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BMJ Best Practice Podcast

The BMJ Best Practice podcast publishes interviews with clinical experts, aimed at healthcare professionals and students with an interest in keeping up to date with the latest scientific developments, evidence-based medicine and guidelines. BMJ Best Practice is ranked one of the best clinical decision support tools for health professionals worldwide.* Structured around the clinical workflow and updated daily, BMJ Best Practice uses the latest evidence-based research, guidelines and expert opinion to offer step-by-step guidance on diagnosis, prognosis, treatment and prevention.bestpractice.bmj.com*Kwag KH, González-Lorenzo M, Banzi R, Bonovas S, Moja L. Providing Doctors With High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information SummariesThe 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.

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Covid-19 update: Covid toes, CPR, newborn care

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.Matt Castleden covers dermatological manifestations of covid-19.Emma Scott discusses the latest guidance on CPR.And Abigail Davis talks about advice for newborn care.For more, see:BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/.html?moduleId=10065100International Liaison Committee on Resuscitation: ilcor.org/covid-19Interim Guidance for Life Support for COVID-19 (from the US): ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.120.047463 Resuscitation Council UK Statements on COVID-19 (Coronavirus), CPR and Resuscitation: resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/ Royal College of Paediatrics and Child Health Guidance for Neonatal Care: rcpch.ac.uk/resources/covid-19-guidance-neonatal-settingsResuscitation Council UK COVID-19 resources Newborn Life Support: resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/covid-19-resources-nls/ American Academy of Pediatrics Managements of Infants born to Mothers with COVID-19: downloads.aap.org/AAP/PDF/COVID%2019%20Initial%20Newborn%20Guidance.pdf

10mins

14 May 2020

Rank #1

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Hypertension

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-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.

20mins

15 Jan 2020

Rank #2

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Atrial fibrillation

Atrial fibrillation is chaotic and irregular atrial arrhythmia, the prevalence of which increases progressively with age. It causes significant morbidity and death. Many patients are asymptomatic or have symptoms that are less specific for cardiac arrhythmias, such as mild dementia or silent strokes.Gregory Lip, Price-Evans Chair of Cardiovascular Medicine, University of Liverpool, gives us an overview of the condition.For more on atrial fibrillation, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1-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.

22mins

30 Apr 2020

Rank #3

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Crohn's disease

Crohn's disease is a condition is a disorder of unknown aetiology, with common presenting symptoms including chronic diarrhoea, weight loss, and right lower quadrant abdominal pain mimicking acute appendicitis.Georgia Woodfield, SpR in Gastroenterology and General Medicine, Imperial College Healthcare NHS Trust, gives us an overview of the condition.For more on Crohn's disease, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/42-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.

16mins

31 Oct 2019

Rank #4

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Influenza

Characterised by upper and lower respiratory tract symptoms of rhinorrhoea, cough, fever, chills, headache, and myalgia, influenza can occur in local community outbreaks, epidemics, and, rarely, pandemics.Kanta Subbarao, Director of the WHO Collaborating Centre for Reference and Research on Influenza, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia, gives us a clinical overview of the infection.For more on influenza, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/6-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.

16mins

18 Oct 2019

Rank #5

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IBS

Irritable bowel syndrome symptoms include recurrent abdominal pain or discomfort that is associated with a change in stool frequency or form. The pain or discomfort may be relieved by defecation.Ned Synder, Chief of Gastroenterology and Hepatology, Kelsey-Seybold Clinic and Clinical Professor of Medicine, Baylor College of Medicine, Houston gives us an overview of the condition.For more on IBS, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/122-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.

14mins

14 May 2020

Rank #6

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Rheumatoid arthritis

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-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.

14mins

6 Apr 2020

Rank #7

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Nephrolithiasis

Jodi Antonelli, Assistant Professor, Department of Urology, University of Texas Southwestern Medical Center, gives us a clinical overview of nephrolithiasis.For more on nephrolithiasis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/225-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.

19mins

7 Aug 2019

Rank #8

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Anthrax

Anthrax is a rare infection caused by the spore-forming, gram-positive soil organism Bacillus anthracis . Cutaneous disease is the most common manifestation; however, fatal systemic illness due to spore ingestion, inhalation, or injection can occur.In this podcast Ali Hassoun, Infectious Disease Specialist, Alabama Infectious Diseases Center, USA, gives us a clinical overview of anthrax.For more on anthrax, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/604-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.

11mins

21 Aug 2019

Rank #9

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Malaria

Ron Behrens, Consultant in Tropical and Travel Medicine, Hospitals for Tropical Diseases and Senior Lecturer, London School of Hygiene and Tropical Medicine, gives us a clinical overview of malaria.For more on malaria visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/161-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.

24mins

12 Sep 2019

Rank #10

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Heart failure, with preserved ejection fraction

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-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.

14mins

2 Jan 2020

Rank #11

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ADHD In adults

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-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.

17mins

12 Feb 2020

Rank #12

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Coeliac disease

Coeliac disease is common, affecting up to 1% of the general population, and has a varied presentation.Matthew Kurien, Senior Clinical Lecturer and Honorary Consultant Gastroenterologist, Department of Infection, Immunity & Cardiovascular Disease, Sheffield Medical School, gives us a clinical overview of the disease.For more on coeliac disease, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/636-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.

17mins

14 Aug 2019

Rank #13

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Covid-19 update: PPE, covid-19 in children, palliative care, perinatal care

In our new weekly podcast, Kieran Walsh, clinical director at BMJ, asks editors from BMJ Best Practice and BMJ Learning to summarise how clinical guidance is changing in response to covid-19.Matt Castleden discuss the latest advice on PPE and testing, and also an alert on an acute, atypical presentation of covid-19 in children.Abigail Davis summarises advice on palliative care, and on IBD.And Emma Scott covers guidance on perinatal care.For more, please see:BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/resume-module.html?Paediatric Intensive Care Society statement: Increased number of reported cases of novel presentation of multisystem inflammatory disease: picsociety.uk/wp-content/uploads/2020/04/PICS-statement-re-novel-KD-C19-presentation-v2-27042020.pdf RCPCH position statement: Delayed access to care for children during COVID-19: rcpch.ac.uk/resources/delayed-presentation-during-covid-19-positionmoduleId=10065100BMJ Best Practice Palliative Care: bestpractice.bmj.com/topics/en-gb/1020/detailsNICE COVID-19 rapid guideline: symptoms management (including end of life care) in the community: nice.org.uk/guidance/ng163NICE COVID-19 rapid guideline: gastrointestinal and liver conditions treated with drugs that affect the immune response: nice.org.uk/guidance/NG172RCOG guidelines: Coronavirus (COVID-19) infection and pregnancy: rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancyACOG guidelines on covid-19: www.acog.org/topics/covid-19-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.

14mins

30 Apr 2020

Rank #14

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Alzheimer's dementia

Alzheimer's disease is a chronic neurodegenerative disease with an insidious onset and progressive but slow decline. It is the most common type of dementia.Judith Neugroschl, Assistant Professor of Psychiatry, Mount Sinai School of Medicine, New York, gives us a clinical overview of the disease.For more on Alzheimer's, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/317-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.

14mins

27 Nov 2019

Rank #15

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Infant botulism

Botulism is a paralytic illness caused by the neurotoxin produced by Clostridium botulinum, and it is most commonly seen in infants.In this podcast Linda Nield, Professor of Pediatrics, West Virginia University School of Medicine, talks us through how to recognise and manage the condition.For more on botulism, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/810-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.

13mins

8 Aug 2019

Rank #16

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Comorbidities

According to NICE, two thirds of people aged 65 or over have more than one medical condition, and 47% have three or more.Martin Cowie, Professor of Cardiology, Imperial College London, discusses how comorbidities are a big problem for the health service, and how they should be approached.For more on BMJ Best Practice's Comorbidities Tool, see bestpractice.bmj.com/info/comorbidities-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.

15mins

5 Nov 2019

Rank #17

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Osteoporosis

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-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.

14mins

19 Mar 2020

Rank #18

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Suicide risk management

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-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.

24mins

4 Mar 2020

Rank #19

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Covid-19 update: PPE, frailty and pneumonia

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-19Read the NICE pneumonia guidance here: nice.org.uk/guidance/ng165For more on Covid-19, look at BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000168Or find relevant BMJ Learning content here: new-learning.bmj.com/covid-19Currently this content is available for free.-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.

13mins

16 Apr 2020

Rank #20