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Intensive Care Society Radio

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Feb 24, 2019 • 21min

Care of the Critically Ill Woman in Childbirth - Audrey Quinn

As a consultant obstetric and neuro-anaesthetist at James Cook Hospital Middlesbrough, I have specialist interests in maternal critical care MCC, and the difficult airway in obstetrics. I am an anaesthetic assessor for the maternal confidential enquiry MBRRACE. I contributed to three chapters in NAP4 (4th National anaesthesia audit), and more recently have been a member of the OAA/DAS working party that developed the first national algorithm specifically for obstetric failed tracheal intubation. Work is now underway by this group on a review of Anticiptated difficult Airway. From 2009-2014 I was a committee member of the Obstetric Anaesthetists’ Association (OAA) and in 2013 I set up and chaired the OAA, national intercollegiate Maternal Critical Care, MCC Subcommittee. The groups aims were to identify standards and expertise in the management of the acutely mother and multi-disciplinary training & education. I was also OAA lead for obstetric ICNARC dataset. During this time, I chaired the Yorkshire & Humber Y&H Maternity SCN, MCC network for Yorkshire and Humber NHS hospitals and was course co-organiser for the course Care of the Critically Ill Childbearing Mother that contributed to a PG Certificate at Leeds University. I was recently involved with a Y&H NHS clinical network task and finish group and publication of their MCC and EMC recommendations and training framework 2018. I chaired a revision of https://www.rcog.org.uk/en/guidelines-research-services/guidelines/providing-equity-of-critical-and-maternity-care-for-the-critically-ill-pregnant-or-recently-pregnant-woman/ . These intercollegiate guidelines let to obstetric additions to the CC3N and new RCM midwifery competencies Enhanced Maternity Care. I run an multi-specialty MCC online course from James Cook Hospital Middlesbrough. This online resource has been taken up by the RCOG working party setting up MCC training into the obstetric curriculum. I’m a passionate supporter of an MCC intercollegiate curriculum for obstetricians, anesthetists, intensivists and obstetric physicians aimed at future consultants specialising in maternal critical care.
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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 26, 2019 • 40min

Criminalisation of Healthcare. Does it improve patient safety? - Jenny Vaughan

Dr Jenny Vaughan has been Consultant Neurologist for 14 years (NW London Hospitals NHS Trust and Imperial College Healthcare NHS trust). Jenny was the medical lead for the successful over-turning of the conviction of Surgeon Mr David Sellu for gross negligence manslaughter in 2013. Jenny have conducted multiple interviews on mainstream media in recent weeks vocalising the concerns of the whole profession with respect to medical manslaughter (1). Jenny has published widely-read articles on this subject2. Jenny has been an invited speaker at multiple events on gross negligence manslaughter, including the RCP annual conference last year. Jenny has conducted surveys 3 for the last three years in order to understand the impact of the criminal law on healthcare, especially after the conviction and erasure of Dr Hadiza Bawa-Garba. These surveys have informed law-makers, politicians, the media, the BMA, the royal colleges and the medical profession in general. Jenny co-founded the only UK online resource for anyone to access who wishes to know more about the charges of gross negligence manslaughter in healthcare. Jenny co-organised the first joint medicolegal meeting on manslaughter and avoidable harm in Holborn 2015  www.manslaughterandhealthcare.org.uk)4. Jenny’s work in bringing those in the field together was published and recently cited editorially in the BMJ 5-6. This year the medico-legal team won crime team of the year at The Modern Law Awards7. Jenny has become a leading voice of the medical profession on this subject. She gave oral and written submissions to the Williams review as her intention is to work with others to continuously improve patient safety (8). She contributes regularly on this subject to leading journals (9) and is currently assisting the Marx review into  how manslaughter by gross negligence is applied to medical practice. 1.http://www.manslaughterandhealthcare.org.uk/2018/02/20/media-coverage-of-medical-manslaughter/ 2.http://www.manslaughterandhealthcare.org.uk/wp-content/uploads/2016/02/Jenny-Vaughan-RCS-Bulletin-article-February-2016.pdf 3. https://www.surveymonkey.co.uk/r/DY6VYSM 4. http://www.manslaughterandhealthcare.org.uk/2018/02/20/events/ 5. . http://www.bmj.com/content/360/bmj.k479 6. http://blogs.bmj.com/bmj/2018/03/20/the-case-of-david-sellu-a-criminal-court-is-not-the-right-place-to-determine-blame-in-complex-clinical-cases/ 7. https://www.gardencourtchambers.co.uk/congratulations-to-david-sellu-appeal-team/ 8.https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/717946/Williams_Report.pdf 9. https://blogs.bmj.com/bmj/2018/06/21/jenny-vaughan-the-williams-review-a-significant-step-forward-for-all/

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