Palliative Care in Intensive Care

Carol Davies, David Harvie & Rob Chambers

Welcome back to FICMLearning Podcasts.

This month we have two fantastic episodes on Palliative Care. Gareth Thomas speaks with Dr Carol Davies (Consultant in Palliative Medicine at Southampton), Dr David Harvie (Higher Trainee in Anaesthetics and Intensive Care in Wessex) and Dr Rob Chambers (Consultant in Intensive Care in Southampton).

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Artificial Intelligence

Hugh Montgomery

Welcome back to FICMLearning Podcasts.

This month we’ll be talking to Prof Hugh Montgomery about Artificial Intelligence (AI) and the potential application of it in critical care and the wider healthcare environment. Hugh is a Professor of Intensive Care Medicine at University College London (UCL), where he also directs the Centre for Human Health and Performance. He has a research interest in Artificial Intelligence as applied to Health and has worked with Google Deepmind and Google Health.

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What do I wish I had known?

Matt Morgan
Segun Olusanya
Alex Scott
Ben Jones
Ben Ivory

Welcome back to FICMLearning podcasts. This month we have recorded a series of responses to the question ‘What do I wish I had known before becoming a new Intensive Care consultant or trainee?’

Matt Morgan, Segun Olusanya, Alex Scott, Ben Jones and Ben Ivory deliver some interesting and useful thoughts and reflections from their own experiences of pursuing a career in Intensive Care Medicine. Whilst these aren’t the things that you would read in evidence-based journals and they may not necessarily help you pass the FFICM exams, they do provide some useful insights into the art of being an effective clinician and leader in Intensive Care Medicine.

We hope you enjoy listening and gain some ideas on how to re-engage and re-invent yourselves in this challenging yet rewarding career.

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Knowing Your Team – Part 5

Nicki Credland
Alex Scott
John Cully

Welcome back to FICMLearning Podcasts.

This is the final part of our podcast series on ‘Knowing Your Team’ where we aim to gain a greater understanding of the roles of the different members of the critical care team. This month we will focus on the role of the Critical Care Nurse and the Advanced Critical Care Practitioner (ACCP).

We will start by talking to Nicki Credland who has almost 20 years of experience in critical care and outreach nursing and is now a senior lecturer at Hull University and the Chair of the British Association of Critical Care Nurses (BACCN).

This is followed by a joint discussion with Alex Scott and John Cully who a both Advanced Critical Care Practitioners at the Liverpool University Hospitals NHS Foundation Trust.

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Knowing Your Team – Part 4

Andrew Davies
Sarah Clarke

Welcome back to FICMLearning Podcasts.

This is the fourth part of our podcast series on ‘Knowing Your Team’ where we aim to gain a greater understanding of the roles of the different members of the critical care team. This month we will focus on the role of the Intensivist and we have been fortunate enough to be able to talk to both Dr Andrew Davies and Sarah Clarke about this.

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Knowing Your Team – Part 3

Lauren Maher & James Bruce

Julie Highfield & Dorothy Wade

Welcome back to FICMLearning Podcasts.

This is the third part of our podcast series on ‘Knowing Your Team’ where we aim to gain a greater understanding of the roles of the different members of the critical care team. This month we will be looking at the roles of the psychologist and occupational therapist in the management of critically ill patients. I hope you will enjoy listening and continue to learn about the real benefits of creating a well-integrated critical care team. 

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Knowing Your Team – Part 2

Paul Twose & Gareth Cornell

Susan McGowan, Helen Newman &
Rachel Jones

Welcome back to FICMLearning Podcasts.

In the second part of our podcast series on ‘Knowing Your Team’ we will be looking at the roles of physiotherapy and speech and language therapy in the management of critically ill patients. It is so inspiring, listening to how these specialists have an enormous amount to offer in both the acute and long-term rehabilitation of critical care patients. 

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Knowing Your Team – Part 1

Greg Barton,
Ella Terblanche,
Danielle Bear

Welcome back to another year of FICMLearning Podcasts.  

This is the first part of a podcast series we will be running to raise the profile of the critical care multidisciplinary team. We hope that this will highlight the vital contribution that each member of the critical care team makes to the complex management of patients on the intensive care unit and how effective collaboration between team members helps to ensure successful outcomes after critical illness. 

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The Coroner – Part 2

Bev Frankland

This month James Sira talks to Bev Frankland about writing a statement for the coroner, as well as preparing and giving evidence at the coroner’s inquest. 

Bev is the Risk & Inquest Manager for South Tyneside and Sunderland NHS Foundation Trust. She is primarily responsible for looking after the ‘top-end’ of the investigation spectrum e.g. inquests, serious investigations and police matters.  She has several years experience supporting medical staff through the process of an inquest and in these podcasts shares some key advice.

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The Coroner – Part 1

Mr Derek Winter DL

This month is the first in a two-part series looking at the work of the coroner. James Sira talks to Derek Winter about the role of the coroner, medical examiner, and the coroner’s inquest.  

Derek is HM Senior Coroner for the City of Sunderland and was appointed as one of the two Deputy Chief Coroners of England and Wales in 2019. He has conducted a wide range of cases in the 15 years he has spent as a coroner and has modernised the Sunderland coroner service. 

Most intensive care doctors will at some point in their career be required to provide a statement for or give evidence at a coroner’s inquest, and this can be a daunting experience.

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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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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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