BMJ Best Practice Podcast

158 Episodes

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Uterine fibroids

2024-11-0419:55

Uterine fibroids are common. They represent the most common solid tumours of the female pelvis and are a leading indication for hysterectomy. And complications are frequent also - from bleeding to obstetric complications. So what can we do to ensure that we get the diagnosis and management of this condition right? To answer this and other important questions, please do have a listen to this podcast interview with Professor Ayman Al-Hendy, Tenured Professor at the Department of Obstetrics and Gynecology, University of Chicago. Competing interests: AAH has served on the external advisory boards of Bayer, AbbVie, Myovant, Pfizer, ObsEva and Allergan, and has received research funding from the National Institutes of Health.

BMJ Best Practice and The Darzi Review

2024-10-1027:381

The Darzi report states that “a recurring theme is that the recommendations of previous reviews have not been universally adopted.” So can we do better this time? In this podcast, Professor Martyn Patel discusses how healthcare professionals can use BMJ Best Practice to improve care in areas where Darzi says that it needs to improve. In things like comorbidities, cardiovascular care, and emergency medicine. Martyn works for Norwich Medical School, Norfolk and Norwich University Hospital, and is also an expert panel member of BMJ Best Practice.

Testicular cancer

2024-10-0120:56

Among men aged 15 to 44 years, testicular tumours are the most common cancer diagnosed. And testicular cancer can cause considerable morbidity and mortality. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Corbin Eule, Assistant Professor of Medical Oncology at the University of Colorado Anschutz Medical Campus. And importantly Corbin is BMJ Best Practice author on testicular cancer. Competing interests: None

Precocious puberty

2024-09-2415:41

The prevalence of precocious puberty is difficult to estimate - it is probably between 1 in 500 and 1 in 5000 children. Unfortunately, complications are common - from distress to short stature to psychological problems. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to this podcast interview with Dr Comfort King of BMJ and Dr Talat Mushtaq, Consultant in Paediatric Endocrinology at Leeds Teaching Hospitals. Competing interests: TM has received support from Novo Nordisk and Pfizer to attend overseas conferences. He has also received honoraria from Kyowa Kirin for lectures and educational events.

Upper Airway Cough Syndrome

2024-09-0920:32

Chronic cough is common. And from 10% to 70% of patients with chronic cough may have upper airway cough syndrome. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Professor Fan Chung who is Professor of Respiratory Medicine and Head of Experimental Studies Medicine at the National Heart and Lung Institute at Imperial College London. Competing interests: FC has received remuneration for taking part in advisory board meetings on asthma, COPD, and cough, organised by GSK, AstraZeneca, Novartis, Merck, Boehringer Ingelheim, TEVA, Menlo Therapeutics and 4D pharma. KFC has also been on a speaker's bureau for AstraZeneca and Novartis, and has received educational grants from AstraZeneca, GSK, Bionorica, PGT Healthcare, and Vernalis Therapeutics, for supporting the Ninth London International Cough Symposium held in London in 2016.

Type 2 diabetes

2024-08-2024:21

Type 2 diabetes is common. It accounts for over 90% of all diabetes, and has a prevalence of 8.5% in the US. And complications are common as well - from blindness to amputation to chronic kidney disease. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to this podcast interview with Gregg Simonson, Director of Professional Training at the International Diabetes Center at Park Nicollet Minneapolis. Competing interests: GS declares that his employer, HealthPartners Institute International Diabetes Center, has organizational interests that include receiving unrestricted educational grants from Abbott Diabetes Care and Sanofi.

Hyperthyroidism

2024-07-2934:38

Hyperthyroidism The global prevalence of overt hyperthyroidism is between 0.2% to 1%. Graves disease is the most common form of hyperthyroidism in most areas of the world but there are other causes including toxic nodular goitre. Complications of hyperthyroidism are common - from bone loss to atrial fibrillation to heart failure. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Dr Salman Razvi, Consultant Endocrinologist and Senior Lecturer at Queen Elizabeth Hospital, Gateshead. Competing interests: SR has received speaker fees from Merck, IBSA and Abbott Pharmaceuticals Ltd and research funding from Merck.

Pre eclampsia

2024-07-1526:05

Pre eclampsia Pre-eclampsia is common. It has been reported to affect between 2% and 8% of all pregnancies worldwide. And complications are common as well - from eclampsia to fetal growth restriction to pulmonary oedema. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Emeritus Professor James Walker of the University of Leeds. Please note: Remember to do a FBC, U&E, and LFTs in affected patients. Competing interests: JJW is Honorary President of the Baby Lifeline Training Company and Honorary Medical Director of Action on Pre-eclampsia. He lectures and teaches on pre-eclampsia and maternal safety both nationally and internationally, and is the author of national and local reports into safety investigations for the Healthcare Services Investigation Branch and national and local bodies as Clinical Director.

BMJ Best Practice: Improving Primary Care

2024-07-0119:30

BMJ Best Practice is freely available in England, Scotland and Wales. And in many other institutions around the world. We want to ensure that it is used. But we want more than just clicks. We want people to use it to improve individual patient care, to improve care processes and quality and safety, to improve education at all levels. So how should we do this? Please do listen to his podcast interview with Dr Dan Bunstone, GP Principal and Clinical Director of Warrington Innovation Network. Competing interests: none

Acute otitis media

2024-06-1722:18

Acute otitis media is common. More than 80% of children experience at least one episode of acute otitis media before the age of 2 years. And complications are common also - from perforated tympanic membrane to otitis media with effusion. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Dr. Carlos Armengol of the Pediatric Associates of Charlottesville in the US. Competing interests: none

Animal bites

2024-06-0318:56

Animal bites Each year in the UK, approximately 250,000 people attend emergency departments for the treatment of dog bites. And about 10% of patients will develop an infection. And that is just dogs. Animal bites are a common and serious problem - it is important that we get the assessment and management of this condition right. To find out more details about this problem and what we can do about it, please do listen to his podcast interview with Dr Oliver Spencer, Consultant in Emergency Medicine at Croydon University Hospital NHS Trust. Competing interests: none

Burns

2024-05-2128:18

Burns are a common injury. The exact prevalence is difficult to know, as many people will not seek medical advice. But we do know that around 13,000 people in the UK require hospital attention from specialist burns services. And burns can cause a range of complications from scarring to sepsis to psychological trauma. So it is important that we get the management of burns right. To find out more details about this problem and what we can do about it, please do listen to his podcast interview with Professor Rob Sheridan, Associate Professor of Surgery, Harvard Medical School. Competing interests: none

COPD: an update on diagnosis and management

2024-05-0829:13

COPD is common. It is the third leading cause of death worldwide, causing 3.23 million deaths in 2019. And anyone who has worked in a hospital will know that exacerbations are common also. So it is important that we get the diagnosis and management of this condition right. To find out more details about this problem and what we can do about it, please do listen to his podcast interview with Neil Greening, Associate Professor and Honorary Consultant Physician at the Institute for Lung Health, Leicester. Competing interests: Dr Greening has received honoraria, lecture fees, travel for conferences and consultancy fees from AstraZeneca, GlaxoSmithKline, Chiesi, Sanofi and Pulmonx. His Institution has received grant funding and consultancy fees from GSK, and Roche.

Syncope

2024-04-2622:50

Syncope is common. It accounts for approximately 1% of all emergency department visits and 2% of all hospital admissions from the emergency department. Causes include dysrhythmias, pulmonary embolism, subarachnoid haemorrhage, and acute coronary syndrome - to name but a few. So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important questions, please do have a listen to this podcast interview with Professor Shamai Grossman, Associate Professor of Medicine and Emergency Medicine at Harvard Medical School. Competing interests: none

Sepsis in adults

2024-02-2626:18

Sepsis is common. In 2018, more than one million US Medicare patients were admitted to hospital with sepsis. And complications are serious - from renal failure to ARDS to DIC. So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important questions, have a listen to this podcast with Professor Andre Kalil, from the Department of Internal Medicine at the University of Nebraska Medical Center. For more on sepsis, visit BMJ Best Practice. Competing interests: none

Acne vulgaris

2024-02-1223:21

Acne is a common condition. The Global Burden of Disease estimates the prevalence of acne to be 8%, ranking it the eighth most prevalent disease worldwide. And acne can cause complications - from scarring to dyspigmentation to mental health problems. So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important questions, please have a listen to this podcast interview with Professor John Barbieri, Assistant Professor of Dermatology at Harvard. For more on acne, visit BMJ Best Practice. Competing interests: JB has received consulting fees from Dexcel Pharma.

Cervical spine injury

2024-01-2324:34

Cervical spine injuries result primarily from motor vehicle accidents, sports activities, and diving into shallow water. These mainly happen with young people. In older people, falls are a common cause. And such injuries can cause a range of complications from pain to radiculopathy to other neurological disability. So what if anything can we do to ensure that cervical spine trauma is diagnosed and managed correctly? To answer this and other important questions, listen to this interview with Michael Fehlings, Professor of Neurosurgery at the University of Toronto, and author of our BMJ Best Practice topic on this condition. Competing interests: MGF served as a consultant for Zimmer, In Vivo Therapeutics, and Pfizer. He receives institutional fellowship grant support from AOSpine, Medtronic, and Depuy-Synthes.

Croup

2024-01-0919:25

Croup is a frequent cause of acute respiratory distress in young children. Typically, it affects those between six months and three years of age, peaking in the second year of life. And croup can be serious and can cause complications - such as pneumonia. So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important questions, please do have a listen to this podcast interview with Professor David Johnson who is from the Department of Pediatrics and Physiology and Pharmacology at the University of Calgary, Canada. For more on croup, visit BMJ Best Practice. Competing interests: none

Frostbite

2023-12-1821:37

As the climate changes, we are getting more diseases associated with extremes of temperature - such as frostbite. Frostbite is classically associated with mountaineering and winter activities. But it also occurs in armed conflict and of course in homeless people. Frostbite can result in wound infection, gangrene and amputation. So what if anything can we do to ensure that it is diagnosed and managed correctly? To find the answer to this and other important questions, please have a listen to this podcast interview with Professor Chris Imray, Consultant Vascular and Renal Transplant Surgeon. For more on frostbite, visit BMJ Best Practice. Disclosures: CI has been paid for medicolegal work and receives royalties for the Oxford Handbook of Wilderness and Environmental Medicine.

Alcohol-associated liver disease

2023-12-0423:24

A US study of high-risk drinking patterns suggests that deaths due to alcohol-associated liver disease are expected to double in the next twenty years. And this condition is associated with a range of complications - including hepatic encephalopathy, GI bleeding, and hepatorenal syndrome. So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important questions, please have a listen to this podcast interview with Professor Craig McClain, Chief of Research Affairs and Associate Vice President for Health Affairs and Research at the Division of Gastroenterology, Hepatology and Nutrition, University of Louisville School of Medicine. For more on alcohol-associated liver disease, visit BMJ Best Practice. CM acts as a consultant for Nestlé, Durect, Allergan, Intercept, and DISCUS. He works for the Veterans Administration on a part-time basis, has received grants from the NIH and VAMC, and is working on the update of the AGC nutritional guideline.

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