JournalSpotting

Confused over which drink to offer your patients? Orange juice or Coffee? Is the sugar bad for them, or is caffeine worse? Which has more fibre? Don’t those septic people need vitamin C?

Your ears are in the right place.

Dr Camille and Barnaby Hirons cover the latest and greatest in the medical literature including:

4-hour ED targets - useless government orders or life savers?
Choosing wisely - the most low-value care which we need to scrap
Thunderstorm Asthma - it exists! And it may pose a real issue for patients
Yoga for Migraines - can it help?
Magic mushroom safety and the Latest on Psychedelic medications
Vit C in sepsis. Forget it.
Coffee reduces mortality, but what if you add sugar?
Pulse oximetry in patients of colour - still a problem: first and second study

Pickle juice in leg cramps... surely not?!

Check up our follow-up interview with psychedelic expert  Prof Allan Young... coming soon!

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Feel even more anxious about the climate crisis after the termostat hit 40 degrees? Your ears are in the right place. 

LJ interviews the inspiring Dr. Rosie Spooner

We cover:
How the climate crisis will affect children and their health
How to talk about the climate crisis with children
How to find hope while facing the climate crisis.

The CliamteZone team then discuss their latest challenge: try and cut out fast fashion!

Excellent links for you to browse, amuse and amaze:

• Children, Cities and Climate LSHTM Report 
• RCPCH position statement on the impact of climate change on global child health 
• A coping review of climate change and child health

The good on you website

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*Warning* the experiences and stories described may be disturbing for some listeners.
 
Are you trying to imagine what it might be like for a medic, maybe such as yourself, on the front line of a war? Do you want to understand how you can help?

Your ears are in the right place.

We speak with Taras, a doctor working in the closest hospital to the frontline in the South of Ukraine.
He takes us through his life, his daily routine, the cases he sees and the devastating impact this is having on the society around him.
We discuss the pressures he is experiencing, and his views on where money from charities should go.

His recommended charity for donations: United24

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Wondering if you should get that X-ray on your pregnant lady who is suffering from hip pain whilst doing Tai Chi, which is associated with inpatient hypertensive spikes that might (just might) be related to your bad singing?

No?

Well, your ears are still in the right place.

Today you have Jon, Barney and Alvin delving into the latest and greatest of medical literature!

We cover:

1. Steroid injections for OA - sure?
2. Radiology in pregnancy - risky?
3. Pregnancy HTN - treat?
4. IP Hypertensive episodes - leave?
5. Radiofrequency denervation for HTN - maybe not when on call?
6. Aspirin cessation and use in primary prevention - stop?
7. Music  for mental and physical health - sing!
8. Tai chi or Muscle strengthening - do!
9. Nasal Swab or rectal exam for cardioversion?! Hmmmm.....

As always:
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Worried about the effect the awful war in Ukraine is having on their doctors and healthcare system? Want to hear their experiences first-hand and find out how you can help?

Your ears are in the right place.

A change from our usual Round-Ups and Climate shake-ups, today we talk candidly to two inspiring Ukrainian doctors.

Dr Andrei  Semikhodskii: A geneticist living in England, who set up a wonderful charity which sends ambulances with bespoke medicine and equipment directly to Ukrainian hospitals that need it most.
Links:
JustGiving Page click here.
King's Health Partners Lifelines page.

Professor Uliana Pidvalna: Living in Lviv, she talks openly about life as a doctor in Ukraine, how medics are coping, and the cases they are seeing. We also discuss the incredible positive and determined attitude of Ukrainian people!
Links discussed:
Defend Ukraine site - a large number of verified and official charities.
Medical supplies charity sites, here and here

If you like this episode, let us know and we will make more! Twitter @JournalSpotting, or email [email protected]!

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Want to hear key medical literature facts to help become that awesome doctor, whilst also being able to tell if people like beer by their facial expressions?

Your ears are in the right place.

Dr LJ Smith, Dr Camille Hirons, Dr Jonathan Hudson and Dr Barnaby Hirons scour and digest the latest and greatest medical literature out there... and some other fun stuff too:

 Why pulse oximeters miss deadly hypoxia in people of colour.

How paracetamol and sodium can kill.

Are sweeteners a safe alternative to sugar?

Empagliflozin in acute heart failure - EPULSE trial.

Should we be banning tanning salons?

Metoprolol vs Diltiazem in AF with RVR?

How much exercise to save lives?

Drug induced liver injury causes.

Facial expressions drinking beer!

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Want a free JS mug for your doctors’ mess? Just get in touch.

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Want to do more to combat climate change but current events and your state of Weltshmerz is holding you back?  Do you need some positive practice-changing, actionable advice? 
Your ears are in the right place!

LJ and Katia interview the brilliant Dr Alex Wilkinson.

We cover:
The huge carbon cost of inhalers.
The key stats and evidence.
Why change is needed and how to make it.
Barriers to change and how to overcome them.

With Barney & Jon we discuss our latest climate challenge- contacting MPs about a Climate Issue- hear how we got on and get advice on how to proceed. 

Excellent links for you to browse, amuse and amaze:
Alex's articles:

• The environmental impact of inhalers for asthma; a green challenge and a golden opportunity. 
• Costs of switching to low global warming potential inhalers. An economic and carbon footprint analysis of NHS prescription data in England. 

Other great links:

• BBC Inside health interview (with Alex) 
• Green Inhaler website
• PrescQIPP inhaler carbon footprints
• Openprescribing - local data with benchmarking for MDI/DPI use 
• GP network Greener Practice: resources relevant to both primary and secondary care 

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If you want a JS mug for your doctors mess - get in touch!

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Visit the website on www.journalspotting.com.
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We're back for another Journal Roundup and check out www.journalspotting.com for the full backcatalogue.

Barney, LJ, Katia, and Jon cover:

We unpick the facts and figures behind COVID-19 vaccination and the risk of myocarditis.
🧫The looming threat of antimicrobial resistance
😴Why more sleep might help people lose weight.
🛌 Trying to let patients sleep better in hospitals
🎲Why  diabetes CV risk prediction scores don't work that well.
The use of eosinophilia in COPD.
🧬Mendellian randomisation and lung function.

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Listen to interview with world experts on the links between climate change and cardiovascular disease.

 Featuring:
 Professor Annette Peters director of the Institute of Epidemiology, Helmhotz Zentrum, Germany

Dr. Mark Miller Senior Research Fellow within the University/BHF Centre for Cardiovascular Science at the University of Edinburgh.

🔗 Links:
📜 Professor Peters recent review in Nature Reviews Cardiology

📜 Study on high temperatures and MI in Germany

📜 A great British Heart Foundation air pollution resource for patients

📜 Review on cardiovascular effects of air pollution by Dr. Miller

📜 A recent NEJM article “Pollution & the Heart”

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Do you love your medical podcasts, but sometimes wish your favourite shows would just team up for the odd awesome episode??

Your ears are definitely in the right place.

Jon and Barney are joined by brilliant MDTea hosts Dr Iain Wilkinson and Dr Stephen Collins. Together they deliver a masterclass in many aspects of elderly care and we uncover the greatest medical literature in the world! (From the last few months).

1) Physical Activity in Hopital patients - They do too little but you can help.
2) Bisphosphonates meta-analysis - harm v benefit.
3) Mirtazapine in  patients with dementia - should we use?
4) Subsegmental PEs - who cares about them?
5) Lifelong anticoagulation - hard decisions need these facts.
6) Athletes at higher risk of AF - sorry!
7) POCUS- can it change outcomes?

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