Primary Care Guidelines

De: Juan Fernando Florido Santana
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  • Resumen

  • A podcast intended for healthcare professionals wanting to keep up to date relevant information about clinical practice guidelines
    All rights reserved.
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Enfermedades Físicas Hygiene & Healthy Living
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Episodios
  • Podcast - Don't hold your breath: Treating acute asthma in kids

    Podcast - Don't hold your breath: Treating acute asthma in kids
    Apr 23 2025
    The video version of this podcast can be found here: · https://youtu.be/LxlmAeHzjsgThis 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 treatment of acute asthma in children. In the last three episodes I covered the initial assessment in adults and children and the treatment in adults and in the next episode, I will cover:· Lessons from asthma deaths and near-fatal asthma as well as reviewing the concept of difficult asthmaJust 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 we will just focus on the treatment of acute asthma in children.In the last three episodes we have covered the initial assessment in adults and children and the treatment in adults and in the next episode, I will cover lessons from asthma deaths. So, stay tuned for that!Right, let’s jump into it.When managing acute asthma in children, it helps to follow a structured approach to ensure effective and timely treatment. And let’s start by looking at the various therapeutic interventions, starting withOxygen: For children with life threatening asthma or oxygen saturation below 94%, we should immediately administer high-flow oxygen using a tight-fitting face mask or nasal cannula to maintain saturations between 94 and 98%.The next step is Inhaled short-acting β2 agonists: They are the first-line treatment for acute asthma in children. We need to bear in mind that when children require ...
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    11 m
  • Podcast - Little lungs, big wheeze: Assessing acute asthma in kids

    Podcast - Little lungs, big wheeze: Assessing acute asthma in kids
    Apr 16 2025
    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 m
  • Podcast - NICE News - March 2025

    Podcast - NICE News - March 2025
    Apr 9 2025
    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 m
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