In part 1 @CleoKenington, ASGBI lead for Sustainability, told us about the huge problem healthcare has with greenhouse emissions and what to do about improving pathways to minimise healthcare impact, In this eposode Cleo tell us what each of us can do once the patient gets to theatre. Practical solutions for all surgeons to embrace. Be part of the solution! Useful links: Resources for how to offer lifestyle advice to prevent disease: http://makingeverycontactcount.co.uk/training/healthy-lifestyl...
May 30, 2021•16 min•Ep. 168
In the UK, the National Health Service accounts for 5.4% of the carbon emissions for the whole country! Surgery accounts for 5-10% of this total. The target is an 80% reduction in greenhouse emissions by 2028. Find out what's going on and what you and your unit can do to save slow global warming in this podcast by @CleoKenington, Emergency Surgeon and ASGBI lead for sustainability. This is everyone's problem - be part of the solution! Links to helpful sites below: Resources for how to offer life...
May 30, 2021•17 min•Ep. 168
All you need to know about investigation and treatment of this common and serious condition. Indications for pneumatic or hydrostatic reduction, plus operative intervention and complications are all covered. There are fantastic, beautifully handwritten notes to accompany both podcasts that you can download here: https://drive.google.com/file/d/1BTNoeYe-csn0X2mTsb3rGJ38o5KKyQdy/view?usp=sharing Shalinder Singh is a consultant in Paediatric Surgery in Nottingham, UK, and David Kiely is a trainee i...
Mar 31, 2021•14 min•Ep. 167
David Kiely asks Shalinder Singh about intussusception, a common and serious cause of abdominal pain in children aged 3 months to 3 years. This podcast covers all you need to know about the incidence, history and examination of intussusception. Part 2 covers investigation and treatment. Accompanying notes can be downloaded from here https://drive.google.com/file/d/1BTNoeYe-csn0X2mTsb3rGJ38o5KKyQdy/view?usp=sharing
Mar 31, 2021•13 min•Ep. 167
You'll need to operate on about 1/3 patients with SBO. Matt Lee tells you what approach is best and when, and how to look after your patients after the operation Matt Lee is Clinical Lecturer in Surgery at the University of Sheffield and a recognised leader in the management of SBO
Mar 27, 2021•7 min•Ep. 166
Who's going to settle with drip and suck and who isn't? Matt Lee tells you how to tell, who to operate on and when and not to forget that patients with small bowel obstruction need feeding! Further reading: https://bmjopen.bmj.com/content/9/7/e029235.abstract
Mar 27, 2021•7 min•Ep. 167
Once you've diagnosed small bowel obstruction, Matt Lee tells us the best initial management Matt Lee is Clinical Lecturer in Surgery at the University of Sheffield and a world expert in small bowel obstruction
Mar 27, 2021•16 min•Ep. 166
Matt Lee talks about causes of small bowel obstruction, important points in the history and examination. Matt Lee (@wannabehawkeye) is a Clinical Lecturer in Surgery at the University of Sheffield
Mar 27, 2021•13 min•Ep. 166
If the National Audit of Small Bowel Obstruction was a car, Matt Lee is the engine and most of the other moving parts. In this podcast Matt (@wannabehawkeye) talks about NASBO and its main findings and recommendations. Further reading here: https://academic.oup.com/bjsopen/article/3/3/354/6060819
Mar 27, 2021•6 min•Ep. 165
All you need to know about the management of this complex abdominal wall defect of the newborn. Similar to but different from exomphalos (listen to our other episode on that condition). With David Kiely and Shalinder Singh
Oct 27, 2020•14 min
All you need to know about the management of this complex abdominal wall defect of the newborn. With David Kiely and Shalinder Singh
Oct 17, 2020•18 min
Learn about pre-operative resuscitation and operative management of pyloric stenosis. Essential listening for anyone who is learning to operate on children. With David Kiely and Mike John.
Sep 10, 2020•8 min
All you need to know about the aetiology, history, examination and investigation of pyloric stenosis. Essential listening for anyone who treats children, be you surgeon, paediatrician, ED doctor or GP/family doctor. With David Kiely, Mike John and those squeaky chairs again
Sep 10, 2020•14 min
All you need to know about management of the acute scrotum in children. With David Keily, Mike John and 2 squeaky chairs!
Sep 05, 2020•16 min
All you need to know about the diagnosis and management of hydrocoele in children. How it is different from hydrocoeles in adults and the central importance of the processus vaginalis, differential diagnosis, investigations and treatment are all covered. Special cases of hydrocoele of the Canal of Nuck and the abdomino-scrotal hydrocoele are also covered, as well as the acute hydrocoele and implications. In addition, learn about the fantastically named "spring back balls sign"! With David David ...
Aug 28, 2020•15 min
In part 2 of this podcast learn how to deal with emergency presentations of inguinal hernia in children, top tips on how to reduce an inguinal hernia in children, indications and timing of surgery and what to tell parents. Operative approach and special considerations for females with inguinal hernia are also discussed. Essential listening for trainees in paediatric surgery and emergency department doctors. David Keily is a trainee in paediatric surgery in the East Midlands, UK, and Shalinder Si...
Aug 22, 2020•44 min
Inguinal hernias are one of the most common conditions in paediatric surgery and this podcast is essential listening for anyone dealing with hernais in children in primary of secondary care. How paediatric hernias different are from adult hernias, predisposing factors for hernia and the central importance of the patient processus vaginalis are discussed, along with presentation, tricks to aid diagnosis in children and the differential diagnosis of lumps on the groin of a child. Complications of ...
Aug 22, 2020•9 min
Now you know how much fluid to give, Shalinder Singh tells David Keily what fluid to use and why in a range of settings from trauma to pyloric stenosis to maintenance fluids in children. When and why to use crystalloid or colloid is explained. Side effects of using the wrong fluids are also covered, including acid/base balance problems and ARDS. Essential listening for anyone prescribing IV fluids for children. David Keily is a trainee in paediatric surgery in the East Midlands, UK, and Shalinde...
Aug 09, 2020•15 min
Prescribing fluids in paediatric surgical patients can be daunting. This podcast tells you easy to remember ways of recognising the degree of fluid loss, why signs like diastolic hypertension are important and a method of calculating how much fluid to prescribe whatever the age of your patient. David Keily talks to Shalinder Singh about dehydration, on going fluid loss and maintenance fluids in children. After this podcast you will never be daunted again. David Keily is a trainee in Paediatric S...
Aug 09, 2020•13 min
How to recognise and interpret a normal ECG, with Dr. Julia Baron. All you need to know
Feb 03, 2019•7 min
Third podcast in the ECG series this is an easy to follow, step by step way to recognise and interpret ECGs (EKGs) in acute coronary syndromes, ST-elevation myocardial infarction, and non ST-elevation myocardial infarction. Dr. Julia Baron's legendary teaching captured in a podcast
Feb 02, 2019•17 min
All you need to know about the treatment of haemorrhoids with Professor Steve Brown, the brains behind the HubBLe trail. Definitions, conservative, outpatient and operative treatments in standard and special situations are covered, and the evidence for each. Steve also tells us why we should use the same outcome parameters in future trials in haemorrhoids
Jan 25, 2019•19 min
Helen Mercer shows Jon Lund how to scrub and put on gloves and a gown for an operation. Essential viewing for medical students and nursing students
Jan 20, 2019•8 min
Learn the basics of the ECG - why it looks like it does, how each of the chest and limb leads "look at" the heart, what the P, Q R, S and T waves represent in the heart itself and how to work out the axis of the ECG amongst a load of other essential basics you need to know before you can begin to interpret an ECG further. Hannah Phillips talks to Julia Baron, Consultant Cardiologist at the Royal Derby Hospital, UK
Oct 20, 2018•5 min
Recorded at the International Conference of Anal Fistula Treatment in Rome 2018, Techniques in Coloproctology interview Phil Tozer, a consultant at the world famous St Mark's Hospital, UK about current treatments for anal fistula. Phil takes us through why not to place a seton in the acute setting, the 5 factors preventing healing of fistulas, and the pros and cons of the whole range of fistula treatment including plugs, fibrin glue, permacol, LIFT, the place of sphincter repair, restoring the c...
Jul 24, 2018•24 min
Professor Susan Anderson helps you recognise and understand the similarities and differences between the microscopic appearances of skeletal, cardiac and smooth muscle. All you need to know. Susan Anderson is Professor of Pathology at the University of Nottingham, UK
Jun 16, 2018•7 min
Professor Susan Anderson shows you the microscopic structure of the largest organ in the body - the skin. All you need to know about the structure and the cells of the skin and associated glands and hairs. Great for learning, revising for exams or if you're just interested to see what you look like down the microscope
Jun 09, 2018•7 min
Professor Susan Anderson shows us what the layers of cells that cover our outsides and our insides look like down the microscope. Learn how to recognise each type of epithelium and why they need to be different. Also learn the suprising meaning of the word epithelium...
Jun 03, 2018•8 min
Take a microscopic tour down the urinary tract from the kidney to the bladder with Professor Susan Anderson. See the unique transitional cell epithelium and the muscular arrangement of the organs. All you need to know for exams or to amaze your friends.
Jun 02, 2018•6 min
Susan Anderson shows you the layers of the kidney, and how the function of the kidney depends on its microscopic anatomy. SHe takes you on a tour of the glomerulus, Bowman's capsule, the juxtaglomerular apparatus, loop of Henle and the collecting ducts, telling you all you need to know about the structure and cell types involved. Susan Anderson is Professor of Pathology at the University of Nottingham
May 31, 2018•9 min