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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:
Intensive Care Society website
Scottish Intensive Care Society Audit Group
https://www.sicsag.scot.nhs.uk/index.html
The Society for Acute Medicine
https://www.acutemedicine.org.uk/
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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
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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=66
Macmillan Difficult conversations:
https://www.macmillan.org.uk/coronavirus/healthcare-professionals/difficult-conversations
Cruse 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 Mannix
Listen: How to Find the Words for Tender Conversations - Kathryn Mannix
The Way We Die Now - Seamus O'Mahony
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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 Toolkit
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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/
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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.
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