The Critical Care Commute Podcast

In this episode, we are joined by Professor Hugh Montgomery, leading expert in intensive care medicine, and Dr Jessica Sullivan, Anaesthetic/ITU Registrar. Listen as they share their insights on a challenging clinical scenario: hypoxemia with a normal chest X-ray. What are the pitfalls and pearls of managing hypoxemia with a normal chest X-ray? How has COVID-19 changed our understanding of this phenomenon? Professor Montgomery practices as a consultant in intensive care at the Whittington hospital in North London. His interest has been in the use of environmental stressors in the exploration of human (patho)physiology – often using a genetic approach. He was the first to discover a 'gene for human fitness'. He has published over 450 articles. He also has a strong interest in environmental impacts on health, and in climate change in particular. Dr Jessica Sullivan's most recent position was as an Anesthetic/ITU Registrar at the Whittingtoin Hospital, where she worked alongside Prof Montgomery. She is on the organizing committee for the North Thames Anaesthetic Meeting (NTAM) conference. Medicine is not her only passion, she is a keen sportswoman and an ex competitive gymnast. She is currently undertaking training in acrobatics. Learn more here: Hugh Montgomery (physician) - Wikipedia AirCraft Circus Academy aerial circus & studio hire, Greenwich, London – AirCraft Circus Academy Performance & Circus Training in London

Welcome to our next podcast in the "State of the Art 23" series. Listen as we talk POCUS and all things Focused Ultrasound for Intensive Care (FUSIC). In this episode, we hare joined by awesome guests: Dr. Marcus Peck, a consultant in anaesthesia and intensive care medicine at Frimley Park Hospital and sits on the board of the Intensive Care Society (ICS)’s Focused Ultrasound for Intensive Care (FUSIC) committee; and Dr. Jonny Wilkinson, a consultant in intensive care medicine and anaesthesia at Northampton General Hospital. So sit back, relax, and enjoy the show!" Further reading: 1. SONO-Olympiad - CAEP Conference 2. FUSIC HD. Comprehensive haemodynamic assessment with ultrasound - Ashley Miller, Marcus Peck, Tom Clark, Hannah Conway, Segun Olusanya, Nick Fletcher, Nick Coleman, Prashant Parulekar, Jonathan Aron, Justin Kirk-Bayley, Jonathan Nicholas Wilkinson, Adrian Wong, Jennie Stephens, Antonio Rubino, Ben Attwood, Andrew Walden, Andrew Breen, Manprit Waraich, Catherine Nix, Simon Hayward, 2022 (sagepub.com)

Professor Dan Martin is one busy, productive, chap. This Consultant in anaesthesia and intensive care is also the Editor-in-chief for the journal JICS. His research focuses on how we adapt to low oxygen and the harm from excessive oxygen. This has included several expeditions with the Xtreme Everest team. He is the chief investigator for the UK-ROX trial and EXAKT study. He also studies how exercise can improve clinical outcomes (including liver transplantation; the EXALT trial). He was awarded an OBE for prevention of infectious diseases and caring for those with Ebola. https://www.plymouth.ac.uk/alumni/invenite/the-big-interview-professor-daniel-martin-obe

Welcome to our second episode in our "State of the Art 2023" series, recorded live in Birmingham, UK. In this episode, Dr Dale Gardiner shares his experience in leading UK ICU teaching in breaking bad news - including a structured approach which they call ‘Breaking bad news as a Shakespearean tragedy’. Dr Dale Gardiner is the Associate Medical Director – Deceased Organ Donation, at NHS Blood and Transplant and a Consultant in Adult Intensive Care Medicine at Nottingham University Hospitals NHS Trust. Take-home message: https://www.youtube.com/watch?v=zxtec2TAV1g Lecture link (Paywall): Continulus | Breaking Bad News in the ICU: Part A

Welcome to our "State of the Art 2023 Congress Series," recorded live in Birmingham, UK! We are absolutely thrilled to bring you the first installment of our podcast series, where we dive deep into groundbreaking topics and innovations discussed right here at this conference. As we embark on this podcast series, we aim to bring you captivating conversations, enlightening interviews, and thought-provoking discussions straight from the conference floor, background chatter, laughter and tea trolly clanging included! Our first guest is Dr. Dan Harvey, Professor of Intensive Care Medicine at Nottingham University Hospitals and University of Nottingham. He is Chair of the UK Intensive Care Societies Legal & Ethical Advisory Group, and an author of multiple ICS & FICM guidance documents. Dan has an active research interest with roles including National Lead for Innovation & Research in Organ Donation for NHS Blood and Transplant, Vice Chair of the NIHR’s National Critical Care Group, and is joint Chief Investigator for the SIGNET study, the world’s largest interventional study in organ donation (https://ics.ac.uk/soa23/speakers.html#:~:text=Dr%20Dan%20Harvey,in%20organ%20donation.) Join us as we talk about devastating brain injury and what it means for patients, health care workers and families.

In this episode, we have the honor of speaking with Professor John Myburgh, a former South African physician and researcher who has dedicated his life to improving the field of critical care medicine. Professor Myburgh has made significant contributions to the field of fluid resuscitation, catecholamines, and microbiomes. In this episode, we will be discussing his early years in medicine, some reflections on medicine in South Africa and how his experiences have shaped his research interests. We will also delve into the latest research on fluid resuscitation, catecholamines, and microbiomes. So sit back, relax, and enjoy this fascinating conversation with Professor John Myburgh. Further Reading: SAFE TBI: Cooper DJ, Myburgh J, Heritier S, et al. Albumin resuscitation for traumatic brain injury: is intracranial hypertension the cause of increased mortality?. J Neurotrauma. 2013;30(7):512-518. doi:10.1089/neu.2012.2573 SAFE Study: Finfer S, Norton R, Bellomo R, Boyce N, French J, Myburgh J. The SAFE study: saline vs. albumin for fluid resuscitation in the critically ill [retracted in: Mayr W, Prowse C. Vox Sang. 2004 Aug;87(2):142]. Vox Sang. 2004;87 Suppl 2:123-131. doi:10.1111/j.1741-6892.2004.00468.x CHEST Study: Myburgh JA, Finfer S, Bellomo R, et al. Hydroxyethyl starch or saline for fluid resuscitation in intensive care [published correction appears in N Engl J Med. 2016 Mar 31;374(13):1298]. N Engl J Med. 2012;367(20):1901-1911. doi:10.1056/NEJMoa1209759 PLUS study: Finfer, S., Micallef, S., Hammond, N., Navarra, L., Bellomo, R., Billot, L., ... & Myburgh, J. (2022). Balanced multielectrolyte solution versus saline in critically ill adults. New England Journal of Medicine, 386(9), 815-826. CAT study: Myburgh JA, Higgins A, Jovanovska A, Lipman J, Ramakrishnan N, Santamaria J, CAT Study Investigators. A comparison of epinephrine and norepinephrine in critically ill patients. Intensive care medicine. 2008 Dec;34:2226-34. SOAP II Trial: De Backer D, Biston P, Devriendt J, Madl C, Chochrad D, Aldecoa C, Brasseur A, Defrance P, Gottignies P, Vincent JL. Comparison of dopamine and norepinephrine in the treatment of shock. New England Journal of Medicine. 2010 Mar 4;362(9):779-89. Prof. Myburg on Catecholamines at SMACC/CODA: https://youtu.be/90ru25QuGFI

Dr. Robert Arntfield is an esteemed physician and researcher based in Canada who has made significant contributions to the field of critical care medicine. His expertise in cardiorespiratory physiology and resuscitation has led him to develop innovative approaches to patient care, including the use of artificial intelligence (AI) in healthcare. In this podcast, Dr. Arntfield will share his insights and experiences on how AI is transforming the healthcare landscape, from its potential to improve patient outcomes to its impact on the healthcare workforce. With his vast knowledge and experience, listeners can expect to gain valuable insights into the future of AI in healthcare and its potential to revolutionize the way we approach patient care. Further Reading: Deep Breathe - Artificially Intelligent Lung Ultrasound

Join us as we talk to the ridiculously talented Dr. Dustin Anderson, Neurointensivist from the University Hospital in Edmonton, Canada, as he unpacks anti-NMDA encephalitis and the EEG in the ICU. Dr. Anderson completed his undergraduate training in electrical engineering (UBC) and biochemistry (SFU). Thereafter, he completed the MD/PhD program at the University of Calgary. Dr. Anderson went on to complete neurology training at the University of Alberta, also obtaining certification as an electro-encephalographer (CSCN Diplomate) and neuro-sonologist (ASN Diplomate), followed by Critical Care training and a fellowship in Neurocritical Care at Johns Hopkins. His research focuses on non-invasive neurocritical care monitoring, specifically, evaluating the role of non-invasive ultrasound (ocular ultrasonography and transcranial doppler) in patients with acute liver failure and the clinical utility of continuous EEG versus spot EEG in various clinical scenarios. Not only is he well accomplished in the world of medicine, he is also a musician and plays in a band called "the Heart Failure Research Institute". Further Reading: Sonicbids Anderson D, Nathoo N, McCombe JA, Smyth P, Brindley PG. Anti-N-methyl-d-aspartate receptor encephalitis: A primer for acute care healthcare professionals. J Intensive Care Soc. 2021;22(2):95-101. doi:10.1177/1751143720914181 Nathoo N, Anderson D, Jirsch J. Extreme Delta Brush in Anti-NMDAR Encephalitis Correlates With Poor Functional Outcome and Death. Front Neurol. 2021;12:686521. Published 2021 Jul 9. doi:10.3389/fneur.2021.686521

Welcome to the Critical Care Commute "Liver" podcast, where we explore all things liver with leading expert, Professor Dean Karvellas, Professor of Medicine,Division of Gastroenterology (Liver Unit) and the Department of Critical Care at the University of Alberta, Canada. In this podcast, he shares his insights and expertise on a wide range of ICU liver-related topics, including ACLF, extracorporeal support, liver transplantation, liver scores and Acetaminophen (Paracetamol). Join us as we discuss all things liver in the ICU.

Putting the trial on trial? Not really, but join us and the ludicrously accomplished Prof Simon Finfer (with special guest appearances by his beloved dogs) for this review of all things Clinical Trial. Why we need them, how to design them, what they tell us and what they don't.   Professor Simon Finfer works at Sydney's George Institute, Royal North Shore Hospital and University New South Wales. He has led/co-led many of the last two decade's  landmark clinical trials in icu (fluid administration, glycemic control, steroid use...you name it).