Your Up-To-Date Dose

Here we explore the story behind the headlines and digest relevant journal papers to give you your Up-to-date Dose.

Measles On The Rise! (Dec 2018)

Matt and Joe talk about the recent news coverage surrounding measles and their extensive experience of seeing countless measles patients in their practice ... (N.B. sarcasm may be present). This pod includes the following:

Context and the news story (0:25)
All you need to know about measles (2:00)
MMR vaccine controversy (9:26)
Summary and sign off (14:03)

Paracetamol and Alcohol Poisoning (Jan 2019)

Here we review a recent paper on drug and alcohol intoxication in young individuals and take a closer look at two of the most frequently ingested agents. This ear massage includes the following:

Context and the paper (0:25)
Alcohol poisoning (6:48)
Paracetamol overdose (20:00)
Mental health overview (27:19)
Summary and sign off (32:22)

Paracetamol treatment nomogram and NAC: https://www.rcem.ac.uk/docs/Paracetamol%20Overdose/Annex%201_The%20treatment%20nomogram%20and%20Annex%202_Technical_info.pdf

Dual Anti-platelet Therapy for TIA (Feb 2019)

Here we review a meta analysis likely to influence TIA and minor stroke guidelines of the future. We then give an overview of TIA in the clinical context:

Review of the meta analysis (0:25)
TIA definition and causes (8:55)
Assessing patients with TIA (14:44)
TIA management and follow up (22:23)
Summary and sign off (28:15)

ABCD2 scores and NIHSS: https://www.mdcalc.com/abcd2-score-tia and https://www.mdcalc.com/nih-stroke-scale-score-nihss

Antimicrobial stewardship and prescribing (June 2019)

Here we review a cross sectional study looking at the antibiotic prescribing patterns in primary care compared with national guidance. We spend most of the time ranting:

Introduction (0:25)
Antimicrobial stewardship overview/general rant (0:55)
Review of the paper/more ranting (10:26)
Summary and sign off (26:31)

Fever in the Under 5s (Nov 2019)

Listen to our review of the newly updated NICE guidelines:

Introduction (0:10)
Definition of fever and how to take a temperature (1:19)
The traffic light system (5:36)
Finer points of the guideline explored through Q&A (12:04)
Review of specific conditions (18:28)
Summary and sign off (26:01)

Link to the NICE guidelines: https://www.nice.org.uk/guidance/ng143

Sciatica and Low Back Pain (Nov 2020)

Listen to our review of the recently updated NICE guidelines:

Introduction (0:10)
Differentials for back pain and sinister causes (1:01)
Imaging (6:41)
Management strategies (7:11)
Summary and sign off (11:31)

Link to the NICE guidelines: https://www.nice.org.uk/guidance/ng59

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