ICS Cast

Intensive Care Society
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Feb 17, 2019 • 40min

Critical Care in 2025

Anna Batchelor, Sean Bagshaw, Carole Boulanger, Jamie Strachan, Natalie Pattison, Craig Brown
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Feb 17, 2019 • 15min

How do we get it right first time? - Anna Batchelor

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.  
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Feb 17, 2019 • 20min

The impact of strained ICU Capacity - Sean Bagshaw

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.
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Feb 11, 2019 • 22min

It's good to talk - Above Cuff Vocalisation for tracheostomised patients - Sarah Wallace

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.
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Feb 10, 2019 • 27min

Opt in, Opt out, stirred not shaken - Dale Gardiner

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
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Feb 10, 2019 • 20min

INTEREST: Efficacy and Safety of FP-1201-lyo (Interferon Beta-1a) in Patients Having Acute Respiratory Distress Syndrome (ARDS) - Geoff Bellingan

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.
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Feb 10, 2019 • 27min

POPPI: Provision Of Psychological support to People in Intensive care - Kathy Rowan

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.
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Jan 26, 2019 • 19min

Defence of physiological function during high risk airway management - Paul Mayo

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.
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Jan 25, 2019 • 24min

It's safer to intubate critically ill patients without muscle relaxation - Rob Mac Sweeney (Pro) & Alex Psirides (Con)

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).
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Jan 25, 2019 • 26min

All liver patients should have 48 hour treatment trial in ICU as intensivists are a bunch of nihilists - Mark McPhail (Pro) & Nazir Lone (Con)

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.

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