BMJ Best Practice Podcast

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.

Tension-type headaches can be either episodic or chronic. They are rarely disabling or associated with any significant autonomic phenomena, thus patients do not usually seek medical care and usually successfully self-treat. Unlike migraine, there is no significant nausea, no vomiting, and a lack of aggravation by routine physical activity.
In this podcast Mark Green, Professor of Neurology, Anesthesiology and Rehabilitation Medicine, Director of Headache and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, gives a clinical overview of the condition.
For more on tension headache, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/12
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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.

Rheumatoid arthritis is a chronic, erosive arthritis that requires early and aggressive treatment.
In this podcast, Yusuf Yazici, Clinical Associate Professor of Medicine, New York University School of Medicine, gives us a clinical overview of the condition.
For more on rheumatoid arthritis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/105
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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.

Osteoporosis is a complex skeletal disease characterised by low bone density and micro-architectural defects in bone tissue, resulting in increased bone fragility and susceptibility to fracture.
In this podcast, Opinder Sahota, Professor of Orthogeriatric Medicine & Consultant Physician, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, gives a clinical overview of the condition.
For more on osteoporosis, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/85
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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.

Suicide is not inevitable. Most people experiencing suicidal thoughts are ambivalent about dying but may be unable to imagine other potential solutions. With the right support people can find their way through a suicidal crisis and recover.
In this podcast, Alys Cole-King, Clinical Director 4Mental Health and Consultant Liaison Psychiatrist, Glan Clwyd Hospital, Wales, talks us through managing those with suicidal thoughts, and why we need a paradigm shift in suicide risk assessment that moves away from ‘characterising, predicting, and managing risk’ towards ‘compassion, safeguarding, and safety planning’.
For more on suicide risk management, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1016
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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.

Adult attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder presenting with inattentiveness, impulsivity, and hyperactivity, persisting into adulthood.
It is characterised primarily by inner restlessness rather than hyperactivity; impatience; sensation seeking and excessive spending rather than impulsivity; inattention; and functional impairment with underachievement and disorganisation.
Marios Adamou, Consultant Psychiatrist, South West Yorkshire NHS Partnership Foundation Trust, University of Huddersfield gives us a clinical overview of the condition.
For more on ADHD in adults, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/814
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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.

Postnatal depression refers to a depressive illness following childbirth and may form part of a unipolar or, less frequently, a bipolar illness.
Ian Jones, Professor of Psychiatry, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, gives us an overview of the condition.
For more on postnatal depression, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/512
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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.

Hypertension is a common disorder that affects a large proportion of the community. It is usually asymptomatic and is detected on routine examination or after the occurrence of a complication such as a heart attack or stroke.
In this podcast Gregory Lip, Price-Evans Professor of Cardiovascular Medicine, University of Liverpool, UK, and Senior Investigator, National Institute for Health Research, UK, gives up an overview of the condition.
For more on hypertension, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1071
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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.

Heart failure is a complex clinical syndrome resulting from the impaired ability of the heart to cope with the metabolic needs of the body, resulting in breathlessness, fatigue, and fluid retention.
Approximately half of patients with heart failure have normal, or near-normal, left ventricular ejection fraction and are classified as having heart failure with preserved ejection fraction.
Gerald Carr-White, Consultant Cardiologist, Guys and St Thomas’ NHS Foundation Trust, UK, gives us an overview of the condition.
For more on heart failure with preserved ejection fraction, see BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/953
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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.

Crimean-Congo haemorrhagic fever (CCHF)is a notifiable condition, and outbreaks have occurred in Asia, Africa, and Southeast Europe.
It resents as a sudden-onset, severe illness with initial influenza-like symptoms, red eyes, and petechiae leading to signs of haemorrhage around day 4.
In this podcast, Tom Fletcher, Wellcome Trust/MoD Research Fellow, Liverpool School of Tropical Medicine, UK, gives us a clinical overview of the virus.
For more on CCHF see BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1606
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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.