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CotEcast

Association for Elderly Medicine Educationwww.aeme.org.uk
CotEcast (Care of the Elderly podcast) is for clinicians who look after older patients. Entertaining discussion, debate, analysis and interviews related to Geriatric and General Medicine. Produced by AEME, the Association for Elderly Medicine Education. Presented by Dr Mark Garside & Dr Peter Brock
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Episodes

“Ask the Expert…..Stroke Series”: Haemorrhagic stroke

Welcome to the latest episode in our new CotECast series: “Ask the Expert“. This series delves deeper into some hot topics in geriatrics, with stroke being our first. This is the final episode in our Stroke mini-series and as usual we are bombarding Dr Chris Taylor with all our questions; this time about haemorrhagic stroke.

Jun 23, 202419 min

"Ask the Expert.....Stroke Series": Complications and secondary prevention

Welcome to the fourth episode in our new CotECast series: “Ask the Expert“. This series we will be delving deeper into some of the hot topics in geriatrics and have started with a stroke mini-series! Dr Chris Taylor is back with Jonny and Emma to discuss both the complications that may develop in patients admitted with stroke and secondary prevention.

Apr 02, 202441 minEp. 4

“Ask the Expert…..Stroke Series”: Acute treatment of ischaemic stroke

Welcome to our new CotECast series: " Ask the Expert ". This series we will be delving deeper into some of the hot topics in geriatrics and we are going to be starting with a stroke mini-series! This is the thrid episode in this mini-series and Dr Chris Taylor is back to discuss acute treatment of ischaemic strokes.

Sep 07, 202347 min

"Ask the Expert.....Stroke Series": Imaging

Welcome to the second episode in our new CotECast series: " Ask the Expert ". In this series we will be delving deeper into some of the hot topics in geriatrics and we have started with a stroke mini-series! Today we are joined by Dr Chris Taylor, stroke physician, to discuss imaging in patients with suspected stroke.

Jun 15, 202322 minSeason 1Ep. 2

"Ask the Expert.....Stroke Series": Diagnosis and Assessment

Welcome to our new CotECast series: " Ask the Expert ". This series we will be delving deeper into some of the hot topics in geriatrics and we are going to be starting with a stroke mini-series! Today we are joined by Dr Chris Taylor, stroke physician, to discuss diagnosis and assessment of patients with a suspected stroke. Useful Links: Shake,rattle and roll: The Epley Manoeuvre (and Dix Hallpike) MiniGem: https://www.youtube.com/watch?v=d4XHPWFajQs&t=113s Peter Johns HINTS examination educ...

Apr 24, 202332 minSeason 1Ep. 1

"What we've learnt this week...." Episode 14

Welcome to the fourteenth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! Join Christina, Dilani, Emma and Hannah this week as they discuss an unusual cause of medication related hypernatraemia, CT head scans as part of delirium work up, FRAX and progressive supranuclear palsy. Useful links this week: FRAX: ...

Jun 04, 202114 min

"What we've learnt this week...." Episode 13

Welcome back to CotEcast! Having had a little break from recording due to Covid-19 the AEME gang are back with the thirteenth episode in the “What we’ve learnt this week…” series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! This week Chris, Christina, Dilani, Hannah and Emma discuss tips for assessing and managing delirium in inpatient and patients at the end...

Mar 22, 202125 min

AEME's top tips for new doctors

Christina, Dilani, Emma and Hannah get together this week to talk about their top tips for the new doctors!

Sep 02, 202016 min

"What we've learnt this week...."Episode 12

Welcome to the twelfth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! This week Chris, Christina, Dilani, Hannah and Emma discuss clues pointing to malabsorptive syndromes, the MUST score, the HALT-IT trial, the short-comings of an erect chest xray and alcohol histories in our older patients!...

Jul 22, 202016 min

CotEcast Reflections on Covid-19

Welcome back to CotEcast! After a bit of a break from recording Chris, Emma, Christina and Dilani are back to reflect on some of the learning points they have taken from away looking after older people during the Covid-19 pandemic. Useful links this week: 1. Covid 19 in the older adult poster BGS website, Dr Lara Mitchell https://www.bgs.org.uk/sites/default/files/content/attachment/2020-06-02/COVID19intheolderadultposterFINAL.pdf 2. Health Education England SupportT digital resources/webinars h...

Jun 14, 202016 min

"What we've learnt this week..." Episode 11

Welcome to the eleventh episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! This week Nick, Christina and Emma discuss causes of vertigo, how to correctly take a bisphosphonate, managing diabetes at the end of life and restless leg syndrome. Useful links: Vertigo: https://www.bmj.com/content/366/bmj.l5215/infogr...

Nov 16, 201919 minEp. 11

"What we've learnt this week"....Episode 10

Welcome to the tenth episode in the "What we've learnt this week..." series. These are short, 15 minute podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on Twitter! This week Nick, Christina and Emma discuss silver trauma. Useful links: https://www.rcem.ac.uk/RCEM/Quality-Policy/Clinical_Standards_Guidance/RCEM_Guidance.aspx?WebsiteKey=b3d6bb2a-abba-44ed-b758-467776a958cd&hkey=862bd964-0363-4f7f-bdab-8...

Oct 08, 201913 minSeason 5Ep. 10

"What we've learnt this week..." Episode 9

Welcome to the ninth episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week Chris, Emma and Vicky are recording during lunch at their regional geriatrics teaching day. They will be discussing myeloma and MGUS; attendance and carers allowance and dual anti platelet therapy in minor stroke and high risk TIAs. Useful lin...

Mar 09, 201911 min

"What we've learnt this week..." Episode 8

Welcome to the 8th episode in the series of "What we have learnt this week...". Tonight Vicky, Emma and Christina talk about UTI guidelines in the over 65s, AF and anticoagulation risk calculators, DOLs and antibiotics in the older patient. Useful links this week: PHE UTI in >65s: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/755890/PHE_UTI_flowchart_-_Under_65_women.pdf CHADsVASc and HASBLED scoring systems: https://www.chadsvasc.org Anticoag...

Feb 10, 201920 minSeason 5Ep. 8

G4J18 Top Tips

The AEME team catch up over a few drinks post G4J 2018 to discuss a few of the top tips we will take away from the conference. Useful links: www.pdmedcalc.co.uk m.youtube.com/watch?v=Lp3pFjKoZl8 www.nuemblog.com/blog/hints

Jan 15, 201910 minSeason 5Ep. 7

"What we've learnt this week....Episode 6"

Welcome to the 6th episode in the "What we've learnt this week" series. Nick and Emma are in Berlin for the European Geriatric Medicine Society International Congress and share some of the top tips they have picked up from the conference. Heard of "prognostic paralysis"? "Theraputic illusion"? Gamification in medical education? We hadn't either! Useful links this week: 1. https://www.jamda.com/article/S1525-8610(17)30130-5/fulltext Morin L, Vetrano DL, Grande G, Fratiglioni L, Fastbom J, Johnell...

Oct 24, 201812 minSeason 5Ep. 6

"What we've learnt this week..." Episode 1

Join Vicky, Pete and Emma in the first of our new series of CotEcasts entitled "What we have learnt this week....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week we discuss a useful analogy for frailty, myth-busting MSUs, a brief review of fluid prescriptions and top tips of managing patients with Parkinson's disease . Useful links: Paper Boats BGS blog a...

Sep 27, 201820 minSeason 5Ep. 1

"What we've learnt this week..." Episode 5

Join Pete, Christine and Emma for the fifth episode in the "What we've learnt this week.." series. We've got some useful tips on iron supplements, urological conditions in the elderly and renal impairment. Let us know your thoughts @ElderlyMedEd

Sep 25, 201816 minSeason 5Ep. 5

"What we've learnt this week....." Episode 4

Welcome to the fourth episode of "What we've learnt this week..." Vicky, Emma and new AEME member Christina discuss confusing C.Diff results, alcohol in the elderly, geriatric trauma and consider the language we use when talking to relatives of patients with dementia. Useful links this week: https://www.nhs.uk/live-well/alcohol-support/calculating-alcohol-units/ https://www.bgs.org.uk/resources/silver-book http://www.heftemcast.co.uk/wp-content/uploads/2015/07/About-HECTOR.pdf https://twitter.co...

Sep 09, 201814 minSeason 5Ep. 4

"What we have learnt this week...." Episode 3

Welcome to the third episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week Chris, Emma, Pete and Nick are discussing steroid therapy in pneumonia; tips for picking up dysphasia; drooling in Parkinson's disease and online tools to aid shared decision making in relation to medication ie. Statin therapy Useful links thi...

Aug 21, 201813 minSeason 5Ep. 3

"What we've learnt this week...." Episode 2

Listen to Pete, Emma and Nick talk through their top tips in the 2nd episode of "What we have learnt this week.....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week we talk about sick day rules; antidepressants in the elderly; potentially inappropriate medications and mobility assessment centres. Useful links this week: Polypharmacy Guidance, Realistic pre...

Aug 13, 201816 minSeason 5Ep. 2

How to make managing your patient's pain less painful!

The AEME gang sit down to discuss the recently updated British Geriatric Society guidelines on the assessment of pain in the older patient. Discussion topics: 1. Do we assess pain in the older patient well? If not, why not?! 2. What are the barriers to eliciting a good pain history? 3. What analgesics should you start and how? 4. Are there any non-pharmacological options for pain relief out there? Our CotEcast Commandments: 1. Do not think pain is part of the normal ageing process 2. Remember to...

Jul 02, 201818 minSeason 4Ep. 6

OPMentor CotECast

The whole AEME team get together to discuss progress with our OPMentor scheme. If you want to find a mentor in your area then check out our website at http://aeme.org.uk/opmentor . If you are interested in becoming a mentor sign up at http://aeme.org.uk/opmentor/application .

Mar 18, 201810 minSeason 4Ep. 5

'Med Reg' Revisited

Vicky, Pete, Nick and Emma talk about the realities of being the med reg on-call – it’s not as bad as you think! We also discuss different reasons for going out of programme during geriatric training. Let us know your thoughts! Join in the discussion online using the hashtag # cotecast Links: https://www.copmed.org.uk/publications/the-gold-guide https://www.rcpe.ac.uk/college/journal/being-med-reg-exploration-junior-doctors-perceptions-medical-registrar-role...

Feb 08, 201836 minSeason 4Ep. 4

Geriatrics for Juniors 2017: Post conference COTEcast

Pete and Nick are joined by AEME founder Mark Garside and long term AEME friend Zoe Wyrko. At the end of the conference they reflect on Geriatrics for Juniors 2017 including what they learnt from the day.

Nov 06, 201712 minSeason 4Ep. 3

Academic training in Geriatrics

Pete and Nick are joined by Claire McDonald and Sarah Richardson who are both academic geriatricians. Together, they talk about how to get into academic work and research within geriatrics including academic clinical fellow posts.

Aug 28, 201722 minSeason 4Ep. 2

Polypharmacy for junior doctors

Pete and Nick are joined by geriatric registrars Emma and Chris. In this COTEcast we are tackling the issues around polypharmacy in the elderly. We discuss why it is a problem and how to manage it. We also offer some tips for junior doctors who are starting new jobs soon on how to approach a patient with polypharmacy. Links: STOPP/START tool: https://www.networks.nhs.uk/nhs-networks/nhs-cumbria-ccg/medicines-management/guidelines-and-other-publications/Stop%20start%20pdf%20final%20Feb%202013%20v...

Jul 26, 201720 minSeason 4Ep. 1

Technology in Medical Education

"Nick and Mark are joined by Lewis Potter, founder of geekymedics.com. Together they talk about the pros and cons of technology in medical education as well as the future of technology based learning. Lewis also tells us what geekymedics.com has to offer" Links: 1. www.geekymedics.com 2. http://conferences.ncl.ac.uk/thedarkside/ : The dark side of technology in medical education...

Jun 05, 201722 minSeason 3Ep. 6

Reflections from the British Geriatrics Society Spring conference

Pete, Vicky and Nick are live at the British Geriatrics Society Spring Conference and are joined by ACCS acute medicine trainee Lily Shevlin. They discuss what they have learned from the conference, important topics such as DNACPR forms and treatment escalation plans, fears of being the medical registrar and how to attract more junior doctors to the field of geriatric medicine.Links: 1. Recommended Summary Plan for Emergency Care and Treatment (RESPECT) http://www.respectprocess.org.uk/ 2. Our C...

May 08, 201727 minSeason 3Ep. 5

Inpatient management of Patients with Cognitive Impairment

Nick is joined by consultant geriatrician with a specialist interest in dementia and delirium Emily Lyon, and geriatric registrar Jude Randall. Together they discuss how to improve the management of inpatients with dementia as well as how to spot delirium and manage acutely agitated patients.

Apr 03, 201713 minSeason 3Ep. 4
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