TopMedTalk

A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates. A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage of ASER 2017 for TopMedTalk featuring Dr Julie Thacker , President of American Society of Enhanced Recovery and Desiree Chappell a CRNA in Louisville, Kentucky and board member of E...

A round table discussion hosted by Desiree Chappell and featuring Monty Mythen , recorded at the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the fourth segment of the conversation between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvi...

This is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the subsequent debate that follows. It ends up moving into the subject of 'enhanced recovery after cardiothoracic surgery' and what lessons we can learn from excessive hemofiltration during o...

This piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implemented both in the UK and at various medical centres in the US. Hear how and why the old 'nil by mouth' or 'NPO' policy has changed in many instances. From water to carbohydrate drinks, to black coffee, the thinking has changed in many institutions but part of the battle is in educating patients a...

This is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicine" conference of this year. These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there. The two pieces Monty mentions i...

This conversation reflects a discussion at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume and fluid responsiveness" but, as this conversation explains, it was renamed "Fluid Responsiveness and venous capacitance". With a genuinely multidisciplinary approach on display here this piece gives you a glimpse at the inner workings of the POQI proce...

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought "from the mountainside t...

These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there. Coming from this summer's Peroperative Quality Initiative (POQI) hosted at Washington Duke University in Durham this podcast is presented by Monty Mythen and Henry Howe with their guests Tom Woodcock , an inde...

This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique potential of this medium. Also - how has social media, video casting and live streaming altered the way conferences are both organised, executed and received? Finally, our team of e...

This podcast is an exclusive discussion regarding the second session at The International Fluid Academy Day (IFAD) in Amsterdam. This in depth discussion is a reaction to the session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid therapy', results from some of the most recent trials and 'How to set-up a fluid guideline'. The team also reflect a li...

Download this podcast for an exclusive discussion regarding the first session at The International Fluid Academy Day (IFAD) on Friday morning in Amsterdam. This in depth discussion is a reaction to the first session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid physiology'; 'From Frank-Starling to Guyton-Hall'; 'Understanding edema formation' and...

This conversation was recorded on the morning of the second day of the Perioperative Quality Initiative (POQI) meeting hosted at Washington Duke University in Durham. These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there. Presented by Desiree Chappell with Profess...

Live from the International Fluid Academy Day (IFAD) in Amsterdam; the team explain how you can join in for free online https://www.fluidacademy.org/ and give us a bit of the history of the conference along with some of the discussion points you can expect to hear. Presented by Joff Lacey with Henry Howe , Monty Mythen and their guest Manu Malbrain , Professor at the Faculty of Medicine and Pharma...

The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www.topmedtalk.com from Atlanta. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking; all of this is contained within this three part series. Presented by Dr Lori Heller , Ca...

The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www.topmedtalk.com from Atlanta. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking; all of this is contained within this three part series. Presented by Dr Lori Heller , Ca...

The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www.topmedtalk.com from Atlanta. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking; all of this is contained within this three part series. Presented by Dr Lori Heller , Ca...

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking Presented by James Davis , MD, Director Duke Smoking Cessation Program This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earl...

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought "from the mountainside t...

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by James Davis , MD, Director Duke Smoking Ces...

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by James Davis , MD, Director Duke Smoking Ces...

Standing up an Obstructive Sleep Apnea (OSA) Clinic. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking. This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by Andrew Spector Assistant Professor of Neurology at Du...

Standing up an Obstructive Sleep Apnea (OSA) Clinic. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking. This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by Andrew Spector Assistant Professor of Neurology at Du...

This talk covers heart disease in pregnancy and was taken from the "20th Current Controversies in Anaesthesia & Peri-Operative Medicine" conference which took place in Dingle, Ireland in October 2018. Fiona Walker , Cardiologist, trained in grown-up congenital heart disease (GUCH) and maternal cardiology in Toronto and at UCLH. She is the Service lead for GUCH (2005 – present) and head of the mate...

What is "Point of care ultrasound" or POCUS? What is the usefulness of ultrasound? Have the boundaries of this application been reached yet? How do you get started with point of care ultrasound? The websites mentioned in this piece are: https://www.foresightultrasound.com/ and www. POCUSEducation.com Monty Mythen and Desiree Chappell with Mike Grocott and their guest Davinder Ramsingh , M.D. Assoc...

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought "from the mountainside t...