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2023 Conference Programme

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Theatre A: AGM Clinical
  1. 1. understand the causes of hyponatraemia2. aware of the management strategies to treat hyponatraemia3. understand how to manage hyperkalaemia
  2. Infection mimics are common causes of mis-diagnosis . Evidence suggest that a third or more of patients initially diagnosed as infection or sepsis turn out to have non-infectious aetiology . Many auto ...
  3. Describe how emergency department crowding is a fixable problem
  4. This session is supported by an educational grant from Dr Falk Pharma
Theatre B: AGM Clinical
  1. Background and case-based discussion covering key aspects in the management of AKI of diverse causes (background, detection, diagnosis, investigation, treatment, referral and follow up) including key ...
  2. This session will revise myocarditis pathophysiology, treatment and outcomes, and discuss the latest evidence in the field.
  3. The SGLT2 inhibitors were originally developed to treat glycaemia in people with type 2 diabetes however there is now a wealth of evidence to demonstrate their significant cardio renal benefits that a ...
  4. Cracking the Case: How The Medical League is Revolutionizing Medico-Legal Support for all Healthcare Professionals
    We'll delve into the often daunting world of medico-legal issues that physicians face and how The Medical League provides invaluable tools and support to navigate these challenges successfully. The Pr ...
  5. This talk will cover the definition and epidemiology of polypharmacy, explore why polypharmacy is important, delve into pharmacokinetics and pharmacodynamics, cover why patients end up with excessive polypharmacy, review adverse drug reactions and the prescribing cascade, explore good prescribing habits including going through “how to go about deprescribing” using deprescribing tools that can be used to support clinical practice, explore which medicines can be stopped in patients who are approaching the end of life and review discontinuation syndromes to watch out for.
  6. Management Strategies for DOAC-related Major Bleeds
    This is a promotional symposium sponsored and organised by AstraZeneca, intended for GB HCPs only.
  7. This talk will provide a practical overview of the management of cardiovascular instability relating to calcium channel blocker, beta-blocker and digoxin toxicity.
Theatre C: AGM Clinical
  1. When seeing frail older people presenting with falls it is essential that we consider bone health and undertake a comprehensive multiprofessional and multidomain assessment. New guidelines have been developed to identify when individuals are at high risk of future falls and fractures. It is recognised that there are more than 300 risk factors for falls thus an approach to a multifactorial falls risk will be discussed and shared with a real world case.
  2. This session will use clinical case studies to explore the interface between acute medicine and palliative care in managing patients presenting with emergency complications of their underlying condition.
  3. Frailty Intervention Team: Admission prevention in frail older persons
  4. We will review the historical framework of asthma care. We will then understand the biology behind the new asthma medications and review the evidence base as to how they work. This will allow us to understand how a biology driven approach will allow the general physician to appropriately refer high risk patients and also limit harm causing steroids.
  5. This session will focus on key conditions, such as hypertension, heart failure, and mental health crises and the evidence (or lack thereof) for how to prescribe for older adults and those living with frailty. It will cover key dug-drug and drug-condition interactions, which parts of the evidence base are relevant for older adults, and the benefits and drawbacks of deprescribing.
  6. POCUS is a key skill for all clinicians and health care professionals. Dr Clare will describe the evidence and showcase cases where POCUS has changed and directed clinical care for patients. This will ...
Theatre D: AGM Clinical
  1. The presentation will consider the principles of opioid stewardship and strategies to improve prescribing safety.
  2. Behaviours to antibiotic prescribing are under researched in the ICU setting. They may influence trial effects due to unwanted and unmeasured variability in stop decisions. POCTs are increasingly used. They may have an important role in facilitating better stop antibiotic decisions and as an educational tool in antibiotic stewardship programmes (ASP). This will present evidence to back up these suggestions.
  3. Integrating IMG doctors into the NHS. The common pitfalls and how to avoid delays in their onboarding
  4. This talk will provide an overview of the epidemiology of drug use in the UK, trends in the use of New Psychoactive Substances (NPS), and the assessment and management of patients with acute recreational drug / NPS toxicity.
  5. Can Bronchoscopy become a generic skill in acute care like Echocardiography and ultrasound?. How well is it performed in the ICU? Is there a training gap, and how can we use AI to help us?
Theatre E: AGM Clinical
  1. One doctor takes their life every three weeks. The NHS staff vacancy rate is almost 10% Doctors in Distress exists to promote and protect the mental health of ALL health workers, and to prevent suicid ...
  2. An overview of your flexible retirement options.
  3. Mitigating risk: a medico-legal update for hospital doctors
    This talk will provide an update on medico-legal issues relevant to hospital doctors in 2023 and beyond, including recent updates to GMC guidance and in relation to ‘professional standards and patient safety’.
  4. Supporting you, supporting your patients, improving outcomes
    Against the backdrop of a workforce crisis and with digital transformation underpinning the new workforce action plan we look at how evidence based digital tools can help clinical teams provide consis ...
  5. Infective Endocarditis (IE) was investigated in a study at University Hospital Southampton (UHS). The research analyzed data from 282 IE patients over a three-year period, aiming to evaluate duration of diagnosis, incidence of mortality and embolic complications. The data highlights a discrepancy between time for diagnosis between Cardiology and the entire cohort, secondary to the complexity of cases admitted under Cardiology. A multidisciplinary 'Endocarditis team' was advocated by international guidelines to expedite diagnosis and treatment. UHS observed a upper limit of expected embolic risk and mortality rate, underscoring the need for an IE team. Consequently, a proposal for an IE MDT was accepted, with the view to improve patient outcomes.
Theatre J: ACC Clinical
  1. A focus on cardiovascular care in the perioperative management of non-cardiac surgery patients
  2. This session will aim to outline new guidance in preoperative assessment and implications for practice.
  3. I will be discussing the specific healthcare needs of transgender and gender diverse patients in critical care and ways we can work to improve the experiences of LGBTQ+ staff and patients.
  4. This will be a multi-disciplinary meeting to demonstrate the usefulness of a high risk anaesthetic session. Anaesthetics, Cardiology and Respiratory Medicine will join forces to discuss high risk pati ...
Theatre K: ACC Clinical
  1. Like in my talk last year I will talk about what Rural General Hospitals are, what sets them apart from a large teaching hospital and how we cope with specific issues unique to us as well as issues affecting the NHS in general. I hope I will be able to encourage colleagues to consider a career in a Rural General Hospital.
  2. I will aim to provide an update on recent national guidelines for preoperative assessment and how these might be implemented in practice. I will outline how delivery of this guidance creates a more pa ...
  3. Total Oxygen Delivery Platform and Vital Organs Monitoring. Monitoring the many, not the few!
    Haemodynamic instability can inflict vital organ hypoperfusion and lead to serious consequences that compromise patient safety, mainly due to cellular oxygen debt. In this symposium, we will explore a ...
Theatre A: AGM Clinical
  1. This presentation delves into the comprehensive understanding, diagnosis, and management of both common headache disorders and the crucial "headaches not to miss."
  2. The Digital Advantage: Embracing technology and automation to unlock efficiency and excellence in private practice.
    “The Digital Advantage" is a talk that underscores the transformative potential of technology and automation in private practice settings. In the digital age, where automation and optimisation have be ...
  3. Functional illnesses and Medically Unexplained symptoms crop up in every specialty, and is reported as accounting for 10% of all NHS costs for working age people. Traditionally secondary care clinicians approach patients with functional illness by excluding other more serious conditions, reassuring the patient and sending them on their way. Making a diagnosis is important, describing a known condition as well as excluding other conditions, but often this is where our involvement ceases. There is increasing evidence of the role of Psychological input but also neurophysiological approaches to treatment.
Theatre B: AGM Clinical
  1. Latest guidelines and evidence base to be summarised for the hyperacute management of ischaemic stroke
  2. I hope to update the audience on latest advances in management of diabetes, including the place of newer drugs and new technologies.
  3. Transforming COPD Care: The impact of exacerbations and hospitalisations in COPD
    This is a promotional symposium sponsored and organised by AstraZeneca, intended for GB HCPs only. COPD burden and the risk of premature mortality Uncontrolled COPD might increase the risk of cardiopu ...
  4. Chest pain is one of the commonest reasons for admission to hospital. This case-based presentation, directed towards the general physician, will give a cardiologist's approach in how to manage patient ...
Theatre C: AGM Clinical
  1. TIA is common and often proceeds an ischaemic stroke. Rapid assessment and initiation of secondary prevention can reduce the 90 day stroke risk by up to 80%. It is easy to miss TIAs with the risk of devastating stroke and also over diagnose TIAs leading to the harm of unnecessary longterm medication. The diagnosis is clinical and based mostly on an accurate history.
  2. What to do about violence and aggression on hospital wards
  3. The session will provide an overview of the progress of virtual wards and digital home care over the past three years in the NHS in England, featuring a number of examples of their use and potential in different settings, concluding with Q&A
Theatre D: AGM Clinical
  1. The session will provide an overview of the progress of virtual wards and digital home care over the past three years in the NHS in England, featuring a number of examples of their use and potential in different settings, concluding with Q&A
  2. 30% of all hospital inpatients are in their last year of life. This is often not obvious at first point of contact.
Theatre E: AGM Clinical
  1. An overview of your flexible retirement options.
  2. Global Health – Experiences of volunteering on the worlds largest non-governmental hospital ship
    Mercy Ships is a leading global health charity. Our hospital ships bring free, safe surgeries to women, men and children across sub-Saharan Africa. We’re looking for medical experts like you to help b ...
  3. “Instilling a Culture of Debriefing Post Cardiac Arrest: A Quality Improvement Project” addresses the crucial issue of debriefing following cardiac arrests, emphasising the emotional and psychological impacts on healthcare providers. The project has successfully established a supportive environment by implementing debriefing through promoting effective practices and educating healthcare professionals.
  4. Project leads: Lucy Powley, Sean Botham and Alison Colhoun The presentation will cover how we engaged multiple staff groups to change an ingrained practice of not giving patients oral medications if they are nil by mouth for theatre. Firstly, I will cover how we investigated the extent of the problem by analysing documentation. Then how we looked into the causes of the issue by engaging with ward staff and conducting a survey. How those causes were analysed and how the information was used to produce a number of interventions. Those interventions were deployed and then how we measured their effect. These methodologies are reproducible, as are the interventions and could be applied to a variety of patient safety issues. Our interventions led to a significant improvement in the number of patients having their medicines given appropriately in the perioperative period.
  5. Blood transfusions carry significant risk of complications, especially TACO hence it is necessary to avoid unnecessary blood transfusions and use restrictive targets while transfusing. Where significant disparities in practice exist, it is necessary that blood transfusion targets are revisited frequently and regular audits are undertaken to improve compliance with the standardised targets.
  6. I will present work from an ongoing quality improvement project which aims to increase compliance with national guidance surrounding the peri-operative use of SGLT2 inhibitors.
  7. 30% of all hospital inpatients are in their last year of life. This is often not obvious at first point of contact.
Theatre J: ACC Clinical
  1. An insight into the challenges and attractions in working in University Hospitals of Morecambe Bay. An acute trust spread across 1000 square miles of North Lancashire and South Cumbria. Special insigh ...
  2. An honest review of launching an electronic health record into a Department of Anaesthesia.
  3. High Value Regional Anaesthesia: Extending The Benefit
    At a time when the number of regional anaesthetic techniques are increasing, it is of benefit to focus on a limited number of high value nerve blocks, or “Plan A Blocks”. This session will cover two o ...
  4. A review of the important care considerations for patients who are pregnant or who have recently delivered a baby and are admitted to the ITU.
Theatre K: ACC Clinical
  1. This presentation aims to highlight the important role regional anaesthesia can play in the Day surgery setting both as sole anaesthetic and also as part of multimodal analgesia
  2. Hemodynamic Instability and Edwards Lifesciences EU-Hyprotect
    Discussion on Hemodynamic instability, intra operative hypotension and our recently published clinical paper EU-Hy Protect.
  3. Diagnosis and management of perioperative delirium

AstraZeneca has provided sponsorship towards this independent Programme. AstraZeneca has had no editorial input into or control over the agenda, content development or choice of speakers, nor opportunity to influence, except for the AstraZeneca sponsored symposia presentations.

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