TopMedTalk

The TopMedTalk fortnightly digest is your round up of the past 2 weeks. Make sure you never miss out on crucial episodes and are fully up-to-date with your favorite medical podcast.

Presented by TopMedTalk's senior producer Nick Margerrison.

Learn how to develop a national Quality Improvement (QI) network which will increase both communication and knowledge implementation. What are the essential elements of a useful network, how do you build a community within one and solidify it as an essential part of your practice? Presented by Carolyn Johnston, consultant Anaesthetist in St Georges hospital in London.

"Enhanced recovery after bariatric surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com

Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings

If you have any comments or questions you'd like to send to the team email: [email protected]

Presented by David Voellinger, Lead Physician, Novant Health Bariatric Solutions Charlotte, Medical Director, Novant Health Bariatric Center, Chief, Department of General Surgery, Novant Health Presbyterian Medical Center.

This piece starts with some words from patients; prehabilitation is "a set of actions that can be taken in advance of treatment to ease your passage through cancer". This vital talk explains how prehabilitation can leave cancer patients feeling personally empowered and ready to live well. Living is one thing, how do we get people to enjoy 'living well'? Further to this how do we do that in such a way that respects patient decisions and life choices? How can we get to a position where exercise, nutrition and psychological support are integral to a cancer diagnosis? Ideally prehabilitation gets to a point where all patients feel like the ones quoted in this talk; "It's a win win situation [...] do that and you'll be healthier".

Presented by June Davis; June has 22 years of experience working in the NHS as a Dietician, service and professional lead, general manager for a number of service areas within the acute setting and senior project lead for several large scale change projects across London; 10 years experience working as Head of Therapies for large acute Trusts. She is also a Director of Allied Health Solutions, Allied Health Professions Advisor (part time) for Macmillan Cancer Support and a professional advisor to the Care Quality Commission.

Questions include: Do patients need to be advised about the possible hallucinatory side effects of ketamine? How do we ensure our perioperative pathway reaches patients at the earliest possible junction? Is there a standard pathway which can be applied to all?

Featuring; Natasha Curran, pain medicine University College London Hospital (UCLH) and Medical Director at the Health Innovation Network, Denny Levett, Professor in Perioperative Medicine and Critical Care, Consultant in Perioperative Medicine, Southampton University Hospital NHS Foundation trust (UHS), President of the Perioperative Exercise Testing and Training Society (POETTS), Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'.

In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who have been injured, relieve the pain, stop the bleeding, 'patch the holes' and move them to a safer environment. It's from this background that our two contributors come, learn how they have been forced to innovate and what insights they can give to practitioners working in more familliar and well resourced contexts.

Hear how a 25 year-old male presented with penetrating chest trauma and an Erector Spinae Block was utilized in an incredibly dramatic context.

This inteview works well in tandem with this link to the paper discussed in the piece: https://www.ncbi.nlm.nih.gov/pubmed/31247096

This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.

Check out the AANA here: https://www.aana.com/

Presented by Desiree Chappell and Monty Mythen with their guests Robert Fabich, Doctor of Nursing Practice, CRNA, Veteran and Sharrod R. Greene, CRNA, Sentara Anesthesiology Specialists.

A discussion about consent, staying on the right side of the law, shared decision making and 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas.

Presented by Monty Mythen with Desiree Chappell and their guests Hugh Montgomery, and Paul Sankey, Enable Law partner and Clinical Negligence solicitor acting for patients, an accredited expert in his field.

The American Society of Anesthesiologists (ASA) continues to raise the standards of the medical practice of anesthesiology, as well as keeping a particular focus on improving patient care. This conversation is a chance to catch up with their work.

For more on the Patient Safety Movement Foundation go here: https://patientsafetymovement.org/

Finally, the wonderful Linda Mason interview which gets mentioned in this piece is here: https://www.topmedtalk.com/euroanaes2019-linda-mason/

Presented by Desiree Chappell and Monty Mythen with their guest Paul Pomerance, Chief Executive Officer of the American Society Of Anesthesiologists, Worldwide Executive Director at Drug Information Association, Inc.

'The Practitioner Health Programme' - why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here how people in that profession are uniquely placed to deal with the inevitable pressures related to healthcare.

Presented by Desiree Chappell and Monty Mythen with their guest Dr Clare Gerada, Medical Director, Physician Health, Practitioner Health Service.

Hear how you can transform your practice through team leadership, courage and a finely tuned awareness of the financial aspects of what you are trying to achieve.

How can growth be tempered to suit the long term vision of a company? Why is teambuilding so crucial to large organisations? Can we determine the direction in which healthcare is evolving overall? Is 'population health in the perioperative space', a widely accepted future direction these days?

Presented by Brian Woods, Anesthesiologist and Vice President at NorthStar Anesthesia.