Categories
Acute Care Diabetes/Endocrine

Hyperglycaemia in hospital and Variable Rate Intravenous Insulin Infusion (VRIII)

Diabetes is an increasing worldwide problem, with approximately a fourfold increase in prevalence over a thirty-year period in the latest World Health Organisation figures (1). Dr David Ewins is a Consultant Physician in Endocrinology and Diabetes and talks with Scott about the approach to evaluating and managing adult patients presenting with high blood glucose levels […]

Categories
Acute Care

Metabolic Acidosis

You are the medical FY2 doctor on call and a GP referral has just arrived in the Medical Assessment Unit (MAU). You are told the patient has been vomiting for 2 days with associated polyuria and polydipsia, they are tachycardic but have a stable blood pressure. The nurse is worried and the patient looks sick. The nurse […]

Categories
Acute Care Diabetes/Endocrine

Diabetic Ketoacidosis in Adults

Diabetic Ketoacidosis (DKA) is a life threatening emegency and requires prompt recognition and treatment. Dr David Ewins is a Consultant Physician in Endocrinology and Diabetes and talks with Scott about the approach to evaluating and managing DKA in adults as well as some of the finer points and controversies that exist. Have a listen to the episode below or […]

Categories
Acute Care Cardiology

Acute Coronary Syndromes

Scott talks to Consultant Cardiologists Professor John Somauroo and Dr. Babu Kunadian and Karen Randles, a cardiology specialist nurse at Chester about the assessment of patients presenting with chest pain and the management of Acute Coronary Syndromes (ACS). This includes ST-segment-elevation myocardial infarctions (STEMI) and non-ST-segment elevation myocardial infarctions (NSTEMI). Check out the podcast below or […]

Categories
Acute Care

Acute Pain, Epidurals, Rectus Sheath Catheters

I speak with Dr Dominic Cliff, a Consultant Anaesthetist with a special interst in acute pain. Dominic runs the acute pain service in Chester and has been instrumental in the adoption of rectus sheath catheters for post operative pain relief in major abdominal surgery. Oooww!! You B!*^&$d!! Is my normal response should I hit my thumb […]

Categories
Acute Care

Assessment of the Unwell Patient

I talk to Dr Sarah White, an anaesthetic registrar at Chester about assessing an unwell patient. We deliberately chose to use an example case of a breathless asthmatic patient simply because extremely short of breath patients are unforgivably scary for doctors of any stage in training, even experienced consultants. At a later date, we will […]

Categories
Acute Care

Sepsis

Hello, welcome to the first clinical podcast and blog from FOAMdation. The following podcast was recorded 13/1/17 with Dr Santokh Singh, Consultant Anaesthetist and Intensivist at the Countess of Chester Hospital, England. Dr Singh is also the sepsis lead for the hospital and is currently working to update the hospital sepsis policies in line with […]