Old Tricks for New Dogs

CotEcast #1 - Shownotes

Title: Old Tricks for New Dogs

Date: Mon 14th July

Host(s): Mark Garside, James Fisher, Pete Brock

Guest(s): Sean Ninan

Opening Question: Which fictional doctor would you most like to be?

Main Topic: Top tips for new doctors dealing with older patients

Discussion Points:

Each participant to identify one ‘top tip’ and one ‘pet hate’ (inc. how to avoid doing it)

James

• Pet Hate: "As far as I'm aware"
• Top Tip: Rule of 'stuff'
  • Know your stuff
  • Give a stuff
  • Take no stuff and
  • Remember, that despite all of this, stuff happens...

Pete

• Pet Hate: Fluids - too much or too little
• Top Tip: There is always something you can do to help a delirious patient

Sean

• Pet Hate: Unfounded diagnosis of UTI
• Top Tip: Get to know your patients

Mark

• Pet Hate: No collateral hx from confused pts
• Top Tip: Open questions, and give time to answer (eg. How are your waterworks/Tell me about your bowels, rather than 'Have you got any problems with') - Remember to ask this in the systemic enquiry

Top Three ‘CotEcast comandments':

1. Don't diagnose UTI without good evidence
2. Remember the rule of 'stuff'
3. If you don’t know, ask!

References, links and resources:

• Sean's blog post - http://sean9n.wordpress.com/
• BGS blog on 'Geriatrician's Profanisaurus' - http://britishgeriatricssociety.wordpress.com/2013/12/23/the-geriatrics-profanisaurus-words-and-phrases-we-should-ban/#more-1954
• Failed Care Pathway (video) - http://www.youtube.com/watch?v=Fj_9HG_TWEM&sns=tw
• 'Myths and MSUs' Mini-GEM - http://www.youtube.com/watch?v=JPzz6fcmxoI
  Delirium Mini-GEM - http://www.youtube.com/watch?v=1iKe-6lc5b0
• NICE IV Fluid guidelines - http://www.nice.org.uk/guidance/CG174

Twitter handles:

• AEME: @ElderlyMedEd
• Mark: @garside80
• James: @drjimbofish
• Pete: @petebrock7
• Sean: @sean9n

Email cotecast@aeme.org.uk with comments, questions, suggestions