Acute & General Medicine
Cardiovascular Professional Care
Future Surgery
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A focus on cardiovascular care in the perioperative management of non-cardiac surgery patients
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This session will aim to outline new guidance in preoperative assessment and implications for practice.
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I will be discussing the specific healthcare needs of transgender and gender diverse patients in critical care and ways we can work to improve the experiences of LGBTQ+ staff and patients.
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This will be a multi-disciplinary meeting to demonstrate the usefulness of a high risk anaesthetic session. Anaesthetics, Cardiology and Respiratory Medicine will join forces to discuss high risk pati ...
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Like in my talk last year I will talk about what Rural General Hospitals are, what sets them apart from a large teaching hospital and how we cope with specific issues unique to us as well as issues affecting the NHS in general. I hope I will be able to encourage colleagues to consider a career in a Rural General Hospital.
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I will aim to provide an update on recent national guidelines for preoperative assessment and how these might be implemented in practice. I will outline how delivery of this guidance creates a more pa ...
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Haemodynamic instability can inflict vital organ hypoperfusion and lead to serious consequences that compromise patient safety, mainly due to cellular oxygen debt. In this symposium, we will explore a ...
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The presentation will consider the principles of opioid stewardship and strategies to improve prescribing safety.
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Behaviours to antibiotic prescribing are under researched in the ICU setting. They may influence trial effects due to unwanted and unmeasured variability in stop decisions. POCTs are increasingly used. They may have an important role in facilitating better stop antibiotic decisions and as an educational tool in antibiotic stewardship programmes (ASP). This will present evidence to back up these suggestions.
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This talk will provide an overview of the epidemiology of drug use in the UK, trends in the use of New Psychoactive Substances (NPS), and the assessment and management of patients with acute recreational drug / NPS toxicity.
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Can Bronchoscopy become a generic skill in acute care like Echocardiography and ultrasound?. How well is it performed in the ICU? Is there a training gap, and how can we use AI to help us?
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One doctor takes their life every three weeks. The NHS staff vacancy rate is almost 10% Doctors in Distress exists to promote and protect the mental health of ALL health workers, and to prevent suicid ...
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An overview of your flexible retirement options.
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This talk will provide an update on medico-legal issues relevant to hospital doctors in 2023 and beyond, including recent updates to GMC guidance and in relation to ‘professional standards and patient safety’. -
Against the backdrop of a workforce crisis and with digital transformation underpinning the new workforce action plan we look at how evidence based digital tools can help clinical teams provide consis ...Speakers -
Infective Endocarditis (IE) was investigated in a study at University Hospital Southampton (UHS). The research analyzed data from 282 IE patients over a three-year period, aiming to evaluate duration of diagnosis, incidence of mortality and embolic complications. The data highlights a discrepancy between time for diagnosis between Cardiology and the entire cohort, secondary to the complexity of cases admitted under Cardiology. A multidisciplinary 'Endocarditis team' was advocated by international guidelines to expedite diagnosis and treatment. UHS observed a upper limit of expected embolic risk and mortality rate, underscoring the need for an IE team. Consequently, a proposal for an IE MDT was accepted, with the view to improve patient outcomes.
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An insight into the challenges and attractions in working in University Hospitals of Morecambe Bay. An acute trust spread across 1000 square miles of North Lancashire and South Cumbria. Special insigh ...
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An honest review of launching an electronic health record into a Department of Anaesthesia.
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At a time when the number of regional anaesthetic techniques are increasing, it is of benefit to focus on a limited number of high value nerve blocks, or “Plan A Blocks”. This session will cover two o ... -
A review of the important care considerations for patients who are pregnant or who have recently delivered a baby and are admitted to the ITU.
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This presentation aims to highlight the important role regional anaesthesia can play in the Day surgery setting both as sole anaesthetic and also as part of multimodal analgesia
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Discussion on Hemodynamic instability, intra operative hypotension and our recently published clinical paper EU-Hy Protect. -
Diagnosis and management of perioperative delirium
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The session will provide an overview of the progress of virtual wards and digital home care over the past three years in the NHS in England, featuring a number of examples of their use and potential in different settings, concluding with Q&A
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30% of all hospital inpatients are in their last year of life. This is often not obvious at first point of contact.
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An overview of your flexible retirement options.
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Mercy Ships is a leading global health charity. Our hospital ships bring free, safe surgeries to women, men and children across sub-Saharan Africa. We’re looking for medical experts like you to help b ... -
“Instilling a Culture of Debriefing Post Cardiac Arrest: A Quality Improvement Project” addresses the crucial issue of debriefing following cardiac arrests, emphasising the emotional and psychological impacts on healthcare providers. The project has successfully established a supportive environment by implementing debriefing through promoting effective practices and educating healthcare professionals.
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Project leads: Lucy Powley, Sean Botham and Alison Colhoun The presentation will cover how we engaged multiple staff groups to change an ingrained practice of not giving patients oral medications if they are nil by mouth for theatre. Firstly, I will cover how we investigated the extent of the problem by analysing documentation. Then how we looked into the causes of the issue by engaging with ward staff and conducting a survey. How those causes were analysed and how the information was used to produce a number of interventions. Those interventions were deployed and then how we measured their effect. These methodologies are reproducible, as are the interventions and could be applied to a variety of patient safety issues. Our interventions led to a significant improvement in the number of patients having their medicines given appropriately in the perioperative period.
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Blood transfusions carry significant risk of complications, especially TACO hence it is necessary to avoid unnecessary blood transfusions and use restrictive targets while transfusing. Where significant disparities in practice exist, it is necessary that blood transfusion targets are revisited frequently and regular audits are undertaken to improve compliance with the standardised targets.
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I will present work from an ongoing quality improvement project which aims to increase compliance with national guidance surrounding the peri-operative use of SGLT2 inhibitors.
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30% of all hospital inpatients are in their last year of life. This is often not obvious at first point of contact.
