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Haven’t got time for CPD? Think again! In this super short special listener question episode, Nik and Fi respond to one of our listeners, Emma from Sheffield. She asks a deceptively tricky question: what actually counts as “normal” weight gain in pregnancy? With NICE not giving a neat definition of excessive gestational weight gain, they dig a bit deeper for answers…

Press play for a clear, mini-episode which gives the answer to a question many of us have probably wondered about — and a useful reminder that conversations about weight in pregnancy need both clinical confidence and careful language.

Useful Links

The Association of UK Dieticians: Pregnancy and diet

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Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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Would you spot acute aortic syndrome hiding among the everyday presentations of chest, back or abdominal pain, and do you know when a nosebleed is more than “just a nosebleed”?

This episode unpacks the clues to a rare but life-threatening aortic emergency, before giving you a practical refresher on acute and recurrent epistaxis, from first aid and anterior versus posterior bleeds to important red flags.

Essential listening for any primary care clinician who wants to feel calmer, sharper and more prepared when the clinical picture does not quite add up.

ENT UK – nosebleeds (epistaxis) (patient information leaflet)

GP Trainee Essentials support package information, Red Whale Courses and Red Whale Unlimited

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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This episode tackles one of the most difficult consultations we face in primary care: supporting someone who may be thinking about suicide.

Nik and Lee explore how to ask clear, compassionate questions; understand thoughts, plans and intent without relying on tick-box risk scores; and respond with safety planning, appropriate referral and proactive follow-up.

Using A Man Called Otto to illuminate the person behind the presentation, they also consider how risk and protective factors can change, the value of asking “How are you, really?”, and the emotional impact of suicide on clinicians.

Press play for a practical conversation designed to help you feel more confident when your words, curiosity and willingness to listen really matter.

Useful Links

Useful resources for professionals:

• RCPsych - If a patient dies by suicide: a resource for mental health professionals
• NHS Practitioner Health

Useful resources for patients:

• Samaritans (24h confidential helpline. Tel: 116 123. Email: jo@samaritans.org)
• The Campaign Against Living Miserably (CALM) (an organisation dedicated to preventing male suicide. Tel: 0800 58 58 58)
• Staying Safe from suicidal thoughts (printable electronic safety plan template)
• distrACT (information and advice on how to manage difficult feelings, cope with a crisis and find help and support when you need it most)

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.