Take Aurally

In this episode Advanced Clinical Practitioner and teaching fellow Lucy Harris builds on our previous history taking episode and adds in: - the cardinal symptoms of respiratory disease - how to encourage the more reticent patient - how to focus a talkative patient Remember to subscribe to Take Aurally on SoundCloud and iTunes Both NUH DREEAM and Take Aurally can be found on Facebook and Twitter Our next episode is #UnblindingResearch on p values, confidence intervals and outcome measures!

In this first episode in our Early Clinical Experience series ACP Lucy Harris introduces history taking including: - Owning the information - The format of the history - The ‘SOCRATES’ mnemonic - Starting to think about cardinal symptoms Remember to subscribe to Take Aurally on SoundCloud and iTunes Both NUH DREEAM and Take Aurally can be found on Facebook and Twitter Our next episode is on Respiratory History Taking

Our favourite ENT doctor Tom Stubington rejoins us to take us through Epistaxis including: - initial investigation and management - diagnosis and what ENT will do - red flags - Paediatric epistaxis You can find the blog for this podcast containing links for more information and the #TakeVisually at https://www.takeaurally.com/ear-nose-throat/2018/9/30/epistaxis Remember to subscribe to Take Aurally on SoundCloud and iTunes Both NUH DREEAM and Take Aurally can be found on Facebook and Twitter Next week's episode is on History Taking

Following on from our first episode on Non-Accidental Injury we now look at how to broach the subject and how to manage the situation. Dr. Colin Gilhooley takes us through: - How to the bring the subject up - Tips on discussion with parents and carers - A few other tips along the way You can find the blog for this podcast containing links for more information and the #TakeVisually at https://www.takeaurally.com/paediatric-emergency-medicine/2018/8/17/non-accidental-injury-part-two-saying-the-unsay-able Remember to subscribe to Take Aurally on SoundCloud and iTunes Both NUH DREEAM and Take Aurally can be found on Facebook and Twitter Next week's episode is on Epistaxis

In this second Redthread special we were joined by Hannah Yates, the Business Development Manager for Redthread and Imran Mohammed, Programme Manager for Redthread in the Midlands. In this episode they take us through: The background of Redthread The Public Health approach used by Redthread How Redthread has spread nationally and the political interest it’s inspired The blog entry for this podcast can be found at chttps://www.takeaurally.com/fyeo/2018/9/26/redthread-part-two Subscribe to Take Aurally on SoundCloud and iTunes Remember you can find Take Aurally and NUH DREEAM on both Facebook and Twitter Next week's episode will be Non-Accidental Injury Part Two: Saying the Unsayable

In this live recording of the seventh #UnblindingResearch session on 'Sampling' from DREEAM through the medium of Gummy Bears we go through: - the principles of sampling and why we do it - significance and power and how we quantify them - how sample size is calculated Hopefully this session will help you to bear sampling! The blog entry containing the slides, #TakeVisually and more info can be found at https://www.takeaurally.com/take-visually/2018/9/5/unblindingresearch-session-seven-sampling Subscribe to Take Aurally on SoundCloud and iTunes Remember you can find Take Aurally and NUH DREEAM on both Facebook and Twitter The amazing DREEAM Research Team can be found on both Facebook and Twitter Our next #UnblindingResearch session will be on Outcome Measures, Confidence Intervals and p values on 17th October 1000-1100 in DREEAM. Next week's episode will be our second Redthread special!

In this episode from NUH DREEAM Dr Colin Gilhooley talks about non-accidental injury and when to suspect it. We cover: - The absolute red flags - How red flags might change with age - The social referral process You can find the blog for this podcast containing links for more information and the #TakeVisually at https://www.takeaurally.com/paediatric-emergency-medicine/2018/8/17/non-accidental-injury-part-one-thinking-the-unthinkable Remember to subscribe to Take Aurally on SoundCloud and iTunes Both NUH DREEAM and Take Aurally can be found on Facebook and Twitter Next week is the latest session of #UnblindingResearch looking at 'Sampling'.

Straight out of NUH DREEAM Dr Bill Jamieson once again joined the pod to go through bradyarrhythmias in the second part of our arrhythmia series In this episode: - Discussion on what is bradycardia and why it may not always be an issue - The history taking and investigations required of the bradycardic patient and possible causes of bradycardia - We go through AV block and Jamie reveals how AV block is like a dysfunctional marriage! The blog entry for this episode including ECG examples and our #TakeVisually can be found here: https://www.takeaurally.com/adult-emergency-medicine/2018/7/2/arrhythmias-part-two-bradyarrhythmias Don't forget to subscribe to Take Aurally on iTunes and SoundCloud Both NUH DREEAM and Take Aurally can be found on Facebook and Twitter Next week's episode is Non-Accidental Injury Part One: Thinking the Unthinkable

SUFE or not SUFE? That is the question! Dr Colin Gilhooley joins us at DREEAM to talk us through 'The Child with a Limp' including: - Red flags - When to suspect non accidental injury (more of that later!) - The most common causes in each age group and some rarer ones too - When to take blood and when to image The guidance mentioned is based on the NICE 'Acute Childhood Limp' Clinical Knowledge Summary You can find the blog entry including links to the CKS and the #TakeVisually for this episode at https://www.takeaurally.com/paediatric-emergency-medicine/2018/8/17/the-child-with-a-limp Don't forget to subscribe via SoundCloud and iTunes Take Aurally and NUH DREEAM are both on Facebook and Twitter Next week's episode is the second in our Arrhythmia series on Bradyarrhythmias!

You place your hands on the patient's abdomen...you think you can feel it...thud...thud...thud... In the second part of our aortic syndromes series Dr Craig Douglas once again joined us to go through Abdominal Aortic Aneurysm (AAA) We discuss: - Definition of an aneurysm and pseudoaneurysm - The screening process for AAA - When to suspect AAA - Diagnosing and managing ruptured AAA - Craig and Jamie's mutual bugbear that a FAST scan does not look for the abdominal aorta! You can find the blog entry for this podcast including the #TakeVisually and a link to our #OHMNHS blog on the sensitivity and specificity of feeling an expansile-pulsatile mass at https://www.takeaurally.com/adult-emergency-medicine/2018/8/1/aortic-syndrome-part-two-abdominal-aortic-aneurysm Don't forget to subscribe to Take Aurally on SoundCloud and iTunes! NUH DREEAM and Take Aurally can both be found on Facebook and Twitter Next week's episode is on 'The Child with a Limp' - SUFE or not SUFE that is the question!

In this live recording of the sixth #UnblindingResearch session on 'Qualitative vs Quantitative' from DREEAM we go through: How 'Qualitative vs Quantitative' is the fundamental distinction in research How the two differ in approaching the world, data and the analysis and reporting of their results The strengths and weaknesses of both Remember: don't draw the line at quantitative and sample more than qualitative! The blog entry containing the slides, #TakeVisually and more info can be found at https://www.takeaurally.com/new-blog-1/2018/8/14/session-six-qualitative-vs-quantitative Subscribe to Take Aurally on SoundCloud and iTunes Remember you can find Take Aurally and NUH DREEAM on both Facebook and Twitter The amazing DREEAM Research Team can be found on both Facebook and Twitter

In this special episode we look at the amazing work of the charity Redthread who work with vulnerable young people to help them lead happy, healthy and safe lives. After starting their work in London they moved to the QMC at Nottingham and have since moved to Birmingham as well. We chat to the QMC team: Freya Owen (Youth Worker), David Bentley (Team Leader) and Richard Botto (Programme Co-Ordinator)about how Redthread came to Nottingham, their own backgrounds and how they joined Redthread and their day-to-day work with young people. There's advice along the way, inspiration and a chat about CurlyWurlies! There will be future episodes with the Redthread team so look out for those! For more information visit www.redthread.org.uk The blog can be found at https://www.takeaurally.com/fyeo/2018/8/16/redthread-part-one Don't forget to subscribe to Take Aurally on SoundCloud and iTunes and you can find us on Facebook and Twitter NUH DREEAM can be found on both Facebook and Twitter

Another episode with our favourite Specialist Registrar in Obstetrics and Gynaecology Dr Anna Richmond this time looking at Ovarian Cysts and Tumours! We focus on the acute presentation of Ovarian Cysts including: - Defining an 'Ovarian Cyst Accident' - The most common types of ovarian cysts - The diagnosis of ovarian cysts - The management of ovarian cysts We then have a chat about Ovarian Cancer: - The red flags that should make us think of ovarian cancer - The investigations for ovarian cancer The full blog and #TakeVisually for this episode can be found at https://www.takeaurally.com/obstetrics-gynaecology/2018/8/8/ovarian-cysts-and-tumours Remember to subscribe to Take Aurally on iTunes or SoundCloud Remember to check out NUH DREEAM and Take Aurally on Facebook and Twitter!

Another great episode with Dr Anna Richmond, teaching fellow in Obstetrics and Gynaecology this time discussing Reduced Fetal Movements covering: - When fetal movements become reliable - The key questions to ask - What can be done and when  - Debunking an old wives tale! You can find the blog entry including the #TakeVisually for this episode at https://www.takeaurally.com/obstetrics-gynaecology/2018/8/1/reduced-fetal-movements Remember to subscribe to Take Aurally on iTunes or SoundCloud Both Take Aurally and NUH DREEAM can be found on Facebook and Twitter

Coming out of NUH DREEAM Dr Tom Stubington, CT2 in ENT, joins the pod to walk us through sore throats, the common causes and management including: - Tonsilitis and Quinsy - Glandular fever - CENTOR and FeverPAIN scores - Epiglottitis and Supraglottitis - Jamie learning he can do a decent impression of a 'hot potato' voice You can find the blog entry including the #TakeVisually for this episode at https://www.takeaurally.com/ear-nose-throat/2018/7/22/sore-throat-in-ed Remember to subscribe to Take Aurally on iTunes or SoundCloud Both Take Aurally and NUH DREEAM can be found on Facebook and Twitter

Having caught up with our favourite registrar in Obstetrics & Gynaecology Dr Anna Richmond at UMEC 2018 she came down to the DREEAM recording studio to record a few more episodes with us.  In this first episode she discusses Abdominal Pain in Later Pregnancy including: - A definition of later pregnancy - The pregnancy related and non-pregnancy related causes - The steps taken in managing our patient - Blowing Jamie's mind that there's a blood test for imminent labour!!!!!! Anna will be back to take us through Reduced Fetal Movements in Pregnancy and Ovarian Cysts in future episodes. The blog entry including the #TakeVisually for this episode can be found at TakeAurally.com. Remember both Take Aurally and NUH DREEAM can be found on Facebook and Twitter!

In this live recording of the fifth #UnblindingResearch session on 'How clinical guidelines are produced' from DREEAM we go through: Levels of evidence and why some studies are more useful than others How systematic reviews are made What a QALY is and how we work them out How NICE produce their guidelines You can find the blog entry including the slides for this presentation and the #TakeVisually for this episode at takeaurally.com Remember to find Take Aurally on SoundCloud, iTunes and Facebook and Twitter NUH DREEAM can be found on Facebook and Twitter Next #UnblindingResearch session is on 'Qualitative vs Quantitative' on 15th August in DREEAM

Our favourite psychiatrist Dr James Ellison came down to the booth again to go through Mental State Examination and how we can assess a patient's suicide risk. First up we go through how we can examine a patient's mental state.  The MSE is part of the Psychiatric assessment performed alongside taking a full history.  We at the different composite parts: Appearance Behaviour Speech Mood Thoughts Perceptions Cognition Insight We then look at assessing a patient's suicide risk.  First there are the individual patient and then situational factors going through the more risky features in the history Remember to check out the Take Visually for his episode at www.takeaurally.com. Take Aurally and NUH DREEAM are both on Facebook and Twitter.

In this special episode of Take Aurally senior ACP James Pratt joined the DREEAM pod studio to talk about Advanced Clinical Practice in Emergency Medicine. James and Jamie talk about: What is an ACP and what their job role entails James' own career and the development of the ACP team at the QMC Nottingham What the Nottingham ACP course consists of and the course entry criteria Issues in the development of the ACP team and how these were approached Potential areas of future development There's an emphasis on the education and time required to create the ACP service and how this is not a short term solution to staffing issues but rather a long term investment in our staff. We're looking to make more episodes on ACPs in ED so please get in touch with any questions and suggestions. Remember to visit www.takeaurally.com. Both Take Aurally and NUH DREEAM can be found on both Facebook and Twitter.

In this episode Dr Bill Jamieson kick starts a series of podcasts on Arrhythmias by looking at the well patient presenting with palpitations. We cover: Red flags in the presentation of a patient with palpitations The approach to assessing the ECG with 'WOBBLER' The key parts of the history not to miss Examination and investigations Arranging follow-up (and deciding if it is needed) for our patient As ever visit www.takeaurally.com for the Take Visually and blog for this episode and make sure you follow us and NUH DREEAM on Facebook and Twitter! Stay tuned for more episodes on Palpitations coming up!