Primary Care Guidelines

By: Juan Fernando Florido Santana
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  • Summary

  • A podcast intended for healthcare professionals wanting to keep up to date relevant information about clinical practice guidelines
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Episodes
  • The Asthma Revolution Part 3: New Treatment Advice for Ages under 12

    The Asthma Revolution Part 3: New Treatment Advice for Ages under 12
    Jan 1 2025
    The video version of this podcast can be found here: · https://youtu.be/4sbHjioaudIThis 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 diagnosing, monitoring, and managing chronic asthma, NG245, focusing on what is relevant in Primary Care only. Given how extensive the guidance is, in this episode I will just focus on treating asthma in children aged 5 to 11, and those under 5 If you haven’t already, I recommend checking out the previous two episodes on this subject covering “initial assessment and diagnosis” and the “asthma treatment in patients aged 12 and over” In the next episode, we will finish the guideline by covering: And finally, Asthma monitoring, general treatment principles, and management in special groups The new guideline is 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 collaborative NICE guideline on chronic asthma can be found here:· https://www.nice.org.uk/guidance/ng245The table on alternative diagnoses in wheezy children in the BTS/SIGN British guideline on the management of asthma SIGN 158 can be found here: · https://rightdecisions.scot.nhs.uk/bts-nice-and-sign-asthma-pathway/diagnosis/alternative-diagnoses-in-wheezy-children/The table on alternative diagnoses in adults in the BTS/SIGN British guideline on the management of asthma SIGN 158 can be found here: · https://rightdecisions.scot.nhs.uk/asthma-pathway-bts-nice-sign-sign-244/diagnosis/alternative-diagnoses-in-adults/The algorithm A for a summary of objective tests for diagnosing asthma in adults and young people (aged over 16 years) with a history suggesting asthma can be found here:· https://www.nice.org.uk/guidance/ng245/resources/bts-nice-and-sign-algorithm-a-summary-of-objective-tests-for-diagnosing-asthma-pdf-13556516365The algorithm B for a summary of objective tests for diagnosing asthma in children aged 5 to 16 with a history suggesting asthma can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-b-objective-tests-for-diagnosing-asthma-in-children-aged-5-to-16-with-a-history-pdf-13556516366The algorithm C for a summary of the pharmacological management of asthma in people aged 12 years and over can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-c-pharmacological-management-of-asthma-in-people-aged-12-years-and-over-bts-nice-pdf-13556516367The algorithm D for a summary of the pharmacological management of asthma in children aged 5 to 11 years can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-d-pharmacological-management-of-asthma-in-children-aged-5-to-11-years-bts-nice-sign-pdf-13556516368The algorithm E for a summary of the pharmacological management of asthma in children under 5 can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-e-pharmacological-management-of-asthma-in-children-under-5-bts-nice-sign-pdf-13556516369The MHRA safety advice on the risk of neuropsychiatric reactions in people taking montelukast can be found here:· https://www.gov.uk/drug-safety-update/montelukast-reminder-of-the-risk-of-neuropsychiatric-reactionsThe table of inhaled corticosteroid doses for the BTS, NICE and SIGN asthma guideline can be found here:· https://www.nice.org.uk/guidance/ng245/resources/...
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    13 mins
  • The Asthma Revolution Part 2: New Treatment Advice for Ages 12+

    The Asthma Revolution Part 2: New Treatment Advice for Ages 12+
    Dec 25 2024
    The video version of this podcast can be found here:· https://youtu.be/Mef3NziRsMEThis 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 diagnosing, monitoring, and managing chronic asthma, NG245, focusing on what is relevant in Primary Care only. Given how extensive the guidance is, in this episode I will just focus on treating asthma in patients aged 12 and over. If you haven’t already, I recommend checking out the previous episode on initial assessment and diagnosis. In the next two episodes, I will finish the guideline by covering: · Treating asthma in children aged 5 to 11, and those under 5· Asthma monitoring, general treatment principles, and management in special groups The new guideline is 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/id1608821148There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrkThe link to the new collaborative NICE guideline on chronic asthma can be found here:· https://www.nice.org.uk/guidance/ng245The table on alternative diagnoses in wheezy children in the BTS/SIGN British guideline on the management of asthma SIGN 158 can be found here: · https://rightdecisions.scot.nhs.uk/bts-nice-and-sign-asthma-pathway/diagnosis/alternative-diagnoses-in-wheezy-children/The table on alternative diagnoses in adults in the BTS/SIGN British guideline on the management of asthma SIGN 158 can be found here: · https://rightdecisions.scot.nhs.uk/asthma-pathway-bts-nice-sign-sign-244/diagnosis/alternative-diagnoses-in-adults/The algorithm A for a summary of objective tests for diagnosing asthma in adults and young people (aged over 16 years) with a history suggesting asthma can be found here:· https://www.nice.org.uk/guidance/ng245/resources/bts-nice-and-sign-algorithm-a-summary-of-objective-tests-for-diagnosing-asthma-pdf-13556516365The algorithm B for a summary of objective tests for diagnosing asthma in children aged 5 to 16 with a history suggesting asthma can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-b-objective-tests-for-diagnosing-asthma-in-children-aged-5-to-16-with-a-history-pdf-13556516366The algorithm C for a summary of the pharmacological management of asthma in people aged 12 years and over can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-c-pharmacological-management-of-asthma-in-people-aged-12-years-and-over-bts-nice-pdf-13556516367The algorithm D for a summary of the pharmacological management of asthma in children aged 5 to 11 years can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-d-pharmacological-management-of-asthma-in-children-aged-5-to-11-years-bts-nice-sign-pdf-13556516368The algorithm E for a summary of the pharmacological management of asthma in children under 5 can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-e-pharmacological-management-of-asthma-in-children-under-5-bts-nice-sign-pdf-13556516369The MHRA safety advice on the risk of neuropsychiatric reactions in people taking montelukast can be found here:· https://www.gov.uk/drug-safety-update/montelukast-reminder-of-the-risk-of-neuropsychiatric-reactionsThe table of inhaled corticosteroid doses for the BTS, NICE and SIGN asthma guideline can be found here:· https://www.nice.org.uk/guidance/ng245/resources/...
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    10 mins
  • The Asthma Revolution Part 1: New Diagnostic Criteria Explained

    The Asthma Revolution Part 1: New Diagnostic Criteria Explained
    Dec 18 2024
    The video version of this podcast can be found here: · https://youtu.be/-64tUk-zkWk This 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 diagnosing, monitoring, and managing chronic asthma, NG245, 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 and diagnosis. In the next three episodes, I will cover:· Treating asthma in patients aged 12 and over· Treating asthma in children aged 5 to 11, and those under 5· And finally, Asthma monitoring, general treatment principles, and management in special groups The new guideline is 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 collaborative NICE guideline on chronic asthma can be found here:· https://www.nice.org.uk/guidance/ng245The table on alternative diagnoses in wheezy children in the BTS/SIGN British guideline on the management of asthma SIGN 158 can be found here: · https://rightdecisions.scot.nhs.uk/bts-nice-and-sign-asthma-pathway/diagnosis/alternative-diagnoses-in-wheezy-children/The table on alternative diagnoses in adults in the BTS/SIGN British guideline on the management of asthma SIGN 158 can be found here: · https://rightdecisions.scot.nhs.uk/asthma-pathway-bts-nice-sign-sign-244/diagnosis/alternative-diagnoses-in-adults/The algorithm A for a summary of objective tests for diagnosing asthma in adults and young people (aged over 16 years) with a history suggesting asthma can be found here: · https://www.nice.org.uk/guidance/ng245/resources/bts-nice-and-sign-algorithm-a-summary-of-objective-tests-for-diagnosing-asthma-pdf-13556516365The algorithm B for a summary of objective tests for diagnosing asthma in children aged 5 to 16 with a history suggesting asthma can be found here: · https://www.nice.org.uk/guidance/ng245/resources/algorithm-b-objective-tests-for-diagnosing-asthma-in-children-aged-5-to-16-with-a-history-pdf-13556516366The algorithm C for a summary of the pharmacological management of asthma in people aged 12 years and over can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-c-pharmacological-management-of-asthma-in-people-aged-12-years-and-over-bts-nice-pdf-13556516367The algorithm D for a summary of the pharmacological management of asthma in children aged 5 to 11 years can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-d-pharmacological-management-of-asthma-in-children-aged-5-to-11-years-bts-nice-sign-pdf-13556516368The algorithm E for a summary of the pharmacological management of asthma in children under 5 can be found here:· https://www.nice.org.uk/guidance/ng245/resources/algorithm-e-pharmacological-management-of-asthma-in-children-under-5-bts-nice-sign-pdf-13556516369The MHRA safety advice on the risk of neuropsychiatric reactions in people taking montelukast can be found here:· https://www.gov.uk/drug-safety-update/montelukast-reminder-of-the-risk-of-neuropsychiatric-reactionsThe table of inhaled corticosteroid doses for the BTS, NICE and SIGN asthma guideline can be found here:· https://www.nice.org.uk/guidance/ng245/resources/inhaled-corticosteroid-doses-for-the-bts-nice-and-sign-asthma-guideline-pdf-13558148029The NICE guideline on air ...
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    10 mins

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