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  • Podcast - Little lungs, big wheeze: Assessing acute asthma in kids

    Podcast - Little lungs, big wheeze: Assessing acute asthma in kids
    2025/04/16
    The video version of this podcast can be found here: · https://youtu.be/FkZmvfQVby8This channel may make reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE. My name is Fernando Florido (also known as Juan Fernando Florido Santana), a GP in the UK. In this episode, I will go through the new NICE guideline on acute asthma, NG244, focusing on what is relevant in Primary Care only. Given how extensive the guidance is, in this episode I will just focus on the initial assessment of acute asthma in children. In the last two episodes I covered the initial assessment and treatment in adults and in the next two episodes, I will cover:· Treatment of acute asthma in children· And finally, lessons from asthma deaths and near-fatal asthma as well as reviewing the concept of difficult asthma Just like the NICE guideline on the management of chronic asthma, which was updated in November 2024, the NICE guideline on acute asthma is also a collaborative initiative developed by NICE, the British Thoracic Society (BTS), and the Scottish Intercollegiate Guidelines Network (SIGN). It replaces previous guidance, and you can find a link to it in the episode description.I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The link to the new NICE guideline on acute asthma can be found here:· https://www.nice.org.uk/guidance/ng244/chapter/Managing-acute-asthmaBased on recommendations on managing acute asthma in the BTS/SIGN British guideline on the management of asthma:· https://rightdecisions.scot.nhs.uk/bts-nice-and-sign-asthma-pathway/managing-acute-asthma/ Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I am Fernando, a GP in the UK. Today, we will go through the new NICE guideline on acute asthma, or NG244, focusing on what is relevant in Primary Care only. Just like in chronic asthma, the NICE guideline on acute asthma is a joint effort by NICE, BTS and SIGN. A link to it is in the episode description.In this episode I will just focus on the initial assessment of acute asthma in children. In the last two episodes I covered the initial assessment and treatment in adults and in the next two episodes, I will cover the treatment of acute asthma in children and lessons from asthma deaths. So, stay tuned for those!Right, let’s jump into it.Acute asthma in children, particularly in those under five, can be challenging to assess.In this age group, intermittent wheezing attacks are often triggered by viral infections, and the response to asthma medications can be inconsistent. Children born prematurely or with low birth weight are at higher risk of recurrent wheezing episodes.We should also consider other potential diagnoses, which may include:Aspiration pneumonitis,Pneumonia,Bronchiolitis,Tracheomalacia,Or complications from underlying conditions, ...
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    7 分
  • Podcast - NICE News - March 2025

    Podcast - NICE News - March 2025
    2025/04/09
    The video version of this podcast can be found here: · https://youtu.be/ua-LV78WIo8This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I go through new and updated recommendations published in March 2025 by the National Institute for Health and Care Excellence (NICE), focusing on those that are relevant to Primary Care only. I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The Full NICE News bulletin for March 2025 can be found here: · https://www.nice.org.uk/guidance/published?from=2025-03-01&to=2025-03-26&ndt=Guidance&ndt=Quality+standard The links to the guidance covered in this episode can be found here: The NICE technology appraisal on 12 SQ-HDM SLIT for treating allergic rhinitis and allergic asthma caused by house dust mites [TA1045] can be found here: · https://www.nice.org.uk/guidance/ta1045TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome! I’m Fernando, a GP in the UK. In today’s episode, we’ll be looking at the NICE updates published in February 2025, focusing specifically on what’s relevant to Primary Care.We’ve got a short and snappy episode today, as there’s only one clinical area to discuss: the use of house dust mite sublingual immunotherapy for allergic rhinitis. It’s an interesting subject, so let’s dive straight in.The marketing authorisation for house dust mite sublingual immunotherapy, marketed as Acarizax (12 SQ HDM SLIT), covers both allergic rhinitis and allergic asthma. But before we move on to the NICE recommendations. What is Acarizax?Acarizax (12 SQ HDM SLIT) is a sublingual immunotherapy (SLIT) treatment designed to help manage allergic rhinitis caused by house dust mites. It contains extracts from house dust mites and works by gradually desensitising the immune system to these allergens, helping to reduce allergy symptoms over time.Acarizax is taken as a sublingual tablet that is placed under the tongue once a day. The tablet should be kept under the tongue until it dissolves completely.By continuously exposing the immune system to small doses of the allergen, Acarizax aims to reduce the severity of allergic reactions to house dust mites over time, offering symptom relief and reducing the need for ...
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    6 分
  • Podcast - Puff, puff, prescribe: Adult treatment of acute asthma explained

    Podcast - Puff, puff, prescribe: Adult treatment of acute asthma explained
    2025/04/02
    The video version of this podcast can be found here: · https://youtu.be/rmkFvK2O0KMThis channel may make reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.My name is Fernando Florido (also known as Juan Fernando Florido Santana), a GP in the UK. In this episode, I will go through the new NICE guideline on acute asthma, NG244, focusing on what is relevant in Primary Care only. Given how extensive the guidance is, in this episode I will just focus on treatment of acute asthma in adults. In the last episode I covered the initial assessment in adults and in the next episodes, I will cover:· Initial assessment of acute asthma in children · Treatment of acute asthma in children· And finally, lessons from asthma deaths and near-fatal asthma as well as reviewing the concept of difficult asthma Just like the NICE guideline on the management of chronic asthma, which was updated in November 2024, the NICE guideline on acute asthma is also a collaborative initiative developed by NICE, the British Thoracic Society (BTS), and the Scottish Intercollegiate Guidelines Network (SIGN). It replaces previous guidance, and you can find a link to it in the episode description.I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The link to the new NICE guideline on acute asthma can be found here:· https://www.nice.org.uk/guidance/ng244/chapter/Managing-acute-asthmaBased on recommendations on managing acute asthma in the BTS/SIGN British guideline on the management of asthma:· https://rightdecisions.scot.nhs.uk/bts-nice-and-sign-asthma-pathway/managing-acute-asthma/ Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I am Fernando, a GP in the UK. Today, we will go through the new NICE guideline on acute asthma, NG244, focusing on what is relevant in Primary Care only. Just like the NICE guideline on the management of chronic asthma, the NICE guideline on acute asthma is also a collaboration between NICE, SIGN and the British Thoracic Society (BTS). It replaces previous guidance, and you can find a link to it in the episode description.In this episode I will just focus on treatment of acute asthma in adults. In the last episode we covered the initial assessment in adults and in the next three episodes, I will cover the assessment of children, treatment in children and lessons from asthma deaths. So, stay tuned for those!Right, let’s jump into it.When managing acute asthma in adults, our primary goal is to prevent poor outcomes> Many asthma-related deaths are due to clinical staff failing to assess severity with objective measurements, patients or their families underestimating the seriousness of the attack, and the underuse of corticosteroids.The treatment of acute asthma depends on the severity of the attack, which can range from ...
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    11 分
  • Podcast - Gasping for Clarity: Adult Assessment of Acute Asthma Explained

    Podcast - Gasping for Clarity: Adult Assessment of Acute Asthma Explained
    2025/03/26
    The video version of this podcast can be found here: · https://youtu.be/-fWEa4h6q64This channel may make reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.My name is Fernando Florido (also known as Juan Fernando Florido Santana), a GP in the UK. In this episode, I will go through the new NICE guideline on acute asthma, NG244, focusing on what is relevant in Primary Care only. Given how extensive the guidance is, in this episode I will just focus on initial assessment in adults. In the next four episodes, I will cover:· Treatment of acute asthma in adults· Initial assessment of acute asthma in children · Treatment of acute asthma in children· And finally, lessons from asthma deaths and near-fatal asthma as well as reviewing the concept of difficult asthma Just like the NICE guideline on the management of chronic asthma, which was updated in November 2024, the NICE guideline on acute asthma is also a collaborative initiative developed by NICE, the British Thoracic Society (BTS), and the Scottish Intercollegiate Guidelines Network (SIGN). It replaces previous guidance, and you can find a link to it in the episode description.I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The link to the new NICE guideline on acute asthma can be found here:· https://www.nice.org.uk/guidance/ng244/chapter/Managing-acute-asthmaBased on recommendations on managing acute asthma in the BTS/SIGN British guideline on the management of asthma:· https://rightdecisions.scot.nhs.uk/bts-nice-and-sign-asthma-pathway/managing-acute-asthma/Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I am Fernando, a GP in the UK. Today, we will go through the new NICE guideline on acute asthma, NG244, focusing on what is relevant in Primary Care only. Just like the NICE guideline on the management of chronic asthma, the NICE guideline on acute asthma is also a collaborative initiative developed by NICE, the British Thoracic Society (BTS), and the Scottish Intercollegiate Guidelines Network (SIGN). It replaces previous guidance, and you can find a link to it in the episode description.Given how extensive the guidance is, in this episode I will just focus on initial assessment in adults.In the next four episodes, I will cover the assessment of children, treatment in adults and children and lessons from asthma deaths and the concept of difficult asthma. So, stay tuned for those!Right, let’s jump into it.When conducting the initial assessment of a patient with acute asthma, it helps to follow a systematic approach because using a structured recording process helps ensure consistency in order to determine:Whether the patient is indeed having an acute attack,The severity of the episode,And the appropriate treatment required.So let’s have a look ...
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    9 分
  • Podcast - ESR or CRP? The inflammation debate – which test tells the best tale?

    Podcast - ESR or CRP? The inflammation debate – which test tells the best tale?
    2025/03/19
    The video version of this podcast can be found here: · https://youtu.be/kk5ADBP1J9MMy name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I go through guidance on inflammatory markers, ESR and CRP. For this I have reviewed a number of guidelines and publications, particularly South Tees Hospitals NHS Trust, York and Scarborough Hospitals NHS Trust and Bristol, North Somerset and South Gloucestershire ICB. A full list of the sources consulted can be found below.I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The sources consulted can be found here:· BJGP article: https://bjgp.org/content/69/684/e462 · BNSSG guideline: https://remedy.bnssg.icb.nhs.uk/adults/investigations/inflammatory-marker-testing/?utm· Clinical audit: https://gps.northcentrallondon.icb.nhs.uk/cdn/serve/service-downloads/1551452026-75436315473b66e9567181d4bb9736a3.pdf?dl=1&utm· South Tees Hospitals: https://www.southtees.nhs.uk/services/pathology/tests/c-reactive-protein-crp/?utm and https://www.southtees.nhs.uk/services/pathology/tests/esr/ · York and Scarborough Hospitals: https://www.yorkhospitals.nhs.uk/seecmsfile/?id=4123 · Medcentral: https://www.medcentral.com/pain/chronic/erythrocyte-sedimentation-rate-c-reactive-protein-old-useful-biomarkers-pain-treatment?utm TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I am Fernando, a GP in the UK. Today, we are looking at the guidance on inflammatory markers, ESR and CRP, focusing on what is relevant in Primary Care only. For this I have reviewed a number of NHS guidelines and medical publications. A full list of the sources consulted can be found in the episode description.Right, without further ado, let’s jump into it.The most commonly used inflammatory markers are Erythrocyte Sedimentation Rate (or ESR) and C-Reactive Protein (or CRP).ESR and CRP are not only frequently ordered in Primary Care but the rate of testing also appears to be increasing. It is estimated that for every 1000 inflammatory marker tests done there are 236 false positives, which leads to 710 GP appointments, 229 blood test appointments and 24 referrals in the following six months. Furthermore, there are concerns about excessive testing because clinicians often check multiple inflammatory markers simultaneously.So, this is the reason why it is generally advised to avoid using these tests for screening or as a rule-out for patients with non-specific symptoms.But let's start with the basics.Inflammation is a fundamental response to injury, infection, or disease. It involves a complex cascade of immune mediators, which leads to the production of acute-phase reactants, that is, proteins that increase in response to inflammation. This is where ESR and CRP come into play.Let’s have a look at them individually and in a little bit more detail.And let’s start with CRP.What makes CRP clinically useful?firstly, CRP is used to assess the progression of inflammation and infection. Unlike ESR, CRP test measures the ...
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    11 分
  • Podcast - AI Discussions: AF Part 2: Two AIs discuss NICE & practical cases

    Podcast - AI Discussions: AF Part 2: Two AIs discuss NICE & practical cases
    2025/03/17

    The video version of this episode can be found here:

    · https://youtu.be/YS9hgtsxPi0

    The original video on the NICE guideline on AF on this channel that this episode is based on can be found here:

    · https://youtu.be/AGdfwwzcKJs?si=G_TamzKCiQ-LW8WO

    This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.

    NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.

    My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I use AI voices to discuss the NICE guideline on atrial fibrillation, using AI generated clinical cases to illustrate the guidance.

    I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.

    Disclaimer:

    The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions.

    In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.

    There is a podcast version of this and other videos that you can access here:

    Primary Care guidelines podcast:

    · Redcircle: https://redcircle.com/shows/primary-care-guidelines

    · Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK

    · Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148


    There is a YouTube version of this and other videos that you can access here:

    • The Practical GP YouTube Channel:

    https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk


    Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]

    Music provided by Audio Library Plus

    Watch: https://youtu.be/aBGk6aJM3IU

    Free Download / Stream: https://alplus.io/halfway-through
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    12 分
  • Podcast - NICE News - February 2025

    Podcast - NICE News - February 2025
    2025/03/12
    The video version of this podcast can be found here: · https://youtu.be/yHcuYMRLF_4This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I go through new and updated recommendations published in February 2025 by the National Institute for Health and Care Excellence (NICE), focusing on those that are relevant to Primary Care only. I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The Full NICE News bulletin for February 2025 can be found here: · https://www.nice.org.uk/guidance/published?from=2025-02-01&to=2025-02-28&ndt=Guidance&ndt=Quality+standardThe links to the guidance covered in this episode can be found here: The NICE guidance on early and locally advanced breast cancer: diagnosis and management [NG101] can be found here: · https://www.nice.org.uk/guidance/ng101The NICE guidance on advanced breast cancer: diagnosis and treatment [CG81] can be found here: · https://www.nice.org.uk/guidance/cg81The NICE quality standards Ovarian cancer [QS18] can be found here: · https://www.nice.org.uk/guidance/qs18The NICE guidance on tobacco: preventing uptake, promoting quitting and treating dependence [NG209] can be found here: · https://www.nice.org.uk/guidance/ng209TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I am Fernando, a GP in the UK. Today, we are looking at the NICE updates published in February 2025, focusing on what is relevant in Primary Care only. In today’s episode, we’ll be covering updates in smoking cessation, breast cancer, and ovarian cancer.Right, let’s jump into it.Let’s start with smoking cessation and management for everyone aged 12 and over. The latest evidence review includes new guidance on cytisinicline.But before moving forward: What is Cytisinicline?Cytisinicline (also called cytisine) is a plant-derived substance used as a smoking cessation aid. It is similar in structure to nicotine and acts as a partial agonist of nicotinic receptors. Cytisinicline or Cytisine has been used in Eastern Europe for decades and now it has gained interest here too.It has a dual Mechanism of Action, one by reducing nicotine withdrawal symptoms by mildly stimulating the nicotinic receptors and ...
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    10 分
  • Podcast - AI Discussions: AF Part 1: Two AIs discuss NICE & practical cases

    Podcast - AI Discussions: AF Part 1: Two AIs discuss NICE & practical cases
    2025/03/10

    The video version of this episode can be found here:

    · https://youtu.be/L1V_9RZSeQU

    The original video on the NICE guideline on AF on this channel that this episode is based on can be found here:

    · https://youtu.be/AGdfwwzcKJs?si=G_TamzKCiQ-LW8WO

    This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.

    NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.

    My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I use AI voices to discuss the NICE guideline on atrial fibrillation, using AI generated clinical cases to illustrate the guidance.

    I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.

    Disclaimer:

    The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions.

    In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.

    There is a podcast version of this and other videos that you can access here:

    Primary Care guidelines podcast:

    · Redcircle: https://redcircle.com/shows/primary-care-guidelines

    · Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK

    · Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148


    There is a YouTube version of this and other videos that you can access here:

    • The Practical GP YouTube Channel:

    https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk


    Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]

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