Postural Tachycardia Syndrome - Surprisingly Common, Easily Missed
First Broadcast: 15th November 2016
Presented by: Dr Lesley Kavi MBChB DRCOG DFSRH
Dr Lesley Kavi, GP in the West Midlands, and lecturer at Birmingham City University presents on Postural Tachycardia Syndrome (PoTS). Postural tachycardia syndrome was 1st recognised, named and defined in 1993, although descriptions of this condition have been around for centuries. A syndrome that most commonly affects younger women, PoTS causes significant medical and social morbidity. Possibly due to lack of awareness and non-specific symptoms, PoTS is often misdiagnosed as anxiety, panic disorder, depression and chronic fatigue syndrome, and patients often wait many years before receiving the correct diagnosis and effective treatment.
Expected Learning Outcomes
- When to suspect PoTS
- How to diagnose PoTS
- Conditions that mimic PoTS
- Treatment of PoTS in primary and secondary care
- Current controversies in PoTS
About the Speaker: Dr Lesley Kavi MBChB DRCOG DFSRH
Dr Kavi qualified at Glasgow University and completed her GP training in the Lake District and Birmingham. She currently works as a GP in the West Midlands and has interests in syncope and PoTS, heritable connective tissue diseases and women's health. In addition she teaches on the Advanced Health Assessment MSc at Birmingham City University. She recently completed a Diploma in Syncope and Related Disorders at the RCPI, Dublin. In her spare time Dr Kavi helps to run PoTS UK, a charity and patient support group for people affected by postural tachycardia syndrome.
Sepsis in Adults
First Broadcast: 2nd March 2017
Presented by: Dr Ron Daniels BEM
Dr Ron Daniels, Chief Executive of UK Sepsis Trust presents a webinar on Sepsis in Adults - latest news for Primary Care. Sepsis is responsible for at least 44,000 deaths annually in the UK, and accounts for 30-50% of episodes of inpatient deterioration. Globally, it accounts for an estimated 6-8 million deaths of whom many are in neonates and infants. Despite this huge burden, a single GP will see on average only one or two cases a year- this session is about national progress toward finding one needle in a haystack, and safety netting so others don't get missed.
Evidence in support of basic elements of care- antibiotics and fluid challenges- suggests that they are more effective and their delivery more time critical than interventions in acute coronary syndrome. This session will explore potential conflict with strategies to ensure antimicrobial stewardship and preservation, and underline the commonality of messages. The roles of acute hospitals, the community, primary and urgent care and the prehospital environment will be explored to aid understanding and planning of a system-wide response. The session will also outline national and global strategies to embed sepsis as a clinical priority for health systems, discuss the new international consensus definitions of sepsis released in February 2016 and discuss the challenges they present. It will outline the implications of the recently published NICE Clinical Guideline in the context of these definitions, and the associated forthcoming Quality Standard.
Expected Learning Outcomes
1. Describe the scale of the impact of sepsis including potential impact of heightened public awareness
2. Apply local interpretation to varying definitions sets for sepsis in line with national strategy
3. Describe the scale of the impact of sepsis including potential impact of heightened public awarenes
About the Speaker: Dr Ron Daniels BEM
Ron is Chief Executive and one of the founders of the Trust; he developed his passion for improving systems for sepsis during his role as a Consultant in Critical Care and Anaesthesia, and his parallel role as CEO of the Global Sepsis Alliance. He is a recognised world expert in sepsis and lectures internationally.
"I won't rest until patients with sepsis are dealt with as quickly and reliably as patients with heart attacks or stroke, every time. I initiated the development of the UK Sepsis Trust when it became clear that to achieve this required not only education, but also engagement" - Ron Daniels
Hypermobility Spectrum Disorder and Ehlers-Danlos Syndrome
First Broadcast: 6th April 2017
Presented by: Dr Alan J Hakim, Dr Jane Simmonds, Dr Lesley Kavi.
We have three presenters contributing to this webinar masterclass: Dr Alan J Hakim MA FRCP, Consultant Physician and Rheumatologist, Hospital of St John and St Elizabeth, Dr Jane Simmonds MCSP FHEA, Great Ormond Street Institute of Child Health, University College London and Dr Lesley Kavi MBChB DRCOG DFSRH, GP in the West Midlands and helps to run PoTS UK, a charity and patient support group for people affected by postural tachycardia syndrome. Jointly they will be presenting a webinar on Hyper-mobility Spectrum Disorder and Ehlers-Danlos syndrome - hyper-mobile type: Recognition and Management for GPs.
Patients who present a diagnostic challenge for GPs, especially younger people with unexplained arthralgia, fibromyalgia, chronic pain syndrome, chronic fatigue, functional GI problems or symptomatic low blood pressure, hEDS should be considered.
Expected Learning Outcomes
1. Recognise and diagnose hypermobility spectrum disorder (HSD)
2. Recognise and diagnose Ehlers Danlos syndrome (hEDS)
3. Appreciate the multi-systemic involvement of HSD and hEDS
4. Develop management strategies involving the multi disciplinary team
About the Speakers: Dr Alan Hakim MA FRCP, Dr Jane Simmonds MCSP FHEA & Dr Lesley Kavi MBChB DRCOG DFSRH
Dr Alan Hakim MA FRCP
Dr Jane Simmonds MCSP FHEA
Jane combines her clinical work in the Hypermobility Unit at the Hospital of St John and St Elizabeth with education and research at University College London within the Institute of Child Health. Within the multidisciplinary team in the Hypermobility Unit, Jane specialises in working with young people and their families to help manage hypermobility related problems.
Jane is also a physiotherapy advisor to HMSA, EDS Support UK and PoTS UK. As a committed educator and active researcher Jane regularly publishes research and clinical papers, presents at national and international conferences and contributes to continuing professional education in the fields of Hypermobility, Ehlers Danlos syndrome.
Dr Lesley Kavi MBChB DRCOG DFSRH
Lesley works as a GP in the West Midlands and has interests in syncope and postural tachycardia syndrome (PoTS), heritable connective tissue diseases and women's health. She teaches on the Advanced Health Assessment MSc at Birmingham City University and has recently completed a Diploma in Syncope and Related Disorders at the RCPI, Dublin.
Dr Kavi helps to run PoTS UK, a charity and patient support group for people affected by postural tachycardia syndrome.
Ovarian Cancer - Tips for Improving Earlier Diagnosis
First Broadcast: 7th March 2018
Presented by: Dr Victoria Barber MBBS, MRCGP, DRCOG
Dr Victoria Barber, GP and Target Ovarian Cancer Clinical Champion, presents this CPD webinar on 'Ovarian Cancer - Tips for Improving Earlier Diagnosis'. This webinar demonstrates the importance of considering ovarian cancer when women present with abdominal symptoms to ensure a speedy diagnosis and improve survival outcomes.
Expected Learning Outcomes1. Incidence of ovarian cancer.
2. Key symptoms.
3. Associated features.
5. Feel confident in diagnosing ovarian cancer.
About the Speaker: Dr Victoria Barber MBBS, MRCGP, DRCOG
Dr Victoria Barber is a GP ambassador for Target Ovarian Cancer and Participant in the BMJ Learning podcast on ovarian cancer.