CotEcast – Details, episodes & analysis

Welcome to the latest episode in our new CotECast series: “Ask the Expert“. This series delves deeper into some hot topics in geriatrics, with stroke being our first. This is the final episode in our Stroke mini-series and as usual we are bombarding Dr Chris Taylor with all our questions; this time about haemorrhagic stroke. 

Welcome to the fourth episode in our new CotECast series: “Ask the Expert“. This series we will be delving deeper into some of the hot topics in geriatrics and have started with a stroke mini-series! Dr Chris Taylor is back with Jonny and Emma to discuss both the complications that may develop in patients admitted with stroke and secondary prevention. 

Welcome to the eleventh episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter!

This week Nick, Christina and Emma discuss causes of vertigo, how to correctly take a bisphosphonate, managing diabetes at the end of life and restless leg syndrome.

Useful links:

Vertigo: https://www.bmj.com/content/366/bmj.l5215/infographic

Mini-gem: http://aeme.org.uk/mini-gem-shake-rattle-and-roll-the-epley-manoeuvre/

NECN palliative care guidelines:  http://www.northerncanceralliance.nhs.uk/wp-content/uploads/2018/11/NECNXPALLIATIVEXCAREX2016-1.pdf.

Welcome to the ninth episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter!

This week Chris, Emma and Vicky are recording during lunch at their regional geriatrics teaching day. They will be discussing myeloma and MGUS; attendance and carers allowance and dual anti platelet therapy in minor stroke and high risk TIAs.

Useful links this week are:

https://www.gov.uk/attendance-allowance

https://www.gov.uk/carers-allowance

https://b-s-h.org.uk/guidelines/guidelines/investigation-of-newly-detected-m-proteins-and-the-management-of-mgus/

https://www.stroke.nih.gov/documents/NIH_Stroke_Scale_508C.pdf

https://www.bmj.com/content/363/bmj.k5130/rr-0

Welcome to the 8th episode in the series of "What we have learnt this week...". Tonight Vicky, Emma and Christina talk about UTI guidelines in the over 65s, AF and anticoagulation risk calculators, DOLs and antibiotics in the older patient. 

Useful links this week:

 PHE UTI in >65s:   https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/755890/PHE_UTI_flowchart_-_Under_65_women.pdf

CHADsVASc and HASBLED scoring systems: https://www.chadsvasc.org

Anticoagulation risk in falls:  Risk of Falls and Major Bleeds in Patients on Oral Anticoagulation Therapy; Donze, J; Clair, Carole; The American Journal of Medicine; Volume 125, Issue 8; August 2012,Pages 773-778

BMA guidance on DOLS: https://www.bma.org.uk/advice/employment/ethics/mental-capacity/deprivation-of-liberty-safeguards

E-LFH learning module on DOLS: https://www.e-lfh.org.uk/programmes/deprivation-of-liberty-safeguards/

The AEME team catch up over a few drinks post G4J 2018 to discuss a few of the top tips we will take away from the conference. Useful links: www.pdmedcalc.co.ukm.youtube.com/watch?v=Lp3pFjKoZl8www.nuemblog.com/blog/hints

Welcome to the 6th episode in the "What we've learnt this week" series. Nick and Emma are in Berlin for the European Geriatric Medicine Society International Congress and share some of the top tips they have picked up from the conference.

Heard of "prognostic paralysis"? "Theraputic illusion"? Gamification in medical education? We hadn't either!

Useful links this week:

1. https://www.jamda.com/article/S1525-8610(17)30130-5/fulltext

Morin L, Vetrano DL, Grande G, Fratiglioni L, Fastbom J, Johnell K. Use of medications of questionable benefit during the last year of life of older adults with dementia. J Am Med Dir Assoc. 2017;Epub.

2. http://www.deliriumexperience.nl/ You have to pay for the full game but the trailer is experience enough!

3. https://academic.oup.com/ndt/article/32/1/9/2931168 

European Renal Best Practice Group summary document on Management of older patients with chronic kidney disease

Join Vicky, Pete and Emma in the first of our new series of CotEcasts entitled "What we have learnt this week....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter!

This week we discuss a useful analogy for frailty, myth-busting MSUs, a brief review of fluid prescriptions and top tips of managing patients with Parkinson's disease .

Useful links:

Paper Boats BGS blog atbritishgeriatricssociety.wordpress.com/2018/07/09/the-paper-boat/

MSU and fluid Mini-gems at aeme.org.uk/mini-gems/

NICE fluid guidelines at www.nice.org.uk/guidance/cg174

PD medication calculator at www.pdmedcalc.co.uk

Join Pete, Christine and Emma for the fifth episode in the "What we've learnt this week.." series.

We've got some useful tips on iron supplements, urological conditions in the elderly and renal impairment.

Let us know your thoughts @ElderlyMedEd