Respiratory Health
Implementation Group

A new era in healthcare

Working together to improve respiratory health across Wales, with positive engagement, the wider workforce and the public to achieve our vision.

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A RHIG Documentary

A New Era in Healthcare

19:19

Vaccinations

3:48

Work Stream Lead - Aneurin Buttress

Sleep Services

7:15

Sleep disordered breathing is a common condition with the vast majority of cases due to obstructive problems, and only a minority due to intrinsic sleep problems such as narcolepsy.

Work Stream Lead - Katie Pink

Asthma

6:02

Asthma is a common inflammatory disorder of the airways and the prevalence in Wales is amongst the highest in the world.

Work Stream Lead - Jamie Duckers

Chronic Lung Sepsis

5:31

Bronchiestasis (BE) is a disease characterised by irreversible dilation of one or more bronchi. Current estimates suggest 30-60,000 patients suffer from BE in the UK

Work Stream Lead - Dr. Marion Lyons

Vaccination

Most people who get the flu will have mild illness, will not need medical care or antiviral drugs, and will recover in less than two weeks.

Work Stream Lead - Iolo Doull

Paediatrics

Bronchiolitis is the most common cause for lower respiratory tract infection during the first year of life, and accounts for majority of hospital admissions during this period.

Work Stream Lead - Ramsey Sabit

COPD

4:50

COPD is a chronic progressive disease of the airways associated with high morbidity and mortality.

Work Stream Lead - Helen Fowles

Cough

3:57

Chronic cough is defined as one lasting more than eight weeks. It is reported in 10-20% of adults and is more common in females and obese patients.

Work Stream Lead - Ben Hope-Gill

Interstitial Lung Diseases

3:21

The Interstitial Lung Diseases (ILD) are a diverse group of conditions which include Idiopathic Pulmonary Fibrosis (IPF), sarcoidosis, hypersensitivity pneumonitis and connective tissue disease-associated lung disease.

Work Stream Lead - Alina Ionescu

Pleural Disease

4:31

Pleural disease is a common condition; according to the British Thoracic Society pleural disease guideline of 2010 it affects 3000 people per million of population every year

Work Stream Lead - Ian Williamson

Lung Cancer

Lung cancer is one of the most common cancers in Wales. There are around 2,400 new cases in Wales every year. It kills more men and women than any other form of cancer.

Work Stream Lead - Nicola Perry-Gower

Pulmonary Rehabilitation

4:42

This work stream is focussed on expanding self-management and exercise to people affected by lung conditions.

Work Stream Lead - Sara Fairbairn

Non Invasive Ventilation

Non Invasive Ventilation (NIV) has significant evidence for use in the acute setting and in the domiciliary setting in appropriately selected respiratory patients.

Work Stream Lead - Mel Jefferson

Palliative Care

Palliative care has been defined by the World Health Organization as ‘an approach that improves the quality of life of patients and their families facing the problems associated with life limiting illness

Work Stream Lead - Simon Barry

Tuberculosis

5:50

Despite Wales having a relatively low prevalence of tuberculosis (TB) compared to other parts of the United Kingdom, such as London and Birmingham, the management of TB cases, contact tracing and controlling outbreaks can place a significant demand on local services.

Work Stream Lead - Claire Hurlin

Oxygen

4:27

Long Term Oxygen Therapy (LTOT) is a widely used treatment that improves survival in patients with Chronic Obstructive Pulmonary Disease (COPD) and severe hypoxaemia.

Work Stream Lead - Rebecca Richards

Value Based Care

Work Stream Lead - Keir Lewis

Respiratory Research

6:22

Work Stream Lead - Keir Lewis

Smoking

Smoking causes over 80% of COPD and lung cancer and causes or worsens all other respiratory conditions.

Work Stream Lead - Simon Barry

Outpatients

Current data collected by Health Boards on patients waiting for out-patient review is generally those waiting greater than 6 months.

Predisposing Risk Factors for OSA

4:43

In this video, Dr Adrian Kendrick explores the predisposing risk factors for Obstructive Sleep Apnoea.

Overview of Smoking Cessation Services

07:14

In this video, we provide an overview of smoking cessation services available in Wales and outline the smoking cessation targets for Wales.

Prevalence and Demographics of Asthma in Wales

04:28

In this video we explore the prevalence of Asthma, which is particularly high in Wales, and the likelihood of undiagnosed asthma.

Epidemiology and Burden of COPD

05:17

In this video, we explore the huge size of the COPD problem, and the burden of disease to both the individual and the healthcare economy.

Atrial Premature Beats

Pre-excited Atrial Fibrillation

08:05

In this video, Su discusses a common arrhythmias that problems in ventricular pre-excitation; atrial fibrillation. Su also explains the difference between pre-excited AF and ventricular tachycardia, which looks very similar on ECG.

Early Repolarisation Syndrome

1:56

Coronary Artery Disease Introduction

6:51

Unipolar vs bipolar pacing

6:30

Why is the course important?

2:28

Epidemiology and burden of COPD in Wales and the UK

5:09

National COPD Audit – Secondary Care and Organisational Audit

7:05

National COPD Audit (Wales), 2015-17

Primary Care Audit

5:58

In this video, Professor Mike Roberts summarise the findings from the National COPD Audit in Primary Care, published as part of the National COPD Audit Programme. This report details national data relating to primary‐care‐delivered COPD care in Wales. The findings from this audit are relevant to anyone working with patients who have a diagnosis, correct or misdiagnosed with COPD. It provides a broad view of primary care services, and will enable individuals to understand how COPD services function currently, and where change needs to occur.

The Development of COPD

5:08

Personal Impact of COPD

5:15

Management of Patients in Primary Care

5:08

When to refer to Secondary care?

7:39

Patient Education and Self-Management

6:08

Making a referral

1:33

Diagnostic Spirometry

1:47

Subjective Clinical Impression with Objective Findings

5:28

Screening or Case Finding?

3:22

Pre and Post Bronchodilator Spirometry

5:07

Spirometry and COPD diagnosis

4:52

Differential Diagnosis of COPD

7:10

Asthma COPD Overlap Syndrome

1:38

ACOS Case study

2:58

Pharma and non-pharma interventions

2:35

The QALY Pyramid

7:57

Smoking Cessation

4:32

Pulmonary Rehabilitation

3:43

Pulmonary Rehabilitation Audit

6:18

Referring for Pulmonary Rehabilitation

2:57

National Exercise Referral Scheme

6:06

Managing Breathlessness

7:12

Types of Pharmacotherapy for COPD

2:33

Mechanism of action for pharmacotherapy

5:15

National COPD Guidelines

3:48

Achieving optimal pharmacotherapy

5:43

Withdrawing Inhaled Corticosteroids

5:36

Drug Adherence

2:43

COPD Exacerbations

5:21

Self Management Plans

5:08

Managing Exacerbations at home

2:27

Anatomy of the Upper Airway

4:13

Sleep Deprivation

4:02

Understanding the Oxygen Dissociation Curve

01:55

In this video, Dr Adrian Kendrick uses the oxyhemoglobin dissociation curve to explain how the patient’s resting oxygen levels can impact the extent of their desaturation during an apnoea.

Obstructive Sleep Apnoea

02:14

In this video, Dr Adrian Kendrick provides an insight into what happens during an obstructive apnoea.

OSA and driving

3:17

Interpreting Overnight Pulse Oximetry

06:11

In this video, Dr Adrian Kendrick identifies the considerations to interpreting overnight pulse oximetry.

Sleep hygiene

3:26

OSA and Heart Disease

4:26

Sleep Diary

3:08

Overnight Oximetry Guidelines

01:39

In this video, Dr Adrian Kendrick discusses the different guidelines used for overnight sleep studies.

Case Study 1

0:49

VT vs aberrant SVT

5:11

Cardiac Conduction System and ECG waves

6:02

Understanding the normal ECG

1:59

Axis Intro

7:18

Wandering pacemakers

1:03

Conduction abnormalities intro

1:00

Non-conducted APBs

5:28

Unipolar vs bipolar pacing

6:30

VPBs

5:43

Artefact and error on ECG

8:19

Ventricular pre-excitation

21:16

Coronary Artery Disease Intro

6:51

Pulmonary embolism

8:47

Pericarditis

4:45

Left Ventricular Hypertrophy

9:01

Stroke and Subarachnoid haemorrhage

1:33

Hyperventilation

1:50

Digitalis toxicity

5:16

Hypertrophic cardiomyopathy

5:01

Heart anatomy

5:16

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