Max & Kiera’s Law

Dale Gardiner
Phil Walton

On the 20th May 2020, the legislation relating to consent for organ donation changed to an opt out system.  As critical care plays a pivotal role in the organ donation process, these two podcasts give a clinical perspective on the importance of the new legislation and how it impacts on the discussions we have with family members about consent for organ donation.  

There are also some interesting anecdotes & lessons learnt from the awareness campaign and implementation strategy used in Wales when this law was first introduced in 2015. 

Continue reading “Max & Kiera’s Law”

October – New Academic Year and A New WICM Chair

Liz Thomas

New academic year – new blog post!

Hello – I’m Liz Thomas – a consultant in intensive care medicine and anaesthesia and I am delighted to have taken over the role of Chair of the WICM committee from Dr Rosie Baruah. I have been on the WICM committee for almost 12 months.

Continue reading “October – New Academic Year and A New WICM Chair”

Max and Keira’s Law – The Bill That Was Pulled Out Of A Bowl

Claire Williment

Max and Keira’s Law came in to force on the 20th May 2020 and brought renewed hope to the thousands of people on the UK transplant waiting list. The legislation introduced ‘opt out’ as the legal basis for organ donation consent in England and is expected to lead to an additional 700 transplants a year. However, the path to getting the new legislation in place was far from smooth.

Continue reading “Max and Keira’s Law – The Bill That Was Pulled Out Of A Bowl”

Frailty

Simon Conroy

This month Matt Bromley talks to Simon Conroy about frailty and its implications for critical care. Simon is a professor of geriatric medicine in Leicester and the clinical lead for the specialised clinical frailty network.  

He has a particular interest in translational research in the acute care setting and has made significant improvements in the recognition of frailty amongst older people presenting acutely to hospital and how this can be used to inform decisions about clinical management. 

Continue reading “Frailty”

Preparing for the FFICM (final) examination – an examiner’s view

Victoria Robson
FFICM Exam Chair

FFICM is a ‘high stakes’ exam taken by ICM trainees, and is mandatory before entry it stage 3 training. This article aims to give some tips and pointers to trainees who are preparing for this exam, written by an experienced FFICM examiner.  

Continue reading “Preparing for the FFICM (final) examination – an examiner’s view”

Coffee afternoons, baby yoga and a masters?

Samantha Batt-Rawden

As a dual trainee who had never jumped off the training treadmill, I was looking forward to my maternity leave. I had pictured long coffee afternoons with other new mothers, taking up baking and trying my hand at baby yoga. Heck, I had thought I was going to be so refreshed by what I thought would be a break I might even sign up to do a part-time Masters in my ‘time off’.

Continue reading “Coffee afternoons, baby yoga and a masters?”

Simulation Part 2

Andrew Jacques, John Fletcher, Manoj Wickramasinghe

Welcome back to the simulation series. 

In this second part Matt Bromley, a senior intensive care medicine trainee, talks to a number of simulation enthusiasts about the practicalities of setting up and delivering simulation training on intensive care. 

Andrew Jacques is a consultant in intensive care medicine in Reading and has been instrumental in developing in-situ simulation training on their intensive care unit. He is also the simulation lead for the education sub-committee of the Faculty of Intensive Care Medicine. 

John Fletcher is an advanced critical care practitioner in the Leeds Teaching Hospitals NHS Trust who has many years of experience as an ICU nurse and educator. He joins their Simulation Fellow, Manoj Wickramasinghe, in talking about the development of a high-fidelity intensive care simulation course that has a strong focus on MDT involvement. 

Continue reading “Simulation Part 2”

Working as an International Medical Graduate with a BAME Background during COVID-19

Shashi Chandrashekaraiah, Sushruth Raghunath, Avinash Jha, Arif Akbar, Ikenga Samuel & Mohammed Elshamy

International Medical Graduates (IMGs) account for approximately 25% of the current UK trainee doctor workforce and are predominantly of black Asian and minority ethnic (BAME) backgrounds. There has been a lot of discussion during the current COVID-19 crisis about IMGs and their contribution to the NHS, VISA/Immigration health surcharge and the more important topic of increased mortality among BAME doctors from COVID-19.

Continue reading “Working as an International Medical Graduate with a BAME Background during COVID-19”

Decision Making Part 2

Dominic Bell

Welcome back to the difficult decision making series of podcasts.

In this second part James Sira, a consultant in intensive care medicine, talks to Dominic Bell about how to approach decisions around admission to critical care using a framework based on a clearer understanding of futility.

Dominic has been a consultant in Intensive Care Medicine for more than twenty years. He has a degree in medical law and has been an expert witness for the Court of Protection on end of life decision making, and for the GMC on fitness to practice investigations. He has also worked as an assistant coroner and has been an expert witness for the police.

Continue reading “Decision Making Part 2”

Who still believes in Santa and science?

Matt Morgan

As I look through my office window at yellowing patches of summer grass, it may seem strange to talk about Christmas. But these are strange times. I remember being told that there are three stages of life – first you believe in Santa, then you don’t believe in Santa, then you are Santa.

Continue reading “Who still believes in Santa and science?”

The academic response to COVID-19

Tony Rostron

For those of us who contribute to patient facing research, there were signals in early March that our working lives were about to change. The safety implications related to recruitment of and sampling from patients in studies who were potentially infected with SARS-CoV-2 needed to be considered. As a result many NIHR portfolio studies, supported by their funders, decided to pause recruitment.

Continue reading “The academic response to COVID-19”

#BetterTogether: The Critical Care Team

Sarah Clarke

One of the difficult jobs during this pandemic is not only our dedication and commitment to best care of our patients, but the supervision and support of those less familiar to the Critical Care environment. This may be our own trainees, but also others for whom the decision to come to our ‘space’ hasn’t necessarily been their own; and includes other specialty trainees, senior medical staff, nursing colleagues and allied health professionals.

Continue reading “#BetterTogether: The Critical Care Team”

Decision Making Part 1

Danny Bryden, Dale Gardiner

In the first part of this series, Danny Bryden and Dale Gardiner give their views on decision making, particularly with respect to admission to critical care. They also discuss wellbeing, and the impact of COVID-19. Danny is vice dean of the FICM. Dale is a consultant in anaesthesia and ICM in Nottingham, and is the national clinical lead for organ donation with an interest in medical ethics.

Continue reading “Decision Making Part 1”

Finding a consultant post: Why district general ICM was the right choice for me

Debbie Kerr

The final years of training can be somewhat of an emotional roller-coaster – you’re excited to finally see the ‘reward’ for all those years of hard work, but anxious about taking on a new post and responsibilities. Perhaps one of the more difficult considerations is where you want to work as a consultant, and how this will influence your career progression after training… it certainly was for me! In this blog, I wanted to share my thoughts about finding a consultant post, and why becoming a district general ICU consultant was the right choice for me.

Continue reading “Finding a consultant post: Why district general ICM was the right choice for me”

Capacity in Critical Care

Kate Rimmer

The issue of mental capacity in the critical care environment can be fraught with difficulty and can cause anxiety to staff working in these environments.  It is important for all staff involved in the care of the critically ill to understand the law in relation to capacity and consent and have knowledge of the process of making a capacity assessment. 

Continue reading “Capacity in Critical Care”

Time to Change!

Nish Desai

The time has come; Striking the Balance our first ever WICM meeting on 27 September 2019, on a rather wet Friday at the Royal College of Anaesthetists. In all the excitement leading up to the event, I recall speaking to Lucy Rowan at the Faculty the day before to discuss the day and shared my rather nervous feelings about writing this blog.

Continue reading “Time to Change!”

Being Male in Medicine – Changing Social Gender-Based Expectations

Rosie Baurah & Mark Hughes

On the 2nd of June I had the pleasure of attending the inaugural Woman In Surgery Scottish Meeting at the Royal College of Surgeons in Edinburgh. The programme was packed full of enthusiastic and informative speakers – and one of them, Mr Mark Hughes, an ST8 in neurosurgery who I have the privilege to work with at the Western General Hospital in Edinburgh, also happened to be male!

Continue reading “Being Male in Medicine – Changing Social Gender-Based Expectations”

Neurocritical Care – why I love what I do and succession planning!

Manni Wariach

After two amazing years at Southampton Neuro ICU and 50,000 miles on the clock, I am moving back to London to be closer to my girls. Thinking about succession planning for my post has allowed me to enthuse to the Wessex ICM trainees about how rewarding my job has been here. So why should they consider applying for my job?

Continue reading “Neurocritical Care – why I love what I do and succession planning!”

Returning to Work

Rosie Baruah

There is increased awareness amongst the medical royal colleges of the challenges of returning to work after a long period away, and the need for this to be a structured, managed process.  The Faculty is developing its own Return to Work (RTW) guidance, which will be a synthesis of the guidance provided by its constituent colleges.

Continue reading “Returning to Work”