BMJ Best Practice Podcast

Assessment of chest pain

Chest pain is a common chief complaint. It may be caused by either benign or life-threatening aetiologies and is usually divided into cardiac and non-cardiac causes.
James E. Brown, Professor and Chair, Wright State University Boonshoft School of Medicine, Kettering, Ohio, gives us an overview of assessing chest pain in the emergency setting.
For more on assessing chest pain, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/301
-
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.

Covid-19 update: Cardiovascular disease, testing, social distancing and shielding, and dexamethasone

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
-
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.

Anorexia nervosa

Patients with anorexia nervosa typically have low body weight, intense fear of gaining weight, and a body image disturbance.
In this podcast Evelyn Attia, Professor of Psychiatry, Columbia University and Weill Cornell Medical College, New York, gives a clinical overview of the condition.
For more on anorexia nervosa, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/440
-
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.

Covid-19 update : Osteoporosis, migraine, HIV, venous thromoembolism

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

Covid-19 update: CKD, interstitial lung disease, testing for healthcare workers

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

Schizophrenia

Schizophrenia onset is usually in early adulthood and may be preceded by years of ill-differentiated symptoms, from behavioural changes and delusions to frank psychosis.
Initially, patients are usually referred by family members. As the illness progresses, patients tend to self-refer or are brought in by a case manager or law enforcement officer.
Antipsychotic therapy and psychosocial interventions are effective for most patients, but to varying degrees.
Adrian Preda, Professor of Clinical Psychiatry, Department of Psychiatry and Human Behavior, University of California, Irvine School of Medicine, tells us more about the condition.
For more on schizophrenia, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/406
-
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.

Covid-19 update: Covid toes, CPR, newborn care

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

IBS

Irritable bowel syndrome symptoms include recurrent abdominal pain or discomfort that is associated with a change in stool frequency or form. The pain or discomfort may be relieved by defecation.
Ned Synder, Chief of Gastroenterology and Hepatology, Kelsey-Seybold Clinic and Clinical Professor of Medicine, Baylor College of Medicine, Houston gives us an overview of the condition.
For more on IBS, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/122
-
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.

Covid-19 update: Routine immunisation, thromboembolism, contact tracing, mental health

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
-
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.

Atrial fibrillation

Atrial fibrillation is chaotic and irregular atrial arrhythmia, the prevalence of which increases progressively with age. It causes significant morbidity and death. Many patients are asymptomatic or have symptoms that are less specific for cardiac arrhythmias, such as mild dementia or silent strokes.
Gregory Lip, Price-Evans Chair of Cardiovascular Medicine, University of Liverpool, gives us an overview of the condition.
For more on atrial fibrillation, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1
-
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.