across the UK were signed up to take part. The observational study collected data on all patients undergoing inpatient surgery during a one-week period (21 March to 27 March) in UK NHS hospitals. What is the scale of the problem; when it comes to cancellation of...

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Patient Safety: How do you make the Changes that Change Culture? | EBPOM Chicago show art Patient Safety: How do you make the Changes that Change Culture? | EBPOM Chicago

TopMedTalk

Patient safety, as a priority, is assumed to be at the heart of medical practice. Yet still, preventable harm and death occurs in our profession, how do we change this and how do we make the changes we implement last? Can safety and avoidable harm be somehow hardwired into the culture of what we do in a way similar to that of the airline industry? This popular and refreshing talk is presented here after it was a big hit at the Chicago 2020 conference organised by Evidence Based Perioperative Medicine (EBPOM). For more check out Presented by Mike Ramsey, Chair of the Board of Directors of the...

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Roundtable discussion: Delivering value | EBPOM 2021 Las Vegas show art Roundtable discussion: Delivering value | EBPOM 2021 Las Vegas

TopMedTalk

This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value proposition in perioperative medicine | EBPOM 2021 Las Vegas", if you'd like to hear that go here: How do we as practitioners deliver value? How does 'population health' fit into the picture? How long before and after surgery are we invested in managing? What's the key point to start a perioperative medicine program in a low income country with no incentives at all; how do you approach the hospital financial department? Presented by Desiree...

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The value proposition in perioperative medicine | EBPOM 2021 Las Vegas show art The value proposition in perioperative medicine | EBPOM 2021 Las Vegas

TopMedTalk

"Look at it from where is the patient, and what's best for the patient; I think that the other answers follow and yes, it is higher quality, yes, there can be some opportunities for cost savings; even if it 'breaks even' if the patients are happier, isn't that worth moving into the concept and proving that it does make a difference?" The value proposition is an essential element of advocating perioperative care; we know it provides safer, better quality outcomes but how do we translate that into a language that both patients, fee payers and providers can all understand? This piece follows on...

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The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas show art The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas

TopMedTalk

"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within Michigan is really an unmatched place to kind of realize that vision." This piece asks the question; "why do we need perioperative medicine"? The answer is illustrated with a real success story where practitioners realise the value proposition it unlocks for their patients every day. Hear how it is achieved and why it is so important. Presented by Desiree Chappell with her guests Jim Grant, Senior Vice President and Chief Medical Officer at Blue...

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Am I safe? Q&A with Lee Fleisher | EBPOM 2020 show art Am I safe? Q&A with Lee Fleisher | EBPOM 2020

TopMedTalk

This question and answer session was a highlight of EBPOM London 2020, it works as a standalone piece or as a companion piece to this talk here: The discussion follows themes outlined in the presentation as our online audience asked a series of questions. Some of the questions included in the discussion are "How should leaders deal with anxiety both in themselves and their team? What is the evidence on perceived command gradient in residents and the fear of looking inadequate in front of peers and superiors? Bad for patients, versus bad for me? The people at the top end, the older people...

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Daniel Engelman Q&A | EBPOM Chicago show art Daniel Engelman Q&A | EBPOM Chicago

TopMedTalk

"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the pharmacist is integral ... it's just you need that multidisciplinary team" This piece is a question and answer session prompted by the address our guest gave during EBPOM Chicago. Both the online audience and the team challenge our speaker to explain more. If you missed the address TopMedTalk has it for you here: Presented by Desiree Chappell and Monty Mythen with Daniel Engelman,...

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Postoperative critical care: How do we help? | EBPOM 2020 show art Postoperative critical care: How do we help? | EBPOM 2020

TopMedTalk

This piece is a question and answer session with questions from the online audience. What do we think is the clinical care difference that having an elevated level of monitoring and more people around of all all sorts? Why is it good for our patients? As regards admissions to your campus care area; what criteria do you use? Do we need rapid critical care expansion in countries with very few beds? Could the enhanced care wards, in their approach, be compared with the post anaesthetic care unit? Would you cancel or postpone a cancer patient's operation, if not enhanced care or post operative...

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More Episodes

The need for patient education is a constant theme on TopMedTalk, many are keen to soak up information and become and active team player in their operation, how can we make the most of their patricipation? For example, do you let your patients go to "surgery school"?

Presented by John Moore, Adult Critical Care Clinical Director and Consultant Critical Care & Anaesthesia at Manchester.

The fuller version of the original talk is here: http://topmedtalk.libsyn.com/poetts-2018-pre-operative-inspiratory-muscle-training