Mastering Intensive Care

Andrew Davies
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Dec 24, 2022 • 23min

77 - Recovering from the pandemic

Mastering Intensive Care is returning from being offline for a full 12 months. In this episode, I ask you to ponder, "how are you going?" after the lengthy pandemic, which has lulled after the worst of the storm but has not yet settled into a state of calm. Whilst few intensive care clinicians have actively diminished what we've been through over the last few years, the relentless world of Intensive Care continues unabated. There have been many learnings from the pandemic, but we mustn't sweep the emotions we've witnessed under the carpet. As you listen to this shorter episode than usual, I hope you'll ponder questions about how you have managed yourself during the pandemic, both individually and in your local ICU community. I share what I've witnessed in myself and my colleagues before offering a few thoughts on where we might focus our actions in recovering from what we've been through. Thank you for listening as I use this opportunity to reinvigorate this podcast after 12 months of languishing. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing. -------------------- Links to resources discussed (in order of mentioning) Article in New York Times "There's a Name for the Blah You're Feeling: It's Called Languishing" (by Adam Grant) Article in New York Times "There's a Specific Kind of Joy We've Been Missing" (by Adam Grant) Mastering Intensive Care episode - Persevering Through A Pandemic - 1 - Sick Of COVID Mastering Intensive Care episode - Persevering Through A Pandemic - 2 - It Was Inconceivable Mastering Intensive Care episode - Persevering Through A Pandemic - 3 - Ultramarathon Mastering Intensive Care episode - Persevering Through A Pandemic - 4 - Best & Worst Year Mastering Intensive Care episode - Persevering Through A Pandemic - 5 - 'Life' Support For Our People Mastering Intensive Care episode - Persevering Through A Pandemic - 6 - Learnings We Might Take Away Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media
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Dec 20, 2021 • 46min

Persevering Through A Pandemic - 6 - Learnings We Might Take Away

This episode focuses on learnings from the COVID-19 pandemic. Important lessons our global Intensive Care community, your local ICU and you personally might take away from what the novel coronavirus has caused - at least so far. Previous episodes of this series (a series best listened to in episode order) have allowed you to hear the experiences of busy ICU clinicians, the work of an ICU clinical psychologist, and some supportive strategies different institutions have used during the pandemic. Here you'll listen to the valuable thoughts and considerations about topics including personal wellbeing, awareness of mindset, effects on healthcare workers as a group and even some possible gains from the pandemic hardship. In this sixth episode of the "Persevering Through A Pandemic" series, the guests (in order of appearance) are Dr Rana Awdish, Dr Hayley Gershengorn, Dr Laura Rock, Dr Wes Ely, CCRN Simone Hannah-Clark, Dr Peter Brindley, Dr Matt Morgan, Dr Hugh Montgomery, Dr Georg Auzinger and Dr Julie Highfield. I firmly believe that ICU clinicians across the world need to spend time reflecting, processing or simply healing from this pandemic. Reinvigorating ourselves from the difficulties we've suffered and restoring ourselves for whatever is to come. My hope is this episode will help you to do this. Thank you for listening to these wise and thoughtful Intensive Care clinicians speak about how they've been "Persevering Through A Pandemic". Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing. -------------------- Links to featured guests (in order of appearance) Dr Rana Awdish Dr Rana Awdish on Twitter @RanaAwdish Dr Hayley Gershengorn Dr Hayley Gershengorn on Twitter @HBGMD Dr Laura Rock Dr Laura Rock on Twitter @drlaurarock Dr Wes Ely Dr Wes Ely on Twitter @WesElyMD CCRN Simone Hannah-Clark CCRN Simone Hannah-Clark on Twitter @kiwi_yankee Dr Peter Brindley Dr Peter Brindley on Twitter @docpgb Dr Matthew Morgan Dr Matthew Morgan on Twitter @dr_mattmorgan Dr Hugh Montgomery Dr Hugh Montgomery on Twitter @hugh_montgomery Dr Georg Auzinger Dr Julie Highfield Dr Julie Highfield on Twitter @DrJulie_H Links to other resources (in order of mentioning) Book "Every Deep-Drawn Breath" (by Wes Ely) Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 15 with Peter Brindley Mastering Intensive Care podcast - Episode 33 with Wes Ely Mastering Intensive Care podcast - Episode 36 with Hayley Gershengorn Mastering Intensive Care podcast - Episode 41 with Rana Awdish Mastering Intensive Care podcast - Episode 47 with Matt Morgan Mastering Intensive Care podcast - Episode 48 with Laura Rock Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery Mastering Intensive Care podcast - Episode 57 with Georg Auzinger Mastering Intensive Care podcast - Episode 60 with Simone Hannah-Clark Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media
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Dec 13, 2021 • 50min

Persevering Through A Pandemic - 5 - 'Life' Support For Our People

Intensive Care clinicians are used to being busy. Critically ill patients constantly arrive in the ICU with no awareness of staff workload at that moment. So being busy has not been the major problem of the COVID-19 pandemic. The difficult emotional responses to physical exhaustion, mental strain, heart-breaking human loss and the unpredictability of SARS-CoV-2 have been significant, and the commonly held attitude of "just power through" has not been sustainable. Instead, the most critical influence on the overall wellbeing of Intensive Care practitioners has been the degree to which they have felt supported socially. Maintaining social support and cohesion is hard. Intensive Care professionals have often depended on social support through camaraderie and workplace culture yet have been crying out during this healthcare crisis to hospital administrators, often in vain, for direct and valuable supportive measures for staff wellbeing. The pandemic has therefore required a more healing and individual-focused type of supportive strategy. Coming up with successful strategies is not easy and a specific strategy will not support all individuals in all contexts. So, ICU teams have had to try a mixture of strategies, philosophies, support groups, or simply caring attitudes to provide effective staff wellbeing support. In this fifth episode of the "Persevering Through A Pandemic" series, you'll hear some of the types of supportive actions that my guests in this series have witnessed in their ICUs and hospitals. My guests on the episode (in order of appearance) are Dr Hugh Montgomery, Dr Rana Awdish, CCRN Simone Hannah-Clark, Dr Hayley Gershengorn, Dr Laura Rock, Dr Matt Morgan, Dr Peter Brindley, Dr Wes Ely and Dr Georg Auzinger. There is so much we can learn from the COVID-19 pandemic. My hope is this episode will help you as a listener to reflect on and to process your own pandemic experience whilst hearing lessons you might take away to your Intensive Care community. Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they've been "Persevering Through A Pandemic". Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing. -------------------- Links to featured guests (in order of appearance) Dr Hugh Montgomery Dr Hugh Montgomery on Twitter @hugh_montgomery Dr Rana Awdish Dr Rana Awdish on Twitter @RanaAwdish CCRN Simone Hannah-Clark CCRN Simone Hannah-Clark on Twitter @kiwi_yankee Dr Hayley Gershengorn Dr Hayley Gershengorn on Twitter @HBGMD Dr Laura Rock Dr Laura Rock on Twitter @drlaurarock Dr Matthew Morgan Dr Matthew Morgan on Twitter @dr_mattmorgan Dr Peter Brindley Dr Peter Brindley on Twitter @docpgb Dr Wes Ely Dr Wes Ely on Twitter @WesElyMD Dr Georg Auzinger Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 15 with Peter Brindley Mastering Intensive Care podcast - Episode 33 with Wes Ely Mastering Intensive Care podcast - Episode 36 with Hayley Gershengorn Mastering Intensive Care podcast - Episode 41 with Rana Awdish Mastering Intensive Care podcast - Episode 47 with Matt Morgan Mastering Intensive Care podcast - Episode 48 with Laura Rock Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery Mastering Intensive Care podcast - Episode 57 with Georg Auzinger Mastering Intensive Care podcast - Episode 60 with Simone Hannah-Clark Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media
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Dec 6, 2021 • 45min

Persevering Through A Pandemic - 4 - Best & Worst Year

The physical, mental and emotional burden of the COVID-19 pandemic on Intensive Care clinicians has been colossal. Many ICU staff, of all types and at all levels, have suffered significant psychological effects. After hearing the pandemic experiences and perspectives of bedside clinicians in recent episodes, the focus of today's episode is a clinical psychologist who's been working inside several busy ICUs and supported hundreds of people across the United Kingdom during the pandemic. In this fourth episode of the "Persevering Through A Pandemic" series, you'll hear the thoughts of Dr Julie Highfield who has led a national UK-based wellbeing program in response to COVID-19. Dr Highfield works as a consultant clinical psychologist in several ICUs in Wales and has an additional role as the National Wellbeing Director for the Intensive Care Society in the UK. In this episode Julie talks about: The first year of the pandemic feeling like the best and worst year of her life Her witnessing of ICU staff "just getting on with it" and "shelving their feelings" The types of support she provided – in both her local ICUs and across the UK Which support worked best for which staff The value of one-on-one sessions - yet their impracticality in a pandemic The types of group sessions she led Two typical examples of who Julie has been supporting What surprised her about the ICU teams The rise in the number of UK ICUs with a clinical psychologist The value of having a clinical psychologist embedded in an ICU How Julie fared herself during the height of the pandemic Her thoughts on the restrictions to visitors caused by COVID-19 The lingering effects of this pandemic Advice for people who are considering championing wellbeing in their ICUs. The culture around wellbeing in our ICUs is slowly changing and the effects of the COVID-19 may accelerate this. A good psychologist is vital to stimulating that change and to providing valuable assistance. My hope is that this episode, as part of a focused series of episodes, will help Intensive Care clinicians to reflect on their own experiences and to learn valuable lessons about psychological aspects of the pandemic. Thank you for listening to the wise and supportive Dr Julie Highfield, an ideal person to share perspectives on how ICU clinicians have been "Persevering Through A Pandemic". Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing. -------------------- Links to featured guests Dr Julie Highfield Julie Highfield on Twitter @DrJulie_H Wellbeing Hub at Intensive Care Society website Psychologists In Critical Care UK (PINC-UK) Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media
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Nov 29, 2021 • 49min

Persevering Through A Pandemic - 3 - Ultramarathon

Whilst some people choose to run long distances, caring for patients in the ICU is not supposed to feel like an ultramarathon. If you work in the complex, high stress, emotion-generating environment of an ICU, it might sometimes feel like you are the logistics organiser of an ultimate endurance event, but you should hardly feel like you are a competitor. Yet when COVID-19 arrived, the initial sprint became a marathon and that's now turned into a seemingly never-ending ultramarathon. In this third episode of the "Persevering Through A Pandemic" series, you'll hear about this pandemic ultramarathon and the effects it's had on the people working in ICUs in the UK. A period which has been physically and emotionally difficult yet has provided glimpses of career satisfaction along the journey. Amongst other topics, UK intensivists Drs Matt Morgan, Hugh Montgomery & Georg Auzinger talk honestly about their worst pandemic days, the discomfort that they and their colleagues felt, how their teams kept afloat in such an overwhelming situation and the lingering effects on clinician mental health. There is mention of an interesting letter one of them sent and a special kind of chocolate cake! My hope is this will help you as a listener to reflect on and to process your own pandemic experience whilst hearing lessons you might take away to your Intensive Care community. Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they've been "Persevering Through A Pandemic". Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing. -------------------- Links to featured guests Dr Matthew Morgan Matt Morgan on Twitter @dr_mattmorgan Book "Critical" (by Matt Morgan) Matt Morgan – Previous episode on Mastering Intensive Care Dr Hugh Montgomery Hugh Montgomery on Twitter @hugh_montgomery Hugh Montgomery – Previous episode on Mastering Intensive Care Dr Georg Auzinger Georg Auzinger – Previous episode on Mastering Intensive Care Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media
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Nov 22, 2021 • 47min

Persevering Through A Pandemic - 2 - It Was Inconceivable

Just like a surf beach shore, waves of COVID-19 keep crashing over the world's Intensive Care Units. The waves have been unpredictable and pattern less, ravaging the ICUs and the people that work in them, often inconceivably. In this second episode of the "Persevering Through A Pandemic" series, you'll hear from Intensive Care professionals about the COVID-19 pandemic which continues to affect ICUs across the globe. Amongst other topics, US intensivists Drs Rana Awdish & Dr Hayley Gershengorn, and Critical Care nurse Simone Hannah-Clark talk honestly about their worst pandemic days, the feelings of guilt, fear, anxiety and overall depletion, the effects on their family, what they witnessed in their struggling colleagues and how they dealt with the strain. You'll also hear valuable thoughts on the nursing perspective, the difficult experience of being a patient in a pandemic, and the tension between the support from the community and the flagrant COVID-19 deniers. There have been many emotional and heart-breaking conversations in ICUs all over the world during this pandemic. And we as their healthcare providers have emotions to express too. My belief is that we need to have conversations as colleagues, and as an Intensive Care community, about what we have been and are continuing to go through. My hope is that this series will help you as a listener to reflect on and to process your own pandemic experience whilst hearing lessons you might take away to your Intensive Care community. Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they've been "Persevering Through A Pandemic". Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing. -------------------- Links to featured guests Dr Rana Awdish Rana Awdish on Twitter @RanaAwdish Book "In Shock" (by Rana Awdish) Rana Awdish – Previous episode on Mastering Intensive Care Dr Hayley Gershengorn Hayley Gershengorn on Twitter @HBGMD Hayley Gershengorn – Previous episode on Mastering Intensive Care CCRN Simone Hannah-Clark Simone Hannah-Clark on Twitter @kiwi_yankee Simone Hannah-Clark – Previous episode on Mastering Intensive Care Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media
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Nov 15, 2021 • 45min

Persevering Through A Pandemic - 1 - Sick Of COVID

Are you sick of COVID? How have you coped in this pandemic? And what's it actually felt like to live and work throughout this last two years? Concerned for the wellbeing of healthcare professionals in the hardest hit ICUs during the COVID-19 pandemic, I interviewed a group of clinicians previously featured on the podcast. With an emphasis on personal wellbeing, I aimed to uncover their feelings, their struggles, their perspectives and their take-aways from this prolonged global healthcare crisis. My hope is to help you to reflect on and to process your own pandemic experience and to hear lessons you might take away to your Intensive Care community. In this first episode of a series focusing on Intensive Care clinician wellbeing during the pandemic, you'll hear the voices of Dr Laura Rock, Dr Peter Brindley and Dr Wes Ely. Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they've been "Persevering Through A Pandemic". Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing. -------------------- Links to featured guests Dr Laura Rock Dr Laura Rock on Twitter @drlaurarock Dr Laura Rock – Previous episode on Mastering Intensive Care Dr Peter Brindley Dr Peter Brindley on Twitter @docpgb Dr Peter Brindley – Previous episode on Mastering Intensive Care Dr Wes Ely Dr Wes Ely on Twitter @WesElyMD Book "Every Deep-Drawn Breath" (by Wes Ely) Dr Wes Ely – Previous episode on Mastering Intensive Care Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media
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Nov 10, 2021 • 3min

Persevering Through A Pandemic - Series Trailer

I'm trying something different on Mastering Intensive Care. Welcome to a special series named "Persevering Through A Pandemic". Aghast at the stories I'd heard from Intensive Care colleagues amid large COVID-19 surges I approached several previous podcast guests in countries that had been harder hit than Australia. Concerned for their wellbeing I asked if they'd talk to me about what they'd been going through to help me understand how the health professionals in the busiest ICUs had been coping. They willingly shared their stories and reflections on many aspects of their experience. Their feelings, their struggles, their teammates, their learnings, their take-aways. The COVID-19 pandemic is far from over. Please listen in over the next 6 weekly episodes as a group of wise and thoughtful Intensive Care clinicians tell you how they have been "Persevering Through A Pandemic". Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing.
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Sep 23, 2021 • 1h 19min

69 - Emma Ridley - Advocacy, communication and leadership as an ICU dietitian

Mastering Intensive Care is back after a lengthy break with an episode featuring senior ICU dietitian Dr Emma Ridley. Emma is a Senior Research Fellow and a NHMRC Emerging Leadership Fellow at the Australian and New Zealand Intensive Care Research Centre (ANZIC-RC) at Monash University in Melbourne, where she leads the Nutrition Program. Emma has 16 years of clinical dietetic experience, including as a senior dietitian in the ICU at The Alfred Hospital in Melbourne, and over 13 years of research experience, including the awarding of her PhD. Her research interests include energy requirements across the hospitalisation period, the clinical application of indirect calorimetry and the effect of optimal nutrition delivery on short and long-term outcomes in ICU patients. Emma is a long-time colleague of mine, someone I have huge respect for, and a woman that seems to fit a lot into a busy life and career. I was keen to talk to Emma for the podcast so I could ask about topics such as how she sees dietitians best fitting into the ICU team, what her thoughts are on communication between different ICU staff roles and what is required for a dietitian to be a valuable advocate for ICU patient nutrition. Emma also has some important insights from the difficult experience of having her recently newborn son admitted to the NICU. This episode is not just for dietitians. Emma is such a wise and thoughtful healthcare leader that there are pertinent perspectives in this conversation that will help doctors, nurses and practitioners in any Intensive Care role. The list of topics Emma discussed include: How she became a dietitian in Intensive Care Her reflections on the pace of an ICU The importance of dietitians and doctors understanding each others "language" How she feels dietitians best fit into the ICU team Advocating for ICU patient nutrition at the bedside The importance of dietitians being present at the ICU ward round Working with the different members of the ICU team Optimal communication between colleagues The importance of getting to know your colleagues Talking to patients and their families Why she was fascinated by research and how this has helped her clinical practice Why she feels research allows her to have a greater impact The benefits of embedding nutrition research in an ICU Her interest in nutrition at the time when ICU patients are transitioning out of the ICU The differences between leadership, mentorship and sponsorship The effects of the pandemic on her role Her work to assist nutrition for critically ill patients with COVID Managing personal safety and wellbeing during the pandemic The experience of her newborn son being admitted to the NICU Fitting everything in to a busy life The value of work flexibility and how this affects her clinical work capacity Her closing advice to less experienced ICU practitioners Thanks for listening to my conversation with Emma Ridley. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the work, with a focus on compassion, collaboration and personal wellbeing. -------------------- Links related to Emma Ridley Dr Emma Ridley at ANZIC RC Emma Ridley on Twitter @ICUnutrition ANZIC Research Centre Links to other resources (in order of mentioning) ANZICS Clinical Trials Group Mastering Intensive Care podcast - Episode 5 with Jamie Cooper Guideline for Nutritional Management of COVID patients Media and Medicine Program at Harvard Medical School Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media
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Apr 16, 2021 • 1h 8min

68 - David Tuxen - Making life and work fun (including ward rounds)

This episode features Professor David Tuxen, a pioneer of Intensive Care in Australia, who recently retired after 38 years at the Alfred Hospital in Melbourne. David trained in both respiratory and intensive care medicine, and became the Alfred's ICU Director at a young age. He led the development of one of Australia's first mega-ICUs before standing down after over 20 years as Director to re-energise his passion for teaching and research. David is a Professor at Monash University, still works as an intensivist at Albury Hospital and previously served in leadership roles including President of ANZICS and Chairman of the Australian and New Zealand Intensive Care Foundation. He is globally renowned for his teaching and research on many aspects of mechanical ventilation. David was my first ICU Director, and he rapidly became, and remains, a wise, enthusiastic and long-standing mentor to me. I have particularly admired his excellent clinical skills and specifically his attention to detail so I am thrilled he agreed to appear on the podcast. Given many people in Australia and New Zealand know David by his nickname "Tux" it shouldn't surprise you to know that David likes to have fun and bring humour to most occasions. In this episode, David's principle message is not to be serious at all times during a day at work, and to keep up an active social life, including with colleagues, in the periods between work. David delivers a lot of other great advice in this episode, as he talks about topics including: Becoming an ICU Director at a young age The changes he's witnessed over his career Which patients we sometimes over-treat in our ICUs Resolving differing opinions about patient prognoses The value of thorough physical examination in ICU Building rapport with families, especially for end of life conversations His experience in being filmed for a reality TV series Communicating with patient's families Ward round teaching Tips for presenting a good talk The differences between working in a tertiary and a regional centre ICU What he thinks best maintains his wellbeing The toll of work on his family life Tux has led a high-achieving, well-respected and clinically-orientated career. It's a great privilege to have him on the podcast. I hope you will enjoy listening to David Tuxen. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Links related to this episode David Tuxen on Twitter @TuxenDavid Audio of talk by David Tuxen on the history of the Alfred ICU Australian and New Zealand Intensive Care Society (ANZICS) Australian and New Zealand Intensive Care Foundation Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

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