The video version of this podcast can be found here: https://youtu.be/0r2kJQNzHME?si=hwG9mG3jNVaXRQEq This video makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE. My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this video I will go through new and updated guidelines published in January 2024 by the National Institute for Health and Care Excellence (NICE), focusing on those that are relevant to Primary Care only.   I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.     There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast:   ·      Redcircle: https://redcircle.com/shows/primary-care-guidelines ·      Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK ·      Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here:  The Practical GP YouTube Channel:  https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The Full NICE News bulletin for January 2024 can be found here: ·      https://www.nice.org.uk/guidance/published?from=2024-01-01&to=2024-01-31&ndt=Guidance&ndt=Quality+standard   The links to the update guidance covered can be found here:   Suspected sepsis: recognition, diagnosis and early management: ·      https://www.nice.org.uk/guidance/ng51 National early warning score information: ·      National Early Warning Score (NEWS) 2 | RCP London website: § https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2 ·      eLearning: § https://newslms.ocbmedia.com/login ·      The NEWS2 observation chart, score card and clinical responses can be downloaded from the main NEWS2 page at  § https://news.ocbmedia.com/resources ·        COVID-19 rapid guideline: managing the long-term effects of COVID-19: ·      https://www.nice.org.uk/guidance/ng188 COVID-19 rapid guideline: managing COVID-19: ·      https://www.nice.org.uk/guidance/ng191 Skin cancer: ·      https://www.nice.org.uk/guidance/qs130 Transcript If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.  Hello and welcome, I am Fernando, a GP in the UK. Today, we are looking at the NICE updates published in January 2024, focusing on what is relevant in Primary Care only.   And to be honest, there have not been any major changes, only minor tweaks in the guidelines on sepsis and COVID19.   Today’s episode is not very long so let’s jump into it. The first clinical area is sepsis. We can’t really look at the whole sepsis guideline here so let’s just look at the update, which points out four aspects: ·      First, that temperature may not rise in cases of spinal cord injury. We know that some groups of people with sepsis may not develop a raised temperature. These include: o  people who are older or very frail o  young infants or children o  people having cancer treatment o  people severely ill with sepsis and after this update o  people with a spinal cord injury ·      Second, we should suspect neutropenic sepsis also in immunosuppression which is not related to cancer. o  That is, we should now suspect neutropenic sepsis and send them to hospital if they become unwell and: § Are having or have had systemic anticancer treatment within 30 days or § Are receiving or h