Mastering Intensive Care

Those of you who are consultant intensivists or attendings hopefully remember most of your trainees - especially the ones you met when you were a brand new intensivist. In this episode I speak with Dr Georg Auzinger who in 1997 moved from Austria to Australia to train in intensive care at the same ICU I was beginning my first job as a specialist intensivist. I have fond memories of working with Georg, have enjoyed the friendship we have developed and have been thrilled to see from afar how well his career has progressed. Nowadays Georg has a senior position in the United Kingdom intensive care field where he is Consultant Honorary Senior Lecturer in Intensive Care Medicine, Lead Clinician at the Liver Intensive Care Unit and Director of the Veno Arterial ECMO service at King's College Hospital NHS Foundation Trust in London. He is PTEeXAM board certified for perioperative transoesophageal echocardiography and also leads on critical care echocardiography training. Georg has played a substantial role in the outstanding international reputation the Liver Intensive Care Unit at King's has maintained over the last decade. He is member and associate fellow of the UK Intensive Care Society, as well as member of the European Society of Intensive Care Medicine, the Society of Critical Care Medicine, the Austrian Society of Internal Medicine and the International Liver Transplantation Society. In this conversation, Georg and I do some reminiscing, as we talk about: His transition from doing general medicine in Austria to intensive care in Australia How he found his way to Kings College Hospital in London The changes in the last 2 decades in the types of patients being admitted to ICU The current resource constraints in the UK Working in the Clinical Director role in a busy institution How beneficial colleague performance reviews can be for both parties Relationship building between nurses and doctors Communicating with colleagues The importance of keeping the patient at the centre of what we do The difficulties he recognises in balancing his work and life Please enjoy listening to Dr Georg Auzinger. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links related to Georg Auzinger Dr Georg Auzinger at Kings College Kings College Hospital Liver ICU Links to other resources (in order of mentioning) Prof Julia Wendon Cleveland Clinic London New Normal Project podcast Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 3 with Rinaldo Bellomo Mastering Intensive Care podcast - Episode 12 with Julia Wendon Mastering Intensive Care podcast - Episode 55 with Mervyn Singer Mastering Intensive Care podcast - Episode 56 - What's in the Journals to help you care 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

In this episode I talk about what's been recently published in the medical literature to help you master intensive care from a humanity point of view. In a departure from the usual interview episode, and as a trial, I searched the December 2019 issues of 8 well-respected journals and found a large number of articles focused on non-technical aspects of intensive care. Not the drugs, devices, procedures or interventions, but the person-based and human-focused topics I like to concentrate this podcast on. As I've transitioned in my own career from being a researcher of interventions to a producer of a podcast focused on being the best all-round intensive care-givers we can be, I've realised there is a growing literature on non-technical topics, some of which I'm not well enough aware of on a day to day basis. So in this episode I found numerous articles from December 2019 which I believe can help you and your colleagues humanise the intensive care you give at the bedside. Some are research studies, some are reviews, and others are stories, essays, poems, or simply writings. I focus in some detail on 3 specific journal articles on the topics of (1) family engagement, (2) family support and (3) early palliative care consultation. I then refer you briefly to 10 other articles so you can read these in full if you are interested. There are links to all of these articles below. I really hope you enjoy and value this episode. I learnt a lot from reading these articles myself. Please send any feedback, questions or comments to andrew@masteringintensivecare.com. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links to 3 Journal articles reviewed in detail Kleinpell R, Zimmerman J, Vermoch KL, et al. Promoting Family Engagement in the ICU: Experience From a National Collaborative of 63 ICUs. Crit Care Med. 2019;47(12):1692–1698. doi:10.1097/CCM.0000000000004009 PubMed link Associated editorial Lee HW, Park Y, Jang EJ, Lee YJ. Intensive care unit length of stay is reduced by protocolized family support intervention: a systematic review and meta-analysis [published correction appears in Intensive Care Med. 2019 Oct 8;:]. Intensive Care Med. 2019;45(8):1072–1081. doi:10.1007/s00134-019-05681-3 PubMed link Ma J, Chi S, Buettner B, et al. Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial. Crit Care Med. 2019;47(12):1707–1715. doi:10.1097/CCM.0000000000004016 PubMed link Links to 10 Journal articles mentioned briefly Barreto BB, Luz M, Rios MNO, Lopes AA, Gusmao-Flores D. The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and meta-analysis. Crit Care. 2019; 23(1):411. Published 2019 Dec 16. doi:10.1186/s13054-019-2678-0 PubMed link Ramchand P. The gift. Lancet. 2020; 394(10216):2283–2284. doi:10.1016/S0140-6736(19)32961-7 PubMed link Harrington JL. The Case for Waking. JAMA. 2019; 322(22):2251. doi:10.1001/jama.2019.17962 PubMed link Maskell G. True candour. BMJ. 2019; 367:l6754. Published 2019 Dec 3. doi:10.1136/bmj.l6754 PubMed link Rimmer A. Bring me joy. BMJ. 2019; 367:l6745. Published 2019 Dec 16. doi:10.1136/bmj.l6745 PubMed link Klaber RE, Bailey S. Kindness: an underrated currency. BMJ. 2019; 367:l6099. Published 2019 Dec 16. doi:10.1136/bmj.l6099 PubMed link Morgan M. Matt Morgan: Cold food on hot desks. BMJ. 2019; 367:l6829. Published 2019 Dec 10. doi:10.1136/bmj.l6829 PubMed link Rimmer A. Suicide in anaesthetists: five minutes with . . . Samantha Shinde. BMJ. 2019;367:l6781. Published 2019 Dec 2. doi:10.1136/bmj.l6781 PubMed link Auriemma CL, Van den Berghe G, Halpern SD. Less is more in critical care is supported by evidence-based medicine. Intensive Care Med. 2019;45(12):1806–1809. doi:10.1007/s00134-019-05771-2 PubMed link Auñón-Chancellor S. Earthling. Ann Intern Med. 2019; 171(12):937–938. doi:10.7326/M19-2759 PubMed link Links to 8 Journals searched New England Journal of Medicine JAMA: Journal of the American Medical Association BMJ: British Medical Journal The Lancet Annals of Internal Medicine Critical Care Medicine ICM Journal: Intensive Care Medicine American Journal of Respiratory and Critical Care Medicine Critical Care Links to other resources mentioned Mastering Intensive Care podcast - Episode 3 with Rinaldo Bellomo Critical Care Reviews Link to sign up to Critical Care Reviews newsletter PRISMA statement Mastering Intensive Care podcast - Episode 32 with Kate Harding Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 50 with Andrew Davies Mastering Intensive Care podcast - Episode 51 - A Recap of 2019 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

Anyone who has heard UK intensivist Prof Mervyn Singer speak at an Intensive Care conference will no doubt enjoy listening to him speak on this episode of Mastering Intensive Care. Mervyn Singer is Professor of Intensive Care Medicine at University College London in the UK. He was born, bred, trained, and now works in London as an intensivist and a researcher whose career spans from basic mechanistic work through to translational investigations and multi-centre trials. He co-chaired the 'Sepsis-3' international definitions task force, is Editor-in-Chief of Intensive Care Medicine Experimental and Treasurer of the International Sepsis Forum. Mervyn has published widely in a variety of journals and has authored or co-edited several textbooks including the Oxford Textbook of Critical Care. He was the first UK intensivist to be awarded Senior Investigator status by the UK National Institute for Health Research, and to be invited to give plenary lectures at the European and US Intensive Care Congresses. In this conversation Mervyn is full of his usual enthusiasm as we covered many important topics including: How he became an intensivist What he's observed about the physiological basis of intensive care The clinical ward round process he follows The scheme in his ICU to allow patients to die at home How he leads an end of life conversation The benefits to having an ICU-based psychologist How institutions might better care for their junior staff How much he enjoys his career His "can do" attitude How his passion for sport has helped him His regular sleep pattern The value he receives from doing body stretching His use of email and social media Mentoring younger trainees Which of his research makes him most proud His tips for giving a good lecture Some excellent advice to conclude our conversation I invite you to listen in to my conversation with Mervyn Singer. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links related to Mervyn Singer Prof Mervyn Singer Mervyn Singer brief CV Links to other resources (in order of mentioning) David Bennett's Obituary (co-authored by Mervyn Singer) Edith Piaf The Cricket "Ashes" New Normal Project podcast Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 51 - A Recap of 2019 Mastering Intensive Care podcast - Episode 52 with Martin Bromiley Mastering Intensive Care podcast - Episode 53 with Paul Wischmeyer Mastering Intensive Care podcast - Episode 54 with Deborah Cook 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

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Deborah Cook (broadcast originally as episode 46). Deborah is an intensivist at St. Joseph's Healthcare in Hamilton and Distinguished Professor of Medicine, Clinical Epidemiology & Biostatistics, and Academic Chair of Critical Care at McMaster University. Deborah has received numerous awards for her practice, teaching, mentoring and research, including an Officer of the Order of Canada. She is one of the evidence-based medicine pioneers, and has cultivated and led countless large international investigator-initiated intensive care research studies, mostly with the Canadian Critical Care Trials Group, which she was a Founder of, and which now awards the Deborah J. Cook Mentoring Award to recognise the huge number of people she has mentored around the planet. In this replayed interview from 2019, Deborah talks about the rekindling of her early career desire to study and practice better end of life care to improve the quality of the dying experience for patients and their families, with the Three Wishes project. She also gives her wise and experienced thoughts on the keys to success in research, ward rounds, family involvement in the ICU, her expectations as an ICU consultant, communication, note-writing, her own self-care and love for family, and some valuable closing career tips. I invite you to listen to this replay episode with Deborah Cook. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links related to Deborah Cook Prof Deborah Cook Article about Deborah Cook Article 2 about Deborah Cook Video of Deborah Cook Links to other resources (in order of mentioning) Canadian Critical Care Trials Group The 3 Wishes Project Publication from 3 Wishes Project Other publications from 3 Wishes Project David Sackett Book "Essentialism - The Disciplined Pursuit of Less" (by Greg McKeown) ANZICS Clinical Trials Group New Normal Project podcast Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 46 with Deborah Cook Mastering Intensive Care podcast - Episode 50 with Andrew Davies Mastering Intensive Care podcast - Episode 51 - A Recap of 2019 Mastering Intensive Care podcast - Episode 52 with Martin Bromiley Mastering Intensive Care podcast - Episode 53 with Paul Wischmeyer 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

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Paul Wischmeyer (broadcast originally as episode 35). Paul is a Professor of Anesthesiology and Surgery, the Director of Perioperative Research at the Duke Clinical Research Institute and the Co-Director of the Nutrition Support Service at Duke University Hospital in the United States. Paul works mainly as a perioperative, critical care, and nutrition physician focused on enhancing preparation and recovery from surgery and critical care. His academic career has led to large numbers of publications, grants and invited presentations. And what's unique about Paul is that his passion for helping patients stems from his own personal experience as a patient. In this replayed interview from 2018, Paul describes how he ended up as a physician, after having disturbing and traumatic patient experiences (including procedures, medications and suboptimal communication) and how this has helped him to be a better doctor and an example and teacher to others. He also discusses topics including ward rounds, cooperating with a palliative care team, caring for ourselves, the importance of nutrition and exercise, good onstage presentation techniques, and some valuable closing tips for all of us. I invite you to listen to this replay episode with Paul Wischmeyer. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links related to Paul Wischmeyer Paul Wischmeyer website Paul Wischmeyer at Duke University Paul Wischmeyer at Duke Health Paul Wischmeyer on Twitter: @Paul_Wischmeyer Paul Wischmeyer on LinkedIn Links to other resources (in order of mentioning) 2019/2020 Australian Bush Fires American Delirium Society Prof Wes Ely SCCM ICU liberation initiative Book "Presentation Zen Design" (by Garr Reynolds) Prof Jean-Louis Vincent Prof Mervyn Singer Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 31 with Jean-Louis Vincent Mastering Intensive Care podcast - Episode 33 with Wes Ely Mastering Intensive Care podcast - Episode 35 with Paul Wischmeyer Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery Mastering Intensive Care podcast - Episode 52 with Martin Bromiley 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

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Martin Bromiley (broadcast originally as episode 21). Martin is an airline captain, whose wife Elaine Bromiley sadly died in tragic circumstances, the story of which he describes here and is also documented in the video "Just a routine operation". Martin used his experience in human factors to found and now lead the Clinical Human Factors Group, the charity working to make healthcare safer, by combining the efforts of academics, clinicians, leaders and policy makers. His work is widely recognised and his many awards include an Order of the British Empire (OBE), the Royal College of Anaesthetists Medal and Fellowship of the Royal College of Surgeons of Edinburgh. In this replayed interview from 2017, Martin tells Elaine's sorry story, describes how he dealt with it, and the support he received, before going on describe his work and the founding of the Clinical Human Factors Group, what he thinks is required to improve safety in healthcare, what healthcare can and cannot learn from aviation, the importance of honesty about errors, the 3 key lessons in human factors for clinicians, how he uses mental rehearsal in his role as an airline pilot, and a final important tip about listening. I invite you to listen to this replay episode with Martin Bromiley. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links related to Martin Bromiley Martin Bromiley Martin Bromiley on Twitter: @MartinBromiley Martin Bromiley on LinkedIn Clinical Human Factors Group Donations to Clinical Human Factors Group Video "Just a routine operation" Video "How to Fail…Part Two" (a talk by Martin Bromiley at DasSMACC conference) Video "Martin Bromiley, a Patient's Perspective" (talk by Martin Bromiley at Patient Safety Movement) Anonymous version of an Independent Report on the death of Elaine Bromiley Article "The husbands story: from tragedy to learning and action" (authored by Martin Bromiley) Article "Clinical Human Factors" (co-authored by Martin Bromiley) Article 1 on Martin Bromiley Article 2 on Martin Bromiley Article 3 on Martin Bromiley Article "Lessons from the Bromiley Case" (by Mike Cadogan on Life In The Fast Lane) Links to other resources (in order of mentioning) SMACC TED Book "Black Box Thinking" (by Matthew Syed) Paper on the Safety 1 and Safety 2 model Second paper on the Safety 1 and Safety 2 model Third article on the Safety 1 and Safety 2 model Jim Harlow on Twitter Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 21 with Martin Bromiley 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

Happy New Year. Thanks for listening to Mastering Intensive Care in 2019. If you reflect on and put into action many of the perspectives shared on this podcast, and if your colleagues do too, I truly believe your ICUs should improve in the care you deliver. That's not to say you don't do well already. It's rather to suggest that the topics we cover on this podcast are not covered well in textbooks and journals, and are often better relayed through the stories and experience of the real people I talk to with the "fly on the wall" intimacy that audio podcasts allow. In this 2019 recap episode you will either hear some of the interview guests you may have missed, or you will re-listen to some of the topics & people I selected, so as to showcase several of the themes this show focuses on. For the third year in a row I have simply been astounded by just how much I personally have valued and learned from the perspectives, stories and wisdom of the people I've interviews on the show in the last 12 months. This is my thank you to each of those guests (even if they haven't been highlighted today). It's also my thank you to you, whether you are a first-time or long-time listener, and a special thank you to all who have helped me by sharing the show with others. I couldn't include all 2019 guests so I picked the excerpts I enjoyed rehearing. I am sorry if I left out someone you might have included. If you did miss some of the episodes, here is your chance to catch up. If you are a new listener, this series of audio snippets is what I feel best characterises the show. The 6 extracts are from interviews with Rana Awdish, Matt Morgan, Jo Stewart, Laura Rock, Paul Young & Ed Litton. I hope you do enjoy what I see to be as a virtual cramming of the 2019 Mastering Intensive Care curriculum, packaged up into just over an hour of listening, that should really help you to bring your best self to work in 2020. Thanks for listening. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links to the 6 interviews excerpted (in order of playing) Mastering Intensive Care podcast - Episode 41 with Rana Awdish Mastering Intensive Care podcast - Episode 47 with Matt Morgan Mastering Intensive Care podcast - Episode 43 with Jo Stewart Mastering Intensive Care podcast - Episode 48 with Laura Rock Mastering Intensive Care podcast - Episode 42 with Paul Young Mastering Intensive Care podcast - Episode 40 with Ed Litton Links to resources (in order of mentioning) See above links for more information about individual guests and the resources discussed in each excerpt New Normal Project podcast Rich Roll Podcast Rich Roll Podcast - Episode 488 (Best of 2019 Part 1) Mastering Intensive Care podcast - Episode 15 with Peter Brindley New Normal Project podcast - New Normal in Action episode (October 2019) New Normal Project podcast - New Normal in Action episode (November 2019) New Normal Project podcast - New Normal in Action episode (December 2019) Mastering Intensive Care podcast - Episode 45 with Scott Weingart EMCrit podcast - Episode 252 Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery Mastering Intensive Care podcast - Episode 50 with Andrew Davies 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

To celebrate the 50 episode milestone, podcast host and intensivist Andrew Davies (yes that's me) is in the spotlight. Having started the show to learn perspectives that could help me, as well as you, to be better and more human healthcare professionals, I've published 49 episodes with some amazing guests. Based on many of you asking for this, I finally plucked up the courage and switched the microphones so I'm the one being interviewed. I also had the very difficult task of picking an interviewer and eventually chose my good friend, Neil Orford, who was one of the early, and very popular, guests on the show. He got the gig because he and I usually have outstanding conversations based mostly around Neil's curiosity and his interest in things that aren't the "bread and butter" topics of Intensive Care. If you want to know more about Neil, listen to episode 4. If you want to know more about me, listen in here. Neil asks me about all sorts of topics including: What's changed as I've done the previous 49 episodes The common themes I've identified on the show How I incorporate kindness, compassion and a team approach to my work Some reflections on ward rounds I lead Showing respect to the ICU team My thoughts on listening Transitioning from a tertiary ICU to a smaller ICU Why I pivoted from an academic career to a focus on podcasting and wellness My advice about wellness for Intensive Care practitioners What I think are the key planks for my health and wellbeing Some thoughts on moderation and tolerance Whether I still enjoy being an intensivist What my life might look like in 5 years And my thoughts on the future of Intensive Care I hope you enjoy our conversation. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links related to Andrew Davies Andrew Davies at Peninsula Health Andrew Davies profile at World Congress of Intensive Care Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Links related to Neil Orford Neil Orford at Barwon Health Neil Orford profile at World Congress of Intensive Care Neil Orford at Deakin University Neil Orford on Twitter Neil Orford on LinkedIn Links to resources (in order of mentioning) Mastering Intensive Care podcast - Episode 4 with Neil Orford Mastering Intensive Care podcast - Episode 29 with Claire Davies Mastering Intensive Care podcast - Episode 2 with John Botha Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery Prof Hugh Montgomery Mastering Intensive Care podcast - Episode 9 with John Myburgh Prof John Myburgh Mastering Intensive Care podcast - Episode 3 with Rinaldo Bellomo Prof Rinaldo Bellomo ANZICS Clinical Trials Group New Normal Project podcast Book "Thrive" (by Ariana Huffington) Ariana Huffington Other interviews of and presentations by Andrew Davies Interview 1 Interview 2 Interview 3 Presentation 1 Presentation 2 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

Climate change is a conversation we need to be having in Intensive Care circles. Right now. If the environmental catastrophe that is unfolding around us continues unabated there may no longer even be Intensive Care Units. The rising global temperatures, the melting ice, the extreme weather events, and their impact on agricultural crops and human habitation may well lead to such a fall in the economy that our healthcare system may not have the financial resources it does now. And given ICUs are the most expensive part of our hospitals, have a guess what might disappear first. So who is there better to listen to about the climate crisis than British intensivist, Professor Hugh Montgomery, a deeply passionate and highly intelligent man, who was a founding member of the UK Climate and Health Council, and who has helped raise awareness about climate change for over 2 decades. In this episode Hugh outlines some simple things you can do today to help fight climate change. Hugh is a Professor and the Director of the Institute for Human Health and Performance at University College London. He obtained a 1st class degree in cardiorespiratory physiology and neuropharmacology before graduating from the Middlesex Hospital Medical School in 1987. He has since obtained specialist accreditation in Cardiology, General Internal Medicine and Intensive Care medicine, and practices as a Consultant Intensivist in North London in the UK. Hugh obtained his MD(Res) in 1997, is known for his pioneering genetic research, and has published over 450 peer reviewed papers, three in Nature. Hugh is also an author of children's books, and most recently of the medical thriller 'Control'. Hugh has a such diverse array of interests and expertise that it's hard to understand how he fits it all in. He has presented on television shows, climbed tall Himalayan mountains, run ultra-marathons, jumped naked from a plane at 14,000 feet, holds the world record for underwater piano playing, and also consults as a medical expert on Artificial Intelligence. Despite all of this, he continues to work as a clinical intensivist, publishes in the medical literature about important critical care topics, and is working to raise patient awareness about their end of life wishes. To me this is one of the most important Mastering Intensive Care episodes so far, as in a wide-ranging conversation Hugh talks about: How he became interested in physiology and then intensive care The intensivists that shaped his career Climate change and why we all need to care What actions we can take today as Intensive Care professionals to help the environment His own views on diet, renewable energy and international flights Some perspectives on the ICU ward round The importance of relationships and building connection with patients in clinical medicine How his father's experience in hospital informed Hugh How "wisdom of the crowd" assists in making diagnoses Dealing with uncertainty at the bedside The importance of speaking to patients about end of life before they are admitted to the ICU How he speaks to families of the dying An end of life project he and his colleagues are working on Why he researches what he does Some tips for public speaking How the emergence of artificial intelligence might play out in healthcare Why we need to be engaged with Big Tech His own attitudes and practice of self-care and self development His non-medical writing, including his new medical thriller book "Control" I can not recommend more highly that you settle in and listen to this amazing man, Professor Hugh Montgomery. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives. -------------------- Links related to Hugh Montgomery Hugh Montgomery at UCL Hugh Montgomery at Whittington Hospital Hugh Montgomery at ISEH Hugh Montgomery profile Hugh Montgomery on Twitter PubMed search for Hugh Montgomery Book "Control" (by Hugh Montgomery) Book "Control" (by Hugh Montgomery) Book "Control" (by Hugh Montgomery) Book "Cloudsailors" (by Hugh Montgomery) Book "Voyage of The Arctic Tern" (by Hugh Montgomery) Review of "Control" (by Hugh Montgomery) Article 1 about "Control" (by Hugh Montgomery) Article 2 about "Control" (by Hugh Montgomery) Interview of Hugh Montgomery on Desert Island Discs Interview of Hugh Montgomery on BBC Press article 1 featuring Hugh Montgomery Press article 2 featuring Hugh Montgomery Press article 3 featuring Hugh Montgomery Press article 4 featuring Hugh Montgomery Links to people, organisations and other resources as mentioned in order throughout podcast Physiologist Eric Neil Samson Wright's Applied Physiology 13th edition Hammersmith Hospital Article discussing Ron Bradley Gillian Hanson Information about Hugh Montgomery's 2019 talk at SMACC (video not released) Lancet Commissions 2009: "Managing the health effects of climate change: Lancet and University College London Institute for Global Health Commission" Lancet Commissions 2015: "Health and climate change: policy responses to protect public health" Lancet Countdown 2017: "The Lancet Countdown: tracking progress on health and climate change" Lancet Countdown 2018: "The Lancet Countdown on health and climate change: from 25 years of inaction to a global transformation for public health" Lancet Countdown 2018: "The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come" Lancet Countdown: Tracking Progress on Health and Climate Change Lancet on "Health and Climate Change" Lancet Infographic on "Climate Change and Health" Philosophical Transactions of The Royal Society Book "Eat & Run" (by Scott Jurek) Nature paper on microbiome and elite athletes Carbon Footprint Calculator SMACC Oli Flower Roger Harris CODA change Trillion Trees Trillion Trees Australia Whittington Hospital ITU/Critical Care University College Hospital London Andy Webb Reading Hospital YouTube search for Hugh Montgomery Moore's law Deep Neural Networks Nature Medicine paper co-authored by Hugh Montgomery "Clinically applicable deep learning for diagnosis and referral in retinal disease." Nature paper co-authored by Hugh Montgomery "A clinically applicable approach to continuous prediction of future acute kidney injury." Google Health Particle physics New Normal Project podcast New Normal Project podcast - Episode 45 with Neal Barnard New Normal Project podcast - Episode 48 with Caldwell Esselstyn New Normal Project podcast - Episode 38 with Michael Klaper New Normal Project podcast - Episode 43 with Kim Williams New Normal Project podcast - Episode 49 with Scott Stoll New Normal Project podcast - Episode 51 with Alan Desmond "2040" Movie CODA 2020 Mastering Intensive Care podcast - Episode 48 with Laura Rock 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 Email Andrew Davies Audio Producer Chris Burke

Are you a good communicator? Can you identify the skills of optimal communication? Might you sometimes respond to emotion with facts? Communication is perhaps the most important thing we do in healthcare, let alone in life. And to support our patients in understanding their ill health and their healthcare needs requires a high level of human connection for communication to be optimal. So let me introduce you to Dr Laura Rock, an American intensivist, who reminds us on this podcast that (1) communication skills are learnable, (2) there are benefits in understanding our patients emotionally, (3) we can help patients greatly if we don't try to reassure with facts when we hear emotions in the words they use, and (4) a focus on transparency, respect and curiosity can help us all to understand each other better; all of which seem likely to help us in our roles in the Intensive Care Unit. Laura is a Pulmonologist, Intensivist and Director of Communication and Teamwork for Critical Care at Beth Israel Deaconess Medical Center in Boston, Massachusetts, an Assistant Professor at Harvard Medical School, Faculty for the Center for Medical Simulation and a VitalTalk instructor. Laura studies and teaches the role of emotion in critical conversations, debriefing, feedback, and interprofessional conflict negotiation. She thinks we can change the world one conversation at a time, when we truly listen, and when we allow for creative and collaborative possibilities. When not teaching or seeing patients in the ICU, Laura loves to spend time with her family and to hike, ski, mountain bike, surf and sing. In this episode you will hear Laura speaking about many aspects of communication, also including: How she got into critical care and then became focused on communication What good communicators do to make human connection How micro-encounters and casual interactions are all part of building trust The GIVE acronym she suggests for responding to people's emotions (Get there is emotion, Identify the emotion, Validate the feelings, Explore to understand) Some examples of how to respond to what sound like comments with emotions Some thoughts on what to do when the person is angry How we should guess at people's emotions, not tell them what they are feeling Her thoughts on touch including hugs How the universality of communication skills can help us with friends and family too Being specific when helping debrief a team The teaching she does on ward rounds How most poor communication interactions can be helped by saying sorry Her self care including her approach to exercise, nature, guitar-playing, sleep and balance The gratitude she feels for having recently spent a lot of time with her dying mother. Laura is kind, caring, astute, thoughtful and the sort of listener and communicator I would have liked to have been involved in the care of my father when he was dying, something we talk about towards the end of the episode. This one is really worth listening to, no matter how good you think your communication skills are. Please listen to and learn from Dr Laura Rock. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you'll glean insights to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient's lives. -------------------- Links to people, organisations and other resources mentioned: Laura Rock on Twitter Laura Rock at Beth Israel Deaconess Medical Center Laura Rock at Harvard Catalyst Laura Rock on LinkedIn Center For Medical Simulation VitalTalk Published papers by Tony Back and Bob Arnold 2019 World Congress of Intensive Care Medicine SMACC Melbourne marathon Melbourne Cricket Ground Mastering Intensive Care podcast - Episode 47 with Matt Morgan New Normal Project 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 Email Andrew Davies