BMJ Best Practice Podcast

Schizophrenia onset is usually in early adulthood and may be preceded by years of ill-differentiated symptoms, from behavioural changes and delusions to frank psychosis. Initially, patients are usually referred by family members. As the illness progresses, patients tend to self-refer or are brought in by a case manager or law enforcement officer. Antipsychotic therapy and psychosocial interventions are effective for most patients, but to varying degrees. Adrian Preda, Professor of Clinical Psychiatry, Department of Psychiatry and Human Behavior, University of California, Irvine School of Medicine, tells us more about the condition. For more on schizophrenia, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/406 - 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.

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/3000190 BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168 BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/.html?moduleId=10065100 International Liaison Committee on Resuscitation: ilcor.org/covid-19 Interim 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-settings Resuscitation 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

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.

In this podcast, Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clincial guidance related to covid-19. Emma Scott covers the latest on routine immunisation. Abigail Davis discusses advice on thromboembolism and advice on mental health care for healthcare workers. And Matt Castleden summarises the current standing on contact tracing. 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/3000190 BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168 BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/covid-19-nice-guidelines.html?moduleId=10065100 PHE contact tracing letters: gov.uk/government/publications/contact-tracing-letter-to-directors-of-public-health Emergency Responders: tips for taking care of yourself: emergency.cdc.gov/coping/responders.asp NHS England Clinical Guide for the Management of Anticoagulant Services during the coronavirus pandemic: england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0077-Specialty-guide_Anticoagulant-services-and-coronavirus-v1-31-March.pdf WHO Guiding principles for immunization activities during the COVID-19 pandemic: apps.who.int/iris/handle/10665/331590 - 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.

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.

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/3000190 BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168 BMJ 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=10065100 BMJ Best Practice Palliative Care: bestpractice.bmj.com/topics/en-gb/1020/details NICE COVID-19 rapid guideline: symptoms management (including end of life care) in the community: nice.org.uk/guidance/ng163 NICE COVID-19 rapid guideline: gastrointestinal and liver conditions treated with drugs that affect the immune response: nice.org.uk/guidance/NG172 RCOG guidelines: Coronavirus (COVID-19) infection and pregnancy: rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy ACOG 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.

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. Abigail Davis discuss the latest advice on rheumatological conditions, and that on prescribing contraception. Emma Scott covers new guidance for managing COPD in the community, and also for the use of nebulisers. And Suchita Shah talks about RCGP and BMA advice on prioritising GP workload. 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/3000190 BMJ Learning module on prescribing contraception in primary care; learning.bmj.com/learning/module-intro/ask-an-expert-contraception.html?moduleId=10055243 NICE COVID-19 rapid guideline: rheumatological autoimmune, inflammatory and metabolic bone disorders: nice.org.uk/guidance/ng167 American College of Rheumatology COVID-19 Clinical guidelines: rheumatology.org/Announcements#ClinicalGuidance British Society for Rheumatology COVID-19 guidance for rheumatologists: rheumatology.org.uk/News-Policy/Details/Covid19-Coronavirus-update-members Faculty of Sexual and Reproductive Healthcare COVID-19 resources: fsrh.org/fsrh-and-covid-19-resources-and-information-for-srh/ American College of Obstetricians and Gynecologists COVID-19 resources: acog.org/en/Topics/COVID-19 NICE COVID-19 rapid guideline: community-based care of patients with COPD: www.nice.org.uk/guidance/ng168 BTS COVID-19: information for the respiratory community: brit-thoracic.org.uk/about-us/covid-19-information-for-the-respiratory-community GOLD Covid-19 guidance: goldcopd.org/gold-covid-19-guidance RCGP GP workload prioritisation guideline: rcgp.org.uk/covid-19/latest-covid-19-guidance-in-your-area.aspx - 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.

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-19 Read the NICE pneumonia guidance here: nice.org.uk/guidance/ng165 For more on Covid-19, look at BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000168 Or find relevant BMJ Learning content here: new-learning.bmj.com/covid-19 Currently 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.

This podcast explores tension headaches, discussing their defining characteristics, prevalence, and diagnosis process. It covers the assessment and management of tension headaches, highlighting the importance of accurate diagnosis and the use of medications. The podcast also addresses potential 'foolers' and conditions that mimic tension headaches.

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.