Pre PACES Podcast #21 COPD
Nov 7, 2021
Dr. Drew Davies, a respiratory registrar with expertise in COPD, shares pivotal insights on managing this common condition in clinical settings. He emphasizes the importance of initial examination cues like barrel chest and breath sounds crucial for quick diagnosis. Drew discusses strategies for presenting the findings effectively during assessments. He also highlights the significance of spirometry and imaging in determining the severity of COPD, alongside management approaches for acute exacerbations and long-term care, including inhaler therapy and surgical options.
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Passing PACES Was About Mindset
- Dr Drew Davies failed PACES first time and attributes passing to mindset change rather than new knowledge.
- He emphasizes confidence, positivity and performance skills as key to passing PACES.
Make Diagnosis From The End Of Bed
- Stand at the end of the bed, gather visual clues, and decide your likely diagnosis within ~20 seconds.
- Project confidence with hands behind your back and then confirm the diagnosis by focused examination.
Observe Breathing Pattern First
- Observe breathing pattern: note pursed-lip breathing, prolonged expiratory phase and accessory muscle use.
- Use these observations to judge obstructive physiology and estimated COPD severity before touching the chest.