Hello and welcome to Take Aurally, the podcast from NUH DREEAM; winner of Health Education England Education Team of the Year 2017. Take Aurally started as a podcast for Emergency Medicine but has grown to cover large parts of the clinical curriculum for students at the University of Nottingham; everything from ENT to Therapeutics. Whether you're a student or a practitioner looking to refresh their memory Take Aurally is for you! All information is correct for Nottingham University Hospitals ...
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Introduction to Medico-legal: Personal Injury
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In this special episode we are joined by David Green, a specialist employment and personal illness barrister from 12 King’s Bench Walk Chambers to discuss personal illness and occupational disease.Questions asked include:What is a barrister? Do they all wear wigs and shout “Objection!” all the time?How does a claim go from injury to court?What happ…
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Advanced Clinical Practice Week 2020 Special: ACPs in Acute Medicine
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In this special for Advanced Clinical Practice Week 2020, we handed over the podcast to our friends in the NUH Acute Medicine ACP Team: Hannah Polak and Greg Cartright. They take us through their careers, their day-to-day work and how the ACP team fits in with the wider MDT.You can find the blog for this episode at https://www.takeaurally.com/fyeo/…
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In this episode, released for Advanced Clinical Practice week, ACP Lucy Harris takes us through Upper Limb Neurological Examination. As ever, there are some mnemonics:The order of examination: In The Philippines Children Still Run FreeInspectionTonePowerCo-OrdinationSensationReflexes FunctionFor inspection remember the mnemonic ‘SWIFT’:ScarsWasting…
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In this episode, released for Advanced Clinical Practice week, ACP Lucy Harris takes us through Lower Limb Neurological Examination. As ever, there are some mnemonics:The order of examination: In The Philippines Children Still Run FreeInspectionTonePowerCo-OrdinationSensationReflexes FunctionFor inspection remember the mnemonic ‘SWIFT’:ScarsWasting…
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In this episode recorded in March 2020 Kunal Gohil joined the podcast to take us through anti-emetics. Featuring a whistle-stop tour of the vomiting reflex, the mechanisms of anti-emetics and a discussion on how they sound like Transformers!You can find the blog for this episode at https://www.takeaurally.com/new-blog/2020/2/24/therapeutics-anti-em…
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Senior ACP in Emergency Medicine Lucy Harris takes us through Cranial Nerve examination including some top tips along the way! You can find the blog for this episode at https://www.takeaurally.com/early-clinical-experience/2020/9/25/cranial-nerve-examinationAs ever you can subscribe to Take Aurally through Apple Podcasts and Soundcloud AND we're al…
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Senior ACP in Emergency Medicine Lucy Harris takes us through Neurology History Taking. Features examples of cardinal symptoms, red flags and key differentials.You can find the blog for this episode at https://www.takeaurally.com/early-clinical-experience/2020/9/22/neurology-history-takingAs ever you can subscribe to Take Aurally through Apple Podc…
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Senior ACP in Emergency Medicine Ru Thow makes his pod debut to discuss Heart Murmurs! We cover Aortic Regurgitation, Aortic Stenosis, Mitral Regurgitation and Mitral Stenosis. Features examples of these murmurs. We've also released separate podcasts containing just the murmurs. You can find the blog for this episode at https://www.takeaurally.com/…
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To support our upcoming episode on Heart Murmurs here is a minute or so of aortic regurgitation: an early diastolic murmur which radiates to the apex.As ever you can subscribe to Take Aurally through Apple Podcasts and Soundcloud AND we're also on Spotify: open.spotify.com/user/hk2tt55xd97pcz4xoj43nydyyRemember to follow us and NUH DREEAM on Facebo…
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To support our upcoming episode on Heart Murmurs here is a minute or so of aortic stenosis: an ejection systolic murmur which radiates to the carotids. As ever you can subscribe to Take Aurally through Apple Podcasts and Soundcloud AND we're also on Spotify: open.spotify.com/user/hk2tt55xd97pcz4xoj43nydyyRemember to follow us and NUH DREEAM on Face…
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To support our upcoming episode on Heart Murmurs here is a minute or so of mitral regurgitation: a pansystolic murmur which radiates to the axilla.As ever you can subscribe to Take Aurally through Apple Podcasts and Soundcloud AND we're also on Spotify: open.spotify.com/user/hk2tt55xd97pcz4xoj43nydyyRemember to follow us and NUH DREEAM on Facebook …
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To support our upcoming episode on Heart Murmurs here is a minute or so of mitral stenosis: a clicking sound as the valve opens followed by a decrescendo-crescendo diastolic murmurAs ever you can subscribe to Take Aurally through Apple Podcasts and Soundcloud AND we're also on Spotify: open.spotify.com/user/hk2tt55xd97pcz4xoj43nydyyRemember to foll…
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COVID Part Four: The search for a cure
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A feature of the COVID-19 pandemic has been the rush to find the magic bullet to defeat it. Under the heading of ‘compassionate use,’ a number of agents have been tested and papers published. Our favourite Pharmacist Kunal Gohil joined the podcast via Zoom to take us through the evidence behind two agents which have received particular fanfare: Hyd…
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COVID-19 Part Three: The Public Health Response
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Dr. Ben Rush is an ST5 in Public Health working in Health Promotion when the COVID-19 pandemic hit. He also works clinically in Emergency Medicine at the Royal Derby Hospital. We were therefore delighted when he joined the podcast via Zoom to lend his perspective on COVID-19.This episode was recorded on Sunday 3rd May 2020.As ever you can subscribe…
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COVID-19 Part Two: COVID-19 & Paediatrics
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Consultant in Paediatric Emergency Medicine Dr Colin Gilhooley and Head Smart Fellow Dr Sharna Shan joined the podcast with appropriate social distancing to tell us about how children and young people have been affected by COVID-19. This episode was recorded on Monday 27th April 2020.There’s a chance to discuss the Urgent Alert from the Paediatric …
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COVID-19 Part One: Preparing an Emergency Department for a pandemic
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In the first part of our COVID-19 series Consultant in Emergency Medicine Dr Andrew Lindsay joined the podcast via Zoom. We discussed the preparation for a pandemic, issues with fake news, PPE, escalation, intubation and what the future may look like.This episode was recorded on Wednesday April 29th 2020.This podcast was recorded shortly after we r…
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Therapeutics: Anti-Epileptic Medication
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Autor: Take Aurally
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Status Epilepticus & the EcLiPSE Trial
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Status epilepticus is the most common paediatric neurological emergency in the UK and the second most common reason for unplanned PICU admission in the UK.Dr Colin Gilhooley defines status epilepticus before discussing the EcLiPSE trial:Levetiracetam versus phenytoin for second-line treatment of paediatric convulsive status epilepticus (EcLiPSE): a…
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Dr Colin Gilhooley, consultant in Paediatric Emergency Medicine, joins Take Aurally once again to go through Head Injury in Children including: - NICE Guidelines - Other guidelines in use including CHALICE, PECARN and CATCH - How to take a history when assessing a young person with a head injuryYou can find the blog for this episode at https://www.…
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#UnblindingResearch: Validity, Reliability & Generalisability, Bias & Confounding Variables
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This is the live recording of the eleventh #UnblindingResearch session on 'Medication Trials'The blog entry containing the slides, #TakeVisually and more info can be found at https://www.takeaurally.com/new-blog-1/2019/1/21/session-twelve-validity-reliability-and-generalisability-bias-and-confounding-variablesIt's best to listen to this podcast wit…
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Therapeutics: Adverse Drug Reactions Part Two
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In the second part of our Adverse drug reactions (ADR) series recorded in Annie’s Burger Shack Kunal takes us through:Type D (Delayed)Type E (End of Dose)Type F (Failure)An example of each one and what we can do about them!You can find the blog for this episode at https://www.takeaurally.com/new-blog/2019/4/10/therapeutics-adverse-drug-reactions-pa…
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Therapeutics: Adverse Drug Reactions Part One
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Our favourite pharmacist Kunal Gohil joins Jamie at Annie's Burger Shack (other burger-based restaurants are available) to discuss 'Adverse Drug Reactions'!Kunal defines adverse drug reactions before going through the first three types:Type A (Augmented)Type B (Bizarre)Type C (Chronic)Giving examples of each and steps of how to avoid them!You can f…
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Just before she went away on holiday Dr Rachel Tricks rejoined us to for the Child with a Rash sequel!In this episode we discuss: - common bacterial rashes (see below) - the ‘CRASH & Burn’ mnemonic of Kawasaki Disease (Conjunctivitis, Rash, Adenopathy, Strawberry tongue, Hand and 5 days of fever) - Stevens-Johnson Syndrome/Toxic Epidermal Necrolysi…
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Dr Rachel Tricks rejoins us to go through the management of a child with a non-blanching rash - we go through the steps of assessing and managing a child with a non-blanching rash - the red flags of a petechial rash - common viral rashes (including a rant by Jamie against Andrew Wakefield and his ‘research’Remember to check out our previous episode…
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Dr Rachel Tricks takes us through the approach to ‘The Child with a Fever’ including: - the NICE traffic light system - the management of the child under 3 months versus the child over 3 months old - identifying a sourceThis episode follows the NICE Guidelines CG160 which can be found here: https://www.nice.org.uk/guidance/cg160Remember to check ou…
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Dr Katie Boog is back in the pod for this episode on Emergency Contraception!You can find the blog for this episode at https://www.takeaurally.com/obstetrics-gynaecology/2018/11/26/emergency-contraceptionAs ever you can subscribe to Take Aurally through Apple Podcasts and Soundcloud AND we're also on Spotify: open.spotify.com/user/hk2tt55xd97pcz4xo…
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Dr Rachel Tricks makes her pod debut for this episode on Paediatric Sepsis. Among many other things we cover: - when to suspect sepsis in children - the red flags - the immediate management and when to refer to PICUYou can find the blog for this episode at https://www.takeaurally.com/paediatric-emergency-medicine/2019/1/14/paediatric-sepsisAs ever …
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In this episode Lucy Harris joins the pod again to go through abdominal examination including:‘ - JACKLED’ - signs associated with abdominal disease - a few tips along the way including, “don’t tease; analgese”You can find the blog for this episode at https://www.takeaurally.com/early-clinical-experience/2018/12/21/gastrointestinal-examination As e…
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Early Clinical Experience: Gastrointestinal History Taking
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In this episode ACP Lucy Harris once again joins the pod this time to take us through Gastrointestinal History Taking including: - tips and key questions - red flags - how the patient with abdominal pain is like a whale or shark…Don’t forget to check out our Acute Abdomen podcasts and our Ectopic pregnancy podcast as well!You can find the blog for …
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#UnblindingResearch Session Eleven Medication Trials
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This is the live recording of the eleventh #UnblindingResearch session on 'Medication Trials'The blog entry containing the slides, #TakeVisually and more info can be found at https://www.takeaurally.com/new-blog-1/2018/12/21/session-eleven-medication-trialsYou can subscribe to Take Aurally on Apple Podcasts and SoundCloudWe're now on Spotify and In…
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Early Clinical Experience: Ear, Nose and Throat Examination
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Happy New Year one and all!We start 2019 with the latest episode in our Early Clinical Experience series. ACP Lucy Harris takes us through examining the Ear, Nose and Throat of a patient. Perfect for any practitioner or student at the beginning of their clinical attachments! We discuss: - techniques and systems for examining - important things to l…
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In this live recording of the ninth #UnblindingResearch session on 'Blinding' from DREEAM through the medium of mince pies. It's a seasonal episode that hopefully shows how blinding is a piece of cake!The blog entry containing the slides, #TakeVisually and more info can be found at https://www.takeaurally.com/new-blog-1/2018/11/26/session-ten-blind…
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In the second of our GUM series, Dr Katie Boog, ST6 in Community Sexual and Reproductive Health joined the pod to talk us through vaginal discharge, how to take a history and the investigations neededKatie's notes for this episode can be found at https://www.takeaurally.com/obstetrics-gynaecology/2018/11/26/vaginal-dischargeBoth Take Aurally and NU…
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In the first of our GUM series, Dr Katie Boog, ST6 in Community Sexual and Reproductive Health joined the pod to talk us through how to take a Sexual History with some top tips along the way.Katie's notes and the #TakeVisually for this episode can be found at https://www.takeaurally.com/obstetrics-gynaecology/2018/11/26/sexual-history-takingBoth Ta…
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In our third Redthread special we talk to a Young Person helped by the charity. He takes us through his own teachable moment and the help that Redthread offered him. We also have David Bentley from Redthread and QMC ED Sister Janice Morgan both giving their perspective of how the Young Person was helped in an inspiring story.The blog page for this …
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In this live recording of the ninth #UnblindingResearch session on 'Randomisation' from DREEAM through a randomising the audience to wine gum or jelly babies.By the end of this you should have randomisation sorted! The blog entry containing the slides, #TakeVisually and more info can be found at https://www.takeaurally.com/new-blog-1/2018/11/12/ran…
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In this live recording Jamie (@mcdreeamie) quickly takes us through some of his highlights of the Association for Simulated Practice in Healthcare conference 2018.The blog for this podcast can be found at https://www.takeaurally.com/new-blog-2/2018/11/16/aspih-2018 containing links and pictures for the projects Jamie is talking aboutDon't forget to…
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Early Clinical Experience: Cardio-Respiratory Examination
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In this episode Lucy Harris talks us through Cardio-Respiratory examination step by step including: - how to assess jugular venous pulse (JVP) - how to elicit heart murmurs - why you can poke Jane but you can’t poke OslerDon't forget to subscribe to Take Aurally on iTunes and SoundCloud, remember to check us out on Facebook and TwitterNUH DREEAM ca…
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Early Clinical Experience: Taking a Cardiac History
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ACP and educator Lucy Harris takes us through Cardiac History taking in this episode once again focusing on: - cardinal symptoms - tips on eliciting common symptoms - red flags to look out for The Geeky Medic page on Cardiac History taking that Lucy mentioned can be found at: https://geekymedics.com/cardiovascular-history/Don't forget to subscribe …
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#UnblindingResearch Eighth Session: Outcome Measures, Confidence Intervals and p Values
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In this live recording of the eighth #UnblindingResearch session on 'Outcome Measures, Confidence Intervals and p values' from DREEAM through a made up beta blocker 'Superlol' we go through:- p values and significance- how mean values move and standard error of the mean - how outcome measures are made and revisiting QALYsDon't be mean and bear the …
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Early Clinical Experience: Taking a Respiratory History
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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 patientRemember to subscribe to Take Aurally on SoundCloud and iTunesBoth NUH DREEAM and Take…
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Early Clinical Experience: History Taking
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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 symptomsRemember to subscribe to Take Aurally on SoundCloud and iTunesBoth NUH DREEAM and Take Aurally can be found on Fa…
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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 epistaxisYou 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/…
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Non-Accidental Injury Part Two: Saying the Unsayable
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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 wayYou can find the blog for this podcast containing links for more in…
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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 RedthreadThe Public Health approach used by RedthreadHow Redthread has spread nationally and the political intere…
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#UnblindingResearch Session Seven: Sampling
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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 calculatedHopefully this session will help you to bear sampling!The blog entry containing th…
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Non Accidental Injury Part One: Thinking the Unthinkable
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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 processYou can find the blog for this podcast containing links for more information and the #TakeVisually at https://www.takeaurally.com/paediatri…
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Arrhythmia Part Two: Bradyarrhythmia
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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 …
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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 imageThe guidance mentioned is based on the N…
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Aortic Syndrome Part Two: Abdominal Aortic Aneurysm
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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 - Diagn…
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