The FCP Podcast

Send us a textRichard welcomes Professor Derek Connolly to the show who is a consultant cardiologist at Birmingham City Hospital.  During the episode, Derek discus's how he assesses patients with possible cardiac pathology's.  We discus, history taking , red flags, investigation and referrals.  We then discus a case of a patient presenting with chest pain in general practice, which includes when to refer, what is involved in the rapid access to chest pain clinic and perinate history which could increase the likely of cardiac pathology. As always thank to Scott for your help and support.  This podcast was brought to you with collaboration between Coventry and Warwickshire Training Hub, Primary Care Cardiovascular Society and the College of Paramedics. Follow Derek on X at @DrDerekConnollyPrimary care Cardiovascular Society Primary Care Cardiovascular Society (pccsuk.org)Know your numbersBlood Pressure UKNICE guidelines - Chest Pain Chest pain | Health topics A to Z | CKS | NICEIschaemia with Non-Obstructive Coronary Arteries INOKACoronary artery spasm: What it is and the treatment options - BHFNONSTEMI Angiography researchComparison of Acute Versus Subacute Coronary Angiography in Patients With NON-ST-Elevation Myocardial Infarction (from the NONSTEMI Trial) - ScienceDirectLipoprotein(a)Lipoprotein(a) and Major Adverse Cardiovascular Events in Patients With or Without Baseline Atherosclerotic Cardiovascular Disease | Journal of the American College of Cardiology (jacc.org)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedics Home (collegeofparamedics.co.uk)

Send us a textRichard and is joined by guest presenter Sophie and Dr Mai Elftise to discuss respiratory assessment.  During the episode we discus's the assessment of patient cases including wheezing, prolonged cough and sleep apnea.  This includes history taking, red flags, investigations and referrals for these patient presentations.As always thank you Scott for your input.  GINA guidelinesGlobal Initiative for Asthma - Global Initiative for Asthma - GINA (ginasthma.org)Primary Care Respiratory Society Inspiring best practice in respiratory care | Primary Care Respiratory Society (pcrs-uk.org)Asthma ToolkitNHS RightCare » Asthma toolkit (england.nhs.uk)RightbreatheRightBreatheAsthma NICE guidelinesAsthma | Health topics A to Z | CKS | NICENICE guidelines lung and pleural cancers Lung and pleural cancers - recognition and referral | Health topics A to Z | CKS | NICECoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of ParamedicsHome (collegeofparamedics.co.uk)

Send us a textRichard welcomes Dr Mai Elftise to the podcast who is a GPwSI in respiratory medicine.  During the episode we discuss the assessment of patients who present with protentional respiratory pathology.   This includes history taking , red flags, investigations and referrals.  We use Dr Mai's knowledge to introduce a case of a patient with possible COPD to assess and arrange appropriate investigations and referrals when needed. As always thank you to Scott for your help and support.Please follow us on X @FCPParamedicpodcastPrimary Care Respiratory Society Inspiring best practice in respiratory care | Primary Care Respiratory Society (pcrs-uk.org)GOLD guidelinesGlobal Initiative for Chronic Obstructive Lung Disease - Global Initiative for Chronic Obstructive Lung Disease - GOLD (goldcopd.org)NICE gudielinesChronic obstructive pulmonary disease | Health topics A to Z | CKS | NICEMRC Dyspnoea ScaleMRC Dyspnoea Scale | Primary Care Respiratory Society (pcrs-uk.org)SpirometrySpirometry | Primary Care Respiratory Society (pcrs-uk.org)Spirometry Interpretation | Obstructive vs Restrictive | Geeky MedicsDiagnosis - COPD | Diagnosis | Chronic obstructive pulmonary disease | CKS | NICECoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)PCRS respiratory conferencePCRS Respiratory Conference | Primary Care Respiratory Society (pcrs-uk.org)

Joining the discussion is Ed Baker, a physiotherapist and FCP ambassador specializing in hip pain assessment. He emphasizes the crucial role of age in diagnosing hip issues, explaining how conditions vary between younger and older patients. The conversation covers essential assessment techniques like gait analysis and red flags to watch for, such as unexplained weight loss and neurological symptoms. Ed shares insights from a case study on hip osteoarthritis, illustrating the impact of thorough history-taking and tailored assessments on patient outcomes.

Join Richard and Emma as they discuss knee pain assessment with FCP physio Ed Baker, covering history taking, examination findings, and when to investigate knee pain. They dive into a case study on osteoarthritis, differentiate between OA and RA based on pain patterns, and explore red flags in knee assessment, emphasizing the 'one up one down' approach.

Dr. David Palmer, a GPwSI in mental health, returns to discuss patient assessments in mental health. He dives into the complexities of substance use disorders and the importance of motivational interviewing to encourage self-reflection. The conversation also addresses auditory hallucinations, emphasizing careful diagnosis, particularly between schizophrenia and other issues. Additionally, David highlights the emotional toll of postnatal depression, advocating for timely referrals to perinatal services to support families in need.

Dr. David Palmer, a GP passionate about mental health, joins to discuss the vital role of mental health assessments in primary care. He shares insights on managing anxiety and depression by using tools like the PHQ-9 and emphasizes the significance of understanding patients' backgrounds. The conversation highlights real case studies, such as Naomi's anxiety and Samia's sadness, showcasing the need for strong therapeutic bonds and effective communication. Techniques for managing panic attacks, like the '7-11 breathing' method, are also introduced.

In this engaging discussion, Dr. David Lupini, a GP partner and dermatology specialist, shares his insights on assessing skin lesions in primary care. He emphasizes the importance of thorough evaluations without needing advanced tools like dermatoscopes. Listeners are guided through real cases of melanoma, squamous cell, and basal cell carcinoma, focusing on identifying red flags. Dr. Lupini highlights the necessity of detailed patient histories and timely referrals, equipping healthcare providers with essential knowledge to improve skin cancer management.

Send us a textRichard welcomes Jo Taylor a personalised care ambassador and Katie Chuter a heath and well being coach.  Within the episode we look to celebrate the new role within  heath care which is health and wellbeing coaching.  During the episode we discuss where heath and wellbeing coaching came from, who is a heath and wellbeing coach and what does the training involved.  We look to identify what the expected benefits for the patient, the service and what the future looks like in health and well being coaching.The aim of heath and wellbeing coaching awareness is to - •Raise awareness of the opportunities and benefits of health coaching by highlighting how it can increase people’s capability to self-manage major conditions.•Highlight how health coaching can support people to make more informed and conscious choices that prevent the escalation of illness and improve health outcomes.•Showcase how health coaches’ unique expertise can bring about positive changes for individuals and the health and care system, such as reducing demand on services and the need for clinical interventions.•Showcase good practice and the impact of health coaching across the NHS in primary, secondary and community care.·Highlight that health and care professionals from any specialism can learn to take a health coaching approach, with the right training.Please follow us on twitter @FCPparamedicpodAs always special thanks to Scott and Martin for your support.Coventry and Warwickshire Training Hub Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk) Personalised Care Institute personalisedcareinstitute.org.uk NHS Futures platfrom FutureNHS Collaboration Platform - FutureNHS Collaboration Platform 

Send us a textRichard welcomes FCP ambassador and MSK physio Ed Baker to the podcast . During the episode we discuss the assessment of patients with lower back pain, including red flags , pertinent history taking and investigations in general practice.  We apply this knowledge in some cases, including a patient with mechanical  back pain and inflammatory  spondyloarthropathy.Please follow us on twitter @FCPParamedicpod As always special thank you Scott and Martin for your help.Versus ArthritisBack pain | Causes, exercises, treatments | Versus ArthritisExamination of the spine | Versus ArthritisPatient infoBack and Spine Pain | Causes and Treatment | PatientCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)NICE guidelines  Sciatica (lumbar radiculopathy) | Health topics A to Z | CKS | NICEBabinski signThe Babinski Sign or Reflex | Upper Motor Neuron Lesion - YouTubeClonusClonus - YouTube Straight leg raiseStraight Leg Raise or Lasègue's Test for Lumbar Radiculopathy - YouTubeHuman leukocyte antigen B27 (HLA-B27)HLA-B27 (labtestsonline.org.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)