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Richard is joined by ED Paramedic ACP Greg Markham to explore emergency presentations in general practice — and what truly constitutes an emergency in the primary care setting.

Through case-based discussion, they work through presentations of syncope and angioedema, focusing on structured history-taking, clinical assessment, immediate management within general practice, and clear thresholds for hospital referral.

With practical insights and real-world application, this episode is designed to build confidence in recognising and managing high-risk presentations safely and effectively in primary care.

Enjoy the episode.

Thank you for your support Scott

Coventry and Warwickshire Training Hub

Home - Coventry & Warwickshire Training Hub

College of Paramedics

https://collegeofparamedics.co.uk/

https://cks.nice.org.uk/topics/blackouts-syncope/

Syncope toolkit | RCGP Learning

https://elearning.rcgp.org.uk/mod/book/tool/print/index.php?id=12386

Overview | Transient loss of consciousness ('blackouts') in over 16s | Guidance | NICE

https://www.nice.org.uk/guidance/cg109

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Richard is joined by ED Paramedic ACP Greg Markham to explore emergency presentations in general practice — and what really counts as an emergency in the primary care setting.

Greg shares a structured approach to recognising and assessing the acutely unwell patient, including practical tools and resources that can support safe, confident decision-making under pressure.

Through case-based discussion, they work through suspected sepsis and acute shortness of breath — covering clinical assessment, immediate management options within general practice, red flags, and when escalation is essential.

A focused, clinically grounded episode designed to support frontline practitioners managing high-risk presentations in primary care.

Enjoy the episode.

As always - Thank you Scott for you support

Coventry and Warwickshire Training Hub

Home - Coventry & Warwickshire Training Hub

College of Paramedics

https://collegeofparamedics.co.uk/

JRCALC – Joint Royal Colleges Ambulance Liaison Committee

https://jrcalc.org.uk/

Healthcare professionals - The UK Sepsis Trust

https://sepsistrust.org/healthcare-professionals/

Emergency Oxygen | British Thoracic Society | Better lung health for all

https://www.brit-thoracic.org.uk/clinical-resources/guidelines/emergency-oxygen/

Scenario: Acute exacerbation of asthma | Management | Asthma | CKS | NICE

https://cks.nice.org.uk/topics/asthma/management/acute-exacerbation-of-asthma/

Scenario: Acute exacerbation | Management | Chronic obstructive pulmonary disease | CKS | NICE

https://cks.nice.org.uk/topics/chronic-obstructive-pulmonary-disease/management/acute-exacerbation/

The Resus Room - Podcast - Apple Podcasts

https://podcasts.apple.com/gb/podcast/the-resus-room/id1090433226

GP mythbusters: recently updated - Care Quality Commission

Home | Resuscitation Council UK

https://www.resus.org.uk/

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Richard is joined by renal consultant Dr Debasish Banerjee for a practical deep dive into sodium disorders and what those blood test results really mean in clinical practice.

In this episode, we break down the interpretation of sodium levels — from hyponatraemia to hypernatraemia — and move beyond the numbers to focus on real-world decision making. Through case-based discussion, we explore key elements of history taking, red flags you shouldn’t miss, and when sodium levels become genuinely concerning.

We also cover appropriate further investigations, common pitfalls, and how to manage these patients safely in primary care — including when it’s time to escalate.

A must-listen for clinicians who want to get sodium right… because getting it wrong can go south fast.

As always thank you to Scott for your support

Hyponatraemia | Health topics A to Z | CKS | NICE

https://cks.nice.org.uk/topics/hyponatraemia/

Hypernatraemia Algorithm – GP Gateway

https://www.coventryrugbygpgateway.nhs.uk/resources/hypernatraemia-algorithm/

Coventry and Warwickshire Training Hub

Home - Coventry & Warwickshire Training Hub

College of Paramedics

https://collegeofparamedics.co.uk/

UK Kidney

UK Kidney Association | The leading professional body for the UK kidney community

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Richard is joined by renal consultant Dr Dabashish Banerjee for a practical deep dive into renal function tests and chronic kidney disease (CKD).

In this episode, they break down what CKD actually is, how it’s diagnosed in primary care, and what the numbers really mean for your patients — beyond just the eGFR.

Through case-based discussion, we explore a new diagnosis of CKD and a patient with worsening renal function, covering interpretation, red flags, progression, and when to escalate or refer.

Clear, clinically focused, and designed for frontline practitioners — this episode will sharpen your confidence in managing kidney disease in everyday practice.

Enjoy the episode.

As always thank you for your support Scott

UK Kidney CKD staging

https://www.ukkidney.org/health-professionals/information-resources/uk-eckd-guide/ckd-staging

Kidney Failure Risk Calculator

https://www.mdcalc.com/calc/10045/kidney-failure-risk-calculator

NICE - Chronic Kidney Disease

https://cks.nice.org.uk/topics/chronic-kidney-disease/

FLOW Study

https://www.nejm.org/doi/full/10.1056/NEJMoa2403347

Proteinuria UK Kidney

https://www.ukkidney.org/sites/default/files/education/Proteinuria%20quick%20reference.pdf

Coventry and Warwickshire Training Hub

Home - Coventry & Warwickshire Training Hub

College of Paramedics

https://collegeofparamedics.co.uk/

UK Kidney

UK Kidney Association | The leading professional body for the UK kidney community

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Richard is joined by renal consultant Dr Dabashish Banerjee to break down the interpretation of renal function tests — without the nephrology-induced headache.

In this episode, we explore when renal function tests should be requested, what they actually include, and how to interpret results confidently in clinical practice.

The conversation then focuses on potassium disorders, using real-world cases to unpack hypokalemia and hyperkalemia. We discuss key history points, relevant investigations, red flags not to miss, and when referral.

A practical, case-based episode aimed at clinicians working in primary care, urgent care, and acute settings.

Hope you enjoy the episode

As always massive thank you to Scott

Richard Tennant - richard.tennant@nhs.net

Coventry and Warwickshire Training Hub

Home - Coventry & Warwickshire Training Hub

College of Paramedics

https://collegeofparamedics.co.uk/

UK Kidney

UK Kidney Association | The leading professional body for the UK kidney community

Overview | Sodium zirconium cyclosilicate for treating hyperkalaemia | Guidance | NICE

https://www.nice.org.uk/guidance/ta599

ABCD-UKKA joint finerenone consensus statement | UK Kidney Association

https://www.ukkidney.org/about-us/news/abcd-ukka-joint-finerenone-consensus-statement

Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias | New England Journal of Medicine

https://www.nejm.org/doi/abs/10.1056/NEJMoa2509542

Diabetes management in chronic kidney disease: a consensus report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO)

https://kdigo.org/wp-content/uploads/2023/04/Diabetes-Management-in-Chronic-Kidney-Disease-Consensus-Report-by-the-ADA-and-KDIGO.pdf

UKKA Clinical Practice Guideline – Management of Hyperkalaemia in Adults – October 2023

https://www.ukkidney.org/sites/renal.org/files/FINAL%20VERSION%20-%20UKKA%20CLINICAL%20PRACTICE%20GUIDELINE%20-%20MANAGEMENT%20OF%20HYPERKALAEMIA%20IN%20ADULTS%20-%20191223_0.pdf

Optimization of RAASi Therapy Toolkit - International Society of Nephrology

https://www.theisn.org/initiatives/toolkits/raasi-toolkit/#Challenges

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Richard is joined by consultant ophthalmologist Dr Stella Hornby for a practical deep-dive into eye assessment in general practice.

In this episode we break down real-world cases including:
👁️ Acute vision loss
👁️ Eyelid swelling
👁️ Foreign bodies

Together we cover structured history taking, focused clinical assessment, red flags you absolutely can’t miss, and — crucially — when, where, and how urgently to refer.

If eyes make you nervous… this one’s for you.

As always big thank you to Scott for your support.

Richard Tennant - richard.tennant@nhs.net

‎Eye Handbook

https://apps.apple.com/us/app/eye-handbook/id335546959

Primary Care Eye Service

https://primaryeyecare.co.uk/

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Richard is joined by consultant ophthalmologist Dr Stella Hornby to discuss the assessment of patients presenting with eye symptoms. This episode provides a practical introduction to ocular assessment and common presentations, before exploring real-world cases including red eye and changes in vision. Key elements of history-taking, relevant investigations, red flags, and appropriate referral pathways are discussed to support safe clinical decision-making.

As always big thank you to Scott for your support.

Richard Tennant - richard.tennant@nhs.net

‎Eye Handbook

https://apps.apple.com/us/app/eye-handbook/id335546959

Primary Care Eye Service

https://primaryeyecare.co.uk/

TAKE YOUR GLASSES AND DO NOT DRIVE TO THE EYE HOSPITAL

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Richard is joined on the podcast by consultant hematologist Dr Suzy Morton. During the episode we discuss interpretation of Full Blood Counts. Including, a introduction to platelets and common reasons for platelets being affected. We then utilise Suzy's knowledge to discuss cases including thrombocytosis and thrombocytopenia. Including, pertinent history, further investigations , red flags and referral.

As always big thank you to Scott for your support.

Richard Tennant - richard.tennant@nhs.net

British Society for hematology

https://b-s-h.org.uk/

Blooducate podcast

https://podcasts.apple.com/gb/podcast/blooducations-podcast/id1477503846

College of Paramedics

https://collegeofparamedics.co.uk/

Coventry and Warwickshire Training Hub

https://www.cwtraininghub.co.uk/