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Old Tricks for New Dogs
CotEcast #1 - Shownotes
Title: Old Tricks for New Dogs
Date: Mon 14th July
Host(s): Mark Garside, James Fisher, Pete Brock
Guest(s): Sean Ninan
Opening Question: Which fictional doctor would you most like to be?
Main Topic: Top tips for new doctors dealing with older patients
Discussion Points:
Each participant to identify one ‘top tip’ and one ‘pet hate’ (inc. how to avoid doing it)
James
Pet Hate: "As far as I'm aware"
Top Tip: Rule of 'stuff'
Know your stuff
Give a stuff
Take no stuff and
Remember, that despite all of this, stuff happens...
Pete
Pet Hate: Fluids - too much or too little
Top Tip: There is always something you can do to help a delirious patient
Sean
Pet Hate: Unfounded diagnosis of UTI
Top Tip: Get to know your patients
Mark
Pet Hate: No collateral hx from confused pts
Top Tip: Open questions, and give time to answer (eg. How are your waterworks/Tell me about your bowels, rather than 'Have you got any problems with') - Remember to ask this in the systemic enquiry
Top Three ‘CotEcast comandments':
Don't diagnose UTI without good evidence
Remember the rule of 'stuff'
If you don’t know, ask!
References, links and resources:
Sean's blog post - http://sean9n.wordpress.com/
BGS blog on 'Geriatrician's Profanisaurus' - http://britishgeriatricssociety.wordpress.com/2013/12/23/the-geriatrics-profanisaurus-words-and-phrases-we-should-ban/#more-1954
Failed Care Pathway (video) - http://www.youtube.com/watch?v=Fj_9HG_TWEM&sns=tw
'Myths and MSUs' Mini-GEM - http://www.youtube.com/watch?v=JPzz6fcmxoIDelirium Mini-GEM - http://www.youtube.com/watch?v=1iKe-6lc5b0
NICE IV Fluid guidelines - http://www.nice.org.uk/guidance/CG174
Twitter handles:
AEME: @ElderlyMedEd
Mark: @garside80
James: @drjimbofish
Pete: @petebrock7
Sean: @sean9n
Email cotecast@aeme.org.uk with comments, questions, suggestions
CotEcast
http://www.aeme.org.uk
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