#40 JournalChat: Clearing COVID Clots and D-dimer Decisions
We catch up with Haematology Professor, Beverley Hunt OBE, to discuss our last Round Up's key articles. Including:
Do we REALLY believe the idea that we should give treatment dose anticoagulant to moderate Covid but a prophylactic dose to patients in ICU?
Therapeutic Anticoagulation with Heparin in Critically Ill Patients with Covid-19 | NEJM
Should we be using D-dimers in pregnancy?
D-dimer to rule out venous thromboembolism during pregnancy: A systematic review and meta-analysis
The DiPEP study
And are age-adjusted D-dimers the way to go?
Multi-center implementation of automated age-adjusted D-dimer results reduces unnecessary PE imaging
Prof Richard Smith on the Carbon Cost of Research and Healthcare
Trying to keep up with the medical literature but you are too busy considering whether not driving to work for the environment might mean you could ward round from home today?
Your ears are in the right place.
Today's interview is with the awesome Professor Richard Smith, author of Lancet article:
A strategy to reduce the carbon footprint of clinical trials
👉 Love Island bodies
👉 Richard's career
👉 UK health Alliance and their work: their global editorial,
👉 What is the issue with Clinical Trials?
👉 What do we need to aim for in healthcare?
👉 Where we are at
👉 What we need to do - as an organisation and as individuals
Also check out his brilliant blogs:
#38 Journal Round Up
Summer Review ft. Dr. Dave Mcreary
Jon & Barney are joined by Dr. Dave McCreary all the way from Australia. Dave runs the RCEM podcast and joins JournalSpotting to bridge the chasm between A&E and medics and share some evidence-based pearls.
👉 Why COVID is still *****
👉 How does the delta variant present and does my microchip work?
👉 Have we figured out how to anticoagulate in COVID-19?
👉 More evidence for age-adjusted D-dimers?
👉 Do you use D-Dimers in Pregnancy?
👉 Do we still need to create arbitrary bridging protocols for surgery?
👉 Is that double shot espresso really causing your patients AF?
👉 How effective is smoking cessation at improving lung cancer survival?
👉 Does smoking cessation improve mental health symptoms?
👉 Can an app save my back pain?
👉 Which central line is safest for chemo?
👉 Kiwis for constipation
👉 Is this podcast making me any smarter?
Why Climate Change is a Health Crisis & A Healthcare Crisis.
Welcome to after the summer break!
LJ, Katia, Barney, and Jon kick off a new series and get their teeth stuck into the link between climate change and health.
In this introduction episode we bring you up to speed with what climate change what climate change actually is and why its a health problem.
- What is climate change
- Why is climate change a health crisis?
- What is the role of healthcare professionals?
- What is the role of the health service (in particular the NHS)?
✏️ Key links:
- Lancet Countdown on health and climate change
- Costello & Montgomery paper on the role of healthcare professionals
- The sustainable physician & Sustainability in quality improvement by Frances Mortimer
- Greener NHS: Delivering a Net Zero Health Service
- Views of health care professionals on climate change and health: a multinational survey study
Featuring: Dr. Laura Jane, Dr. Katia Florman, Dr. Jonathan Hudson, and Dr. Barnaby Hirons.
#36 Journal Round Up
In this bumper episode, Jon and Barney are joined by the RCP podcast superstar Dr Amie Burbridge as we digest the key practice changing articles from the last month or so.
Listen to the end to change how you view ventilation, and bums, forever.
👉To LP or not when suspecting SAH with a normal CT?
👉Good news with new Malaria vaccine.
Recovery - Tocilizumab and Convalescent Plasma.
Methlypred vs Dexamethasone.
👉Risk of malignancy with CT abdomen.
👉Finally a shorter TB course?
👉Nursing ratios reducing mortality.
👉Haemoglobin levels vs position .
👉Sleep and risk of depression.
👉Anal oxygen delivery (yes, really).
✏️ Show notes & bibliography