Diabetic Ketoacidosis in Adults

Diabetic Ketoacidosis (DKA) is a life threatening emegency and requires prompt recognition and treatment. Dr David Ewins is a Consultant Physician in Endocrinology and Diabetes and talks with Scott about the approach to evaluating and managing DKA in adults as well as some of the finer points and controversies that exist. Have a listen to the episode below or … Continue reading Diabetic Ketoacidosis in Adults

Acute Coronary Syndromes

Scott talks to Consultant Cardiologists Professor John Somauroo and Dr. Babu Kunadian and Karen Randles, a cardiology specialist nurse at Chester about the assessment of patients presenting with chest pain and the management of Acute Coronary Syndromes (ACS). This includes ST-segment-elevation myocardial infarctions (STEMI) and non-ST-segment elevation myocardial infarctions (NSTEMI). Check out the podcast below or … Continue reading Acute Coronary Syndromes

Acute Pain, Epidurals, Rectus Sheath Catheters

I speak with Dr Dominic Cliff, a Consultant Anaesthetist with a special interst in acute pain. Dominic runs the acute pain service in Chester and has been instrumental in the adoption of rectus sheath catheters for post operative pain relief in major abdominal surgery. Oooww!! You B!*^&$d!! Is my normal response should I hit my thumb … Continue reading Acute Pain, Epidurals, Rectus Sheath Catheters

Assessment of the Unwell Patient

I talk to Dr Sarah White, an anaesthetic registrar at Chester about assessing an unwell patient. We deliberately chose to use an example case of a breathless asthmatic patient simply because extremely short of breath patients are unforgivably scary for doctors of any stage in training, even experienced consultants. At a later date, we will … Continue reading Assessment of the Unwell Patient