COVID 19 | Civil Liberties and Public Health
Release Date: 06/02/2020
When it comes to blood pressure, hypotension is associated with poor outcomes for patients, how do we react to this? How do we manage and avoid hypotension where possible? How has technology caught up with this challenge? Could automated closed loop systems be helpful here? The bottom line is simple; "If we measure blood pressure properly, we can predict it". Presented by Dr Simon Davies, Consultant Anaesthetist at York Teaching Hospital NHS Foundation Trust.info_outline EBPOM 2019 | Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?
This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What have been the major developments in this area? Also, should we be looking at increasing monitoring of patients, particularly regarding their blood pressure, in hospital? The Perioperative Quality Initiative (POQI) is discussed here: The POQI website is here: The INPRESS Trial is discussed here: We speak with Dan Sessler here: Presented by Tim Miller, Associate Professor of Anesthesiology from Duke University Medical Centre. Check out for more...info_outline EBPOM 2019 | Troponitis, does it matter?
This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen as a relatively common issue driving post-operative harm. This piece gets into the detail and asks some important questions as to how focused practitioners should be upon troponin screening. It's part 2 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor.info_outline DINGLE 2019 | Critical care for the very elderly patient
"I did a study back in 2002 where I was able to count a grand total of forty patients above the age of eighty in our (Intensive Care Unit) ICU and our (High Dependency Unit) HDU, nowadays I'd count close enough to a hundred and sixty" How do we refine our diagnostic tools? How can teaching in this area help to save lives? Should you consider a 'geriatric intensive care unit'? Is this an area where true perioperative practice and surgery is a guarantee we can immediately see improvement in an institution? Presented by Brian Marsh, Anaesthesia, Critical Care Medicine, Extracorporeal Life...info_outline DINGLE 2019 | The opportunity in variability
"Perioperative medicine is an opportunity; it's multidisciplinary and its developing around a culture of trust between anaesthetists, surgeons and perioperative physicians" The future of perioperative medicine embraces the full scope of medical advancement and is therefore difficult to predict, as a result truly informed shared decision making is both crucial and more complex. Variability of practice is a key factor; usually caused by the overuse or underuse of a facility and its resources. The former being a particular problem in America with the financial incentives associated with some...info_outline EBPOM 2019 | Troponin Screening - essential?
This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has provoked unhelpful pushback from practitioners? It's part 1 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. 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 at St Michael’s Hospital.info_outline EBPOM Highlight | Intraoperative hypotension doesn’t happen to me
This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in Dallas. In this piece we hear about the ongoing need for institutions and healthcare professionals to recognise the damaging consequences of intraoperative hypotension. Evidence has been mounting here on TopMedTalk over the last couple of years; there's no doubt hypotension is an area of concern for many of our experts and contributors. Listen to more on this here via our large selection of podcasts on the topic: For those who are already across the...info_outline POCAPALOOZA | Cape Town Final Comments
"Monty - we've done it!" This piece wraps up one of our more ambitious experiments, the POCAPALOOZA. 24 hours around the world, combining powerful practice changing information and inspiration alongside entertainment from artists and supporters. We hope you have enjoyed this year's conference, look forward to hearing some of the talks in full and entirely for free over the next few months here on TopMedTalk. If you are one of the thousands of our listeners who signed up early for EBPOM Live From London please accept our thanks for helping to show the world how passionate we in the medical...info_outline POCAPALOOZA | Hong Kong, Mike Irwin
EBPOM might be over but the global perioperative festival, the POCAPALOOZA, continues. Either we've locked our team in their rooms and forced them to continue broadcasting or they're driven by a raw enthusiasm for the results of perioperative care to be shared around the world, either way this piece is our penultimate installment before we return to Cape Town. What's the situation like, in terms of medicine, in Hong Kong at the moment in the wake of COVID 19? "Early intervention and people taking it seriously is a big thing" The conversation evolves as our guest speaks to the realities of...info_outline POCAPALOOZA | Sydney
This piece is a fascinating in-depth conversation moving through various medical perspectives on perioperative medicine from Australia and New Zealand. A real highlight of the festival. How has perioperative medicine evolved over the years around the world? What's the status of Perioperative Care as a specialty? How does one specialise in this area, in terms of education? Discussing the development of the International Board:- "We decided perioperative education should not only be available for developed countries". We hear that TopMedTalk engaging with the African...info_outline
This piece takes some time to reflect on where we're at in the UK - and wider Western World - with regard to civil liberties, human rights and the essentials of a functioning 'first world' country.
How important is social justice and human rights in a world where a global pandemic puts all that we hold dear at risk?
The Liberty website is here: https://www.libertyhumanrights.org.uk/
For more information on the UK Government's plan to track and trace British subjects via a mobile phone app The Guardian covers the piece here: https://www.theguardian.com/world/2020/may/27/government-unveils-covid-19-test-and-trace-strategy-for-england
The UK Government website - at the time of publication - has this to offer:
If you'd like to hear Martin's talk, about the Grenfell Inquiry, it was recorded exclusively on TopMedTalk last year, please go here: https://www.topmedtalk.com/topmedtalk-the-grenfell-inquiry/
Presented by Desiree Chappell with Nick Margerrison and Martin Howe of Howe and Co, a human rights law firm. He is a recipient of the Ross McWhirter Award for his campaigning work and twice has been a runner up for the Human Rights Practitioner of the Year Award. Furthermore, as a member of the Gurkha Justice Campaign, Martin won the prestigious Human Rights Award from Justice and Liberty in 2009.
EBPOM "Live from London" - the hottest tickets in anaesthesia and perioperative medicine - go now to the website: https://www.ebpom.org/EBPOM2020