TopMedTalk | Simon Davies's 2020 Vision
Release Date: 01/14/2020
This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting prospect for any modern practitioner and as personal health monitoring technology becomes mainstream for the public it's surely an inevitable part of the future of medicine. The website mentioned in the podcast is here: The Global burden of postoperative death - The Lancet is here: This paper in The Lancet is also mentioned: Presented by Desiree Chappell and Monty Mythen with their guest Frederic Michard of MiCo Consulting. Like this, want more?...info_outline COVID 19 | Resource management, COVID patient management and innovation from New Jersey, USA
This piece takes a look at the frontline fight against COVID 19 at Penn Medicine Princeton Medical Center in New Jersey, USA. Details of airway, ventilation and hemodynamic management are discussed with the director of Critical care and Anesthesiology. Resource management is a clear front runner as the virus creates a public health emergency for medics to try to battle. Additional beds and treatment facilities are being prepared, what other innovations are being brought to the fore. Presented by Desiree Chappell with Monty Mythen and their guests Michael Scott, M.B., Ch.B. Professor of...info_outline TopMedTalk | Predicting and preventing intraoperative hypotension.
Extended periods of intraoperative hypotension are firmly associated with harm. This piece looks into the detail behind concerns regarding hypotension. Are we now in a position where we can eliminate it entirely? The paper mentioned in this piece, "Ability of an Arterial Waveform Analysis–Derived Hypotension Prediction Index to Predict Future Hypotensive Events in Surgical Patients", is here: Presented by Desiree Chappell and Monty Mythen with their guest Thomas Scheeren, Chair Cardiovascular Dynamics Section at European Society of Intensive Care Medicine (ESICM). Like this, want more? Our...info_outline COVID 19 | Ross Kerridge, University of Newcastle in Australia
In this piece we look at how Australia is dealing with the COVID 19 crisis. What restrictions are being placed upon people and how strict are they? How does "the father of perioperative medicine" see the world which is now being asked to face one of its most urgent medical emergencies? Has the time come to honour 'the whole team' in the institutions where we work? How can medics help to rebuild our societies after the already devastating consequences of a global pandemic? Presented by Desiree Chappell with her guest Ross Kerridge, Senior Staff Specialist Anaesthetist Clinician at the John...info_outline EBPOM 2019 | Preoperative risk stratification
Preoperative risk stratification; what is are the risks and controversies behind preoperative exercise testing and the six minute walk test? This piece looks at the evidence behind both and some practical guidance for informing clinical care. Does the six minute walk test predict complications? What is the true value for cardiopulminary exercise testing (CPET)? For more on the METS study go here: Presented by Duminda Wijeysundera, Professor in the Department of Anaesthesia and the Institute of Health Policy Management and Evaluation at the University of Toronto, and a Staff Anesthesiologist...info_outline COVID 19 | Roneet Lev, San Diego
This piece takes a look at the San Diego front line of the global fight against COVID 19. What unique pressures are there here; the large homeless population is a particular challenge, how do psychiatric patients further the conundrum. Also, what about the assumption that patients are likely to be carrying the virus so should all be treated as if that is the case, does that apply here? There is also a short update on our Editor in Chief, another front line medical provider, who tested positive for Corona Virus last week. Presented by Desiree Chappell with Roneet Lev, MD FACEP, Chief Medical...info_outline COVID 19 | Monty and Desiree weekend update
"We keep being told we're one to two weeks away from the peak..." This piece takes a look at how Monty is getting on with his diagnosis, COVID 19 symptoms infamously vary in severity throughout the infection. Now he has been diagnosed how, if at all, will his behaviour change? What is the UK's policy on practitioners who are COVID 19 positive? Further discussion includes the news that 'rapid tests' are being introduced in the battle against the global pandemic as well as 'drive through' testing. How reliable are they, how might they work? Presented by Desiree Chappell and Monty Mythen. Thank...info_outline TopMedTalk | Global Perspectives on Perioperative Medicine
Australia has an interesting history both generally and with perioperative medicine specifically. Here the story is told and their current progress is revealed. How do comparisons between various countries help us to understand where improvements can be made? How do the differences between the way in which healthcare is funded impact patients and providers? Moderated by Dr Mark Edwards, University College London Hospital, with his guests Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine', Sol Aronson, tenured professor at...info_outline Women in Anaesthesia Part 5 | Jamie Harris and Carol Schmidt
"About a year ago our chief CRNA sent me a podcast from TopMedTalk about fluid management" - this podcast is a fascinating insight into how Enhanced Recovery continues to reach out across the world to the bedside of patients. How do you take your institution from where you're at now to where you need to be tomorrow? What are the essential ingredients? How do you work, through education, towards real patient engagement and empowerment? How do you manage a sensible quality improvement programme? Presented by Desiree Chappell with co-host Korey Sprigman and their guests, Jamie Harris, CRNA,...info_outline TopMedTalks to ... | Michael Pedro
This piece focuses on the SuperNO2VA mask, which delivers positive airway pressure to stent open the upper airway, allowing for the preoperative delivery of positive pressure ventilation and oxygen for patients with a decreased level of consciousness. The website mentioned in the piece is here: Presented by Desiree Chappell with Monty Mythen and Michael Pedro, VP, Medical Director at Vyaire Medical.info_outline
In this piece we're joined by a TopMedTalk favorite for a few predictions regarding the year 2020. Prehabilitation, "the word of the year" for 2019 and now something we expect to see break into the mainstream? How is anesthesia going to develop and what's the future for artificial intelligence in surgery?
PQIP link: https://pqip.org.uk
Multimodal analgesia: https://www.topmedtalk.com/ebpom-usa-part-5-a-perioperative-practicum-with-tj-gan/
TopMedTalk has covered methadone on a couple of occasions recently:
Methadone a forgotten friend: https://www.topmedtalk.com/topmedtalk-methadone-a-forgotten-friend/
Methadone the overlooked opiate: https://www.topmedtalk.com/ebpom-2019-methadone-the-overlooked-opiate/
Artificial intelligence is looked at in more detail here: https://www.topmedtalk.com/topmedtalk-the-ai-doctor-will-see-you-now/
The 13 Minutes To The Moon podcast is here: https://www.bbc.co.uk/programmes/w3csz4dn
Presented by Monty Mythen and Desiree Chappell with their guest Simon Davies, Consultant Anaesthetist at York Teaching Hospital NHS Foundation Trust.
Like this, want more? Simon also appears on this piece here: https://www.topmedtalk.com/prehab-periop-world-congress-feras-hatib-simon-davies/