BMJ Best Practice Podcast

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.

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.

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.

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.

Postnatal depression refers to a depressive illness following childbirth and may form part of a unipolar or, less frequently, a bipolar illness. Ian Jones, Professor of Psychiatry, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, gives us an overview of the condition. For more on postnatal depression, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/512 - 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 engaging discussion, Gregory Lip, an expert in cardiovascular medicine, dives deep into hypertension, a silent condition affecting many. He explores its definition as a continuum, emphasizing current blood pressure targets and the importance of home monitoring. Lip also discusses the significance of 24-hour ambulatory monitoring and the pitfalls of white coat hypertension. He shares insights on effective management strategies, including lifestyle changes and medication combinations, while highlighting the vital connection between hypertension and atrial fibrillation.