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. 

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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. 

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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. 

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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.

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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.

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