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Interview: Managing acute arrythmias
Dr Jaycen Cruikshank discusses the assessment and management of ventricular tachycardia, supraventricular tachycardia, atrial fibrillation and bradycardia with Dr Kathryn O'Connor. Accurate ECG interpretation is vital and faxing an ECG to a cardiologist or tertiary emergency department can help. The unconscious patient will require rescuscitation as per the Australian Resuscitation Council guidelines and the conscious patient requires IV access, oxygen, continuous cardiac monitoring and def ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Initial management of cardiac arrhythmiasDiagnosis of acute arrhythmias requires recognition and interpretation of important electrocardiogram (ECG) findings, and knowledge of Australian resuscitation guidelines.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Neonatal care before transferDr Kathryn Browning Carmo discusses the role of the GP in managing the neonate before transfer to a tertiary centre with Dr Kathryn O'Connor. Early phone contact with the local Neonatal Emergency Transport Service provides GPs with much needed support and allows initiation of retrieval. Priorities include keeping the infant warm, assessment and management of airway, breathing and circulation, basic investigations and fluid and antibiotic therapy as necessary. It is vital to prepare the fami ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Stabilising the newborn for transfer - Basic principlesRural general practitioners involved in obstetric service delivery may have occasion to support the sick or premature newborn requiring transfer. This should be achievable for short periods of time in most rural hospitals.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Does this child have oppositional defiant disorder (ODD)?Anne Fraser, clinical psychologist from the State child Development Centre in Western Australia discusses oppositional defiant disorder (ODD) with Dr Jenni Parsons. The discussion centres around distinguishing ODD from normal preschool or adolescent behaviour, associations with other behavioural and psychological problems and management strategies.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Oppositional defiant disorderOppositional defiant disorder (ODD) is defined as a repetitive and persistent pattern of opposition, defiant, disobedient and disruptive behaviours toward authority figures persisting for at least 6 months.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: School refusalDr Jill Sewell discusses the underlying causes, assessment and management of school refusal with Dr Jenni Parsons. School refusal is a heterogeneous and multifactorial problem that may relate to separation anxiety, anxiety-depression, learning difficulties, bullying, family dysfunction or the child needing to 'protect' a parent in situations of family violence or parental mental health problems.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: School refusalSchool refusal occurs in 1–5% of all school children and has major social, emotional and educational implications for the child.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Consultations with childrenDr Michael Harari discusses practical tips to gain a child's confidence in medical consultations with Dr Jenni Parsons. The judicious use of silliness, without acting the fool, can set a child at ease and facilitate assessment, history taking and examination.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Gaining children's confidence - The judicious use of sillinessEngaging children in a clinical setting is kind to the child and their family, and is a useful clinical tool. Each of us will have our own way of getting through a child's fears and defences. Tomfoolery, distraction and imaginary play can lead to a rewarding clinical interaction.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Chronic Rhinosinusitis (CRC)Christopher Brown, consultant ENT surgeon, Melbourne Nasal and Sinus Clinic, discusses the management of chronic rhinosinusitis in adults with Dr Jenni Parsons. The discussion focuses on the practicalities of assessment, optimising medical management and surgical options for patients who have failed medical management.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Chronic rhinosinusitis - 'It's my sinus doc!'Chronic rhinosinusitis (CRS) is a common condition in the community, with significant morbidity and financial implications.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: ENT problems in childrenProfessor Robert Berkowitz discusses the management of ear, nose and throat problems in children with Dr Jenni Parsons. The focus is on when to refer to an otolaryngologist for recurrent otitis media, adenotonsillar disease, suppurative complications of common infections and nasal injuries.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: When to refer a child to an otolaryngologistThis article provides a general approach in determining when to refer a child to an otolaryngologist.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Treating hearing impairmentProfessor Stephen O'Leary discusses technological advances in treatment of hearing impairment including digital technology in hearing aids, cochlear implantation and the bone anchored hearing aid (BAHA).Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Hearing impairment - Technological advances and insightsThe treatment of hearing impairment is rapidly evolving. Despite this, a significant number of adults with hearing impairment receive inadequate treatment or rehabilitation, resulting in functional impairment and social isolation.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Lessons from the TAPS study - errors relating to medical recordsThe Threats to Australian Patient Safety (TAPS) Study collected 648 anonymous reports about threats to patient safety from a representative random sample of Australian general practitioners.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Lessons from the TAPS study - errors relating to medical recordsThe Threats to Australian Patient Safety (TAPS) Study collected 648 anonymous reports about threats to patient safety from a representative random sample of Australian general practitioners.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Physiotherapy for urinary incontinenceInternational guidelines recommend treatment for urinary incontinence by a health professional such as a pelvic floor or continence physiotherapist with specialised training in the management of pelvic floor disorders.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Maintaining an INR in the therapeutic rangeMaintaining an INR in the therapeutic range is an important area of patient management and safety. Kate Hodge talks about a program and evaluation to assist in a rural region.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Coordinated anticoagulation management in a rural settingOral anticoagulation management is difficult in rural settings because of reduced patient access to pathology testing and medical management.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Coordinated anticoagulation management in a rural settingOral anticoagulation management is difficult in rural settings because of reduced patient access to pathology testing and medical management.Listen | Listen in your iPhone | Download | View full cache | Visit Website Physiotherapy for urinary incontinence.Dr Patricia Neumann discusses physiotherapy for urinary incontinenceListen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Issues in diagnosing and managing food allergy in adultsAssociate Professor Jo Douglass outlines issues for GPs and patients in diagnosing and managing food allergy in adults.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Food allergy in adultsThere is a marked increase in the prevalence of food allergies. Food allergy can cause fatal anaphylaxis and the victims are most often adolescents and young adults.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Food allergy in adultsThere is a marked increase in the prevalence of food allergies. Food allergy can cause fatal anaphylaxis and the victims are most often adolescents and young adults.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Paediatric allergy tests and allergy prevention recommendationsDr Marnie Robinson talk to AFP audio about 2 of the April theme articles on Allergy. She discusses paediatric allergy, including allergy tests, and the latest in allergy prevention recommendations.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Allergy prevention - Current recommendations and new insightsThe prevalence of allergic disease has increased considerably in recent decades and Australia has one of the highest rates of allergic disease in the world. Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Allergy testing and referral in childrenAllergic diseases (asthma, atopic dermatitis, allergic rhinitis and food allergy) are the commonest chronic diseases of childhood.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Allergy prevention - Current recommendations and new insightsThe prevalence of allergic disease has increased considerably in recent decades and Australia has one of the highest rates of allergic disease in the world. Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Allergy testing and referral in childrenAllergic diseases (asthma, atopic dermatitis, allergic rhinitis and food allergy) are the commonest chronic diseases of childhood.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Surgical treatments for urinary incontinence in womenDr Karen McKertich discusses procedural and surgical treatments for urinary incontinence in women.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Urinary incontinence - Procedural and surgical treatments for womenA range of surgical treatment options is available for women suffering from stress and urge urinary incontinence refractory to conservative and medical management.Listen | Listen in your iPhone | Download | View full cache | Visit Website Interview: Assessment of urinary incontinence in womenDr Karen McKertich discusses assessment of urinary incontinence in women.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Urinary incontinence - Assessment in women: stress, urge or both?The aims of assessing urinary incontinence in women are to define the diagnosis, exclude other pathology and guide management. Treatment can be initiated when urinary incontinence is categorised as stress, urge or mixed incontinence.Listen | Listen in your iPhone | Download | View full cache | Visit Website Overweight and obese adolescents Overweight and obese adolescents face significant problems with their physical and emotional health. Professor Kate Steinbeck outlines the GP’s role in advocating for these kids and helping them reach realistic goals.Listen | Listen in your iPhone | Download | View full cache | Visit Website Cardiac pacemakersCardiac pacemakers have come a long way in the 50 years since the first model needed its batteries changed after 3 hours. Dr Geoff Toogood discusses the indications for cardiac pacing.Listen | Listen in your iPhone | Download | View full cache | Visit Website Management of cardiac arrhythmias: pharmacological treatment of supraventricular and ventricular tachycardiasDr Peter Kistler talks with Steve Trumble in the first of three podcasts on the management of cardiac arrhythmias. This interview focuses on his article in the pharmacological treatment of supraventricular and ventricular tachycardias.Listen | Listen in your iPhone | Download | View full cache | Visit Website Atrial fibrillationAtrial fibrillation is becoming increasingly common, especially in older people. In this podcast, Dr Peter Kistler discusses the control of rate and rhythm in atrial fibrillation.Listen | Listen in your iPhone | Download | View full cache | Visit Website Management of arrhythmias: cardiac cathetersIn the final of his three podcasts, Dr Peter Kistler looks at the use of cardiac catheters in the management of arrhythmias.Listen | Listen in your iPhone | Download | View full cache | Visit Website Youth sexual activityDr Melissa Kang has a special interest in the sexual health of young people. In this interview, she observes changing patterns in youth sexual activity and some basic principles of safe sexual behaviour.Listen | Listen in your iPhone | Download | View full cache | Visit Website Adolescent sex, contraception and healthIn this podcast, Melissa Kang attempts to enlighten Steve Trumble on successful communication with young people about their sexuality and sexual risks.Listen | Listen in your iPhone | Download | View full cache | Visit Website The mental health of adolescents - Assessment and managementDr Graham Fleming is a GP in rural South Australia who saw a problem with youth suicide in his area and went ahead and fixed it. He talks about practical approaches to adolescent mental health.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Adolescent overweight and obesity - How best to manage in the general practice settingThe prevalence of overweight and obesity continues to increase in adolescents. Community level management is necessary as specialist services are limited.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Sex, contraception and healthYoung Australian people aged 12–25 years are sexually active at a younger age and have more sexual partners compared to previous generations. Pregnancy and sexually transmitted infection (STI) rates are high in this age group. Sexual violence, discrimination against same sex attracted youth, and associated health risk behaviours such as alcohol and drug use are also important sexual health issues for adolescents.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: The mental health of adolescents - Assessment and managementAbout 15% of the adolescent population suffers a mental health problem. Although a large percentage of these adolescents present to their general practitioner at least once a year, often their mental health problems are not presented or are somatised. Unfortunately, without intervention many of these mental health problems progress into adulthood where they are often more difficult to solve.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Pacemaker therapies in cardiologySince the first cardiac pacemaker was inserted in 1958 vast changes have occurred in both the technology of the devices and their indications.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Pharmacologic management of tachycardiaCardiac arrhythmias may present with palpitations, chest pain, shortness of breath, dizziness and syncope. Diagnosis may be complicated by an inability to document the arrhythmia particularly when symptoms are infrequent and short lived.Listen | Listen in your iPhone | Download | View full cache | Visit Website Article: Management of atrial fibrillationAtrial fibrillation affects a significant proportion of the Australian population, affecting approximately 5% of people over 65 years of age.Listen | Listen in your iPhone | Download | |