BMJ's Coronavirus (COVID-19) playlist: Recent Episodes
BMJ Group
Bringing you a curated selection of podcasts relating to COVID-19 across The BMJ, our specialist journals and Best Practice. The purpose of these podcasts is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Ramesh Nadarajah from the University of Leeds. They discuss their recent paper on Covid-bloated waiting lists and whether modelling can help to improve the situation for patients with aortic stenosis. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published paper: https://bmjopen.bmj.com/content/12/6/e059309
In this second podcast focussing on the covid response in South Asia, we’re focussing on the intersection of conflict and covid in the region. The pandemic has highlighted the underlying weaknesses in many health systems - but could it also be used as a catalyst for change, and be a step towards easing tensions?
To discuss this, Kamran Abbasi, executive editor of The BMJ, is joined by Zulfiqar Bhutta, head of the Institute for Global Health and Development, Aga Khan University, and Arun Mitra senior vice president of Indian Doctors for Peace & Development.
To read more; Conflict, extremism, resilience and peace in South Asia; can covid-19 provide a bridge for peace and rapprochement? https://www.bmj.com/content/375/BMJ-2021-067384
Professor Roszalina Ramli, Department of oral and maxillofacial surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, is an oral and maxillofacial surgeon by training, who developed skills in biomechanics and epidemiology in order to solve what she saw as a major community problem. In this podcast, Dr Ramli tells Editor-in-Chief of Injury Prevention, Rod McClure, how she stepped from the operating theatre to research, and into public health policy. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!
Do hospitalised COVID-19 patients receiving treatment with CPAP and HFNOT present a significant added risk of viral contamination to the surrounding environment used by healthcare workers? And is there enough evidence to suggest or recommend levels of PPE that should be used for healthcare workers caring for patients on CPAP or HFNOT? Two of the main questions this short podcast addresses. Rachael Moses, Multimedia Editor Thorax BMJ, interviews Dr Chris Green, Consultant in Infectious Diseases & General (Internal) Medicine, University Hospitals Birmingham NHS Foundation Trust. Read the two related papers: SARS-CoV-2 environmental contamination from hospitalised patients with COVID-19 receiving aerosol-generating procedures - https://thorax.bmj.com/content/early/2021/11/01/thoraxjnl-2021-218035 Coughs and sneezes spread diseases: but do ‘aerosol generating’ procedures? - https://thorax.bmj.com/content/early/2021/11/10/thoraxjnl-2021-218133
In this episode of the JIM Podcast, Editor-In-Chief Richard McCallum speaks with Dr. Sonja A. Rasmussen on the COVID-19 vaccine in children and pregnancy. Dr. Rasmussen is currently a Tenured Professor at the University of Florida in the Department of Pediatrics with a Joint Appointment at the Department of Epidemiology and Obstetrics and Gynecology.
She has previously served as Deputy Director of Infectious Disease at the CDC, Acting Director of the Office of Health Preparedness and Response, Deputy Director of the Influenza Coordination Unit and Senior Scientist at the National Center on Birth Defects and Developmental Disabilities.
Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Professor Andrew Chan, Harvard Medical School, Boston, USA. This podcast is focused on the paper "Diet quality and risk and severity of COVID-19: a prospective cohort study", published in paper copy in Gut in November 2021. Link to the paper: https://gut.bmj.com/content/70/11/2096
In this podcast series, Kamran Abbasi, executive editor of The BMJ will convene experts from South Asia to discuss how the pandemic has affected the region, how measures like lock-down and vaccination have been handled, and the impact of the pandemic on the social determinants of health.
In this first podcast, we're focussing on India and Nepal, and are joined by;
Srinath Reddy, president of the Public Health Foundation of India.
Biraj Swain, who works in global development in Asia and East Africa, is a senior media critic
and Buddha Basnyat, director of the Oxford University Clinical Research Unit in Nepal.
For more covid coverage
www.bmj.com/coronavirus
In this podcast, Rachael Moses, Multimedia Editor of Thorax BMJ, talks to Dr Ash Clift Nuffield Department of Primary Care Health Sciences, University of Oxford. The evidence surrounding COVID-19 has been conflicting and inconsistent. This podcast discusses the findings of this observational and Mendelian randomisation study using the UK Biobank cohort. The author discusses the findings with regards to the potential causal effect of cigarette smoking on the severity of COVID-19 infection and what this means for both the public and clinicians. Related article: https://thorax.bmj.com/content/thoraxjnl/early/2021/09/12/thoraxjnl-2021-217080
This week our regular panelists, Helen Macdonald and Joe Ross, are joined by Juan Franco, editor in chief of BMJ Evidence Based Medicine - to take a primary care focussed look at what's been happening in the world of evidence.
On this week’s episode. As kids go back to school, winter bugs surge and pressure mounts on health services we look at two trials which aimed to use reduce antibiotic prescribing for respiratory tract infections in nursing homes and primary care
Juan brings us an update on prescribing medicinal cannabis for pain, based on a recent BMJ rapid recommendation article and linked systematic review and meta-analysis
And finally, in covid news, how likely are you to be admitted or die from covid after one or two SARS-CoV 2 vaccinations?
Reading list Effect of C reactive protein point-of-care testing on antibiotic prescribing for lower respiratory tract infections in nursing home residents - https://www.bmj.com/content/374/bmj.n2198
Procalcitonin and lung ultrasonography point-of-care testing to determine antibiotic prescription in patients with lower respiratory tract infection in primary care - https://www.bmj.com/content/374/bmj.n2132
Medical cannabis or cannabinoids for chronic pain - https://www.bmj.com/content/374/bmj.n2040
Risk prediction of covid-19 related death and hospital admission in adults after covid-19 vaccination - https://www.bmj.com/content/374/bmj.n2244
An outlook at how disabled lives have been affected by the COVID-19 pandemic and, in particular, by the current vaccine roll-out. Alice Wong, a disabled activist, and Alyssa Burgart, an anesthesiologist and ethicist at Stanford University, tell Medical Humanities' Editor-in-Chief, Brandy Schillace, how disabled lives have been overlooked in this crisis, as the very systems and designs of medicine cater to the able-bodied. Read the transcript on the Medical Humanities blog (https://blogs.bmj.com/medical-humanities/2021/08/12/medicines-disability-blind-spot-privilege-access-and-the-continued-vaccine-roll-out). You can subscribe to the Medical Humanities podcast on any of the main platforms to get the latest episodes. If you enjoy the show, please consider leaving us a review or a comment on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you.
In this podcast, we invite two authors from recent ARD papers dedicated to the efficacy of mRNA vaccines in patients with immunosuppressive therapies. Christophe Richez, Department of Rheumatology, University Medical Center, Bordeaux, France, and ARD's Social Media Advisor, interviews Bimba Hoyer, Department for Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Kiel, Germany, and Rebecca H Haberman, Division of Rheumatology, University Grossman School of Medicine, New York, USA. They describe their works and offer their thoughts on the current situation in this area and the future. Related content: https://ard.bmj.com/content/early/2021/05/11/annrheumdis-2021-220272 https://ard.bmj.com/content/early/2021/06/07/annrheumdis-2021-220597
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to Covid-19.
Abigail Davis, GP and section editor, covers the latest evidence around vaccine immunogenicity in different immunosuppressed populations, as well as the use of interleukin-6 inhibitors in COVID-19 patients.
And Emma Scott, section editor, updates us on mucormycosis, or black fungus infection in COVID-19 patients.
For more, see:
BMJ Best Practice's topic on COVID-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100
BMJ Learning COVID-19 in primary care module: new-learning.bmj.com/course/10065230
Tocilizumab in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00676-0/fulltext
Interleukin-6 Receptor Antagonists in Critically Ill Patients with Covid-19: https://www.nejm.org/doi/full/10.1056/NEJMoa2100433
WHO Therapeutics and COVID-19: living guideline: https://app.magicapp.org/#/guideline/nBkO1E/section/LrV7OL
Indian Council of Medical Research advice on mucormycosis: https://www.icmr.gov.in/pdf/covid/techdoc/Mucormycosis_ADVISORY_FROM_ICMR_In_COVID19_time.pdf
Medical Humanities' Editor-in-Chief, Brandy Schillace, talks to Dr. Eleanor Janega, a medieval historian, about comparisons between COVID-19 and the Black Death. Read the blog post, which includes the transcript of the podcast, here: https://blogs.bmj.com/medical-humanities/2021/07/15/going-medieval-historical-comparisons-of-plague-and-pandemic/
The Oxford Astra Zeneca vaccine has been associated with a rare complication of cerebral venous sinus thrombosis. Dr Colin Mahoney, JNNP Podcast Editor, interviews Prof David Werring, Professor of Clinical Neurology, UCL Queen Square Institute of Neurology, UK, about the new evidence which supports an association between vaccination and more common large vessel arterial stroke. They also discuss several cases, including treatment, and emerging biological evidence relating to causation. Read the paper "Ischaemic stroke as a presenting feature of ChAdOx1 nCoV-19 vaccine-induced immune thrombotic thrombocytopaenia", on the JNNP website: https://jnnp.bmj.com/content/early/2021/05/20/jnnp-2021-326984. Related editorial paper: https://jnnp.bmj.com/content/early/2021/05/20/jnnp-2021-327057
In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) review the June issue of DTB. The list of articles mentioned in this podcast: The Editorial “COVID-19 vaccination in pregnancy” - https://dtb.bmj.com/content/59/6/82 DTB select “Stepping down asthma treatment” - https://dtb.bmj.com/content/59/6/85 Review “Prescribing for pregnancy: managing diabetes” - https://dtb.bmj.com/content/59/6/88 Republished case report “Euglycaemic diabetic ketoacidosis in a 43-year-old woman with type 2 diabetes mellitus on SGLT-2 inhibitor (empagliflozin)” - https://dtb.bmj.com/content/59/6/93 Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Emma Scott, section editor, updates us on vaccination for pregnant and breastfeeding women.
And Abigail Davis, GP and section editor, covers myocardial infarction and pre-existing respiratory conditions.
For more, see:
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100
BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230
Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital interviews Dr Ryan Ungaro, who is an Assistant Professor at Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, USA. The podcast is focussed on ‘Effect of IBD medications on COVID-19 outcomes: results from an international registry’ published in paper copy in Gut in April 2021. Related or relevant article: https://gut.bmj.com/content/70/4/725
David Perry is a freelance journalist covering politics, history, education, and disability rights with bylines at CNN, NYT, Atlantic, Guardian and many more. He and his food-scientist wife live in the Twin Cities with their children, one of whom has Down syndrome, and Perry also plays in an Irish rock band. Today on the podcast, David talks about access and education under COVID-19. What does it mean to really provide free and fair education to all? Read the related blog post, which includes the transcript of this podcast: https://blogs.bmj.com/medical-humanities/2021/05/12/generation-covid-education-access-and-the-long-shadow-of-pandemic-trauma
Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Dr Tariq Ahmad and Dr Nick Kennedy, both from the Department of Gastroenterology, Royal Devon and Exeter NHS Foundation Trust, UK. This special Gut podcast is focused on ‘Anti-SARS-CoV-2 antibody responses are attenuated in patients with IBD treated with infliximab’ which is published in paper copy in Gut in May 2021 and the recently published paper ‘Infliximab is associated with attenuated immunogenicity to BNT162b2 and ChAdOx1 nCoV-19 SARS-CoV-2 vaccines’. Acknowledgements: The CLARITY IBD team would like to thank the CLARITY IBD team in Exeter, all of the 92 CLARITY IBD sites and over 7000 participants in the study. We are grateful to support from the NIHR CRN, Crohn's & Colitis UK and our funders. The related links: https://gut.bmj.com/content/early/2021/04/25/gutjnl-2021-324789 https://gut.bmj.com/content/70/5/865
Thousands of people are currently being vaccinated against COVID-19 worldwide. In this podcast, we discuss if the authorised vaccines are useful to people who live with HIV. STI's Podcast Editor, Dr Fabiola Martin, interviews Prof Anna Maria Garretti, Diseases at the Policlinico Tor Vergata, University of Rome Tor Vergata, Chair of the British HIV Association Vaccination Guidelines Panel, and Editor in Chief of the STI Journal; Dr Laura Waters, Sexual Health and HIV specialist at The Mortimer Market Centre, London, and chair of BHIVA; and Mr Simon Collins, HIV patient advocate and editor of the HIV Treatment Bulletin at the i-Base. Read the related blog post: https://blogs.bmj.com/sti/2021/04/23/2021episode3/ Related article: https://www.bhiva.org/SARS-CoV-2-vaccine-advice-for-adults-living-with-HIV-plain-english-version-update
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Emma Scott, section editor, updates us on vaccination and the risk of blood clots.
And Abigail Davis, GP and section editor, covers acute kidney injury, venous thromboembolism prevention, and secondary bacterial pneumonia.
For more, see:
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100
BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230
EMA: ema.europa.eu/en/news/astrazenecas-covid-19-vaccine-ema-finds-possible-link-very-rare-cases-unusual-blood-clots-low-blood
MHRA: gov.uk/government/news/mhra-issues-new-advice-concluding-a-possible-link-between-covid-19-vaccine-astrazeneca-and-extremely-rare-unlikely-to-occur-blood-clots
JCVI: gov.uk/government/publications/use-of-the-astrazeneca-covid-19-vaccine-jcvi-statement/jcvi-statement-on-use-of-the-astrazeneca-covid-19-vaccine-7-april-2021
WHO: who.int/news/item/07-04-2021-interim-statement-of-the-covid-19-subcommittee-of-the-who-global-advisory-committee-on-vaccine-safety
COVID-19 rapid guideline: managing COVID-19: nice.org.uk/guidance/NG191
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
The EULAR COVID-19 database and the COVID-19 Global Rheumatology Alliance work together on shared collected data to address the most pertinent questions in regard to risks for people with rheumatic diseases and COVID-19 infection. The latest study confirms already known risk factors for more severe disease and explores associations between treatments and the risk of death. In this podcast, ARD’s social media editor, Dr Paul Studenic, is joined by Prof. Pedro Machado, from the National Institute for Health Research (NIHR) University College London Hospitals Biomedical Research Centre, London, UK, to discuss the paper “Factors associated with COVID-19-related death in people with rheumatic diseases: results from the COVID-19 Global Rheumatology Alliance physician-reported registry” (http://dx.doi.org/10.1136/annrheumdis-2020-219498).
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Matt Castleden, GP and section editor, updates us on pulse oximetry, prognostic scoring, and management in hospital.
And Abigail Davis, GP and section editor, covers Covid-19 vaccination and chronic conditions, including advice for patients with thrombocytopenia, and those taking immunosuppressive drugs, ACE inhibitors or ARBs.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning's quick tips module: proning in critical care: learning.bmj.com/learning/modules/elucidat/10065419
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100
BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Matt Castleden, GP and section editor, updates us on vaccination and long covid-19.
And Abigail Davis, GP and section editor, covers Covid-19 and comorbidities, namely endocrine conditions and bronchiolitis.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100
BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230
JCVI independent report published by the Department of Health: www.gov.uk/government/publications/prioritising-the-first-covid-19-vaccine-dose-jcvi-statement/optimising-the-covid-19-vaccination-programme-for-maximum-short-term-impact
Online covid-19 recovery platform: www.yourcovidrecovery.nhs.uk
In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) discuss the January issue of DTB (https://dtb.bmj.com/content/59/1). This includes an editorial that highlights the urgent need for more information for the public to support the national COVID-19 vaccination programme (https://dtb.bmj.com/content/59/1/2). The editors talk about the importance of knowing how patients use their medicines at home (https://dtb.bmj.com/content/59/1/3)and discuss advice for population vitamin D supplementation in adults in the UK (https://dtb.bmj.com/content/59/1/7). This month's case report involves two patients who developed severe hypothermia, bradycardia and cardiac arrest in association with risperidone (https://dtb.bmj.com/content/59/1/13). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Matt Castleden, GP and section editor, updates us on vaccination and the use of remdesivir.
And Emma Scott, section editor, covers Covid-19 and comorbidities, namely COPD, learning disabilities and obesity.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100
BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230
UK Gov guidance on covid vaccinations: gov.uk/government/publications/covid-19-vaccination-programme-guidance-for-healthcare-practitioners
UK Gov Green Book covid chapter: gov.uk/government/publications/covid-19-the-green-book-chapter-14a
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
A recent meta-analysis by Espinosa and colleagues, “Prevalence of Comorbidities in Patients and Mortality Cases Affected by SARS-CoV2”, found that 42% of patients with Covid-19 had comorbidities.
Furthermore, 61% of those with Covid-19 admitted to the Intensive Care Unit had comorbidities, and 77% of those who died had comorbidities.
Hypertension was the most prevalent comorbidity (affecting 32% of patients). Other common comorbidities included diabetes (22%), heart disease (13%), and COPD (8%).
In this podcast Andrew Lewington, Consultant Renal Physician and Honorary Clinical Associate Professor, St James’s University Hospital, Leeds, gives us an overview of managing patients with Covid-19 and common comorbidities.
For more on Covid-19 and comorbidities, see BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000201/treatment-algorithm
Read the meta analysis: Espinosa OA, Zanetti ADS, Antunes EF, Longhi FG, Matos TA, Battaglini PF. Prevalence of comorbidities in patients and mortality cases affected by SARS-CoV2: a systematic review and meta-analysis. Rev Inst Med Trop Sao Paulo. 2020;62:e43. Published 2020 Jun 22. doi:10.1590/S1678-9946202062043
In this podcast James Cave (Editor in Chief) and David Phizackerley (Deputy Editor) discuss some of the challenges associated with the national COVID-19 vaccination programme. In particular, they highlight the importance of making information on the vaccines’ safety and efficacy available to help people make an informed decision on vaccination. Read the paper: https://dtb.bmj.com/content/early/2020/11/24/dtb.2020.000071 Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening. Go well and stay well.
In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by interventional cardiologist Dr Sukh Nijjer from Hammersmith Hospital, London. They discuss his paper in Heart concerned with the optimal management of ACS in the COVID-19 era. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/106/20/1609
Dr Fabiola Martin talks to Dr John McSorely about the rapid adjustments applied to UK's sexual health care services as a response to COVID-19 pandemic lockdown and deployment of sexual health care providers to support other health care services. They discuss implemented service innovations such as 'Digital First' and 'Telehealth'. Dr John McSorley is a Consultant Physician in Sexual Health and HIV Medicine and President of BASHH (https://www.bashh.org/bashh-groups/board-and-trustees/elected-officers-and-representatives/dr-john-mcsorley/). To read more about this subject, please visit the STI section about COVID-19: https://sti.bmj.com/pages/collections/covid19/ and read the related blog post: https://blogs.bmj.com/sti/2020/10/12/sexual-health-and-covid-19/
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Matt Castleden updates us on the clinical use of antibody testing.
And Abigail Davis discusses the impact of the pandemic on other conditions, including mental health and other infectious diseases. She also covers recommendations for influenza vaccination.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100
BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230
BMJ Practice Pointer article: Testing for SARS-CoV-2 antibodies: bmj.com/content/370/bmj.m3325
WHO guidance on Diagnostic testing for SARS-CoV-2: who.int/publications/i/item/diagnostic-testing-for-sars-cov-2
CDC Interim guidance on antibody testing: cdc.gov/coronavirus/2019-ncov/lab/resources/antibody-tests-guidelines.html
CDC Influenza vaccination: cdc.gov/flu/professionals/acip/index.htm
Public Health England annual flu programme: gov.uk/government/collections/annual-flu-programme
Royal College of Paediatrics and Child Health advice for parents and carers: rcpch.ac.uk/sites/default/files/2020-04/covid19_advice_for_parents_when_child_unwell_or_injured_poster.pdf
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Matt Castleden updates us on treatment with steroids, PPE and symptoms of covid-19 which are present weeks or months after infection.
And Emma Scott talks about surveys on the mental health of populations during the pandemic.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100
BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230
Public Health England: COVID-19: mental health and wellbeing surveillance report: gov.uk/government/publications/covid-19-mental-health-and-wellbeing-surveillance-report
Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States: cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm
The broader effects of the COVID-19 pandemic on children are discussed in this ADC Spotlight podcast. ADC’s Senior Editor Rachel Agbeko is joined by paediatrician, epidemiologist and Editor-in-Chief of the journal, Dr Nick Brown; Dr Liz Whittaker, clinical lecturer and consultant paediatric infectious diseases and immunology, Imperial College London; and Professor Russell Viner, President of the Royal College of Paediatrics and Child Health. Read some of the papers related to this podcast: - Promoting and supporting children’s health and healthcare during COVID-https://adc.bmj.com/content/105/7/620 - COVID-19: lessons to date from China https://adc.bmj.com/content/early/2020/05/12/archdischild-2020-319261 - Lockdown: more domestic accidents than COVID-19 in children https://adc.bmj.com/content/early/2020/06/01/archdischild-2020-319547 - COVID-19: lessons learned from a paediatric high consequence infectious diseases unit https://adc.bmj.com/content/early/2020/06/09/archdischild-2020-319114 - Impact of COVID-19 pandemic on paediatric services at a referral centre in Pakistan: lessons from a low-income and middle-income country setting https://adc.bmj.com/content/early/2020/06/28/archdischild-2020-319424 - Reopening schools during the COVID-19 pandemic: governments must balance the uncertainty and risks of reopening schools against the clear harms associated with prolonged closure https://adc.bmj.com/content/early/2020/08/02/archdischild-2020-319963 - Young people’s views on their role in the COVID-19 pandemic and society’s recovery from it https://adc.bmj.com/content/early/2020/08/30/archdischild-2020-320040 And explore the dozens of papers published by ADC related to these topics on this special page: https://adc.bmj.com/pages/collections/covid19/ Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
We discuss the viral load of asymptomatic and mildly symptomatic patients with SARS-CoV-2 infection and the potential protracted course of COVID-19 infection than initially thought. The data within this study further supports the use of face masks in the community to prevent the further spread of COVID-19. Read the paper: https://thorax.bmj.com/content/early/2020/08/28/thoraxjnl-2020-215042
This podcast discusses the exposure and potential viral carriage of healthcare workers in a large UK Hospital. It also discusses the impact of exposure, the importance of personal protective equipment and how we can use the findings ot help prepare for future pandemics. Read the article on the Thorax website: http://dx.doi.org/10.1136/thoraxjnl-2020-215414
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Matt Castleden updates us on self-isolation and shielding, and resources for people recovering from Covid-19.
Abigail Davis discusses new evidence on the impact of Covid-19 on emergency department attendances and hospital admissions, as well as new guidance on planned care.
And Emma Scott covers the link between weight and Covid-19.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-…oduleId=10065100
BMJ Learning covid-19 in primary care module: learning.bmj.com/learning/module-…oduleId=10065230
NICE: arranging planned care in hospitals and diagnostic services https://www.nice.org.uk/guidance/ng179
Decrease in emergency department attendances during lockdown: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2768777?guestAccessKey=b9b4b5e0-5e42-4801-ae4f-6e8aa6a904b2&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=080320
Decrease in hospital admissions during lockdown: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31356-8/fulltext
Reduced rates of cancer diagnosis: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768946
In this podcast, Dr. Paul Studenic speaks to Dr. Sofia Ramiro and Prof. Robert Landewé both engaged in clinical work in the Zuyderland Medical Center in the south of the Netherlands about their clinical study evaluating systemic glucocorticoids and Il-6 blockade as second-line treatment for COVID-19-associated cytokine storm syndrome. They tell the story of the set-up of a peculiar trial using historical patients treated with supportive care as controls to the ‘experimental’ treatment strategy during these unprecedented times of March and April 2020. Link to article: https://ard.bmj.com/content/79/9/1143 Link to EULAR press release: https://www.eular.org/sysModules/obxContent/files/www.eular.2015/1_42291DEB-50E5-49AE-5726D0FAAA83A7D4/eular_glucocorticoids_and_il_6_receptor_can_reduce_covid19_css_related_hospital_mortality_(002).pdf
What has COVID-19 meant for emergency care, and what will have to change going forward? Dr Katherine Henderson, President of the Royal College of Emergency Medicine and the Editor-in-Chief of EMJ, Ellen Weber, discuss the reconfiguration brought to hospitals because of the pandemic and the role of emergency medicine now and in the future. They also reflect on how the virus exposed health inequalities and linked with the Black Lives Matter movement.
Read the related editorial of the August issue: https://emj.bmj.com/content/37/8/458.
In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Amitava Banerjee from UCL. They discuss both his Lancet paper and a subsequent pre-print describing the direct and indirect effects of the Covid-19 pandemic on mortality over 1 year. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Links: https://iris.ucl.ac.uk/iris/browse/profile?upi=ABANE83 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30854-0/fulltext https://www.medrxiv.org/content/10.1101/2020.06.10.20127175v1
Another socially distanced DTB podcast features James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) who provide an overview of the August issue of DTB. This includes an editorial discussing the changes that have taken place in general practices and the new ways of working that have been developed during the coronavirus pandemic (https://dtb.bmj.com/content/58/8/114). The main article reviews the evidence for using vitamin D and calcium in older people who have osteoporosis (https://dtb.bmj.com/content/58/8/122) and the case report highlights the problems faced by a young man who developed a hyperkinetic reaction to dihydrocodeine (https://dtb.bmj.com/content/58/8/126). Read the full issue: https://dtb.bmj.com/content/58/8. Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening. Go well and stay well.
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Abigail Davis discusses the latest guidance on ADHD and renal transplant patients care.
And Matt Castleden updates us on care for covid-19 patients post discharge.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): https://learning.bmj.com/learning/module-intro/.html?moduleId=10065100
BMJ Learning covid-19 in primary care module: learning.bmj.com/learning/module-intro/.html?moduleId=10065230
NICE renal transplant guidelines: nice.org.uk/guidance/NG178
European ADHD guidelines group recommendations: thelancet.com/pdfs/journals/lanchi/PIIS2352-4642(20)30110-3.pdf
NHS England: After-care needs of inpatients recovering from COVID-19: england.nhs.uk/coronavirus/publication/after-care-needs-of-inpatients-recovering-from-covid-19/
In this podcast, Rod McLure talks to Associate Professor Bridget Kool about New Zealand's success in managing the COVID-19 pandemic. They also discuss the implications of this success for injury prevention.
Dr. Oni Blackstock joins us to speak about social justice, Black Lives Matter, LGBTQ rights and the way the COVID-19 crisis has unequally affected marginalized communities. Dr. Blackstock is Assistant Commissioner for the NYC Health Department's Bureau of HIV. Link to the blog post: https://blogs.bmj.com/medical-humanities/2020/07/03/where-race-disparity-and-pandemic-collide-covid-19-usa
On this week’s episode, we chat with BJSM Deputy Editor Dr Jane Thornton MD PhD about how clinicians can support athlete mental health during COVID-19. As a World Champion and former Olympic rower for Canada, Dr Thornton has been supporting Canadian athletes experiencing mental health issues related to COVID-19. In partnership with sports psychiatrist Dr Carla Edwards, Dr Thornton has also produced a range of mental health resources to help athletes combat COVID-19 anxiety. In this 25–minute podcast, Dr Thornton discusses her own experiences as an Olympic athlete, how to prepare for adversity, manage fear, and reset training and competition goals.
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Emma Scott discusses the latest guidance on cardiovascular disease.
And Matt Castleden updates us on NHS Test and Trace, shielding, and social distancing. He also covers the news on dexamethasone as a treatment for covid-19.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/.html?moduleId=10065100
ESC guidelines: escardio.org/Education/COVID-19-and-Cardiology/ESC-COVID-19-Guidance
WHO on smoking and covid-19: who.int/publications/i/item/smoking-and-covid-19
Recovery trial news page: recoverytrial.net/news/low-cost-dexamethasone-reduces-death-by-up-to-one-third-in-hospitalised-patients-with-severe-respiratory-complications-of-covid-19
MHRA and NHS alert on dexamethasone: cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=103054
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
In this podcast, Caroline Ospelt (Department of Rheumatology, University Hospital of Zurich, Switzerland) talks to Alessia Alunno (Rheumatology Unit, University of Perugia, Italy) about the similarities and differences in the cytokine storm that occurs in COVID-19 patients and people with rheumatic diseases. Link to related paper: https://rmdopen.bmj.com/content/6/1/e001295
The global COVID-19 Pandemic has changed the way we practice medicine and live our daily lives. Things we traditionally have taken for granted now pose major challenges, and among those is the challenge of remaining active. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine physician and fitness enthusiast Dr. Jordan Metzl to discuss strategies for continuing to encourage physical activity even during “social distancing.” Dr. Metzl is a pediatrician with subspecialty training in sports medicine whose goal is to help patients and athletes maintain physically active lifestyles and recover from injuries to return to their chosen forms of activity. He has written multiple books and is well known for his Iron Strength workout series. To learn more about Dr. Metzl’s work, or sign-up for his listserv to be notified of future classes please visit his website at https://drjordanmetzl.com
Dr Jill Buyon, co-Editor in Chief of Lupus, Science & Medicine, explores the lessons we're learning six months into the global pandemic and the impact this is having on lupus patients, the medical landscape, and the research publishing space.
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Abigail Davis talks about advice for patients with osteoporosis, and also those with migraine.
Emma Scott discusses the latest guidance on HIV.
And Matt Castleden updates us on covid-19 management.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-…oduleId=10065100
European Society of Endocrinology - Osteoporosis guideline: eje.bioscientifica.com/view/journals/eje/aop/eje-20-0385/eje-20-0385.xml
European Acamdey of Neurology - advice for managing patients with migraine: eanpages.org/2020/04/09/headache-in-covid-19-pandemic-2/
US Department of Health and Human Science, Interim Guidance for COVID-19 and Persons with HIV: aidsinfo.nih.gov/guidelines/html/8/covid-19-and-persons-with-hiv--interim-guidance-/0
British HIV Association, Statement on risk of COVID-19 for people living with HIV: bhiva.org/EACS-BHIVA-statement-on-risk-of-COVID-19-for-people-living-with-HIV-PLWH
Fewer cars, more walking and cycling after the COVID-19 pandemic, suggests the Head of Sustainable Mobility and Safety Research at Monash University in this month’s podcast. Dr Ben Beck, who’s the President of the Australasian Injury Prevention Network, believes that enhancing safety and reducing injury will require a shift in cities infrastructure investments. He also tells Editor-in-Chief of Injury Prevention, Rod McClure, how his path in this field started through biomechanics. https://blogs.bmj.com/injury-prevention/2020/03/19/covid19-latest-news-and-resources-at-the-bmj/
Dr. Ben Sporer (T: @ben_sporer) is the current director of performance strategy, research and innovation at the Vancouver Whitecaps (MLS). He trained as an exercise physiologist and worked with the Canadian Sport Institute, supporting multisport, cycling and snowboarding athletes across three full Olympic cycles (summer and winter games). He brings a wealth of knowledge about developing elite athlete performance and wellbeing, as well as what it takes to build a performance team. Today in the discussion with associate editor Paul Blazey (T: @blazey85), we dive into: what impact Ben’s exercise physiology background had on his management of the medical arm of his performance team how the Whitecaps use data science to support medical and team decisions what Ben looks for in developing a high performance medical and support team how the team has managed the lockdown and the challenges of return to play in elite sport post covid-19
Resources Catapult Sport Data Capture Systems - https://www.catapultsports.com/
In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Professor Simon Ray, President of the British Cardiovascular Society. They discuss how cardiology might be delivered in the wake of Covid-19, including virtual clinics, online education, streamlined MDTs and much more. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Links https://www.bcs.com/pages/page_box_contents.asp?pageid=1034&navcatid=34 https://gettingitrightfirsttime.co.uk/medical-specialties/cardiology/
The Sexually Transmitted Infections podcast is back and we start with relevant advice for both clinicians and patients about HIV and COVID-19. STI podcast editor Dr Fabiola Martin talks to Associate Professor Dr Edwina Wright, who’s leading the COVID-19 Taskforce for the Australasian Society of HIV, viral hepatitis and STIs (ASHM), and Mr Adam Ehm, President of Living Positive Victoria and is a member of the COVID-19 ASHM Taskforce. They discuss the recent statements released by the British HIV Association and ASHM to assist health care providers and people living with HIV during the COVID-19 pandemic. Dr Fabiola Martin is a Consultant Physician in Sexual Health, HIV and HTLV medicine in Brisbane and Senior Research Fellow at School of Public Health, University of Queensland.Read more about this subject on the Sexually Transmitted Infections blog: https://blogs.bmj.com/sti/2020/04/07/covid-19-and-hiv-calling-attention-to-the-importance-of-ensuring-hiv-status-and-testing-is-included-in-the-management-of-covid-19/ https://blogs.bmj.com/sti/2020/06/04/hiv-covid-19-podcast/ Join the conversation on Twitter and Facebook and please subscribe to the podcast on your favourite platform to get the latest episodes.
With the coronavirus pandemic restrictions still in place, this socially distanced DTB podcast features James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor), who provide an overview of the June issue of DTB. This includes an editorial that discusses whether clinicians should be deprescribing some medicines during the pandemic, and a summary of the EMA's advice on the use of drugs that affect the renin-angiotensin system in people who have COVID-19. The main article looks at the gastrointestinal risks of NSAIDs and the evidence for gastroprotection, and the issue finishes with a case report of drug reaction with eosinophilia and systemic symptoms syndrome in a patient taking lamotrigine. Please read the full issue: https://dtb.bmj.com/content/58/6. Subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening. Go well and stay well.
An expedition ship departed on an Antarctic cruise mid-March 2020 with no known COVID passengers or crew members. However after 8 days the first passenger became febrile and isolation procedures were followed. A further 24 members of the ship developed symptoms (some as late as 23 days later) with 8 requiring medical evacuation. Of the 217 passengers and crew on board, 128 tested positive for COVID-19 with 81% of those positive being asymptomatic. This paper demonstrates how quickly COVID-19 can spread as well as the high number of COVID positive people being asymptomatic showcasing the importance of testing in this group. Rachael Moses, Multimedia Editor Thorax BMJ, talks to the Professor Alvin Ing, Clinical Program Head, Respiratory and Cardiovascular Medicine, Macquarie University, NSW, Australia, and author of the paper published by Thorax (https://thorax.bmj.com/content/early/2020/05/27/thoraxjnl-2020-215091)
Dr Philip Smith, Associate Editor of Frontline Gastroenterology, and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool interviews Dr Cathryn Edwards, BSG President and Consultant Gastroenterologist, Torbay Hospital, Torbay, Devon and Dr Ian Penman, BSG Vice President Endoscopy and Consultant Gastroenterologist at the Royal Infirmary, Edinburgh, on the BSG guidance entitled "Recommencing gastrointestinal endoscopy in the deceleration and early recovery phases of COVID-19 pandemic". Read the related articles: - https://www.bsg.org.uk/covid-19-advice/bsg-guidance-on-recommencing-gi-endoscopy-in-the-deceleration-early-recovery-phases-of-the-covid-19-pandemic/ - http://dx.doi.org/10.1136/flgastro-2020-101492 Acknowledgements: Huge thanks go to Dr Ian Penman BSG VP Endoscopy; Professor Colin Rees and the BSG Endoscopy Quality Improvement Group; the BSG Endoscopy Section; the BSGNA; and the BSG Executive and its President, Dr Cathryn Edwards
On this week's episode, we are joined again by Prof Fiona Bull to discuss why and how we should stay active in self-isolation. Prof Bull is the Programme Manager in the Department of Prevention of NCDs at the WHO in Geneva. She leads the WHO’s global work on physical activity. In this 15-minute podcast, Prof Bull explains what the WHO is doing to support countries increase physical activity in times of COVID-19 and outlines physical activity research priorities at a global level. #HealthyAtHome @WHO https://www.who.int/news-room/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---physical-activity
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Abigail Davis talks about advice for patients with chronic kidney disease.
Emma Scott discusses the latest guidance on interstitial lung disease.
And Matt Castleden updates us on covid-19 testing for healthcare workers.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-…oduleId=10065100
NICE COVID-19 rapid guideline: interstitial lung disease: nice.org.uk/guidance/ng177
COVID-19: management of exposed staff and patients in health and social care settings: gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings
NICE COVID-19 rapid guideline: chronic kidney disease: nice.org.uk/guidance/NG176
In this cutting-edge podcast with Dr James Hull – a leading authority on respiratory health in athletes - we discuss the challenges facing athletes and healthcare professionals following infection with the novel coronavirus. We cover a few case-studies, and practical points for all SEM professionals to consider.
Additional Links: Link to the published article in the Lancet Respiratory Medicine journal https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30175-2/fulltext#.XrHWOYDlNMw.twitter Dr James Hull’s twitter page: https://twitter.com/Breathe_to_win Link to Book: https://www.amazon.co.uk/Complete-Guide-Respiratory-Care-Athletes/dp/1138588350/ref=redir_mobile_desktop?ie=UTF8&qid=1586959229&ref_=tmm_pap_title_0&sr=8-1 BJSM Education Review on EILO https://bjsm.bmj.com/content/52/18/1211 BJSM podcast on EILO https://soundcloud.com/bmjpodcasts/do-you-know-athletes-who-have-a-wheeze-and-get-short-of-breath-easily-surely-asthma-right?in=bmjpodcasts%2Fsets%2Fbjsm-1&fbclid=IwAR3tViVFdNwqKZ04hU43y57HeuPcskYQ5OPuGoCJCF4hIlLd-BlL3k2SXVU
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Matt Castleden covers dermatological manifestations of covid-19.
Emma Scott discusses the latest guidance on CPR.
And Abigail Davis talks about advice for newborn care.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/.html?moduleId=10065100
International Liaison Committee on Resuscitation: ilcor.org/covid-19
Interim Guidance for Life Support for COVID-19 (from the US): ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.120.047463
Resuscitation Council UK Statements on COVID-19 (Coronavirus), CPR and Resuscitation: resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/
Royal College of Paediatrics and Child Health Guidance for Neonatal Care: rcpch.ac.uk/resources/covid-19-guidance-neonatal-settings
Resuscitation Council UK COVID-19 resources Newborn Life Support: resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/covid-19-resources-nls/
American Academy of Pediatrics Managements of Infants born to Mothers with COVID-19: downloads.aap.org/AAP/PDF/COVID%2019%20Initial%20Newborn%20Guidance.pdf
We’re at the point in the pandemic that restrictions on the way people live and work are being relaxed around the world, but how that changes safety for the population is very different depending on your demographic - will you have to work with other people, will you have to take public transport to work, and can you wear a mask in public safely?
To talk about the importance of not neglecting those most affected by covid-19 we’re joined by Kathleen Bachynski, assistant professor of public health at Muhlenberg College and Sridhar Venkatapuram, associate professor global Health & philosophy at King's College London
For all The BMJ's covid coverage www.bmj.com/coronavirus
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treatment options, things we shouldn't be doing.
We're going to try to get away from the headlines and talk about what we need to know - to hopefully give you some insight into these issues.
This week:
(1.20) Carl gives us an update on the England and Wales admission data.
(3.00) Helen talks about ways in which spread and severity of infection amongst household contacts.
(8.20) We talk natural history of covid-19, and Harlan Krumholz, cardiologist at Yale, tells us what we know, and why it's difficult to have a full picture at the moment.
(15.10) Helen picks up on a study from Tim Spectre and colleagues using an app to track cases.
(20.00) Henry Scowcroft, one of The BMJ's patient editor, who also works for Cancer Research UK, joins us to talk about patients who are taking part in clinical trials, and how this is affecting them. He also touches on the thin patient participation in the design of covid treatment guidelines.
(24.10) Carl talks rapidity of publishing, and where researchers should most target their evidence outreach.
Reading list: Reducing risks from coronavirus transmission in the home https://www.bmj.com/content/369/bmj.m1728
Rapid implementation of mobile technology for real-time epidemiology of COVID-19 https://science.sciencemag.org/content/sci/early/2020/05/04/science.abc0473.full.pdf
The BMJ Public and Patient participation twitter chat https://twitter.com/hashtag/BMJdebate
We are more than six weeks into the lockdown and if you were to gauge the mood of the nation, it would be one of fatigue. It started as an all-hands-on-deck emergency situation, but it now transpires that the current work situation for healthcare professionals is not going to change any time soon.
This is a marathon rather than a sprint. So how can we better look after ourselves to cope with this new realisation? In this podcast we speak to Dr Caroline Walker, an NHS-based psychiatrist and therapist.
Wait til the end for Caroline's simple technique she uses to help when feeling overwhelmed.
Read Caroline and Clare Gerada's opinion piece https://blogs.bmj.com/bmj/2020/03/31/extraordinary-times-coping-psychologically-through-the-impact-of-covid-19/
Are you involved in the care of athletes, and now planning their return to sport? Have you fully considered their cardiac health, especially in those with suspected/confirmed novel coronavirus infection? In this 15-minute podcast with Prof Jon Drezner, one of the world’s leading Sports Cardiologists & Team Physicians, we dive into some case-studies and some of the emerging evidence in this interesting area. Please get in touch with us if you have any questions! Additional resources: Link to BJSM blog: https://blogs.bmj.com/bjsm/2020/04/24/the-resurgence-of-sport-in-the-wake-of-covid-19-cardiac-considerations-in-competitive-athletes/ Link to free ECG e-Academy https://uwsportscardiology.org/e-academy/ecg-modules/
In this podcast, Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clincial guidance related to covid-19.
Emma Scott covers the latest on routine immunisation.
Abigail Davis discusses advice on thromboembolism and advice on mental health care for healthcare workers.
And Matt Castleden summarises the current standing on contact tracing.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/covid-19-nice-guidelines.html?moduleId=10065100
PHE contact tracing letters: gov.uk/government/publications/contact-tracing-letter-to-directors-of-public-health
Emergency Responders: tips for taking care of yourself: emergency.cdc.gov/coping/responders.asp
NHS England Clinical Guide for the Management of Anticoagulant Services during the coronavirus pandemic: england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0077-Specialty-guide_Anticoagulant-services-and-coronavirus-v1-31-March.pdf
WHO Guiding principles for immunization activities during the COVID-19 pandemic: apps.who.int/iris/handle/10665/331590
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
In this week’s episode, we discuss bystander guilt, convergence, brain hacks and “how you can sneeze on someone’s brain from anywhere in the world”. How can GPs cope with the myriad worries around treating patients during the current pandemic, both on the frontline and in general practice? How do we recognise and break unhelpful anxious behaviour habits and stop fixating on the news?
Our guests: Monica Schoch-Spana is a medical anthropologist and a Senior Scholar at Johns Hopkins Center for Public Health. She specialises in crisis and risk communication, community resilience to disaster, public engagement in policy-making and public health emergency preparedness.
Jud Brewer is an addiction psychiatrist and neuroscientist, specialising in anxiety and habit change. He is the Director of Research and Innovation at Brown University’s Mindfulness Center, an associate professor of behavioural and social sciences at the School of Public Health at Brown, as well as of psychiatry at the university’s medical school.
Reading list: Monica's blog on the psychological impacts of covid-19 https://blogs.scientificamerican.com/observations/covid-19s-psychosocial-impacts/
Jud's article in the New York Times https://www.nytimes.com/2020/03/13/well/mind/a-brain-hack-to-break-the-coronavirus-anxiety-cycle.html
GP course: https://drjud.com/health-care-provider-course/
Youtube animation of the NYTimes article: https://www.youtube.com/watch?v=900cOKCADIk&feature=youtu.be
Youtube coronavirus daily videos: https://www.youtube.com/watch?v=w4NwsyXRbNw&list=PL6sRqjtLfiTTni7oXKpSj2cQ9290lkpKH
As the pandemic plays out - hospitals are reconfigured to increase critical care capacity, outpatient clinics become virtual, and elective procedures delayed.
How are these affecting care for those who are in hospital but don't have covid-19?
In this podcast, Matt Morgan,honorary senior research fellow at Cardiff University, consultant in intensive care medicine and Partha Kar, consultant in diabetes and endocrinology in Portsmouth, join us to discuss how their working week is changing.
Read the BMJ's columns https://www.bmj.com/uk/news/views%20%26amp%3B%20reviews
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treatment options, things we shouldn't be doing.
We're going to try to get away from the headlines and talk about what we need to know - to hopefully give you some insight into these issues.
This week: (1.10) Carl gives us an update on the UK's figures, and how deaths outside are now being counted.
(2.10) When the pandemic slows down, and normal services resume - what should we start doing first? Helen picks up some evidence on what they might be.
(6.05) There's a signal that covid-19 may be causing coagulopathies in some patients, and Helen picks up on a listeners request for more information.
(11.22) John Deeks, professor of Biostatistics at the University of Birmingham, is leading a Cochrane initiative into examining the evidence around testing, and rivals Carl's rant when he explains how some research is being done behind a veil of confidentiality.
(35.27) When there's a lot of uncertainty, and the stakes are very high, then tempers can flare. Vinay Prasad, hematologist-oncologist in the US, and host of Plenary Sessions podcast, joins us to talk about having a good, respectful, scientific debate.
Dr Hadi Manji joins Colin Mahoney to discuss the recent paper by Liu and colleagues as well as providing a commentary on how COVID-19 may impact the nervous system and steps to mitigate this. He also discusses the impact of COVID-19 in delivering care at the National Hospital for Neurology and Neurosurgery, located in one of the new epicentres for this disease. https://jnnp.bmj.com/content/early/2020/04/20/jnnp-2020-323414
In our new weekly podcast, Kieran Walsh, clinical director at BMJ, asks editors from BMJ Best Practice and BMJ Learning to summarise how clinical guidance is changing in response to covid-19.
Matt Castleden discuss the latest advice on PPE and testing, and also an alert on an acute, atypical presentation of covid-19 in children.
Abigail Davis summarises advice on palliative care, and on IBD.
And Emma Scott covers guidance on perinatal care.
For more, please see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/resume-module.html?
Paediatric Intensive Care Society statement: Increased number of reported cases of novel presentation of multisystem inflammatory disease: picsociety.uk/wp-content/uploads/2020/04/PICS-statement-re-novel-KD-C19-presentation-v2-27042020.pdf
RCPCH position statement: Delayed access to care for children during COVID-19: rcpch.ac.uk/resources/delayed-presentation-during-covid-19-positionmoduleId=10065100
BMJ Best Practice Palliative Care: bestpractice.bmj.com/topics/en-gb/1020/details
NICE COVID-19 rapid guideline: symptoms management (including end of life care) in the community: nice.org.uk/guidance/ng163
NICE COVID-19 rapid guideline: gastrointestinal and liver conditions treated with drugs that affect the immune response: nice.org.uk/guidance/NG172
RCOG guidelines: Coronavirus (COVID-19) infection and pregnancy: rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy
ACOG guidelines on covid-19: www.acog.org/topics/covid-19
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
How can we help frontline clinicians? Sometimes medics may feel uneasy or even guilty and that they could be doing more. That was what a junior doctor in Abergavenny in Wales felt and she did something about it.
In this podcast, we speak to Josie Cheetham about how she started her initiative to provide support boxes in hospitals for her colleagues working at the frontline, and how that initiative inspired others and mushroomed across the UK.
Around the world, as the covid pandemic plays out, and some countries are starting to ease their restrictions, this narrative of the economy and public health being opposing weights on a set of scales keeps returning - they need to be balanced.
But before this, a healthy population is very much seen as being supportive of the economy. So is a pandemic different, or is that dichotomy false.
Joining us to discuss are;
Martin Mckee, professor of european health at LSHTM Kathleen Bachynski, assistant professor of public health at Muhlenberg College Sridhar Venkatapuram, associate professor global Health & philosophy at King's College London
Medical Humanities Editor Brandy Schillace speaks to Alice Wong, a disabled activist, media maker, and consultant based in San Francisco. She is the Founder and Director of the Disability Visibility Project® and speaks about increasing disability access in the face of coronavirus pandemic. Read the blog post and the transcript of this podcast: https://blogs.bmj.com/medical-humanities/2020/04/30/disability-visibility-and-the-covid-19-crisis. The Disability Visibility Project link: https://disabilityvisibilityproject.com/
As the pandemic plays out - the way in which doctors in the UK practice is changing, hospitals are reconfigured to increase critical care capacity, GPs are working from home and doing their day to day work remotely.
Some of the changes have come at the detriment of staff and patient wellbeing but covid-19 has also helped cut through some of the inertia to get welcome changes done.
In this podcast, Helen Salisbury, GP in Oxfordshire, and Clare Gerada, GP in south London, join us to talk about the way in which general practice has changed, and how they and their teams are experiencing that.
As the UK continues to be in lockdown because of the coronavirus pandemic, this podcast only features David Phizackerley, DTB's Deputy Editor, who provides a brief overview of the May issue of DTB. This includes an editorial that discusses the challenges facing clinicians in involving children and young people in decisions about their healthcare; a summary of the EMA's advice on the use of ibuprofen in people who have Covid-19; and an article on the development of shared care prescribing guidelines over the last 30 years. The main article looks at the benefits and harms of using potassium permanganate for wound care, and the issue finishes with a case report of hypersensitivity pneumonitis associated with sertraline. Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (podcasts.apple.com/gb/podcast/dtb-…ast/id307773309). Thank you for listening. Go well and stay well.
For the next few months Talk Evidence is going to focus on the new corona virus pandemic.
There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treatment options, things we shouldn't be doing.
We're going to try to get away from the headlines and talk about what we need to know - to hopefully give you some insight into these issues.
This week:
(1.00) Carl gives us an update on the UK’s covid-19 related mortality
(7.40) When the evidence is uncertain, and the outcomes so massive, then the ethical dimensions of decisions become even more apparent. Helen talks ethics in guidelines with Julian Sheather, advisor on ethics and human rights to the BMA and MSF.
(25.37) Update on covid-19 research, looking at viral particle shedding.
(29.24) We’ve mentioned the potential wasted effort in covid-19 research, and Helen speaks to Paul Glaziou, director of the Institute for Evidence Based Research at Bond University, about the waste he’s already seen, and ways in which it could be avoided.
In this Podcast, Dr Phil Hopley explains to Dr Will Wynter Bee the impact of the COVID crisis on athletes' mental health as well as discussing his role in setting up mental health services for the European tour. He also provides insights into how, clinically, he assesses and manages mental health conditions in elite athletes. Georgia Hopley discusses her research providing valuable insights into the prevalence of common mental health conditions in elite golfers. Useful links we discuss: Mental health in elite athletes: International Olympic Committee consensus statement (2019)- https://bjsm.bmj.com/content/53/11/667 Cognacity - https://www.cognacity.co.uk/ National institute of mental health - https://www.nimh.nih.gov/index.shtml Mind - https://www.mind.org.uk/information-support/tips-for-everyday-living/ Sane - http://www.sane.org.uk/ Calm - https://www.thecalmzone.net/
It’s a difficult world to live in, and our powers of communication are probably at their most needed right now. We discuss how to be clear about evidence based decision making ( https://blogs.bmj.com/adc/2020/03/19/in-pandemics-clear-thinking-and-explanations-matter-even-more/) and the presence of families in resuscitation (https://adc.bmj.com/content/early/2019/11/28/archdischild-2019-318314 ). We’re also addressing a thorny and difficult issue of inhaled budesonide in reducing chronic lung disease, but not increasing mortality. (https://adc.bmj.com/content/early/2020/03/26/archdischild-2019-318762 ) Stay Home. Go To Work. Save Lives.
In our new weekly podcast, Kieran Walsh, clinical director at BMJ, asks editors from BMJ Best Practice and BMJ Learning to summarise how clinical guidance is changing in response to covid-19.
Abigail Davis discuss the latest advice on rheumatological conditions, and that on prescribing contraception.
Emma Scott covers new guidance for managing COPD in the community, and also for the use of nebulisers.
And Suchita Shah talks about RCGP and BMA advice on prioritising GP workload.
For more, please see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Learning module on prescribing contraception in primary care; learning.bmj.com/learning/module-intro/ask-an-expert-contraception.html?moduleId=10055243
NICE COVID-19 rapid guideline: rheumatological autoimmune, inflammatory and metabolic bone disorders: nice.org.uk/guidance/ng167
American College of Rheumatology COVID-19 Clinical guidelines: rheumatology.org/Announcements#ClinicalGuidance
British Society for Rheumatology COVID-19 guidance for rheumatologists: rheumatology.org.uk/News-Policy/Details/Covid19-Coronavirus-update-members
Faculty of Sexual and Reproductive Healthcare COVID-19 resources: fsrh.org/fsrh-and-covid-19-resources-and-information-for-srh/
American College of Obstetricians and Gynecologists COVID-19 resources: acog.org/en/Topics/COVID-19
NICE COVID-19 rapid guideline: community-based care of patients with COPD: www.nice.org.uk/guidance/ng168
BTS COVID-19: information for the respiratory community: brit-thoracic.org.uk/about-us/covid-19-information-for-the-respiratory-community
GOLD Covid-19 guidance: goldcopd.org/gold-covid-19-guidance
RCGP GP workload prioritisation guideline: rcgp.org.uk/covid-19/latest-covid-19-guidance-in-your-area.aspx
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
A new podcast from The BMJ, to help GP's feel more connected, heard, and supported.
Subscribe on; Apple podcasts - https://bit.ly/applepodsDBI Spotify - https://bit.ly/spotifyDBI Google podcasts - https://bit.ly/googlepodsDBI
In our first episode, we discuss the highs and lows of video consultations, and how coronavirus has altered the landscape of business as usual for GPs. How will this change affect our relationships with our patients? How do we cope with frustrating technical issues? Are we more likely to miss a crucial diagnosis if we can’t rely on physical examinations? And, finally, are teleconsultations the future of GP practice?
Our guests:
Trish Greenhalgh is a former GP of 30 years who is now Professor of Primary Care Health Sciences at the University of Oxford. Trish is a leading researcher on video consultations. Fiona Stevenson is a medical sociologist and researcher based at UCL. She is the co-director of their e-health unit.
Deep Breath Out - the Rob Auton Daily Podcast https://play.acast.com/s/robautonpodcast
https://www.bmj.com/podcasts/deepbreathin
Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Dr Cathryn Edwards, BSG President and Consultant Gastroenterologist at Torbay Hospital, Devon and Dr Nick Kennedy, Consultant Gastroenterologist, Royal Devon and Exeter NHS Foundation Trust on the British Society of Gastroenterology response to the coronavirus pandemic and on the guidance produced by a team of UK IBD Specialists entitled ‘BSG guidance for management of IBD during the COVID-19 pandemic’ to be published in paper copy in Gut in June 2020. Paper link is: http://dx.doi.org/10.1136/gutjnl-2020-321244 Acknowledgements - BSG Risk stratification Grid for IBD patients on Immunosuppression - huge thanks go to: - Prof Charlie Lees, BSG Clinical Research Group (CRG) Chair and Lead of the UK IBD COVID-19 working group. Dr Ian Arnott BSG IBD Section Lead. Dr Chris Lamb, Dr Barney Hawthorne, BSG Guidelines Development Group (GDG) 2019, Dr Gareth Jones and Dr Nick Kennedy (IBD GDG and CRG) and 70+ clinical colleagues who contributed to the collaborative discussions through the COVID -19 working group - The BSG, in particular Dr Cathryn Edwards, the BSG Executive team and BSG Staff - The IBD Registry Group: Dr Stuart Bloom and Liz Dobson and AIMES who delivered the technical aspects of the IBD Registry web tool - The Crohn's & Colitis UK team particularly Rukshana Kapasi BSPGHAN, particularly Prof Richard Russell, Dr Richard Hansen BSPGHAN President Sue Protheroe and Prof Mark Beattie, Editor of Frontline Gastroenterology - Donal Donoghue Registrar RCP London and Medical Specialty Colleagues The many patients whose feedback helped improve the IBD Registry COVID-19 tool and the BSG guidance - The RCN
A new podcast from The BMJ, to help GP's feel more connected, heard, and supported.
Subscribe on; Apple podcasts - https://bit.ly/applepodsDBI Spotify - https://bit.ly/spotifyDBI Google podcasts - https://bit.ly/googlepodsDBI This week, our topic is fear: we try to get a better understanding of fear, how it affects all of us as clinicians for better or for worse, and the impact that fear has on the ways in which we approach our patients & practice. Does fear distort our judgement, and increase the likelihood of blundering, or does a healthy dose of fear help to keep us grounded?
Our guests:
Iona Heath is a former GP and president of the Royal College of GPs. Danielle Ofri is an internist at Bellevue Hospital in New York, and Clinical Professor of Medicine at NYU School of Medicine. She has written several books on topics such as medical error and how doctors’ emotions affect their practice.
The Deep Breath Out - The bees of Brockwell Park Surgery
https://www.bmj.com/podcasts/deepbreathin
During this month’s Podcast, Editor-in-Chief for the Journal of Investigative Medicine Dr. Richard W. McCallum is joined by Guest Dr. Sanja Kupesic to discuss Faculty Development Roles During the COVID-19 Crisis. Dr. Kupesic sheds personal light on how COVID-19 has been affecting faculty development and teaching at TTUHSC El Paso.
There is no doubt that anxiety levels that clinicians are feeling during this pandemic are high.
One military medic believes the current situation is comparable to his experience when posted during British campaigns in Afghanistan and Iraq. Cormac Doyle offers advice on how to deal with high-stress conditions, both in a work and at home, as well as how to negate the future effects of post-traumatic stress disorder.
One strategy he supports is using Bilatural Stimulation using music, one example of which called “Strength Within” can be found here shorturl.at/fgrSW.
For the next few months Talk Evidence is going to focus on the new corona virus pandemic.
There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treatment options, things we shouldn't be doing.
We're going to try to get away from the headlines and talk about what we need to know - to hopefully give you some insight into these issues.
This week:
(3.14) Jeff Aronson from Oxford University explains why remdesivir is a potential therapeutic, but is pessimistic about the quality of the studies being done on it
(13.22) Carl explains why smoking cessation is still a key public health priority under covid-19
(16.30) Helen talks care homes, and interviews Mona Koshkouei, from Oxford University, about the research which shows staff are the main vector of infection.
(27.20) David Spiegelhalter, professor of public understanding of risk, looks at the new data on excess deaths in the UK - and the difficulties with reporting that underlie it. Carl explains how deaths track infections, and why uncertainty there makes it hard to calcuate the case fatality rate (And why that is not a good measure to use in a pandemic)
Reading list.
Compassionate Use of Remdesivir for Patients with Severe Covid-19 https://www.nejm.org/doi/full/10.1056/NEJMoa2007016
How can pandemic spreads be contained in care homes? https://www.cebm.net/covid-19/how-can-pandemic-spreads-be-contained-in-care-homes/
Covid-19: Death rate in England and Wales reaches record high because of covid-19 https://www.bmj.com/node/1024784.full
We’ve published info on Telehealth in primary care - and have been overwhelmed by the response from GPs who are finding it useful.
But it’s not only primary care that is dramatically shifting to remote care - routine hospital care is moving online too, so we’ve asked Rowena McCash - GP and out of hours triage trainer joins us to give some tips on how to change your communication for the situation.
She explains safety netting in telephone triage, note taking, and why there are some advantages to working that way.
www.bmj.com/coronavirus www.bmj.com/wellbeing
In this podcast, editors from BMJ Best Practice and BMJ Learning cover this week's major covid-19 clinical updates.
Matt Castleden and Abigail Davis, both Section Editors at BMJ Best practice and BMJ Learning, discuss the latest guidelines on PPE, clinical frailty scoring, silent hypoxia, and community-acquired pneumonia.
The RCP state that NEWS2 should be used when managing patients with COVID 19: rcplondon.ac.uk/news/news2-and-deterioration-covid-19
Read the NICE pneumonia guidance here: nice.org.uk/guidance/ng165
For more on Covid-19, look at BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000168
Or find relevant BMJ Learning content here: new-learning.bmj.com/covid-19
Currently this content is available for free.
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
As we cover the covid-19 outbreak, we want to hear some of the stories from the frontline - And who better to heart of what this pandemic is doing to the profession in the UK, than some of the people who write regularly for The BMJ?
In this first one, we wanted to look specifically at acute care - those at the sharp end of the response, so we're joined by David Oliver, consultant in geriatrics and internal medicine, and Matt Morgan, consultant in intensive care medicine.
Read the columns https://blogs.bmj.com/bmj/category/columnists/matt-morgan/ https://blogs.bmj.com/bmj/category/columnists/david-oliver/
For more free information on covid-19 www.bmj.com/coronavirus
For the next few months Talk Evidence is going to focus on the new corona virus pandemic.
There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treatment options, things we shouldn't be doing.
We're going to try to get away from the headlines and talk about what we need to know - to hopefully give you some insight into these issues.
This week:
(2.24) - Hydroxychloroquinine/chloroquinine - Robin Ferner, honorary professor of clinical pharmacology at the University of Birmingham explains why is it a potential therapeutic for covid-19, and why is it being hyped.
(12.45) - We use prognostic models to make treatment decisions, but they have to be well conducted. Lots of them are being created for covid-19, but their quality isn’t great. Statisticians Laure Wynants Maastricht University and Maarten van Smeden from Utrecht University have done a systematic review of these models, and explain what’s needed for them to be useful.
(26.30) PPE - specifically facemasks. What does the evidence say about their use by the public, and does the precautionary principle hold
Reading list: COVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the community https://www.nice.org.uk/guidance/ng165/chapter/4-Managing-suspected-or-confirmed-pneumonia
Chloroquine and hydroxychloroquine in covid-19 https://www.bmj.com/content/369/bmj.m1432
Prediction models for diagnosis and prognosis of covid-19 infection: systematic review and critical appraisal https://www.bmj.com/content/369/bmj.m1328
What is the efficacy of standard face masks compared to respirator masks in preventing COVID-type respiratory illnesses in primary care staff? https://www.cebm.net/covid-19/what-is-the-efficacy-of-standard-face-masks-compared-to-respirator-masks-in-preventing-covid-type-respiratory-illnesses-in-primary-care-staff/
As part of our response to the covid-19 pandemic, we’re going to be running a series of discussions with experts about some of the big issues arising from the virus.
In this one, we’re asking about the public health response to an outbreak - what’s necessary, and is it possible to go to far.
Joining us are Martin Mckee - professor of european health at the London Schoole fo Hygiene and Tropical Medicine
Kathleen Bachynski - assistant professor of public health at Muhlenberg College
Sridhar Venkatapura - associate professor global health & philosophy at King's College London
www.bmj.com/podcasts www.bmj.com/coronavirus
In the second part of a general update on the effects of Covid-19 in lupus patients, Sara Booth, University of Cambridge, talks to Dr Anca D Askanase, MD, MPH Director, Columbia University Lupus Center Associate Professor of Medicine Columbia University College of Physicians and Surgeons. Listen to part one on your favourite podcast provider, including one of the links below: https://soundcloud.com/bmjpodcasts/immunity-for-lupus-patients-and-effects-of-covid-19-part-1 Apple Podcasts: https://podcasts.apple.com/gb/podcast/lupus-science-and-medicine-podcast/id1023734925 Google Podcasts: https://podcasts.google.com/?feed=aHR0cDovL2ZlZWRzLmJtai5jb20vbHVwdXMvcG9kY2FzdHM&hl=en-GB
We're joined by Professor Colin Melville from the General Medical Council (GMC) on this slightly unusual episode of Sharp Scratch. We talk about the role of the GMC in regulating new doctors and plans for interim FY1 posts and beyond.
Our expert guest:
Professor Colin Melville is the Medical Director and Director of Education and Standards at the GMC. Colin leads the GMC's regulation of all stages of medical education, having previously worked in senior roles at a number of medical schools. Colin trained as a doctor and worked as a consultant in intensive care medicine before moving into medical education.
The GMC have a new online hub for newly qualified doctors moving into interim FY1 posts https://www.gmc-uk.org/registration-and-licensing/provisional-registration
For the next few months Talk Evidence is going to focus on the new corona virus pandemic.
There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treatment options, things we shouldn't be doing.
We're going to try to get away from the headlines and talk about what we need to know - to hopefully give you some insight into these issues.
This week
5.00 - Carl gives us an update about pneumonia in primary care, should you give antibiotics when you're not sure if it's bacterial or viral
10.00 - The importance and difficulty of making guidelines now
15.00 - We hear from guideline maker Per Vandvik, about making guidance.
21.40 - Preprint servers for medicine are showing their use in this fast changing situation. Joseph Ross from Yale School of Medicine, and one of The BMJ's research editors, talks to us about the kind of information we're seeing on medRxiv.
31.10 - Testing. What are the tests, and when do we want specificity, and when do we want sensitivity. Nick Beeching from the Liverpool School of Tropical Medicine joins us to explain.
Reading list: www.bmj.com/coronavirus
Rapidly managing pneumonia in older people during a pandemic https://www.cebm.net/covid-19/rapidly-managing-pneumonia-in-older-people-during-a-pandemic/
https://www.medrxiv.org/
Covid-19: testing times https://www.bmj.com/content/369/bmj.m1403
In this podcast, Sara Booth, University of Cambridge, talks to Professor Sarah Rowlands (Florey Professor of Infection and Immunity,University of Sheffield and Honorary Consultant Physician Nuffield Department of Medicine, Oxford), who specialises in infectious diseases and has a special interest in immunity to viruses. Listen to part two on your favourite podcast provider, including one of the links below: https://soundcloud.com/bmjpodcasts/lupus-immunity-and-covid-19-part-2 Apple Podcasts: https://podcasts.apple.com/gb/podcast/lupus-science-and-medicine-podcast/id1023734925 Google Podcasts: https://podcasts.google.com/?feed=aHR0cDovL2ZlZWRzLmJtai5jb20vbHVwdXMvcG9kY2FzdHM&hl=en-GB
In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by cardiologist Dr Charlotte Manisty and Professor of Infectious Diseases Mahdad Noursadeghi from London. They have established, in a very short timeframe, a prospective study of Covid-19, designed to understand much more about this devastating pandemic. Learn the details in today's episode. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Links: https://www.justgiving.com/fundraising/bartscovid19 https://www.youtube.com/watch?v=c_Tb8UCkv_E&feature=youtu.be
Wellbeing might not seem the obvious place to talk about PPE - but lack of appropriate PPE is causing healthcare staff a great deal of stress now.
Mary Brindle is a pediatric surgeon and the director of The EQuIS (Efficiency Quality Innovation and Safety) Research platform at Alberta Children’s hospital.
In this podcast she reflects on the use of PPE, talks a little about the culture of it - and how overuse by one person can amply the concerns of others, the effect on patients of seeing their carers in protective equipment (especially children), and the importance of communication when you can't see colleagues faces anymore.
www.bmj.com/wellbeing www.bmj.com/coronavirus
Continuing our series on wellbeing during the pandemic, in this podcast we speak to Occupational Psychologist Roxane Gervais about how doctors can look after themselves during the covid-19 pandemic.
We discuss the importance of reaching out to friends and family during this difficult time, how to deal with the loss of control, as well how to tackle feelings of guilt when you are unable to work clinically.
For more wellbeing content www.bmj.com/wellbeing
For more on covid-19 www.bmj.com/coronavirus
We knew a pandemic was coming at some point - it’s kind of why we have the WHO. We have had various smaller scale tests of the international response to an infectious disease outbreak - Ebola in west africa being the most recent.
After that, reports criticised the WHO's response - citing problems around the swiftness of their action, the lack of coordination between countries, and the platforms for knowledge sharing. Is the agency doing any better in Covid-19?
Suerie Moon is co-director of the Global Health Centre at the Graduate Institute of International and Development studies in Geneva, and author of one of those critical reports which was published in The BMJ. She joins us to assess how the WHO is responding.
Dr. Khai Pin Lee and Dr. Gene Yong-Kwang Ong, from the Department of Paediatric Emergency Medicine, Kandang Kerbau Hospital, Singapore, tell Editor-in-Chief of EMJ, Dr. Ellen Weber, how the novel coronavirus is changing their ED and the Singaporean society in general. They are two of the authors of “Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department”, a paper which will be published in the next few days by EMJ in the following address: dx.doi.org/10.1136/emermed-2020-209634
This week on Sharp Scratch, we interrupt our scheduled podcasts to bring you a special bumper episode where we discuss the topic on everyone's minds: covid-19. We hear from medical students and junior doctors who have been disrupted by the pandemic.
Our guests
Chris Smith is a medical student in Southampton and Co-Chair of the BMA's Medical Student's Committee
Stephen Naulls is a brand new doctor and Deputy Chair for Welfare on the BMA Medical Student's Committee
Tanya Ta is another early-graduated new doctor from Norwich Medical School, who has been working on the wards as senior medical student assistant.
Cassandra Baiano is a second year medical student on the ScotGEM graduate entry to medicine programme. Cassandra and her colleague Ronald Macdonald, a first year student on the same programme, have built an app called 'HealthSHIP' that connects up medical students who want to help out with healthcare professionals who need an extra pair of hands.
On the heels of a global pandemic, we have all been asked to quickly adapt to our new surroundings – in most cases our living room – and to carry on with delivering quality education. For many of us, this means scrambling to make our once classroom-based educational materials online-ready for the first time.
Where do we begin?
Dr. Erin Macri joins Dr. Jackie Whittaker in this BJSM episode to share tips and tricks for both delivering and receiving effective, high quality online education. Dr. Whittaker has delivered online university-level education for over six years, and her experience and insight are invaluable during these difficult times.
For a list of resources please visit the BJSM blog:
https://blogs.bmj.com/bjsm/2020/04/05/educators-in-a-dangerous-time-effective-online-healthcare-education-with-dr-jackie-whittaker/
In this special episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Umesh Gidwani, an intensivist from Mount Sinai Hospital, New York. They discuss the ongoing Covid-19 crisis, PPE, cardiac complications and more. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link: https://www.mountsinai.org/profiles/umesh-k-gidwani
For the next few months Talk Evidence is going to focus on the new corona virus pandemic.
There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treatment options, things we shouldn't be doing.
We're going to try to get away from the headlines and talk about what we need to know - to hopefully give you some insight into these issues.
This week
3.50 - There is a lot of confusion around symptoms, we hear what Carl's review of the case studies has found, and why he thinks fever and persistent dry cough may not be a sign of all cases.
10.30 - where are we with research into antiviral treatment
17.30 - John Ioannidis has expressed concerns about the quality data used in modelling and therefore our pandemic response. We hear what his concerns are, and what needs to be done to answer them.
29.10 - Iceland is the only country attempting to do population level screening, we hear from Kári Stefánsson, CEO of deCODE genetics which is working with the Icelandic government to allow everyone to access testing for the virus.
In this Podcast, our Editor-in-Chief, Dr. Pedro T Ramirez outlines the options for management of patients with gynecologic cancers during the global crisis of COVID-19.
Reports from Italy, and more recently from the U.S. show the strain the healthcare system is under during this pandemic.
We know that staff will step up in an emergency, but this isn’t a fire or a bombing, this is going to last for months. So how can organisations be proactive in supporting staff, and how can leaders try to mitigate the inevitable burnout.
In this podcast, Michael West, professor of organisational psychology at Lancaster university, and author of the GMC report “Caring for doctors, caring for patients” joins us to talk about what compassionate leadership looks like in a time of covid-19.
Resources www.bmj.com/coronavirus www.bmj.com/wellbeing www.bmj.com/podcasts
https://www.gmc-uk.org/-/media/documents/caring-for-doctors-caring-for-patients_pdf-80706341.pdf
The Covid-19 pandemic is currently active all over Europe and especially in Italy. In this podcast Anna Berghof discusses with Matteo Lambertini - Department of Medical Oncology, U.O.C. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, Italy - the difficulties of cancer treatment during this pandemic. Read the editorial: https://esmoopen.bmj.com/content/5/2/e000759
In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Sarah Hudson, a cardiology trainee from Bristol, UK. They discuss Sarah's blog post that can be found below. Read the blog post: https://blogs.bmj.com/heart/2020/03/17/cardiologists-and-coronavirus-looking-after-ourselves-and-each-other-so-we-can-continue-to-look-after-patients/ If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
This edition of talk evidence was recorded before the big increase in covid-19 infections in the UK, and then delayed by some self isolation. We'll be back with more evidence on the pandemic very soon.
As always Duncan Jarvies is joined by Helen Macdonald (resting GP and editor at The BMJ) and Carl Heneghan (active GP, director of Oxford University’s CEBM and editor of BMJ Evidence).
in this episode (1.01) Helen talks about variation in prescription of opioids - do 1% of clinician really prescribe the vast majority of the drug?
(8.45) Carl tells us that its time papers (in this case a lung screening one) really present absolute numbers.
(17.30) Carl explains how a spoonfull (less) of salt helps the blood pressure go down
(21.25) Helen puts test results under a microscope, and finds out that they may vary.
(33.20) What do conflicts of interest in tanning papers mean for wider science?
(48.05) Carl has a "super-rant" about smartphone apps for skin cancer - and a sensitivity of 0.
Reading list: Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study https://www.bmj.com/content/368/bmj.l6968
Reduced Lung-Cancer Mortality with Volume CT Screening in a Randomized Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1911793
Effect of dose and duration of reduction in dietary sodium on blood pressure levels https://www.bmj.com/content/368/bmj.m315
Your results may vary: the imprecision of medical measurements https://www.bmj.com/content/368/bmj.m149
Association between financial links to indoor tanning industry and conclusions of published studies on indoor tanning: systematic review https://www.bmj.com/content/368/bmj.m7
Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies https://www.bmj.com/content/368/bmj.m127
How do diseases like coronavirus get their start? How does pollution affect the microbiome? Dr. Annamaria Carusi, who was as an academic in medical humanities for several years and is now a private consultant doing social studies of science for policy formation, addresses the way humans and environments interact. In this conversation with Medical Humanities Editor-in-Chief Brandy Schillace, she also discusses our need to take a wider view of disease vectors.
In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Karen Stout who is leading the clinical cardiology care for COVID patients in Seattle. They discuss how she has prepared for this pandemic in terms of staffing her teams, aggressively testing patients for COVID and triaging routine workload across several hospitals in that city. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Jonathan Davis talks to Professor Yuan Shi - Department of Neonatology, Chongqing Medical University Affiliated Children's Hospital, China, who recently published recommendations for pregnant and new born babies in suspected infection with Covid-19. They also discuss what signs to look out for in patients. Read the letter on the on the ADC website (https://fn.bmj.com/content/early/2020/03/04/archdischild-2020-318996). It was accepted on February 20, 2020 and first published March 4, 2020.
We're taking a break from the usual Talk Evidence to focus on the new corona virus that has emerged in China.
With a brand new disease, we have to build our evidence base from scratch - basic virology, epidemiology, pathogenicity, transmissibility, and ultimately treatment are all unknowns.
In this episode of Talk Evidence, we're trying to get away from the headlines and talk about what we need to know - to hopefully give you some insight into these issues.
(8.00) Peter Openshaw, professor of experimental medicine at Imperial College London, talks to us about the pathogenicity of covid-19
(17.30) Wendy Barclay, head of the Department of Infectious Disease at Imperial College London, describes what can change the R0 of a viral disease.
(20.50) Raina MacIntyre, professor of biosecurity at the Kirby Institute at the University of New South Wales, talks to us about how effective masks are at preventing spread of viruses.
(30.00) We discuss treatment options in the face of massive uncertainty.
To read more about covid-19 and to keep up to date with the disease visit https://www.bmj.com/coronavirus where all of the information on the disease if freely available.