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DateTitreDurée
08 Oct 2019"What we've learnt this week"....Episode 1000:13:08
Welcome to the tenth episode in the "What we've learnt this week..." series. These are short, 15 minute podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on Twitter! This week Nick, Christina and Emma discuss silver trauma.
 
Useful links:
 
 
 
https://mobile.twitter.com/hectorcares?lang=en
 
15 Jan 2019G4J18 Top Tips 00:09:50

The AEME team catch up over a few drinks post G4J 2018 to discuss a few of the top tips we will take away from the conference. Useful links: www.pdmedcalc.co.ukm.youtube.com/watch?v=Lp3pFjKoZl8www.nuemblog.com/blog/hints

06 Dec 2014Breaking Bad Bones00:47:08

CotEcast #6 - Shownotes

*Apologies for slight noise/feedback issues in this episode - it was due to a technical issue that has now been resolved*

Title: Breaking Bad Bones

Host(s): Mark/Pete

Guest(s): Iain Wilkinson, Francis Collin

Opening Question: What is your biggest pet hate when watching medical dramas?

Main Topic: Orthogeriatrics

Discussion Points:

  • Overview of orthogeriatrics (what is it, why is it needed, evidence?)
  • National targets - Blue book (2007)
    • All patients with hip fracture should be admitted to an acute orthopaedic ward within 4 hours of presentation
    • All patients with hip fracture who are medically fit should have surgery within 48 hours of admission, and during normal working hours
    • All patients with hip fracture should be assessed and cared for with a view to minimising their risk of developing a pressure ulcer
    • All patients presenting with a fragility fracture should be managed on an orthopaedic ward with routine access to acute orthogeriatric medical support from the time of admission
    • All patients presenting with fragility fracture should be assessed to determine their need for antiresorptive therapy to prevent future osteoporotic fractures
    • All patients presenting with a fragility fracture following a fall should be offered multidisciplinary assessment and intervention to prevent future falls
  • What would an ideal service look like?
  • Biggest annoyances/areas for improvement

CotEcast commandments:

  1. Treat hip fracture as a medical emergency
  2. Bring the clinical team together
  3. Take a proper falls history

References, Links and Resources:

Twitter Usernames:

Email cotecast@aeme.org.uk with comments, questions, suggestions

31 Aug 2015CotE On-Call00:40:09

Title: CotE On-Call

Host(s): Mark Garside, Pete Brock, Vicky Gibson

Opening Question: What song would you not want to hear on hospital radio?

Main Topic: Covering the Geriatrics Wards Out of Hours

Discussion Points:

  • Suggestions for a general approach
  • Delirium / Increasing confusion
  • EWS & atypical presentations
  • Requests for sedation
  • Fluids
  • Falls
  • Things not to miss 

CotEcast Commandments:

  1. Don’t miss hypoactive delirium
  2. Think when prescribing analgesia
  3. Always ask why!

References, Links, Resources:

 

Help us to improve CotEcast - please complete this brief online survey:

http://www.aeme.org.uk/survey

14 Jun 2020CotEcast Reflections on Covid-1900:16:20

Welcome back to CotEcast! After a bit of a break from recording Chris, Emma, Christina and Dilani are back to reflect on some of the learning points they have taken from away looking after older people during the Covid-19 pandemic. 

 

Useful links this week: 

 

1. Covid 19 in the older adult poster BGS website, Dr Lara Mitchell 

https://www.bgs.org.uk/sites/default/files/content/attachment/2020-06-02/COVID19intheolderadultposterFINAL.pdf

2. Health Education England SupportT digital resources/webinars

https://www.hee.nhs.uk/our-work/doctors-training/supporting-doctors-returning-training-after-time-out/supportt-digital-online-resources

 

3. Newcastle COVOP (COvid Vulnerable Older People) Report

https://research.ncl.ac.uk/ageresearchgroup/coronavirus/

 

4. Action on Hearing Loss - Communication tips for healthcare professionals 

https://actiononhearingloss.org.uk/information-and-support/support-for-health-and-social-care-professionals/communication-tips-for-healthcare-professionals/

 

24 Aug 2014Geriatrics and the GMC00:31:52

CotEcast #2 - Shownotes

Title: Geriatrics and the GMC

Date: 18/08/14

Host(s): Mark Garside (ST7 Geriatric Medicine), Pete Brock (ST3 Geriatric Medicine)

Guest(s): Rachel Woodall (GMC Regional Liaison Advisor)

Opening Question:What is your favourite medical TV show?

Main Topic: Geriatric Medicine, E-Learning, and the GMC

Discussion Points:

  • General state of e-learning resources related to Geriatric Medicine
  • Benefit of GMC site signposting to other resources
  • GMC’s ‘Better Care for Older People' resource (why & how it was developed, and who it’s aimed at)
  • The use of reflective diaries
  • What could be added/improved in future
  • Most recommended parts of the resource
  • Wider discussion of role of GMC in education and clinical standard-setting (not just 'fitness to practice'!)

 

References, Links and Resources:

  • Better Care for Older People:http://www.gmc-uk.org/guidance/23756.asp
  • Mini-GEMS: http://www.aeme.org.uk/mini-gems

Twitter Usernames:

  • AEME: @ElderlyMedEd
  • Mark: @garside80
  • Pete: @petebrock7
  • Rachel: @WoodallRach
  • GMC: @gmcuk

Email cotecast@aeme.org.uk with comments, questions, suggestions 

Subscribe to CotEcast in iTunes

15 Jul 2014Old Tricks for New Dogs00:52:57

CotEcast #1 - Shownotes

Title: Old Tricks for New Dogs

Date: Mon 14th July

Host(s): Mark Garside, James Fisher, Pete Brock

Guest(s): Sean Ninan

Opening Question: Which fictional doctor would you most like to be?

Main Topic: Top tips for new doctors dealing with older patients

Discussion Points:

Each participant to identify one ‘top tip’ and one ‘pet hate’ (inc. how to avoid doing it)

James

  • Pet Hate: "As far as I'm aware"
  • Top Tip: Rule of 'stuff'
    • Know your stuff
    • Give a stuff
    • Take no stuff and
    • Remember, that despite all of this, stuff happens...

Pete

  • Pet Hate: Fluids - too much or too little
  • Top Tip: There is always something you can do to help a delirious patient

Sean

  • Pet Hate: Unfounded diagnosis of UTI
  • Top Tip: Get to know your patients

Mark

  • Pet Hate: No collateral hx from confused pts
  • Top Tip: Open questions, and give time to answer (eg. How are your waterworks/Tell me about your bowels, rather than 'Have you got any problems with') - Remember to ask this in the systemic enquiry

Top Three ‘CotEcast comandments':

  1. Don't diagnose UTI without good evidence
  2. Remember the rule of 'stuff'
  3. If you don’t know, ask!

References, links and resources:

Twitter handles:

  • AEME: @ElderlyMedEd
  • Mark: @garside80
  • James: @drjimbofish
  • Pete: @petebrock7
  • Sean: @sean9n


Email cotecast@aeme.org.uk with comments, questions, suggestions

07 Oct 2015Med Reg Fears Part 3 - Views from the Other Side00:41:06

Title: Med Reg Fears Part 3 - Views from the other side

Host(s): Mark Garside, Pete Brock

Guests: Donna Kelly (Anaesthetics & Critical Care), Peter Coyne (Surgery), Fiona Leith (Emergency Care)

Opening Question: Which Disney character would you most like to be?

Main Topic: What do other specialties think about the Med Reg role?

Discussion Points:

  • Who considered being a med reg?
  • What puts people off, and is this fair?
  • What do you want from a med reg? Examples?
  • What makes a good med reg?
  • What makes a bad med reg?
  • Tips for interacting with other specialties


CotEcast Commandments:

  • Don’t be overwhelmed by being on-call
  • Communicate clearly and effectively
  • Use your resources - the buck doesn’t stop with you!

Help us to improve CotEcast - please complete this brief online survey:

http://www.aeme.org.uk/survey

18 Mar 2018OPMentor CotECast00:10:23

The whole AEME team get together to discuss progress with our OPMentor scheme. If you want to find a mentor in your area then check out our website at http://aeme.org.uk/opmentor. If you are interested in becoming a mentor sign up at http://aeme.org.uk/opmentor/application

04 Jun 2021"What we've learnt this week...." Episode 1400:13:57

Welcome to the fourteenth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter!

Join Christina, Dilani, Emma and Hannah this week as they discuss an unusual cause of medication related hypernatraemia, CT head scans as part of delirium work up, FRAX and progressive supranuclear palsy. 

Useful links this week: 

FRAX: https://www.sheffield.ac.uk/FRAX/

Sign Guideline 157: https://www.sign.ac.uk/media/1423/sign157.pdf

PSP Association: https://pspassociation.org.uk/information-and-support/what-is-psp/

 

06 Nov 2017Geriatrics for Juniors 2017: Post conference COTEcast00:11:51

Pete and Nick are joined by AEME founder Mark Garside and long term AEME friend Zoe Wyrko. At the end of the conference they reflect on Geriatrics for Juniors 2017 including what they learnt from the day.

22 Sep 2016NOACs vs Warfarin00:13:15
Will we still be using warfarin in 5 years time?

CotEcast returns in a new shorter format, designed to get listeners thinking and talking about issues related to the care of older patients.

Pete, Mark and Nick discuss the pros and cons of warfarin vs NOACs in AF, strategies for choosing the most appropriate anticoagulants, and how to involve patients in shared decision-making.

Agree, disagree, or have anything to add? Join in the discussion online using the hashtag #cotecast

Links:

NICE AF Anticoagulation Resources
https://www.nice.org.uk/guidance/cg180/resources
 
15 Jun 2023"Ask the Expert.....Stroke Series": Imaging00:22:23

Welcome to the second episode in our new CotECast series: "Ask the Expert". In this series we will be delving deeper into some of the hot topics in geriatrics and we have started with a stroke mini-series! Today we are joined by Dr Chris Taylor, stroke physician, to discuss imaging in patients with suspected stroke. 

 

25 Jun 2015Top of the POPS00:49:15

Title: Top of the POPS

Host(s): Mark Garside, James Fisher

Guest(s): Andrew Deane, Philip Braude

Opening Question: What’s the best medical TV theme song/tune?

Main Topic: Issues to consider for junior doctors involved in preoperative care of older patients

Discussion Points:

  • What is POPS?
  • Why/how is this different from orthogeriatrics?
  • Why are older patients at risk?
  • What special considerations should be made in the medical care of these patients (e.g. Pain management, IV fluids)?
  • How can you get training?
  • How can juniors doctors make a difference?

CotEcast Commandments:

  1. Think about the medications when prescribing them
  2. Remember you are not alone
  3. Talk about the what’s happening on the wards

References, Links, Resources:

Help us to improve CotEcast - please complete this brief online survey:

http://www.aeme.org.uk/survey

 

 

16 Nov 2019"What we've learnt this week..." Episode 11 00:19:17

Welcome to the eleventh episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter!

This week Nick, Christina and Emma discuss causes of vertigo, how to correctly take a bisphosphonate, managing diabetes at the end of life and restless leg syndrome.

 

Useful links:

Vertigo: https://www.bmj.com/content/366/bmj.l5215/infographic

Mini-gem: http://aeme.org.uk/mini-gem-shake-rattle-and-roll-the-epley-manoeuvre/

NECN palliative care guidelines:  http://www.northerncanceralliance.nhs.uk/wp-content/uploads/2018/11/NECNXPALLIATIVEXCAREX2016-1.pdf.

08 May 2017Reflections from the British Geriatrics Society Spring conference00:27:13

Pete, Vicky and Nick are live at the British Geriatrics Society Spring Conference and are joined by ACCS acute medicine trainee Lily Shevlin. They discuss what they have learned from the conference, important topics such as DNACPR forms and treatment escalation plans, fears of being the medical registrar and how to attract more junior doctors to the field of geriatric medicine.Links:

1. Recommended Summary Plan for Emergency Care and Treatment (RESPECT) http://www.respectprocess.org.uk/

2. Our COTEcast series on the worries doctors have about the medical registrar role: http://aeme.org.uk/fear-loathing-and-the-med-reg/

3. OPMentor, our online mentorship scheme for junior doctors: http://aeme.org.uk/opmentor/

4. Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine: https://academic.oup.com/ageing/article-abstract/doi/10.1093/ageing/afx009/2970256/Why-geriatric-medicine-A-survey-of-UK-specialist?redirectedFrom=fulltext

5. Mouth care matters: http://www.mouthcarematters.hee.nhs.uk/

6. Slido: https://www.sli.do/

7. Geriatrics for juniors conference 2017: http://aeme.org.uk/g4j17/

22 Jul 2020"What we've learnt this week...."Episode 1200:16:19

Welcome to the twelfth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter!

 

This week Chris, Christina, Dilani, Hannah and Emma discuss clues pointing to malabsorptive syndromes, the MUST score, the HALT-IT trial, the short-comings of an erect chest xray and alcohol histories in our older patients! 

29 Oct 2015The FaSS and the Furious00:45:44

Title: The FaSS and the Furious

Hosts: Vicky Gibson, Mark Garside

Guest(s): James Frith

Opening question: What was your most embarrassing fall?

Main Topic: Falls and Syncope

Discussion Points:

  • Why are falls an issue?
  • Why are some patients resistant to seeking help?
  • What are the common and easily overlooked causes of falls?
  • How should you assess someone who has presented following a fall?
  • What can be done on the wards to prevent falls?
  • What happens in a Falls and Syncope department (and what exactly is a Tilt Table Test)?
  • What are the current advances in falls/ongoing projects?
  • Where can juniors spend more time to get more experience, and what services are available as an outpatient/in the community?


CotEcast Commandments:

  1. Never write “Mechanical Fall"
  2. Take a careful history
  3. Review the meds, & refer to physical and occupational therapists

References, Links, Resources:

- aeme.org.uk/mini-gems
- https://www.futurelearn.com/courses/falls
- http://www.ageuk.org.uk/health-wellbeing/keeping-fit/falls-prevention/exercise-regularly/

Help us to improve CotEcast - please complete this brief online survey:
http://www.aeme.org.uk/survey

28 Aug 2017Academic training in Geriatrics00:21:59

Pete and Nick are joined by Claire McDonald and Sarah Richardson who are both academic geriatricians. Together, they talk about how to get into academic work and research within geriatrics including academic clinical fellow posts.

24 Apr 2023"Ask the Expert.....Stroke Series": Diagnosis and Assessment00:32:00

Welcome to our new CotECast series: "Ask the Expert". This series we will be delving deeper into some of the hot topics in geriatrics and we are going to be starting with a stroke mini-series! Today we are joined by Dr Chris Taylor, stroke physician, to discuss diagnosis and assessment of patients with a suspected stroke. 

 

Useful Links:

Shake,rattle and roll: The Epley Manoeuvre (and Dix Hallpike) MiniGem:

https://www.youtube.com/watch?v=d4XHPWFajQs&t=113s

 

Peter Johns HINTS examination educational video:

https://www.youtube.com/watch?v=1q-VTKPweuk

25 Sep 2018"What we've learnt this week..." Episode 500:15:58

Join Pete, Christine and Emma for the fifth episode in the "What we've learnt this week.." series.

We've got some useful tips on iron supplements, urological conditions in the elderly and renal impairment.

Let us know your thoughts @ElderlyMedEd

 

 

02 Apr 2024"Ask the Expert.....Stroke Series": Complications and secondary prevention00:40:51

Welcome to the fourth episode in our new CotECast series: “Ask the Expert“. This series we will be delving deeper into some of the hot topics in geriatrics and have started with a stroke mini-series! Dr Chris Taylor is back with Jonny and Emma to discuss both the complications that may develop in patients admitted with stroke and secondary prevention. 

23 Jun 2024“Ask the Expert…..Stroke Series”: Haemorrhagic stroke00:18:42

Welcome to the latest episode in our new CotECast series: “Ask the Expert“. This series delves deeper into some hot topics in geriatrics, with stroke being our first. This is the final episode in our Stroke mini-series and as usual we are bombarding Dr Chris Taylor with all our questions; this time about haemorrhagic stroke. 

21 Aug 2018"What we have learnt this week...." Episode 300:13:27

Welcome to the third episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter!

This week Chris, Emma, Pete and Nick are discussing steroid therapy in pneumonia; tips for picking up dysphasia; drooling in Parkinson's disease and online tools to aid shared decision making in relation to medication ie. Statin therapy

 

Useful links this week:

https://statindecisionaid.mayoclinic.org/

https://www.cochrane.org/CD007720/ARI_treatment-corticosteroids-beneficial-and-safe-people-pneumonia

26 Jul 2017Polypharmacy for junior doctors00:19:41

Pete and Nick are joined by geriatric registrars Emma and Chris. In this COTEcast we are tackling the issues around polypharmacy in the elderly. We discuss why it is a problem and how to manage it. We also offer some tips for junior doctors who are starting new jobs soon on how to approach a patient with polypharmacy.

 

Links:

 

STOPP/START tool:

https://www.networks.nhs.uk/nhs-networks/nhs-cumbria-ccg/medicines-management/guidelines-and-other-publications/Stop%20start%20pdf%20final%20Feb%202013%20version.pdf

 

Deprescribing Canadian initiative:

http://deprescribing.org/resources/deprescribing-guidelines-algorithms/

Anticholinergic burden score calculator:

http://www.agingbraincare.org/uploads/products/ACB_scale_-_legal_size.pdf

19 May 2016Culture Club00:16:03
CotEcast returns in a new shorter format, designed to get listeners thinking and talking about issues related to the care of older patients.
 
 
Do we have an attitude problem towards older patients on hospital wards?
 
Mark, Pete and Vicky debate whether there is still a cultural problem in NHS hospitals with regards to older patients, and discuss ways that individual clinicians could help to make a difference.
 
Links:
 
 
Agree, disagree, or have anything to add? Join in the discussion online using the hashtag #cotecast
09 Mar 2019"What we've learnt this week..." Episode 9 00:10:31

Welcome to the ninth episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter!

This week Chris, Emma and Vicky are recording during lunch at their regional geriatrics teaching day. They will be discussing myeloma and MGUS; attendance and carers allowance and dual anti platelet therapy in minor stroke and high risk TIAs.

 

Useful links this week are:

https://www.gov.uk/attendance-allowance

https://www.gov.uk/carers-allowance

https://b-s-h.org.uk/guidelines/guidelines/investigation-of-newly-detected-m-proteins-and-the-management-of-mgus/

https://www.stroke.nih.gov/documents/NIH_Stroke_Scale_508C.pdf

https://www.bmj.com/content/363/bmj.k5130/rr-0

 

 

 

 

22 Apr 2015Stroke Medicine - FAQs for FY Docs00:43:33

Title: Stroke Medicine - FAQs for F1s

Host(s): Pete Brock

Guest(s): Mark Garside, Gemma Smith, James Muggleton & Eve Braithwaite

Opening Question: If for 24 hours you could do any other job in the hospital, what would it be?

Main Topic: Addressing the issues related to stroke we commonly find difficult

Discussion Points:

  • Assessing patients who will not comply with your examination
  • What are the stroke mimics
  • Face a bit droopy, speech a bit slurred, bit confused – is this a stroke?
  • How do you diagnose posterior circulation strokes?
  • What happens in a stroke unit?

CotEcast Commandments:

  1. Think stroke, and act quickly - time is brain!
  2. It’s a bleed until proven otherwise
  3. Say what you see

References, Links, Resources:

09 Sep 2018"What we've learnt this week....." Episode 4 00:14:03

Welcome to the fourth episode of "What we've learnt this week..." Vicky, Emma and new AEME member Christina discuss confusing C.Diff results, alcohol in the elderly, geriatric trauma and consider the language we use when talking to relatives of patients with dementia.

 

Useful links this week:

https://www.nhs.uk/live-well/alcohol-support/calculating-alcohol-units/

https://www.bgs.org.uk/resources/silver-book

http://www.heftemcast.co.uk/wp-content/uploads/2015/07/About-HECTOR.pdf

https://twitter.com/dr_shibley?lang=en

07 Sep 2014Fear, Loathing , and the 'Med Reg'00:48:19

CotEcast #3 - Shownotes

Title: Fear, Loathing and the 'Med Reg’

Date: 28th August 2014

Host: Pete

Guest(s): Mark, James, Kelly 

Opening Question: When you were a child, what did you really want to be (and don't say a doctor!)?

Main Topic: Addressing the 'Med Reg' issue

Discussion Points:

G4J data identified that being a Med Reg put people off applying to Geriatrics, so we are going to try and address some of these issues. The guests will be challenged with each med reg fear and have to convince the host they can be overcome.

  • Fear: How do I manage so many unwell patients at once?
  • Fear: What if I cannot do a practical procedure that a patient needs quickly? i.e. Chest drain, pacing (Fran Denham)
  • Fear: I will have no life, endless nights, terrible inflexible rotas and all that stress
  • Fear: How do I trust my juniors when I know I make mistakes?
  • Fear: Criticism or lack of co-operation from consultants
  • Fear: That the buck stops with me and I will get blamed when things go wrong
  • Fear: What if I don't know what is going on with a patient
  • Fear: Everyone says it is awful, surely that is for a reason
  • Fear: What I say over the telephone is not what is getting written in the notes (Jenni Harrison)
  • Fear: I will know nothing about the surgery the patient I am reviewing has had! (Jenni Harrison)
  • Fear: If a shift is going horribly, I have no one to confide in

Review of fears allayed and fears still existing

Top Three CotEcast Commandments

  • Work with your team
  • Face your fears
  • Be nice to everybody

References, Links and Resources:

  • Who Would Be a Medical Registrar https://www.youtube.com/watch?v=k6rhSRiJGmM
  • RCP Document: "Supporting the Acute Take" (http://www.rcpe.ac.uk/sites/default/files/supporting_the_acute_take-_advice_for_nhs_trusts_and_local_health_boards.pdf)
  • RCP Document: "The Medical Registrar: Empowering the unsung heroes of patient care”(https://www.rcplondon.ac.uk/projects/medical-registrar-empowering-unsung-heroes-patient-care)
  • RCP Acute Care Toolkit 8: "Supporting the Medical Registrar" (https://www.rcplondon.ac.uk/sites/default/files/acute_care_toolkit_8_the_medical_registrar_on_call_maximising_clinical_experience_training_and_patient_care.pdf)
23 Jun 2016How do we keep patient with PD safe in hospital?00:13:47

How do we keep patient with PD safe in hospital?

CotEcast returns in a new shorter format, designed to get listeners thinking and talking about issues related to the care of older patients.

Mark, James and Vicky discuss common issues that clinical staff encounter when managing inpatients with Parkinson’s Disease, and consider practical strategies to improve care.

Agree, disagree, or have anything to add?
Join in the discussion online using the hashtag #cotecast

Links:

Management of Parkinson’s disease in the acute hospital environment
https://www.rcpe.ac.uk/sites/default/files/macmahon.pdf

PD Drug Treatment Pocket Guide:
http://www.parkinsons.org.uk/sites/default/files/m023_drugtreatmentsforparkinsons_pocketguide.pdf

PD Med Calc
http://www.pdmedcalc.co.uk

Mini-GEM: My Patient With PD Can’t Swallow Their Meds
https://www.youtube.com/watch?v=JYJPrlLjpNQ&feature=youtu.be

10 Feb 2019"What we've learnt this week..." Episode 800:20:04

Welcome to the 8th episode in the series of "What we have learnt this week...". Tonight Vicky, Emma and Christina talk about UTI guidelines in the over 65s, AF and anticoagulation risk calculators, DOLs and antibiotics in the older patient. 


Useful links this week:

 PHE UTI in >65s:   https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/755890/PHE_UTI_flowchart_-_Under_65_women.pdf


CHADsVASc and HASBLED scoring systems: https://www.chadsvasc.org

Anticoagulation risk in falls:  Risk of Falls and Major Bleeds in Patients on Oral Anticoagulation Therapy; Donze, J; Clair, Carole; The American Journal of Medicine; Volume 125, Issue 8; August 2012,Pages 773-778

 

BMA guidance on DOLS: https://www.bma.org.uk/advice/employment/ethics/mental-capacity/deprivation-of-liberty-safeguards

E-LFH learning module on DOLS: https://www.e-lfh.org.uk/programmes/deprivation-of-liberty-safeguards/

27 Sep 2018"What we've learnt this week..." Episode 100:20:01

Join Vicky, Pete and Emma in the first of our new series of CotEcasts entitled "What we have learnt this week....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter!

This week we discuss a useful analogy for frailty, myth-busting MSUs, a brief review of fluid prescriptions and top tips of managing patients with Parkinson's disease .

Useful links:

Paper Boats BGS blog atbritishgeriatricssociety.wordpress.com/2018/07/09/the-paper-boat/

MSU and fluid Mini-gems at aeme.org.uk/mini-gems/

NICE fluid guidelines at www.nice.org.uk/guidance/cg174

PD medication calculator at www.pdmedcalc.co.uk

13 Aug 2018"What we've learnt this week...." Episode 200:15:50

Listen to Pete, Emma and Nick talk through their top tips in the 2nd episode of "What we have learnt this week.....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter!

This week we talk about sick day rules; antidepressants in the elderly; potentially inappropriate medications and mobility assessment centres. 

 

Useful links this week:

Polypharmacy Guidance, Realistic prescribing: https://www.therapeutics.scot.nhs.uk/wp-content/uploads/2018/04/Polypharmacy-Guidance-2018.pdf

Drug burden in older people approaching the end of life: https://britishgeriatricssociety.wordpress.com/2018/05/29/drug-burden-in-older-people-approaching-end-of-life/#more-5388

STOPPFrail https://academic.oup.com/ageing/article/46/4/600/2948308

Mobility Advice and Assessment Centres: http://www.olderdrivers.org.uk/driver-assessment/find-a-driver-assessment/england/north-east/

07 Sep 2023“Ask the Expert…..Stroke Series”: Acute treatment of ischaemic stroke00:47:01

Welcome to our new CotECast series: "Ask the Expert". This series we will be delving deeper into some of the hot topics in geriatrics and we are going to be starting with a stroke mini-series! This is the thrid episode in this mini-series and Dr Chris Taylor is back to discuss acute treatment of ischaemic strokes.  

24 Oct 2018"What we've learnt this week....Episode 6"00:12:19

Welcome to the 6th episode in the "What we've learnt this week" series. Nick and Emma are in Berlin for the European Geriatric Medicine Society International Congress and share some of the top tips they have picked up from the conference.

Heard of "prognostic paralysis"? "Theraputic illusion"? Gamification in medical education? We hadn't either!

 

Useful links this week:

1. https://www.jamda.com/article/S1525-8610(17)30130-5/fulltext

Morin L, Vetrano DL, Grande G, Fratiglioni L, Fastbom J, Johnell K. Use of medications of questionable benefit during the last year of life of older adults with dementia. J Am Med Dir Assoc. 2017;Epub.

2. http://www.deliriumexperience.nl/ You have to pay for the full game but the trailer is experience enough!

3. https://academic.oup.com/ndt/article/32/1/9/2931168 

European Renal Best Practice Group summary document on Management of older patients with chronic kidney disease

 

22 Mar 2021"What we've learnt this week...." Episode 1300:24:45

Welcome back to CotEcast! Having had a little break from recording due to Covid-19 the AEME gang are back with the thirteenth episode in the “What we’ve learnt this week…” series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter!

This week Chris, Christina, Dilani, Hannah and Emma discuss tips for assessing and managing delirium in inpatient and patients at the end of life; serotonin syndrome; stroke myth busting and highlighting how our elderly patients often have atypical presentations. 

Useful links this week:

https://madeinheene.hee.nhs.uk/PG-Dean/Faculty-of-Patient-Safety/Delirium-Project/Delirium-Educational-Events/Delirium-Marchathon-1-17-March-2021

02 Jul 2018How to make managing your patient's pain less painful! 00:18:12

The AEME gang sit down to discuss the recently updated British Geriatric Society guidelines on the assessment of pain in the older patient.  

 

 

Discussion topics:

1. Do we assess pain in the older patient well? If not, why not?!

2. What are the barriers to eliciting a good pain history?

3. What analgesics should you start and how?

4. Are there any non-pharmacological options for pain relief out there?

 

Our CotEcast Commandments: 

1. Do not think pain is part of the normal ageing process

2. Remember to ask about pain 

3. Start low and go slow 

4. Remember to regularly reassess response and side effects of analgesia 

 

References, Links and Resources:

The Assessment of Pain in Older people: UK National Guidelines; Pat Schofield, Age and Ageing, Volume 47, Issue supp_1, 1 March 2018

 https://doi.org/10.1093/ageing/afx192

 

Guidance on the management of pain in older people; Age and Ageing 2013; 42: i1–i57. doi: 10.1093/ageing/afs200

 

http://www.bgs.org.uk/pdfs/pain/age_ageing_pain_supplement.pdf

 

03 Apr 2017Inpatient management of Patients with Cognitive Impairment00:12:34

Nick is joined by consultant geriatrician with a specialist interest in dementia and delirium Emily Lyon, and geriatric registrar Jude Randall. Together they discuss how to improve the management of inpatients with dementia as well as how to spot delirium and manage acutely agitated patients.

05 Jun 2017Technology in Medical Education00:21:35

"Nick and Mark are joined by Lewis Potter, founder of geekymedics.com. Together they talk about the pros and cons of technology in medical education as well as the future of technology based learning. Lewis also tells us what geekymedics.com has to offer"


Links:
1. www.geekymedics.com
2. http://conferences.ncl.ac.uk/thedarkside/ : The dark side of technology in medical education

18 Feb 2015How to Become a Geriatrician - Tips for Specialty Applications and Interviews01:00:23

CotEcast #7 - Shownotes

Title: Applying to ST3 - and Geriatrics!

Date: 20/01/2015

Host(s): Pete

Guest(s): Mark & Vicky Gibson

Opening Question: What would you call a group of Geriatricians?

Main Topic: Applying to be a Geriatrics Reg

Discussion Points:

  • Why pick Geriatrics over other medical specialties?
  • The application form: tips on how to score well on audit, presentations, publications, teaching
  • Commitment to specialty - how to show you have some
  • Interview experiences and tips

References, Links and Resources:

RCPE Conference - Pushing the Boundaries of Geriatric Medicine

Geriatrics for Juniors

www.medicalcareers.nhs.uk

British Geriatrics Society

CotEcast Commandments:

  1. Be yourself, and be enthusiastic
  2. Speak to other people in the specialty
  3. Join the BGS

Email cotecast@aeme.org.uk with comments, questions, suggestions

08 Feb 2018'Med Reg' Revisited00:35:57

Vicky, Pete, Nick and Emma talk about the realities of being the med reg on-call – it’s not as bad as you think! We also discuss different reasons for going out of programme during geriatric training.

Let us know your thoughts!

Join in the discussion online using the hashtag #cotecast

Links:

https://www.copmed.org.uk/publications/the-gold-guide

https://www.rcpe.ac.uk/college/journal/being-med-reg-exploration-junior-doctors-perceptions-medical-registrar-role

 

02 Sep 2020AEME's top tips for new doctors00:16:09

Christina, Dilani, Emma and Hannah get together this week to talk about their top tips for the new doctors! 

07 Nov 2014The F Word00:40:44

CotEcast #5: Shownotes

Title: The F Word

Host(s): Mark & James

Guest(s): Matt Rudd (Geriatrics Specialty Trainee), Zoe Wyrko (Consultant Geriatrician)

Opening Question: Which medical eponym would you re-name after yourself?

Main Topic: Frailty and FrailSafe

Discussion Points:

  • What is frailty? 
  • Discussion around the common misconceptions, why is it important to recognise, and whether it can be measured
  • Overview of Frailsafe project, including explanation, aims, and discussion of why needed
  • How people can get involved, and hopes for the future
  • Practical suggestions for generalists to improve recognition/care of frail elderly patients

CotEcast Commandments:

  1. Think ‘frailty’ for every patient that you see
  2. Get collateral history about usual level of function
  3. Beware iatrogenesis!

References, Links and Resources:

Twitter Usernames:

Email cotecast@aeme.org.uk with comments, questions, suggestions 

11 Oct 2014'Med Reg' Fears part 2 - The morning after the night shift before 00:35:01

Title: The morning after the night shift before (Med Reg fears, part 2)
Date: 8th October 2014
Host(s): Mark
Guest(s): Pete, Vicky Gibson (ST3 Geriatrics)

Opening Question: What’s the best thing you’ve ever eaten in a hospital canteen?

Main Topic: Confessions of new Medical Registrars

Discussion Points:

  • Why did you want to be a med reg? (or why did it not put you off?)
  • What were your worries about it before starting?
  • Did you do anything to prepare?
  • Tell us about your first on-call shift
  • Any new fears that you didn’t have before?
  • Best/worse moments so far?
  • What would you say to junior colleagues not sure about the role?

CotEcast Commandments:

  1. Don’t let fear of on-calls overshadow your enjoyment of your day job
  2. Don’t expect too much of yourself
  3. Don’t think you can’t be a med reg

Twitter Usernames:

  • AEME: @ElderlyMedEd
  • Mark: @garside80
  • Pete: @petebrock7

Email cotecast@aeme.org.uk with comments, questions, suggestions

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