STAT Dose Podcast (Matt Young)

In this episode, we cover acute asthma including key pathology, grading and management

Get that adrenaline pumping and listen to our overview of anaphylaxis:

• Introduction (0:00)
• Definition (1:17)
• Pathophysiology and aetiology (2:38)
• Assessment (5:46)
• Management (12:24)
• Summary and sign off (20:26)

In this Turbo Dose, Matt and Joe discuss a structured approach to the hypotensive patient covering assessment, management and key causes

This Turbo Dose covers biliary tract pathology focusing on cholecystitis, biliary colic, pancreatitis and acute cholangitis

In this episode we discuss the key clinical aspects of Acute Coronary Syndrome. Check out our longer version in the STAT Medical Topics section.

Matt tells us about a patient with an interesting chain of pathophysiology

• Introduction (0:11)
• Case summary (0:42)
• Further exploration (4:59)
• Practice changing? (8:21)
• Summary (11:10)

P Pouryahya, ZC Lin, L Tan, A Meyer. Reliability of venous blood gas sodium, potassium and creatinine. NZMJ, 131:1487, Dec 2018

Here Matt and Joe discuss the approach to breathlessness, covering the A to E assessment and key features of the history

Here we review a meta analysis likely to influence TIA and minor stroke guidelines of the future. We then give an overview of TIA in the clinical context:

• Review of the meta analysis (0:25)
• TIA definition and causes (8:55)
• Assessing patients with TIA (14:44)
• TIA management and follow up (22:23)
• Summary and sign off (28:15)

ABCD2 scores and NIHSS: https://www.mdcalc.com/abcd2-score-tia and https://www.mdcalc.com/nih-stroke-scale-score-nihss

In this episode, we explore oxygen as a drug, how and when to use, hypercapnic respiratory failure and touch on LTOT

Hold your tongue! On this episode of Debriefing the Debrief we focus on:

• A to E assessment (1:07)
• Arterial vs venous blood gases (9:06)
• Using medical terminology in front of patients (15:18)
• Summary and sign off (24:10)

Take a deep breath and listen. On this episode of Debriefing the Debrief we discuss:

• 'Introduction' (0:25)
• Asthma pathology and grading (2:31)
• Management of acute asthma (8:04)
• Use of guidelines and declaring emergencies (24:06)
• Summary and sign off (27:03)

BTS Asthma guidelines: https://www.brit-thoracic.org.uk/document-library/clinical-information/asthma/btssign-asthma-guideline-quick-reference-guide-2016/

In this episode, we discuss our approach to delirium including assessment, causes and management

This episode covers anaphylaxis including the updated management from the 2021 Resus Council guideline

Re-introduction (0:11)

Examples of how cases go through a social prescribing referral (0:36)

In this Turbo Dose, we discuss some of the common immediate, early and late complications during the post operative period.

Joe and Matt look at the A to E assessment focusing on patients with reduced levels of consciousness

Introductions to our guests (0:24)

What is social prescribing and community navigation? (3:42)

Models of social prescribing and community navigating (12:11)

In this episode we explore Ventilatory Support looking at the underlying respiratory physiology, CPAP, BiPAP and complications. Enjoy!

This episode covers the essentials around IV fluids including hydration assessment, resus, maintenance and a bit of paediatrics

• Introduction (0:24)
• Declaring the emergency (1:09)
• Escalation of care (4:09)
• Haemorrhage control (11:01)
• Emergency drugs (15:23)
• Summary (18:44)

Here we review a recent paper on drug and alcohol intoxication in young individuals and take a closer look at two of the most frequently ingested agents. This ear massage includes the following:

• Context and the paper (0:25)
• Alcohol poisoning (6:48)
• Paracetamol overdose (20:00)
• Mental health overview (27:19)
• Summary and sign off (32:22)

Paracetamol treatment nomogram and NAC: https://www.rcem.ac.uk/docs/Paracetamol%20Overdose/Annex%201_The%20treatment%20nomogram%20and%20Annex%202_Technical_info.pdf

Get into a rhythm with our coverage on SVTs! In this episode we delve into the core elements of assessment and management, covering:

• Definition (0:36)
• Triggers and features (1:36)
• Management (8:20)
• Investigations and follow up (19:09)
• Summary and sign off (23:06)

In this episode we explore the approach to the acutely unwell child. We cover A to E assessment, history and some top tips from our own experience. Enjoy!

Here we review a cross sectional study looking at the antibiotic prescribing patterns in primary care compared with national guidance. We spend most of the time ranting:

• Introduction (0:25)
• Antimicrobial stewardship overview/general rant (0:55)
• Review of the paper/more ranting (10:26)
• Summary and sign off (26:31)

In this Turbo Dose, Matt and Joe cover the salient points of PE including assessment, decision making around imaging and management

The next edition of our 'Approach to...' series explores our approach to patients with chest pain, including looking at some serious and not so serious causes.

In this STAT Cases episode, we discuss a young lady with metastatic bowel cancer who unfortunately passes away. We explore the impact of teamwork and treating the human at the centre of the case in an attempt to ensure a 'good death'.

Rest that sore throat and listen to our episode on URTIs:

• Overview and causes (0:24)
• Features and assessment (7:12)
• Scoring tools and management (18:05)
• Differentials and specific infections (29:54)
• Summary and sign off (38:44)

Matt and Joe explore the assessment of a trauma patient using the A to E approach

Here we cover the salient points covering upper GI bleeds.

In this episode we cover Heart Murmurs including basic anatomy, examination techniques, key pathology and clinical relevance.

Grab a sugary drink and listen to this episode were we cover the features, causes and management of hypoglycaemia.

In this short episode, we briefly cover the key points of head injuries including pathophysiology, different types of intracranial haemorrhage, management and concussion. For a more detailed exploration check out our Expert Dose on Head Injuries.

In this episode, we explore a standardised approach to the acute abdomen covering key causes, assessment and management

Matt and Joe discuss the causes and management of post partum haemorrhage

• Introduction (0:00)
• Documenting in the notes (1:13)
• Job roles on ward round (11:28)
• Role of the nurses (15:54)
• TEP discussions on ward round (17:39)
• Prioritising jobs (19:01)
• Summary (24:11)

Soothe that pain in your neck by listening to Dr Mark Jadav's expert dose:

Neck injury assessment and imaging decision rules (0:25)

Concussion overview (22:46)

Safety netting in head injuries (29:55)

Summary and sign off (31:51)

CT head and neck NICE guidelines: https://www.nice.org.uk/guidance/cg176/resources/imaging-algorithm-pdf-498950893

Winter is here and so are snotty children! Listen to our quick run through of common paediatric respiratory illnesses including asthma, viral induced wheeze, bronchiolitis, croup and pneumonia.

• Introduction (0:11)
• Clear team roles (0:59)
• Avoiding 'tunnel vision' (5:23)
• Assessing GCS (9:40)
• Summary (15:16)

In this episode we discuss pulmonary oedema looking at the pathophysiology, assessment and management with a key focus on acute pulmonary oedema

Joe and Matt explore the assessment, key toxidromes and a standardised management approach to overdose patients

Enjoy our sobering episode about alcohol withdrawal and alcohol related pathologies:

• Introduction (0:11)
• Alcohol withdrawal definition and features (1:01)
• Pathophysiology (4:03)
• Assessment (6:55)
• Management (12:44)
• Wernicke's, Korsakoff's and hepatic encephalopathy (17:31)
• Summary and sign off (25:09)

Sara Khalid (Year 5 Medical Student, Truro) comes to tell us about an unusual presentation of acute illness

• Introduction (0:10)
• Case summary (1:18)
• Differentials, clinical reasoning and case discussion (5:29)
• Practice changing? (14:51)
• Summary (16:26)

Sgarbossa criteria: https://litfl.com/sgarbossa-criteria-ecg-library/

Matt and Joe look at the key clinical aspects involved in ectopic pregnancy.

This Turbo Dose covers the important aspects of assessing and treating a COPD exacerbation

In this Up To Date Dose we review the recently updated NICE guidelines on Low Back Pain and Sciatica in the over 16s. We explore the red flag presentations associated with back pain and look at the management strategies set out by NICE

We discuss differences between day and non-day working, as well as go through tips on surviving and thriving with out-of-hours working

Listen to our review of the newly updated NICE guidelines:

• Introduction (0:10)
• Definition of fever and how to take a temperature (1:19)
• The traffic light system (5:36)
• Finer points of the guideline explored through Q&A (12:04)
• Review of specific conditions (18:28)
• Summary and sign off (26:01)

Link to the NICE guidelines: https://www.nice.org.uk/guidance/ng143

Matt and Joe cover the key pathophysiology, assessment and management of DKA

Get you heart racing and listen to our podcast covering:

• Definition and pathology (0:24)
• Presentation (8:23)
• Differentials (13:11)
• Investigations (18:29)
• Management (32:31)
• Summary and sign off (42:15)

Link to the AVOID trial: https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.114.014494

Don't bl-eed what you hear! In this Stat Medical Topics Episode we cover the following:

• Definition and causes (0:26)
• Presentation (5:02)
• Investigations (12:46)
• Acute and ongoing management (17:18)
• Summary and sign off (29:55)

Introduction (0:24)

What is volunteering? (2:30)

Benefits of volunteering to wellbeing (13:19)

Obstacles to volunteering and career benefits (18:36)

Next steps and how to get involved (30:15)

Summary and sign off (36:31)

Links to help you get involved: https://do-it.org and https://www.volunteercornwall.org.uk/

In this episode we cover the correct pronunciation of Bundle of His, as well as some other stuff about SVTs

Here are our top 10 tips for succeeding as an F1 doctor

In this episode, Polly talks us through an interesting case where despite the correct treatment and interventions during an A to E assessment, the patient doesn't have the desired response. How do we deal with that in practice?

Avoid banging your head against a wall trying to learn about traumatic brain injury and listen to Dr Mark Jadav's expert advice instead:

Assessing head injuries (0:25)

Clinical decision rules including paediatrics and anticoagulants (11:35)

Different types of intracranial bleeds (21:28)

Summary and sign off (40:14)

CT head and neck NICE guidelines: https://www.nice.org.uk/guidance/cg176/resources/imaging-algorithm-pdf-498950893

Matt and Joe talk about the recent news coverage surrounding measles and their extensive experience of seeing countless measles patients in their practice ... (N.B. sarcasm may be present). This pod includes the following:

• Context and the news story (0:25)
• All you need to know about measles (2:00)
• MMR vaccine controversy (9:26)
• Summary and sign off (14:03)

In this episode, Matt and Joe cover the core clinical features regarding abdominal aortic aneurysms