Intensive Care Society Radio (Intensive Care Society)

YouTube webinar on the above.

Better Perioperative Care: Redesigning the Pathway- Rupert Pearse

Prehabilitation: What Does It Mean, and Does It Work?- June Davis

Emergency Surgery: What Has Changed Since NELA?- Sarah Hare

The Higher Risk Surgical Patient- Shaman Jhanji

Panel Conversation and Questions

Rupert Pearse, June Davis, Sarah Hare & Shaman Jhanji

Dr Jenny Vaughan has been Consultant Neurologist for 14 years (NW London Hospitals NHS Trust and Imperial College Healthcare NHS trust). Jenny was the medical lead for the successful over-turning of the conviction of Surgeon Mr David Sellu for gross negligence manslaughter in 2013. Jenny have conducted multiple interviews on mainstream media in recent weeks vocalising the concerns of the whole profession with respect to medical manslaughter ^(1). Jenny has published widely-read articles on this subject². Jenny has been an invited speaker at multiple events on gross negligence manslaughter, including the RCP annual conference last year. Jenny has conducted surveys ³ for the last three years in order to understand the impact of the criminal law on healthcare, especially after the conviction and erasure of Dr Hadiza Bawa-Garba. These surveys have informed law-makers, politicians, the media, the BMA, the royal colleges and the medical profession in general. Jenny co-founded the only UK online resource for anyone to access who wishes to know more about the charges of gross negligence manslaughter in healthcare. Jenny co-organised the first joint medicolegal meeting on manslaughter and avoidable harm in Holborn 2015 

www.manslaughterandhealthcare.org.uk)⁴.

Jenny’s work in bringing those in the field together was published and recently cited editorially in the BMJ ^5-6. This year the medico-legal team won crime team of the year at The Modern Law Awards⁷. Jenny has become a leading voice of the medical profession on this subject. She gave oral and written submissions to the Williams review as her intention is to work with others to continuously improve patient safety (8). She contributes regularly on this subject to leading journals (9) and is currently assisting the Marx review into  how manslaughter by gross negligence is applied to medical practice.

1.http://www.manslaughterandhealthcare.org.uk/2018/02/20/media-coverage-of-medical-manslaughter/

2.http://www.manslaughterandhealthcare.org.uk/wp-content/uploads/2016/02/Jenny-Vaughan-RCS-Bulletin-article-February-2016.pdf

3. https://www.surveymonkey.co.uk/r/DY6VYSM

4. http://www.manslaughterandhealthcare.org.uk/2018/02/20/events/

5. . http://www.bmj.com/content/360/bmj.k479

6. http://blogs.bmj.com/bmj/2018/03/20/the-case-of-david-sellu-a-criminal-court-is-not-the-right-place-to-determine-blame-in-complex-clinical-cases/

7. https://www.gardencourtchambers.co.uk/congratulations-to-david-sellu-appeal-team/

8.https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/717946/Williams_Report.pdf

Patient Safety and a Just Culture – Extended Panel Conversation and Q&As- David Sellu, Stephen Drage, Jenny Vaughan, Scott Morrish, Matthew McClelland, Shaun Lintern

Innovating at the Frontline: Pre-Hospital ECPR Ben Singer

Keeping It Cool: TTM2 UpdateNiklas Nielsen

ILCOR InsightsGavin Perkins

Who Benefits? Predicting Neurological Outcomes and Survival After Cardiac Arrest Sara Gray

Panel Conversation and Questions Ben Singer, Niklas Nielsen, Gavin Perkins & Sara Gray

Corticosteroid Response and Gene Expression in Septic Shock (CRESS) Trial- David Antcliffe
Spironolactone for Survivors of Critical Illness (SSCILL)- Mansoor Bangash
Small Volume Resuscitation and Supplementation with Hyperoncotic Albumin in Septic Shock (SWIPE-2)- Jonathan Bannard-Smith
The Use of Mucoactive Drugs for Critically Ill Patients with Acute
Respiratory Failure in Intensive Care- Bronwen Connolly
Improving Mental Health Outcomes in Family Members of Critically Ill Patients with Family Support and Engagement
Intervention- Valerie Page

We welcome you to ICS Radio.

This episode is a recording of the Opening Plenary at ICS SOA  Dec 2019

This episode features 

1. Welcome
Ganesh Suntharalingam (ICS President) & Steve Mathieu
(ICS Conference Director)

2.  Born to Survive? the Genetics of Life and Death
Alice Roberts in conversation with Hugh Montgomery

3. A Gift of Life: Perspectives on Organ Donation
and Deemed Consent
Dale Gardiner, Paul Frost & Joanna Duckworth

4. Looking After Each Other in a Crisis: Lessons from Novichok
Kate Jenkins

5. A Glance into the Future: What Will Be The Next Game
Changer for Critical Care?
John Myburgh, Hannah Wunsch, Danny McAuley & Peter Brindley

Confronting Ebola- Rob Fowler

Challenges of providing emergency and trauma surgery in the humanitarian context-Johan Von Schreeb

Carers in The Firing Line: Researching the Impact of Attacks on Healthcare-Larissa Fast

The WHO International Emergency Medical Teams Initiative: the UK contribution-Tony Redmond

Panel Conversation and Questions

Rob Fowler, Johan Von Schreeb, Larissa Fast & Tony Redmond

This is a podcast recorded at the Intensive Care Society State of the Art meeting in 2019 in Birmingham where John Myburgh AO, Australian Intensivist and Researcher, shares some of his wisdom with ICS Radio members David Lyness and Segun Olusanya.

Ruth Endacott, Kate Tantam, Natalie Pattison, Liz Staveacre &
Jo-Anne Fowles
Presenting four bitesize topics exploring and debating the ‘Power of Nurses’, in contributing to the achievement of ICS values and
strategic priorities:
1) Increasing the influence of
nurses in critical care
2) Wake up to networking in your
region!
3) Be inspired by the
#rehablegend campaign
4) Post Registration nurse
education – a funding dilemma?

The Critical Care Commute Podcast team chat to Jonny Wilkinson and Marcus Peck at State of the Art 2023 about FUSIC.

Dr Julie Highfield is joined by Una St Ledger to discuss the concept of Moral Distress in intensive care. 

Hear from our AHP Professional Advisory Group about the challenges facing their ICU professions, how they chose to work in ICU, and why there's power in numbers.

Dr Bagshaw is a Clinician Scientist and Associate Professor of Critical Care Medicine. He is currently serving as Interim Chair of the Department. He acquired training at the University of Calgary (Internal Medicine, Critical Care Medicine, and Masters of Science Epidemiology) prior to completing a Critical Care Nephrology fellowship in the Department of Intensive Care Medicine, at the Austin Hospital in Melbourne, Australia.

Dr Bagshaw is supported by a Canada Research Chair in Critical Care Nephrology and a Clinical Investigator Award from Alberta Innovates – Health Solutions. Dr Bagshaw’s main research interests have focused on the clinical, epidemiological, translational, and health services delivery issues related to acute kidney injury and extracorporeal blood purification in critically ill patients. Dr Bagshaw’s research also focuses ICU organization, capacity and rapid response systems, frailty in critical illness, and technological support for critically ill older patients. His research is supported from grants from the Canadian Institutes for Health Research, Alberta Innovates – Health Solutions, the MSI Foundation, the University Hospital Foundation, the Canadian Intensive Care Society, and the Technology Evaluation in the Elderly Network.

He has published over 100 peer-reviewed papers, numerous book chapters, and peer-reviewed for over 20 medical journals. Dr Bagshaw is a member of several organizations including the Canadian Critical Care Society, Canadian Critical Care Trials Group, Australia New Zealand Intensive Care Society, and the Acute Kidney Injury Network, and the Acute Dialysis Quality Initiative.

The Critical Care Commute Podcast team chat to Hugh Montgomery at State of the Art 2023 about sustainability.

Jerry is a consultant in anaesthesia and intensive care medicine at the Royal United Hospital, Bath and Honorary Professor of Resuscitation Medicine at the University of Bristol. He trained at Bristol Medical School (MB ChB 1983) and undertook anaesthesia and critical care training in Plymouth, Bristol, Bath and Southampton, and at the Shock Trauma Center, Baltimore in the United States. Jerry is Chair of the European Resuscitation Council (ERC), past Chair of the Resuscitation Council (UK), and the immediate past Co-Chair of the International Liaison Committee on Resuscitation (ILCOR). He received a Lifetime Achievement Award in Cardiac Resuscitation Science from the American Heart Association in 2016. Jerry is Editor-in-Chief of the journal Resuscitation. Jerry’s research interests are in cardiopulmonary resuscitation, airway management, and post-cardiac arrest treatment – he has authored over 300 original papers, reviews and editorials on these topics. 

The Critical Care Commute Podcast team chat to Jerry Nolan at State of the Art 2023 about ACLS.

Listen to our Black History Month Podcast Chaired by Equality, Diversity and Inclusion Group Member, Dr Sekina Bakare, as she talks to colleagues about using the Society to promote change and addressing the issues faced/needs of black people within the intensive care worforce.

• Dr Sekina Bakare - Intensive Care Trainee
• Dr Hakeem Yusuff MRCP FRCA FFICM - Consultant Anaesthesia, ECMO and Intensive Care Medicine - Honorary Senior Lecturer
• Ms Mariam Amoran - Critical Care Charge Nurse - UCL Equality, Diversity and Inclusion Co.Chair
• Dr Nikiesha Lee - Stage 2 Dual Anaesthesia and Intensive Care Medicine Trainee
• Dr Peter Watson - Stage 3 Dual Emergency Medicine and Intensive Care Medicine Trainee 

Julie speaks to Matt Morgan, a consultant in intensive care from Wales, about his reflections on being a doctor during the pandemic.

Dr. Paul H. Mayo MD graduated from Cornell University Medical College and completed his postgraduate training at Roosevelt Hospital and Bellevue Hospital in New York City. He is presently a frontline intensivist in the Northwell System in the New York City area where he is academic director of critical care medicine and professor of clinical medicine at the Zucker School of Medicine at Hofstra/Northwell. He has strong interest in critical care ultrasonography and combined team training for critical care airway management. He has longstanding responsibility for the design and implementation of the national level courses on critical care ultrasonography sponsored by American Society of Chest Physicians.

Dr Dale Gardiner is a Consultant in Adult Intensive Care Medicine at Nottingham University Hospitals NHS Trust, UK.

Through an interest in ethics, the diagnosis of death and deceased organ donation he has been a Clinical Lead for Organ Donation since 2009. In June 2018 he was appointed national Clinical Lead for NHS Blood and Transplant.

Dr Gardiner is chair of Nottingham’s Ethics of Clinical Practice Committee and co-chair in a European deceased donation ethics working group (ELPAT). He served for four years as a member of the UK Donation Ethics Committee until its closure in 2016

After experiencing the most intense period of work, our critical care nurse workforce need us to consider their needs carefully right now.

In this webinar we explore individual, team and systems factors at play, and discuss how to sustain and protect our nursing workforce for the future.

Presentation: Dr Julie Highfield, Consultant Clinical Psychologist and National Wellbeing Director, ICS Panel Discussion: Julie Platten Network Manager & CC3N Chair Catherine Plowright BACCN National Board Member

The Critical Care Commute Podcast team chat to Hugh Montgomery and Jessica Sullivan at State of the Art 2023 about their plenary session on hypoxemia.

Our Nursing Professional Advisory Group were joined by Alison Leary to discuss our intensive care nursing workforce and the challenges we face.

Hearing staff stories from the front line, and making sense of the range of our emotional reactions to the pandemic. We will consider how staff feel about what next, how to take care of themselves and each other. You will also hear more about the ICS national wellbeing campaign.

Every Critical Care Dietitian dreams of delivering nutritional perfection. It was Charlie Bucket’s dream to find the golden ticket. What if Wonka did critical care nutrition? Join us in taking a light hearted look at nutrition in Alice’s Wonderland, and from the Wonka Chocolate Factory. You never know, we may unearth the future of critical care nutrition. 

Ella Terblanche and Rob Cronin

Jo Talbot Bowen joins Dr Julie Highfield to discuss the wellbeing of healthcare staff, feeling frazzled, and accessing creativity. 

The Critical Care Commute Podcast team chat to Dale Gardiner at State of the Art 2023 about his Breaking Bad News session.

This is a conversation between Dr Zudin Puthucheary, Senior Lecturer and Consultant in Intensive Care Medicine, Dr Jim Buckley, Consultant in Intensive Care medicine, and Dr Brijesh Patel, Clinical Senior Lecturer and Consultant in Cardiothoracic Intensive Care. 

Some of the learning from the early stages of this virus and how it is impacting our patients and our service.

Kev Dhaliwal is Professor of Molecular Imaging & Healthcare Technology and Consultant Physician in Respiratory Medicine in Edinburgh. He leads an EPSRC interdisciplinary Hub based in the Medical School in Edinburgh developing novel technologies for interventional pulmonary medicine. PROTEUS (@EPSRC_Proteus) is the UK’s largest biophotonics healthcare project and is developing novel tools and technologies for respiratory critical care by exploiting the power of light to enable new insights. PROTEUS will develop new pathways and leverage the power of TEAM SCIENCE

After experiencing the most intense period of work, our critical care nurse workforce need us to consider their needs carefully right now. In this webinar we explore individual, team and systems factors at play, and discuss how to sustain and protect our nursing workforce for the future.

Presentation:

Dr Julie Highfield, Consultant Clinical Psychologist and National Wellbeing Director, ICS Panel Discussion: Julie Platten Network Manager & CC3N Chair Catherine Plowright BACCN National Board Member

Kathy is founder and Director of ICNARC and works within a team of audit, research, IT and administrative staff. ICNARC’s aim is to facilitate improvements in the organisation and practise of critical care through a broad programme of audit and research.

In 2004, Kathy was awarded the Humphry Davy Medal by the Royal College of Anaesthetists as a mark of distinction for her significant contribution to critical care. More recently, Kathy completed a Harkness Fellowship in Health Care Policy in the USA (Nov 2004 to Oct 2005).

Kathy is an Honorary Professor in the Department of Public Health and Policy at the London School of Hygiene and Tropical Medicine.

This was the award winning SOA18 Gold Medal presentation by Dr Tom Hellyer. Information about the ICS Gold Medal can be found here https://soa.ics.ac.uk/goldmedal/

Anna Batchelor, Sean Bagshaw, Carole Boulanger, Jamie Strachan, Natalie Pattison, Craig Brown

Hear from our Trainee Advisory Group (TAG) about the challenges facing intensive care trainees, what they'll be up to in 2023, and how you can join them.

Dr Peter Watkinson, Associate Professor of Intensive Care Medicine, is joint clinical lead for the Critical Care Research Group based at the Kadoorie Centre for Critical Care Research & Education at the John Radcliffe Hospital, Oxford.

He is an NHS consultant in intensive care and acute medicine and is part of the senior clinical team at the Oxford University Hospitals NHS Foundation Trust. His research interests focus on the identification of the deteriorating patient in hospital and he has designed and run a number of studies in the field of wearable monitoring devices. The research group is now exploring the opportunities offered through non-contact monitoring and standard electronically-recorded descriptors of a patient’s condition.

The research group has a strong link with the University of Oxford Institute of Biomedical Engineering. Using data collected from thousands of patients’ vital signs in Oxford and elsewhere the multi-disciplinary team investigates ways to locate patterns which precede and predict clinical deterioration in hospitalised patients.

Other areas of interest for the research group include development of electronic monitoring systems, use of human factors techniques to introduce new technology into the healthcare environment, and assessing the longer-term effects of critical illnesses on patients’ quality of life.

Debbie Forde, Pamela Page and Una St Ledger talk to Dr Julie Highfield about dehumanising the ICU, and the impact of the absence of families during the pandemic. 

Dr Lisa Hinton is a medical sociologist, and leads applied research in the Health Experiences Research Group (HERG). Improving patient experience is a global priority for health policy makers and care providers. How research on patient and staff experiences can make a difference in these areas is at the core of her research interests. 

Lisa has a portfolio of applied, mixed methods, social science research specialising primarily in women's health, in particular experiences of infertility, pregnancy, childbirth and neonatal care. She is also involved in several studies seeking to improve patient experiences in critical care.The role of digital technology in patient self-management and healthcare is another area of interest.

Lisa leads qualitative work developing and evaluating complex interventions and is currently working on two clinical trials of self-monitoring of blood pressure.  One is studying the impact of SMBP during pregnancy and a second the impact of SMBP after a stroke or TIA (see Hypertension). She also leads a programme of work as part of the Oxford BRC's Partnerships for Health Wealth and Innovation theme exploring research participation and patient and public involvement. 

Lisa has a developing interest in studying the potential for patient experiences research in resource poor countries. Initial work, in collaboration with colleagues at KEMRI-Wellcome Trust in Kenya, can be seen here: http://www.dipexinternational.org/2018/01/premature-birth-in-kenya-sharing-mothers-voices/ 

Lisa currently supervises doctoral students on a range of studies focused on maternal and newborn health  and nursing in the UK, Kenya and India. She teaches on the HERG Qualitative Research Methods courses and the MSc in Evidence-based Healthcare.

Before joining the department in 2007 Lisa was a TV and web producer, working for the BBC and Channel 4.

The Critical Care Commute Podcast team chat to Matt Morgan at State of the Art 2023 about Comparative Physiology and the ICU.

Dr Julie Highfield is joined in conversation by ICU Doctors Segun Olusnaya and Adrian Wong, about the impact of COVID-19 on intensive care and their recent paper in JICS.

The Critical Care Commute Podcast team chat to Dan Martin on being editor of JICS, oxygen therapy and pulse oximetry at State of the Art 2023.

Kate Jenkins, Clinical Psychologist, joins Dr Julie Highfield to talk about parallels between the Novichok Crisis and the pandemic, and the impact of sustained traumatic events on ICU staff. 

Members of our Pharmacy Professional Advisory Group got together to chat about their experience of working in ICU, the future of their profession, and how AI could prove to be a helpful tool for ICU pharmacists.

This year’s title, “Critical Care Game Changers” is your chance to think innovatively: think about the controversies facing our specialty now, next year, next decade…tell us your idea to change the game!  The top 5 scored abstracts submitted in response to this title will be invited to give a presentation to a panel of critical care experts on the main stage at the State of the Art meeting in Westminster on the 10th 11th or 12th of December 2018. Don’t be put off that all of our presenters will be subject to on stage ‘questioning’ by the dragons; it will be friendly fire.

The best presentation as judged by the panel will be awarded the prestigious ICS Trainee Committee Prize for Controversies in Critical Care.

All 5 accepted abstracts will also be published in the Journal of the Intensive Care Society’s e-supplement

Gavin Perkins is Professor of Critical Care Medicine at the University of Warwick. He leads the emergency and critical care group within Warwick Clinical Trials Unit. He served as Chief Investigator for the BALTI, BALTI-prevention and PARAMEDIC-1 (LUCAS) trial and is currently Chief Investigator for the PARAMEDIC-2 (Adrenaline) and Breathe Trials. Clinically he holds appointments as a Consultant Physician in Critical Care Medicine at Heart of England NHS Foundation Trust and MERIT Team Consultant with West Midlands Ambulance Service. Prof Perkins is a Director of Research for the Intensive Care Foundation and Clinical Speciality Lead for Critical Care (West Midlands CRN), Division 6 Clinical Research Lead (West Midlands CRN). He has been a member (2000-10) and then chairman (2010-present) of the ALS Sub-committee during which time he developed, evaluated and implemented the e-ALS course. He has served as ILCOR and ERC Co-chair for BLS/AED since 2010. In these roles he has developed collaborative networks with international partners and co-ordinated the revision to the 2015 Utstein cardiac arrest template. He was elected as ILCOR Co-chair in 2015.

Rob Mac Sweeney is an intensivist working at the Royal Victoria Hospital in Belfast, Northern Ireland. He founded and runs Critical Care Reviews, a free, not-for-profit critical care educational project spanning a website, journal watch facility, newsletter, international meeting, annual book and podcast. He also co-founded a platinium open access journal, Critical Care Horizons. Rob is a passionate believer that scientific advances, especially through publically funded research, should be available to all and works to promote open access to such work through Critical Care Reviews and Critical Care Horizons.

Alex Psirides is an Intensive Care specialist working in Wellington, having trained in London, Melbourne and New Zealand. He has been involved in the design and implementation of Rapid Response Systems in several different hospitals. Because of this, he is clinical lead for the New Zealand Health Quality & Safety Commission’s national ‘Deteriorating Patient’ programme. In his spare time, when not walking his dog or his children, he builds websites & designs logos for Wellington ICU’s prodigious research department. He has nearly written a lot more research papers & as such needs to spend less time on Twitter. He also once ventilated a chimpanzee but it didn’t end well (for the chimp).

Audrey Quinn

Sarah Winfield

Peter Watkinson

Lisa Hinton

Laura Vincent

The Critical Care Commute Podcast team chat to Laura Vincent at State of the Art 2023 about what a good day on the ICU looks like for her.

This webinar addresses the speaker's experiences of ECMO during COVID-19 and consists of presentations and a panel discussion with questions from the audience.

Moderator: Charlotte Johnston Final Year Medical Student Cardiothoracic ICU/ECMO

Nurse Speakers: Jo-anne Fowles Nurse Consultant Critical Care & ECMO Royal Papworth NHS Foundation Trust Presentation: Bedside management of the ECMO patient during a pandemic

Rachel Jooste Cardiothoracic Anaesthesia & Critical Care Presentation: Scaling up the National ECMO service during the Pandemic

Brij Patel Royal Brompton Hospital Presentation: Scientific rationale for ECMO in Covid

Alain Vuylsteke Consultant in Intensive Care Royal Papworth NHS Foundation Trust

The Critical Care Commute Podcast team chat to Nandan Gautam at State of the Art 2023 about his COVID experience in Birmingham and the post COVID syndrome.

Webinar on the above released in July 2020. 

Julie speaks to Amy and Mary, two advanced practitioners in critical care about their experience working in outreach during the pandemic, and the impacts on their own and team wellbeing.

This webinar will explore and explain the recent legislative change to organ donation consent in England, and the impact of the pandemic on the process and practise of organ donation and transplant in the UK.

This year’s title, “Critical Care Game Changers” is your chance to think innovatively: think about the controversies facing our specialty now, next year, next decade…tell us your idea to change the game!  The top 5 scored abstracts submitted in response to this title will be invited to give a presentation to a panel of critical care experts on the main stage at the State of the Art meeting in Westminster on the 10th 11th or 12th of December 2018. Don’t be put off that all of our presenters will be subject to on stage ‘questioning’ by the dragons; it will be friendly fire.

The best presentation as judged by the panel will be awarded the prestigious ICS Trainee Committee Prize for Controversies in Critical Care.

All 5 accepted abstracts will also be published in the Journal of the Intensive Care Society’s e-supplement

Julie interviews sister Mo Maddock, an ICU Nurse and Wellbeing lead from the South of England, about her experiences during the pandemic. 

Dr Bellingan is a consultant in Respiratory Medicine and Critical Care at University College London Hospitals NHS Foundation Trust.

Dr Geoff Bellingan is Medical Director for the Surgery and Cancer Board at University College London Hospitals (UCLH) and is responsible for the cancer strategy across the trust and UCLH engagement with UCLP and London Cancer. He is also responsible for surgical, anaesthetic and theatre strategy for the UCH site and for the imaging department.

Geoff is a consultant in intensive care medicine (UCLH) and Reader in Intensive Care at UCL. He is the Hon secretary of the European Society of Intensive Care Medicine (ESICM)  and is a member of the Critical Care Committee for the Royal College of Physicians and the research committee for the Intensive Care Society (ICS).

Geoff’s research interests are ARDS infection and the resolution of inflammation, having studied macrophage clearance then fibrosis in ARDS for his PhD and MRC clinician scientist fellowships respectively. Geoff has published widely on pathophysiology and clinical trials in acute lung injury and on MRSA. He is currently leading on the FP7 trial.

Fluids – Flood or Famine
John Myburgh & Anders
Perner

Blood Pressure Targets
in Critical Illness
Francois Lamontagne &
Paul Mouncey

When and How to
Squeeze in Vasoplegic
Shock?
Hannah Wunsch & Anthony
Gordon

Panel Conversation and
Questions John Myburgh,
Anders Perner, Francois
Lamontagne, Hannah
Wunsch & Tony Gordon

The word “debrief” is throughout our language in healthcare settings, yet it is considered controversial and potentially unsafe if in the wrong hand. However we know in the providing the critical care that our ICU workforce needs, the chance to make sense of experience and share stories is important. This webinar explores the different methodologies for doing this safely in your unit.

Chair of Panel: Dr Julie Highfield, Consultant Clinical Psychologist, Cardiff and ICS National Wellbeing

Lead Speakers: Dr Debbie Ford, Senior Clinical Psychologist - Cardio-Thoracic and Critical Care, Harefield Hospital Consultation/Advisory role (Trust Wide) staff support

Dr Sadie Thomas-Unsworth Lead Psychologist for Staff Support (Trust Wide) Paediatric Palliative Care and Paediatric Oncology Services University Hospitals Bristol and Weston, NHS Foundation Trust

Dr Hatem Soliman Aboumarie Locum Consultant in Cardiothoracic Intensive Care Harefield Hospital

Luke Flower, Stuart Edwardson, Alice Humphreys and Kamilla Kamaruddin joined us to discuss their recent article in the Journal of the Intensive Care Society (JICS) about the care of transgender patients in ICU, and what all clinicians can do to provide more inclusive care fro these patients.

CAR T-Cell Treatment: How New Immune Therapies May Change Critical Care Matthew Morgan

Danger Beneath the Larynx Linda-Jayne Mottram

Please Sir...Can I Have Some Less? John Myburgh

Safe Staffing in ICU: Development of a New Nursing Model Ruth Endacott

A conversation between Zudin Puthucheary, Senior lecturer and consultant in intensive care medicine, Julia Hadley, also a consultant in critical care and lead for the Royal London guidelines for tracheostomy in the COVID patient and Dr Brendan McGrath who is the national clinical lead for the same. 

1. Thinking: Voices in My Head – Self-Doubt and Self-Compassion
:Sara Gray
2.  Speaking: The Science and Art of Conversation : 
Elizabeth Stokoe
3. Action: Civility Saves Lives – How We Treat
Each Other Matters : Chris Turner
4.  Panel Conversation and
Questions

Is Your House on Fire Yet?- Eleanor Damm
Champagne, Anyone?- Rachel Jones
Plan A is Bonefish Cay...- Charlie Pope
Anticipating Intensive Care Admission – “Pre-
ICU”- Eleanor Richards
A Name Changer: The IPCU- Guy Parsons

For this podcast episode we were joined by Mariam Amoran, Sekina Bakare, Ronke Salawudeen and Abibat Gbadamosi, to talk about the intersection of race and gender, why the right support at work makes all the difference, and the changes we need to make in intensive care.

Hear from our Physiotherapists Professional Advisory Group about patient experience, the challenges facing their profession, and why they love being physiotherapists in intensive care.

Rachael graduated from the University of Hertfordshire and after spending some time working for the British Army and London Hospitals settled at the Newcastle Upon Tyne NHS Foundation Trust in 2001. Rachael specialised in respiratory physiotherapy initially within cardiothoracic transplantation before moving into a rotational ICU Band 7 post. She developed a specialist interest in neuro-trauma and this role evolved to become the senior physiotherapy link within the North East long term ventilation team.

More recently Rachael was Respiratory Lead at St Georges Hospital, London managing a diverse team and specialities to now working in a new Consultant Physiotherapy post at Royal Preston Hospital. Rachael’s area of expertise include complex ventilation and weaning and advanced airway clearance techniques for which she lectures and presents both in the UK and internationally and at pre and post graduate level.

Rachael currently sits on BTS Council and the Critical Care Specialist Advisory Group representing AHPs, is an expert member of NHSE Patient Safety Group, AHP representative on the NIV NCEPOD study, Co-chair HMV-UK, Chair Respiratory Leaders in Physiotherapy UK, Board Member and Trustee St Catherines Hospice and most recently elected onto Physiotherapy Council.

This webinar will cover topics heard “on the ground” from trainees nationally and the recent faculty document regarding training

Dr. Needham is Professor of Pulmonary and Critical Care Medicine, and of Physical Medicine and Rehabilitation at the Johns Hopkins University in Baltimore, USA. He is Director of the “Outcomes After Critical Illness and Surgery” (OACIS) Research Group and core faculty with the Armstrong Institute for Patient Safety and Quality, both at Johns Hopkins. From a clinical perspective, he is an attending physician in the medical intensive care unit at Johns Hopkins Hospital and Medical Director of the Johns Hopkins Critical Care Physical Medicine and Rehabilitation program.

Dr. Needham received his MD degree from McMaster University in Hamilton, Canada, and completed both his residency in internal medicine and his fellowship in critical care medicine at the University of Toronto. He obtained his PhD in Clinical Investigation from the Bloomberg School of Public Health at Johns Hopkins University. Notably, prior to his medical training, he completed Bachelor and Master degrees in Accounting and practiced in a large international accounting firm, with a focus in the health care field.

Dr. Needham is Principal Investigator on a number of NIH research grants and has authored more than 250 publications. His research interests include evaluating and improving ICU patients’ long-term physical, cognitive and mental health outcomes, including research in the areas of sedation, delirium, early physical rehabilitation, and knowledge translation and quality improvement.

Until summer 2017 I worked as an anaesthetist and intensivist in Newcastle spending 50% of my time in each with anaesthetic interests including patients for endocrine, gastro-intestinal and burns and reconstructive surgery. Since taking on the national lead for Getting It Right First Time for Critical Care I am now “ just” an intensivist. I am a Past President of the ICS and Past Dean of the Faculty of Intensive Care Medicine. I led the production of the new curriculum for ICM and the ICM component of the anaesthesia curriculum. I led the production of the DH framework for Advanced Critical Care Practitioners and the FICM curriculum for ACCPs.

Back from the Brink: Diggs’ Story Damon Beard, Susie Calvert & Steve Mathieu
Early Mobilisation- Where Are We Now?- Eve Corner
Occupational Hazards: OT in Critical Care- James Bruce
Visualising Patient Recovery- Kate Tantam
Panel Conversation and Questions Damon Beard, Susie Calvert, Steve Mathieu, Eve Corner, James Bruce, & Kate Tantam

Sarah is Clinical Lead Speech and Language Therapist (SLT) specialising in critical care, tracheostomy and complex dysphagia and has worked at Wythenshawe hospital, Manchester since 2002. As an RCSLT expert advisor for 18 years she has contributed to a number of key policies and guidelines, including GPICS, NCEPOD ‘On the right trach’ and RCSLT position papers in FEES (Fibreoptic Endoscopic Evaluation of Swallowing) and Critical Care. She is Chair of the RCSLT Tracheostomy Clinical Excellence Network and SLT representative on the NTSP (National Tracheostomy Safety Project) actively promoting clinical knowledge sharing, best practice, multidisciplinary tracheostomy team and SLT service development. She is on the UK Swallowing Research Group committee and researches into the effects of tracheostomy and ventilation on communication and swallowing, most recently Above Cuff Vocalisation (ACV). Sarah travels widely and has worked in Singapore and also as a volunteer for Speech Therapy Cambodia.

The Critical Care Commute Podcast team chat to Danny McAuley at State of the Art 2023 about ARDS.

In this podcast, Kate talks about the lessons from Novichok, and looking after our colleagues

Alex is an Intensive Care specialist working in Wellington, having trained in London, Melbourne and New Zealand. He has been involved in the design and implementation of Rapid Response Systems in several different hospitals. Because of this, he is clinical lead for the New Zealand Health Quality & Safety Commission’s national ‘Deteriorating Patient’ programme. In his spare time, when not walking his dog or his children, he builds websites & designs logos for Wellington ICU’s prodigious research department. He has nearly written a lot more research papers & as such needs to spend less time on Twitter. He also once ventilated a chimpanzee but it didn’t end well (for the chimp).

Rapid Response Teams.
Can They Improve End
of Life Care?
Alex Psirides

Completing a Life Well,
Not Dying a Death Badly
Rob George

Cultural, Ethnic
and Religious
Considerations at the
End of Life
Rob Fowler

Challenges in End of
Life Care: Clinical and
Research Priorities for
Patients, Families and
Staff
Natalie Pattison

Panel Conversation and
Questions
Alex Psirides, Rob George,
Rob Fowler & Natalie
Pattison

Who to Admit - Differentiating AoCLF from Advanced Cirrhosis- Tony Whitehouse

Liver Failure - Survival Depends on What You’ve Got and Where You Get It!- Julia Wendon

The Place of Albumin in the Management of Critically Ill Liver Patients- Alastair O’Brien

10 Top Tips for AoCLF, Conversation and Questions

Tony Whitehouse, Julia Wendon & Alastair O’Brien

Brian Cuthbertson is Chief of the Department of Critical Care Medicine at Sunnybrook Health Sciences Centre and Professor in the Interdepartmental Division of Critical Care Medicine at the University of Toronto. He is also an Honorary Professor of Critical Care Medicine at the University of Aberdeen and an Honorary Professorial Fellow at the George Institute of Global Health in Sydney. His research interests include improving outcomes from critical illness and major surgery. He has over 100 peer-reviewed publications and $10million of research grants as well as playing a leading role in a number of key clinical guidelines.

Dr Julie Highfield talks to intensive care nurse and researcher Andrew Bates about his recent paper in JICS, and the impact of the pandemic on nurse mental health. 

Julie speaks to Sarah Gilbert-Kerr, an ICU Nurse from the North of England about her experiences during the pandemic.

A Qualitative Exploration of Staff Perceptions of Safety and Missed Care in Adult Intensive Care (ICU)- Clare Leon-Villapalos
Impact of ACCP-Led Rib Fracture Analgesia Service- Nigel Manning
Core-Peripheral Temperature Difference Assessed by Thermal
Imaging and Its Association with Illness Severity in Sepsis- Matt Charlton
SCARF: Supporting Community Recovery and Reducing
Readmission Risk Following Critical Illness: From Research
to Practice- Jo Thompson

Making Ultrasound Resonate: Lessons from Down Under -Sharon Kay

Scanning the Horizon: The Future of Intensive Care US Training-Ashley Miller

Moving Beyond the Individual: Departmental Accreditation-Tom Ingram

Lieutenant or Admiral of the Ultrasound Waves: Does it matter? YES- Tom Clark

Lieutenant or Admiral of the Ultrasound Waves: Does it matter? NO- Marcus Peck

Panel Conversation and Questions

Sharon Kay, Ashley Miller, Tom Ingram, Marcus Peck & Tom Clarke

Cholesterol Therapy-Mervyn Singer
Troponin in Critical Care Patients and Outcomes-Anne marie Docherty
Targeting the Vasculature in Sepsis: A Means or an End?-Simon Lambden
The Right Heart in Critical Illness-Susanna Price
Panel Conversation and Questions-Mervyn Singer, Annemarie
Docherty, Simon Lambden & Susanna Price

The Science of Improvement as It Relates to Quality in the ICU - Kevin Rooney

Improving the Evidence for Improving Healthcare- Mary Dixon-Woods
GIRFT: Tackling Variations in Quality- Anna Batchelor
Panel Conversation and Questions- Kevin Rooney, Mary Dixon-
Woods & Anna Batchelor

In recognition of LGBTQ+ History Month, Dr Luke Flower and Dr Stuart Connal sat down with Dr Andrew Hartle, Dr Stuart Edwardson and Dr Leyla Turkoglu to talk about their experiences as LGBTQ+ doctors working in anaesthesia and critical care.

Hemophagocytic Lymphohistiocytosis: Secrets of the Great Mimicker- Jessica Manson
Reno-Pulmonary Syndromes- Steve Brett
Unusual Disorders of Consciousness- Saiju Jacob
Panel Conversation and Questions- Jessica Manson,
Steve Brett & Saiju Jacob

Dermatological Emergencies: When the Skin Fails- Richard Groves

Ophthalmology: The Eye of the Storm- Fiona Carley

Rheumatological Emergencies- Jessica Manson

Panel Conversation and Questions

F Richard Groves, Fiona Carley, & Jessica Manson

Mark McPhail is a senior lecturer and consultant in liver critical care at Kings College London. He trained in physics and medicine in Glasgow and following medical school he trained in Oxford, Southampton and London in gastroenterology, hepatology, general internal medicine and intensive care medicine.  His research interests include outcome prediction, statistical methods, metabonomics and immunometabolism in liver failure syndromes.

Nazir Lone is a Senior Clinical Lecturer in Critical Care and Honorary Consultant in Critical Care at the Royal Infirmary of Edinburgh. His programme of research focuses on health services research and health care quality improvement for acutely ill patients. His research aims to directly improve the quality of care for patients before, during and after an episode of critical illness through rigorously conducted research and engagement with key stakeholders. He has a particular research interest in epidemiological methods and using linked ‘big’ data.

The Critical Care Commute Podcast team chat to Anne Bachelor at State of the Art 2023 about Getting it Right the First Time.

A session on Mechanical Ventilation from ICS SOA 2019

Mechanical Ventilation: Looking for New Paradigms in Managing the Stressed Lung: Tom Barnes

Spontaneous Breathing in ARDS: Giacomo Bellani @GicoBellani

Winning Weaning Together: An Interprofessional Approach: Deena Costa

Panel Conversation and Questions: Tom Barnes, Giacomo Bellani & Deena Costa

As a consultant obstetric and neuro-anaesthetist at James Cook Hospital Middlesbrough, I have specialist interests in maternal critical care MCC, and the difficult airway in obstetrics.

I am an anaesthetic assessor for the maternal confidential enquiry MBRRACE. I contributed to three chapters in NAP4 (4th National anaesthesia audit), and more recently have been a member of the OAA/DAS working party that developed the first national algorithm specifically for obstetric failed tracheal intubation. Work is now underway by this group on a review of Anticiptated difficult Airway.

From 2009-2014 I was a committee member of the Obstetric Anaesthetists’ Association (OAA) and in 2013 I set up and chaired the OAA, national intercollegiate Maternal Critical Care, MCC Subcommittee. The groups aims were to identify standards and expertise in the management of the acutely mother and multi-disciplinary training & education. I was also OAA lead for obstetric ICNARC dataset. During this time, I chaired the Yorkshire & Humber Y&H Maternity SCN, MCC network for Yorkshire and Humber NHS hospitals and was course co-organiser for the course Care of the Critically Ill Childbearing Mother that contributed to a PG Certificate at Leeds University. I was recently involved with a Y&H NHS clinical network task and finish group and publication of their MCC and EMC recommendations and training framework 2018.

I chaired a revision of https://www.rcog.org.uk/en/guidelines-research-services/guidelines/providing-equity-of-critical-and-maternity-care-for-the-critically-ill-pregnant-or-recently-pregnant-woman/ . These intercollegiate guidelines let to obstetric additions to the CC3N and new RCM midwifery competencies Enhanced Maternity Care. I run an multi-specialty MCC online course from James Cook Hospital Middlesbrough. This online resource has been taken up by the RCOG working party setting up MCC training into the obstetric curriculum. I’m a passionate supporter of an MCC intercollegiate curriculum for obstetricians, anesthetists, intensivists and obstetric physicians aimed at future consultants specialising in maternal critical care.

In this podcast, we introduce FUSIC : the modular approach to bedside ultrasound Certification  in Intensive Care 

Sponsored by the Intensive Care Society 

Another podcast, with more detail around accreditation, will follow...

This webinar from the ICS will explore a MDT approach to rehab following critical care.

Life after SPICE – When Should We Use Alpha-2-Agonists in the ICU? Tim Walsh

Restraint on ICU: Rope, dope or hope. Nitin Arora

Psychologist-Led Interventions for Delirious Patients Dorothy Wade

Mind the Gap: Overcoming Barriers to Mobilisation in ICU Deena Costa

Panel Conversation and Questions. Tim Walsh, Nitin Arora, Dorothy Wade & Deena Costa

AI in Healthcare 101- Marius Terblanche
Tomorrow’s Medicine Today- Rick Body
Using Technology to Understand the Complexities of Teamwork and Safety- Rob Gatherer
Disrupting Technology- Molly Gilmartin
Panel Conversation and Questions- Marius Terblanche, Rick
Body, Rob Gatherer

I work as a Consultant Obstetrician and am based at Leeds General Infirmary. I have a special interest in maternal medicine and high risk obstetrics and I run the Obstetric Cardiac and Renal Service in this tertiary referral centre. I also work with the Diabetes team and am part of the twice weekly Diabetic Antenatal Clinic at St. James’s University Hospital. I see women with pre-existing medical conditions for pre-pregnancy counselling and I participate in the consultant on-call rota at LTHT.

I am the Yorkshire and Humber Clinical Network Clinical lead for maternity services and try to link this with my clinical role to optimise what can be achieved to improve maternity services for women and their families in Yorkshire and Humber.