Shows
Joffin' & Geoffin'Joffin' & Geoffin' talk AI, The Pope and Jazz!!In this months show Joff Lacey and Geoff Wootton discuss a whole smorgasbord of topics including Social Media, The Pope, Artificial Intelligence and Football. Geoff plugs the Petersfield Jazz & Blues Festival which he is compering and they also send out a plea for a guest for their next recording.See omnystudio.com/listener for privacy information.
2025-05-0831 min
IFA TalksIFA Talks meet TopMedTalk 4The growing popularity of new media in medical education | IFAD Nov 23, 2018 This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique potential of this medium. Also - how has social media, video casting and live streaming altered the way conferences are both organised, executed and received? Finally, our team of experts tackle the eternal question; where to next? Presented by...
2025-04-1215 minIFA TalksIFA Talks meet TopMedTalk 3Discussing The Paradigm Shift in Fluid Therapy | IFAD Nov 23, 2018 This podcast is an exclusive discussion regarding the second session at The International Fluid Academy Day (IFAD) in Amsterdam. This in depth discussion is a reaction to the session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid therapy', results from some of the most recent trials and 'How to set-up a fluid guideline'. The team also reflect a little more on the first session. Presented by Joff Lacey with Monty Mythen and H...
2025-04-1218 minIFA TalksIFA Talks meet TopMedTalk 2TopMedTalk at IFAD | Understanding Fluid Physiology Download this podcast for an exclusive discussion regarding the first session at The International Fluid Academy Day (IFAD) on Friday morning in Amsterdam. This in depth discussion is a reaction to the first session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid physiology'; 'From Frank-Starling to Guyton-Hall'; 'Understanding edema formation' and 'Where does the albumin go?'. Presented by Joff Lacey with Monty Mythen and Henry Howe. -- Streamed live from the International Fluid Academy...
2025-04-1218 minIFA TalksIFA Talks meet TopMedTalk with Manu Malbrain IFAD2018 Have you joined the International Fluid Academy yet? Nov 23, 2018 Live from the International Fluid Academy Day (IFAD) in Amsterdam; the team explain how you can join in for free online https://www.fluidacademy.org/ and give us a bit of the history of the conference along with some of the discussion points you can expect to hear. Presented by Joff Lacey with Henry Howe, Monty Mythen and their guest Manu Malbrain, Professor at the Faculty of Medicine and Pharmacology Vrije University in Brussels and organiser of the conference.
2025-04-1208 min
Joffin' & Geoffin'Joff and Geoff discuss manners, or the lack of themJoff and Geoff discuss manners and etiquette and Joff wonders if he is expecting too much and needs to chill a little. With Joff Lacey and Geoff Wootton.See omnystudio.com/listener for privacy information.
2024-09-0934 min
TopMedTalkCardiovascular risk evaluation for non-cardiac surgery, guidelines | EBPOM 24Guideline evolution is driven by ongoing research; recent studies like PeriOperative ISchemic Evaluation-3 Trial (POISE-3) and trials such as OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II) trial may influence recommendations on hemodynamic management and the use of tranexamic acid. Future guidelines are expected to integrate machine learning models for risk prediction, addressing complex patient phenotypes and interactions. Discontinuation vs. continuation of renin–angiotensin system inhibition before non-cardiac surgery: the SPACE trial has challenged existing practices regarding the discontinuation of ACE inhibitors or ARBs, highlighting the dynamic nature of medical guidelines and the continuous incorporation of...
2024-09-0236 min
TopMedTalkThe DanGer Shock Trail | EBPOM 24This piece looks at the DanGer Shock Trial which examines the efficacy of the Impella device in reducing mortality in patients with acute myocardial infarction and cardiogenic shock. We explain how the device works, its implantation process, and the significant findings from the trial, including a notable reduction in six-month mortality with a number needed to treat (NNT) of eight. Despite higher rates of bleeding and renal filtration therapy in the Impella group, the trial provides strong evidence supporting its use in high-volume centers with trained personnel, emphasizing the importance of careful patient selection and timely intervention. ...
2024-07-2618 min
TopMedTalkHow do we intelligently use artificial intelligence? | EBPOM 24Evidence Based Perioperative Medicine (EBPOM)'s incredible World Congress in London continues and TopMedTalk is there bringing you exclusive interviews with delegates, guests and key opinion leaders. Here we have a much needed discussion regarding regulating artificial intelligence (AI) at the point of care, and the need for proper regulatory frameworks to ensure its safe and effective use. We stress the importance of clear policies and clinician training for AI implementation, highlighting the potential risks of misusing AI tools due to insufficient understanding of their outputs. How do we get transparency from AI manufacturers regarding...
2024-07-0420 min
TopMedTalkHigh-Intensity Interval Training and the future of experimental medicine | EBPOM 24Recorded exclusively at this year’s Evidence Based Perioperative Medicine (EBPOM) World Congress in London this piece looks in detail at High-Intensity Interval Training (HIIT). HIIT can significantly enhance physical fitness and resilience in cancer patients, reducing complications and improving quality of life. Hear how HIIT can positively impact mitochondrial performance, thus improving cardio-respiratory fitness. The discussion also explores the integration of experimental medicine from bench to bedside, emphasizing the multidisciplinary approach involving surgeons, scientists, and anesthetists. Presented by Andy Cumpstey and Joff Lacey with their guests Colleen Dean, Lecturer in Muscle Cell Biology and Ma...
2024-07-0426 min
TopMedTalkEBPOM World Congress Begins | EBPOM 2024Evidence Based Perioperative Medicine (EBPOM) is at the heart of what we do and their annual world conference in London always delivers. TopMedTalk, the broadcasting arm of EBPOM, is there bringing you conversations and adding to the discussions at the conference. Presented by Andy Cumpstey, NIHR clinical lecturer in anaesthesia and intensive care medicine at Southampton University with Joff Lacey, consultant anaesthetist at St George's Hospital NHS Foundation Trust in London.
2024-07-0305 min
the P pod on location around PetersfieldClaire and Joff: The end of a Ppod eraClaire Vennis and Joff Lacey have been the presenters of the flagship podcast, the Ppod for 4 years and have recorded over 200 episodes. Listen as they look back and also explain the reasons behind the decision to step down.See omnystudio.com/listener for privacy information.
2024-02-1328 min
Perioperative Medicine Podcast SeriesNeurocritical CareIn this episode Joff Lacey talks to Hilary Madder, consultant anaesthetist at The Alfred and former Clinical Director of Neurosciences Intensive Care at the John Radcliffe, in Oxford. They explore the growing sub-speciality of neurocritical care, including the rationale for the development of specialised neuro intensive care units, the evidence of impact on patient outcome and what may be the key determinants of improved clinical care.
2021-12-0628 min
TopMedTalkJoff Lacey visits the Ether Dome in BostonJoff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times moved on since those early pioneering days when the relatively young profession of Anaesthesia was born? Back then the word wasn't as widely used and the gentlemen in question described their activities as "rendering people insensible using sulphuric ether for the conduct of surgery". Remember - if you've not yet subscribed to our mailing list you're only getting half of the TopMed talk experience, go to our website now: www.topmedtalk.com
2020-10-0607 minTopMedTalkASA | Life at The Extremes - trials on Everest & adapting to hypoxiaA discussion about oxygen and the Xtreme Everest research studies into human adaptation to hypoxia. How does the human body adapt to extreme conditions? We assume it will inevitably cause damage but this is not always the case. How do people who have inherited a tolerance for low levels of oxygen manage? Monty Mythen, Mike Grocott and Joff Lacey are joined by special guest Dr Dan Martin OBE, Consultant in Intensive Care and Everest summiteer.
2020-10-0420 minTopMedTalkASA | The evolution of a professionThis piece is a look at the very beginnings of your favorite medical podcast. Today we celebrate the American Society of Anesthesiologists (ASA) and their annual general meetings, which we have covered every year since 2017. Find out how TopMedTalk pioneered its first live transmissions from that meeting in Boston and began providing free medical information for an ever growing online audience. This piece features a timeless conversation about the profession of Anesthesia, from its inception to the diverse and exciting role we find today. Are we right to say that its a role which is rightly evolving...
2020-10-0218 min
TopMedTalkTopMedTalks to ... | Mike SwartHow do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are dealt with by a world class professional perioperative physician. Learn how that process and its success then spread out into other areas of healthcare within his institution. Do you need to develop a broad knowledge of all surgery and medicine so that you understand what is going on within the different surgical specialities? Following this discussion is had about t...
2020-08-1400 minTopMedTalkAnaesthesia 2019 | Developmental neurotoxicityDevelopmental neurotoxicity; can human infants exposed to anaesthesia early in their early development really be facing risks which we were previously unaware of? There's a lack of evidence at the moment but outcomes for young animals have raised concern. Given the complexities of human neurodevelopment how can such issues be reliably detected? Presented by Joff Lacey with his guest Hugh Hemmings Senior Associate Dean for Research, Professor and Chair of Anesthesiology at Weill Cornell Medicine.
2020-05-2000 minTopMedTalkAnaesthesia 2019 | The Future of AnaesthesiaThis excellent conversation explores how Anaesthesia as a profession will the profession evolve as the years pass; change is inevitable and the direction of it is becoming clearer but what it's pace will be is still uncertain. How will we adapt to the new roles and requirements we can see coming towards us in the near future? Will "the computers take over" or do we see a future where roles will be made simpler and more automated? Should Anaesthetists expect to tackle more of a leadership role in the future? Also, what is the "technological singularity"? Should...
2020-05-1900 minTopMedTalkTopMedTalk | Fluids in the 2020'sThis piece gets into the detail regarding one of the big talking points in perioperative medicine over the last year or so; what is the impact of intraoperative hypotension on post operative outcomes? Further discussion encompases the modern uses of a pulmonary artery catheter. If you enjoyed hearing Andy Shaw's take on these topics further listening can be found here; https://www.topmedtalk.com/hemodynamic-monitoring-and-the-pulmonary-artery-catheter/ Presented by Desiree Chappell with Monty Mythen, Joff Lacey and their guest Dr Andrew Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Edmonton...
2020-05-1100 minTopMedTalkXtreme Everest Extra | Hypoxia and the BrainThis special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Chris Imray, describes the physiological changes within the brain when exposed to the hypoxic conditions of high altitude and how ou...
2020-05-1000 minTopMedTalkXtreme Everest Extra | Unlocking the Secrets of the Mighty MitochondriaThis special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Andrew Murray, discusses the findings from his studies on Everest in which he has investigated novel mechanisms that control mitoch...
2020-05-0900 minTopMedTalkCOVID 19 | Bring on the vaccine!This piece is a look at the fightback against COVID 19; the search is on for a safe and effective vaccine against coronavirus. A group of investigators in the UK are about to begin trialing a vaccine using a ChAdOx virus vector. This piece gets into the detail of the trial and how the vaccine might work. Presented by Joff Lacey with his guest Professor Paul Heath, consultant in pediatric infectious diseases, at St George's Hospital in London. He co-leads the Pediatric Infectious Disease research group and is a director of the vaccines institute also at St George's.
2020-05-0700 minTopMedTalkXtreme Everest Extra | The Problem with Hypoxia – the inception of Xtreme EverestThis special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Denny Levett explains the complex and unpredictable nature of hypoxia, its prevalence in critical care and why there was the sc...
2020-05-0500 minTopMedTalkTopMedTalk | Should direct laryngoscopy be consigned to the history books?The debate 'Direct laryngoscopes should be consigned to history', was hosted by The Royal College Of Anaesthetists and carried out by our two guests on this piece. Here we get into the advantages and challenges behind the two techniques; video laryngoscopy and direct laryngoscopy. The conversation explores the fact that these skills are a key part of the job of practitioners, are we "de-skilling" the profession in an overly enthusiastic race toward new technology or are some resisting it simply because it's not what they are used to? Where do you stand on this fascinating...
2020-04-2700 minTopMedTalkCOVID 19 | Vital information direct from experts in Italy"You're a bit further down the line with managing these patients. Any particular advice?" Italy, the situation is difficult but there are now clear lessons to be learned as the first chapter in the front line battle against the consequences of a global pandemic is written. Hear how the story regarding treatment for this disease evolved in Italy and consequently around the world. Has the debate regarding acute respiratory distress syndrome (ARDS) been a red herring? What is the effectiveness of continuous positive airway pressure (CPAP) in these cases? Are all COVID 19 patients the same...
2020-04-2500 minTopMedTalkCOVID 19 | Surrounded by risks, are we mitigating them at all?The Intubate Covid project is an essential contribution to an evidence based answer to the issue posed by dangers of health care workers contracting and spreading the virus. By both collecting and sharing data the project gives you both a track record of where you are, in relation to your own safety, as well as the knowledge you are contributing to vital research. Find out more about the project by joining now: www.intubatecovid.org Presented by Joff Lacey with his guest Kariem El-Boghdadly, Consultant Anaesthetist at Guy's & St Thomas' NHS Foundation Trust, London and...
2020-04-2300 minTopMedTalkCOVID 19 | Case study: Professor Monty Mythen 02This is the second and concluding part of our real life case study of a COVID 19 patient. In this instance our Editor in Chief Monty Mythen has - during the course of presenting this series - contracted COVID 19. Fortunately for us, it was a comparatively mild case. This short documentary takes the story up right after Monty's decision to take a test to see if his symptoms were as we feared. Presented by Nick Margerrison, part 1 is available of download here: https://www.topmedtalk.com/covid-19-case-study-professor-monty-mythen-01/ The longer conversations which these clips were part...
2020-04-2200 minTopMedTalkCOVID 19 | Dr Joff LaceyThis piece sees us catch up with a the TopMedTalk team favorite; Joff Lacey. A popular presenter here on TopMedTalk, Joff tells us of his first hand experiences in the ongoing battle against COVID 19 in South London. We also get an update on Monty's condition. Presented by Desiree Chappell with Dr Joff Lacey, Consultant Anaesthetist at St George's Hospital in South West London. Thank you to our sponsor Edwards Lifesciences. Edwards clinical education (ECE): https://www.edwards.com/clinicaleducation
2020-04-0700 min
The Bod PodDawn & Rob's Bod Pod. Episode 8 - Joff's reckoningPetersfield actor and radio presenter Joff Lacey returns to the Bod Pod as Dawn & Rob assess whether he's done enough to hit his fitness targets. Will Joff squeeze into his costume for this week's performances of Brassed Off?See omnystudio.com/listener for privacy information.
2019-10-1109 min
The Perioperative Coach2| Getting on the same pageA conversation about enhanced recovery implementation. How do you get the whole team on the same page when it comes to implimenting an Enhanced Recovery Programme? Perioperative medicine requires a truly multidisciplinary team where everyone works together. This piece focuses upon educating and clarifying what colleagues and staff should work towards and expect from one another. "There are some hospitals where you walk in the door and you can feel the calm in the air" the attitude is "this is what we do here". Dr Joff Lacey is speaking with Mike Scott, Virginia C...
2019-10-0907 minThe Perioperative Coach6| Perioperative Nephrology and saline solutionThis piece provides "a thumbnail sketch summary of the fluid debate". Challenging the "prevailing wisdom" regarding fluid management, the kidney and volume overload; "as a young Doctor you sort of got the impression that if you got the kidney to handle a lot of fluid somehow it would be happier". Sodium and volume overload are in fact issues and extra work for the kidney and have tended to cause more difficulties than they solved. Presented by Professor Monty Mythen and Dr Joff Lacey with guest John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pi...
2019-10-0910 minThe Perioperative Coach7| Pain Relief in Enhanced Surgical Recovery.It's about "optimal analgesia" rather than aiming for an entirely "pain free" approach. America's opioid crisis brings the importance of this concept into sharp relief and this episode of The Perioperative Coach reflects on the pain management discussions had by the American Society of Enhanced Recovery (ASER) and its members. Presented by Monty Mythen with Dr Joff Lacey and Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. For further reading see the articles in Perioperative Medicine Journal: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0064-5...
2019-10-0904 minThe Perioperative Coach8| Urine outputPerioperative urine output is a vital sign which can have a very significant impact on outcomes. This discussion emphasises the importance of monitoring it and using the data accordingly. It then moves further into permissive oliguria within an enhanced recovery protocol. This shows no difference in creatinine values and patients are not reporting that they feel uncomfortable or thirsty as a result. Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr Tim Miller from Duke University Medical Centre and John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh. ...
2019-10-0904 minThe Perioperative Coach9| Length of stay after Major Surgery?This podcast is crucial to understanding Enhanced Recovery After Surgery (ERAS). The ideas outlined in this series all lead up to it. In short, the length of stay as part of a patient's post operative recovery should be less than 3 days with over 90% of your patients mobilised on day one. This in depth discussion relates to the consensus paper from the Perioperative Quality Initiative (POQI), see link below. It focuses on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery. These are all measures of compliance and success in an Enhanced...
2019-10-0909 min
Editor's Top PicksTopMedTalks to | Tim Cook and William Harrop-GriffithsThe debate 'Direct laryngoscopes should be consigned to history', was hosted by The Royal College Of Anaesthetists and carried out by our two guests on this piece. Here we get into the advantages and challenges behind the two techniques; video laryngoscopy and direct laryngoscopy. The conversation explores the fact that these skills are a key part of the job of practitioners, are we "de-skilling" the profession in an overly enthusiastic race toward new technology or are some resisting it simply because it's not what they are used to? Where do you stand on this fascinating d...
2019-09-2518 min
The Bod PodDawn & Rob's Bod Pod. Episode 6 - challenging JoffDawn Clare and Rob Carr challenge local actor Joff Lacey on his progress as he battles to fit into his costume in time for opening night of Brassed Off in October. Enjoy useful tips on nutrition and exercise from Petersfield personal trainer Rob and local parent Dawn. Next time Dawn and Rob will answer your questions and comments so email team@petersfieldradio.uk to get in touch.See omnystudio.com/listener for privacy information.
2019-09-1325 min
The Bod PodDawn & Rob's Bod Pod. Episode 5 - Joff's dilemmaInspiration and encouragement from personal trainer Rob Carr and fitness enthusiast Dawn Clare. This time, local actor and radio presenter Joff Lacey joins Dawn and Rob as he prepares for his role in the forthcoming Petersfield production of Brassed Off. Joff knows he needs to shape-up for his part but can he change his lifestyle and diet habits in time to make a difference and fit into his costume? See a picture of Joff at https://petersfieldradio.uk/2019/08/bod-pod-5/ Audio production by Alice Payne at Petersfield Community Radio Music...
2019-08-3029 min