Guidelines for the diagnosis and management of asthma: a look at the key differences between BTS/SIGN and NICE

John White, James Paton, Robert Niven, Hilary Pinnock On behalf of the British Thoracic Society The British Thoracic Society first produced a guideline on asthma and its management in 1990. The first collaborative guideline with the Scottish Intercollegiate Guideline Network (SIGN) using evidence-based medicine methodology was published in 2003 (1). It has since become a […]

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Doom Dome

We manage our ward work differently these days. Different from when I was a lad. We do blocks of time on the ward, looking after all the patients in the ward for those two weeks. It makes for a high intensity fortnight, not least because we look after all the patients in the high dependency […]

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Breathlessness

I teach the first year medical students about breathlessness. I also teach the FY docs, ST docs, nurses, physios, and anyone who’ll listen, about breathlessness. I’m a stickler for minutiae, so I spend at least one slide, usually a couple, teaching, then reminding, that breathlessness is a symptom, not a sign. One cannot tell if […]

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