The GP medical training website for everyone, not just Bradford.
Est. 2002

CHAT- trainee        CHAT-AKT        CHAT-RCA        CHAT-trainer        CHAT-TPD

Bradford VTS Online Resources:

Clinical Knowledge

Respiratory Medicine

If you have files you would like me to host on here and share with others, OR if you would like to help develop these pages further, then please email me.  
rameshmehay@googlemail.co.uk

Important features in the history

  • If you would like to have a go at adding some “top tips” to this page for this specialty (and have your name displayed proudly with bradfordvts),  please email me – rameshmehay@googlemail.com

Important features in the Examination

Red Flags

Other Top Tips

SABA Over-Reliance

Over-reliance on SABA inhalers is a global problem and one that we are yet to crack. How about reframing the issue?

  • A GTN spray has up to 200 puffs in it; the same as many SABA inhalers. Are we happy with our patients having 200 puffs of a GTN spray for ‘just a bit of a chest pain’? Probably not
    How have we become so comfortable with our patients with asthma having 200 puffs a month for ‘just a bit of breathlessness’?
  • Start a conversation with your patient/colleagues today about over-reliance on SABA – see the Asthma Right Care Slide Rule
Who needs Oxygen
  • People with COPD and a persistent resting stable oxygen saturation of 92% or less should be assessed for their suitability for long-term oxygen therapy (LTOT) by referring to the local oxygen team / BOC.
  • For GPs to order oxygen for palliative or cluster headache patients they need to complete a HOOF A form (see link below on ‘how to guide’) and send to Baywater.
  • HOOF confirmations/prescriptions need to be sent to the central mailbox: BOC.ClinicalServices@nhs.net .
  • For more information see the Good HOOF Guide (2020)

Please leave a comment if you have a tip, spot an error, spot something missing or have a suggestion for a web resource. And of course, if you have developed a resource of your own, please email it to me to share with others.

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