The Medical Take

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: https://www.ficm.ac.uk/ Intensive Care Society website https://ics.ac.uk/  Scottish Intensive Care Society Audit Group https://www.sicsag.scot.nhs.uk/index.html The Society for Acute Medicine https://www.acutemedicine.org.uk/

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

Arrianne and Daniel discuss pulmonary embolism.

Daniel and Arrianne are joined by Kirsty Crowe to talk about care of the renal transplant patient.

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=66Macmillan Difficult conversations: https://www.macmillan.org.uk/coronavirus/healthcare-professionals/difficult-conversationsCruse 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 MannixListen: How to Find the Words for Tender Conversations - Kathryn MannixThe Way We Die Now - Seamus O'Mahony

Nicola Cooper Consultant Physician & Clinical Associate Professor in Medical Education at Nottingham University joins the team to talk about how we make decisions and how we can make better ones. ABC of Clinical Reasoning (2nd edition), edited Nicola Cooper and John Frain.

Beth Routledge (Consultant in Acute Medicine) brings us a case to discuss of a pregnant patient with chest pain and teaches us what is the same in the investigation and management of the pregnant and non-pregnant patient, and where we need to think differently.

Daniel speaks to David Hunter, Specialty Registrar in Cardiology, about the approach to tachy- and bradyarrhythmias covering their initial treatment in the hospital environment and when to phone your local friendly cardiologist.

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 Toolkit4AT: https://www.the4at.com/