Welcome to ICS Radio.
The Intensive Care Society is proud to present our open access podcasts.
Our podcasts include 5 key channels. Research, Guidance, Wellbeing, Events and State of the Art.
Members of our Pharmacy Professional Advisory Group got together to chat about their experience of working in ICU, the future of their profession, and how AI could prove to be a helpful tool for ICU pharmacists.
The Critical Care Commute Podcast team chat to Dan Martin on being editor of JICS, oxygen therapy and pulse oximetry at State of the Art 2023.
The Critical Care Commute Podcast team chat to Dale Gardiner at State of the Art 2023 about his Breaking Bad News session.
The Critical Care Commute Podcast team chat to Jonny Wilkinson and Marcus Peck at State of the Art 2023 about FUSIC.
The Critical Care Commute Podcast team chat to Anne Bachelor at State of the Art 2023 about Getting it Right the First Time.
The Critical Care Commute Podcast team chat to Laura Vincent at State of the Art 2023 about what a good day on the ICU looks like for her.
The Critical Care Commute Podcast team chat to Nandan Gautam at State of the Art 2023 about his COVID experience in Birmingham and the post COVID syndrome.
The Critical Care Commute Podcast team chat to Hugh Montgomery at State of the Art 2023 about sustainability.
The Critical Care Commute Podcast team chat to Matt Morgan at State of the Art 2023 about Comparative Physiology and the ICU.
The Critical Care Commute Podcast team chat to Jerry Nolan at State of the Art 2023 about ACLS.
For this podcast episode we were joined by Mariam Amoran, Sekina Bakare, Ronke Salawudeen and Abibat Gbadamosi, to talk about the intersection of race and gender, why the right support at work makes all the difference, and the changes we need to make in intensive care.
The Critical Care Commute Podcast team chat to Danny McAuley at State of the Art 2023 about ARDS.
The Critical Care Commute Podcast team chat to Hugh Montgomery and Jessica Sullivan at State of the Art 2023 about their plenary session on hypoxemia.
Our Nursing Professional Advisory Group were joined by Alison Leary to discuss our intensive care nursing workforce and the challenges we face.
Hear from our AHP Professional Advisory Group about the challenges facing their ICU professions, how they chose to work in ICU, and why there's power in numbers.
Luke Flower, Stuart Edwardson, Alice Humphreys and Kamilla Kamaruddin joined us to discuss their recent article in the Journal of the Intensive Care Society (JICS) about the care of transgender patients in ICU, and what all clinicians can do to provide more inclusive care fro these patients.
Hear from our Physiotherapists Professional Advisory Group about patient experience, the challenges facing their profession, and why they love being physiotherapists in intensive care.
Hear from our Trainee Advisory Group (TAG) about the challenges facing intensive care trainees, what they'll be up to in 2023, and how you can join them.
Hear from our Trainee Advisory Group (TAG) about the challenges facing intensive care trainees, what they'll be up to in 2023, and how you can join them.
Listen to our Black History Month Podcast Chaired by Equality, Diversity and Inclusion Group Member, Dr Sekina Bakare, as she talks to colleagues about using the Society to promote change and addressing the issues faced/needs of black people within the intensive care worforce.
Listen to our Black History Month Podcast Chaired by Equality, Diversity and Inclusion Group Member, Dr Sekina Bakare, as she talks to colleagues about using the Society to promote change and addressing the issues faced/needs of black people within the intensive care worforce.
This #ICUWeek2022 four members of the Intensive Care Society Nurses Professional Advisory Group sat down to chat about their career journeys as ICU nurses. From research, to care at the bedside to patient outreach and rehabilitation, a career as an intensive care nurse can take you anywhere.
In recognition of LGBTQ+ History Month, Dr Luke Flower and Dr Stuart Connal sat down with Dr Andrew Hartle, Dr Stuart Edwardson and Dr Leyla Turkoglu to talk about their experiences as LGBTQ+ doctors working in anaesthesia and critical care.
Julie speaks to Matt Morgan, a consultant in intensive care from Wales, about his reflections on being a doctor during the pandemic.
Julie speaks to Sarah Gilbert-Kerr, an ICU Nurse from the North of England about her experiences during the pandemic.
Julie speaks to Amy and Mary, two advanced practitioners in critical care about their experience working in outreach during the pandemic, and the impacts on their own and team wellbeing.
Julie interviews sister Mo Maddock, an ICU Nurse and Wellbeing lead from the South of England, about her experiences during the pandemic.
Kate Jenkins, Clinical Psychologist, joins Dr Julie Highfield to talk about parallels between the Novichok Crisis and the pandemic, and the impact of sustained traumatic events on ICU staff.
Debbie Forde, Pamela Page and Una St Ledger talk to Dr Julie Highfield about dehumanising the ICU, and the impact of the absence of families during the pandemic.
Jo Talbot Bowen joins Dr Julie Highfield to discuss the wellbeing of healthcare staff, feeling frazzled, and accessing creativity.
Dr Julie Highfield is joined by Una St Ledger to discuss the concept of Moral Distress in intensive care.
Dr Julie Highfield talks to intensive care nurse and researcher Andrew Bates about his recent paper in JICS, and the impact of the pandemic on nurse mental health.
Dr Julie Highfield is joined in conversation by ICU Doctors Segun Olusnaya and Adrian Wong, about the impact of COVID-19 on intensive care and their recent paper in JICS.
Patient Safety and a Just Culture – Extended Panel Conversation and Q&As- David Sellu, Stephen Drage, Jenny Vaughan, Scott Morrish, Matthew McClelland, Shaun Lintern
A Qualitative Exploration of Staff Perceptions of Safety and Missed Care in Adult Intensive Care (ICU)- Clare Leon-Villapalos
Impact of ACCP-Led Rib Fracture Analgesia Service- Nigel Manning
Core-Peripheral Temperature Difference Assessed by Thermal
Imaging and Its Association with Illness Severity in Sepsis- Matt Charlton
SCARF: Supporting Community Recovery and Reducing
Readmission Risk Following Critical Illness: From Research
to Practice- Jo Thompson
"JICS Case Discussion: Ventricular Assist Devices https://doi.org/10.1177%2F1751143720930583 Getting your left and right mixed up with ventricular assist devices? In this episode I speak to Dr Jennifer Gwynn and Dr Carla Richardson about heart failure and ventricular assist devices. Heart failure presentation Ventricular Assist Devices Indications and Contraindications How to refer patients Evidence Complications Further reading: https://doi.org/10.1002/ejhf.1236 https://doi.org/10.1016/j.healun.2019.05.004"
AI in Healthcare 101- Marius Terblanche
Tomorrow’s Medicine Today- Rick Body
Using Technology to Understand the Complexities of Teamwork and Safety- Rob Gatherer
Disrupting Technology- Molly Gilmartin
Panel Conversation and Questions- Marius Terblanche, Rick
Body, Rob Gatherer
Hemophagocytic Lymphohistiocytosis: Secrets of the Great Mimicker- Jessica Manson
Reno-Pulmonary Syndromes- Steve Brett
Unusual Disorders of Consciousness- Saiju Jacob
Panel Conversation and Questions- Jessica Manson,
Steve Brett & Saiju Jacob
Back from the Brink: Diggs’ Story Damon Beard, Susie Calvert & Steve Mathieu
Early Mobilisation- Where Are We Now?- Eve Corner
Occupational Hazards: OT in Critical Care- James Bruce
Visualising Patient Recovery- Kate Tantam
Panel Conversation and Questions Damon Beard, Susie Calvert, Steve Mathieu, Eve Corner, James Bruce, & Kate Tantam
This webinar addresses the speaker's experiences of ECMO during COVID-19 and consists of presentations and a panel discussion with questions from the audience.
Moderator: Charlotte Johnston Final Year Medical Student Cardiothoracic ICU/ECMO
Nurse Speakers: Jo-anne Fowles Nurse Consultant Critical Care & ECMO Royal Papworth NHS Foundation Trust Presentation: Bedside management of the ECMO patient during a pandemic
Rachel Jooste Cardiothoracic Anaesthesia & Critical Care Presentation: Scaling up the National ECMO service during the Pandemic
Brij Patel Royal Brompton Hospital Presentation: Scientific rationale for ECMO in Covid
Alain Vuylsteke Consultant in Intensive Care Royal Papworth NHS Foundation Trust
Is Your House on Fire Yet?- Eleanor Damm
Champagne, Anyone?- Rachel Jones
Plan A is Bonefish Cay...- Charlie Pope
Anticipating Intensive Care Admission – “Pre-
ICU”- Eleanor Richards
A Name Changer: The IPCU- Guy Parsons
The word “debrief” is throughout our language in healthcare settings, yet it is considered controversial and potentially unsafe if in the wrong hand. However we know in the providing the critical care that our ICU workforce needs, the chance to make sense of experience and share stories is important. This webinar explores the different methodologies for doing this safely in your unit.
Chair of Panel: Dr Julie Highfield, Consultant Clinical Psychologist, Cardiff and ICS National Wellbeing
Lead Speakers: Dr Debbie Ford, Senior Clinical Psychologist - Cardio-Thoracic and Critical Care, Harefield Hospital Consultation/Advisory role (Trust Wide) staff support
Dr Sadie Thomas-Unsworth Lead Psychologist for Staff Support (Trust Wide) Paediatric Palliative Care and Paediatric Oncology Services University Hospitals Bristol and Weston, NHS Foundation Trust
Dr Hatem Soliman Aboumarie Locum Consultant in Cardiothoracic Intensive Care Harefield Hospital
The Science of Improvement as It Relates to Quality in the ICU - Kevin Rooney
Improving the Evidence for Improving Healthcare- Mary Dixon-Woods
GIRFT: Tackling Variations in Quality- Anna Batchelor
Panel Conversation and Questions- Kevin Rooney, Mary Dixon-
Woods & Anna Batchelor
After experiencing the most intense period of work, our critical care nurse workforce need us to consider their needs carefully right now. In this webinar we explore individual, team and systems factors at play, and discuss how to sustain and protect our nursing workforce for the future.
Presentation:
Dr Julie Highfield, Consultant Clinical Psychologist and National Wellbeing Director, ICS Panel Discussion: Julie Platten Network Manager & CC3N Chair Catherine Plowright BACCN National Board Member
Corticosteroid Response and Gene Expression in Septic Shock (CRESS) Trial- David Antcliffe
Spironolactone for Survivors of Critical Illness (SSCILL)- Mansoor Bangash
Small Volume Resuscitation and Supplementation with Hyperoncotic Albumin in Septic Shock (SWIPE-2)- Jonathan Bannard-Smith
The Use of Mucoactive Drugs for Critically Ill Patients with Acute
Respiratory Failure in Intensive Care- Bronwen Connolly
Improving Mental Health Outcomes in Family Members of Critically Ill Patients with Family Support and Engagement
Intervention- Valerie Page
Ruth Endacott, Kate Tantam, Natalie Pattison, Liz Staveacre &
Jo-Anne Fowles
Presenting four bitesize topics exploring and debating the ‘Power of Nurses’, in contributing to the achievement of ICS values and
strategic priorities:
1) Increasing the influence of
nurses in critical care
2) Wake up to networking in your
region!
3) Be inspired by the
#rehablegend campaign
4) Post Registration nurse
education – a funding dilemma?
Cholesterol Therapy-Mervyn Singer
Troponin in Critical Care Patients and Outcomes-Anne marie Docherty
Targeting the Vasculature in Sepsis: A Means or an End?-Simon Lambden
The Right Heart in Critical Illness-Susanna Price
Panel Conversation and Questions-Mervyn Singer, Annemarie
Docherty, Simon Lambden & Susanna Price
After experiencing the most intense period of work, our critical care nurse workforce need us to consider their needs carefully right now.
In this webinar we explore individual, team and systems factors at play, and discuss how to sustain and protect our nursing workforce for the future.
Presentation: Dr Julie Highfield, Consultant Clinical Psychologist and National Wellbeing Director, ICS Panel Discussion: Julie Platten Network Manager & CC3N Chair Catherine Plowright BACCN National Board Member
This webinar will explore and explain the recent legislative change to organ donation consent in England, and the impact of the pandemic on the process and practise of organ donation and transplant in the UK.
Hearing staff stories from the front line, and making sense of the range of our emotional reactions to the pandemic. We will consider how staff feel about what next, how to take care of themselves and each other. You will also hear more about the ICS national wellbeing campaign.
This webinar will cover topics heard “on the ground” from trainees nationally and the recent faculty document regarding training
This webinar from the ICS will explore a MDT approach to rehab following critical care.
Every Critical Care Dietitian dreams of delivering nutritional perfection. It was Charlie Bucket’s dream to find the golden ticket. What if Wonka did critical care nutrition? Join us in taking a light hearted look at nutrition in Alice’s Wonderland, and from the Wonka Chocolate Factory. You never know, we may unearth the future of critical care nutrition.
Ella Terblanche and Rob Cronin
Dermatological Emergencies: When the Skin Fails- Richard Groves
Ophthalmology: The Eye of the Storm- Fiona Carley
Rheumatological Emergencies- Jessica Manson
Panel Conversation and Questions
F Richard Groves, Fiona Carley, & Jessica Manson
Better Perioperative Care: Redesigning the Pathway- Rupert Pearse
Prehabilitation: What Does It Mean, and Does It Work?- June Davis
Emergency Surgery: What Has Changed Since NELA?- Sarah Hare
The Higher Risk Surgical Patient- Shaman Jhanji
Panel Conversation and Questions
Rupert Pearse, June Davis, Sarah Hare & Shaman Jhanji
Who to Admit - Differentiating AoCLF from Advanced Cirrhosis- Tony Whitehouse
Liver Failure - Survival Depends on What You’ve Got and Where You Get It!- Julia Wendon
The Place of Albumin in the Management of Critically Ill Liver Patients- Alastair O’Brien
10 Top Tips for AoCLF, Conversation and Questions
Tony Whitehouse, Julia Wendon & Alastair O’Brien
Making Ultrasound Resonate: Lessons from Down Under -Sharon Kay
Scanning the Horizon: The Future of Intensive Care US Training-Ashley Miller
Moving Beyond the Individual: Departmental Accreditation-Tom Ingram
Lieutenant or Admiral of the Ultrasound Waves: Does it matter? YES- Tom Clark
Lieutenant or Admiral of the Ultrasound Waves: Does it matter? NO- Marcus Peck
Panel Conversation and Questions
Sharon Kay, Ashley Miller, Tom Ingram, Marcus Peck & Tom Clarke
Confronting Ebola- Rob Fowler
Challenges of providing emergency and trauma surgery in the humanitarian context-Johan Von Schreeb
Carers in The Firing Line: Researching the Impact of Attacks on Healthcare-Larissa Fast
The WHO International Emergency Medical Teams Initiative: the UK contribution-Tony Redmond
Panel Conversation and Questions
Rob Fowler, Johan Von Schreeb, Larissa Fast & Tony Redmond
A conversation between Zudin Puthucheary, Senior lecturer and consultant in intensive care medicine, Julia Hadley, also a consultant in critical care and lead for the Royal London guidelines for tracheostomy in the COVID patient and Dr Brendan McGrath who is the national clinical lead for the same.
This is a conversation between Dr Zudin Puthucheary, Senior Lecturer and Consultant in Intensive Care Medicine, Dr Jim Buckley, Consultant in Intensive Care medicine, and Dr Brijesh Patel, Clinical Senior Lecturer and Consultant in Cardiothoracic Intensive Care.
Some of the learning from the early stages of this virus and how it is impacting our patients and our service.
CAR T-Cell Treatment: How New Immune Therapies May Change Critical Care Matthew Morgan
Danger Beneath the Larynx Linda-Jayne Mottram
Please Sir...Can I Have Some Less? John Myburgh
Safe Staffing in ICU: Development of a New Nursing Model Ruth Endacott
Innovating at the Frontline: Pre-Hospital ECPR Ben Singer
Keeping It Cool: TTM2 UpdateNiklas Nielsen
ILCOR InsightsGavin Perkins
Who Benefits? Predicting Neurological Outcomes and Survival After Cardiac Arrest Sara Gray
Panel Conversation and Questions Ben Singer, Niklas Nielsen, Gavin Perkins & Sara Gray
In this podcast, Kate talks about the lessons from Novichok, and looking after our colleagues
Rapid Response Teams.
Can They Improve End
of Life Care?
Alex Psirides
Completing a Life Well,
Not Dying a Death Badly
Rob George
Cultural, Ethnic
and Religious
Considerations at the
End of Life
Rob Fowler
Challenges in End of
Life Care: Clinical and
Research Priorities for
Patients, Families and
Staff
Natalie Pattison
Panel Conversation and
Questions
Alex Psirides, Rob George,
Rob Fowler & Natalie
Pattison
Fluids – Flood or Famine
John Myburgh & Anders
Perner
Blood Pressure Targets
in Critical Illness
Francois Lamontagne &
Paul Mouncey
When and How to
Squeeze in Vasoplegic
Shock?
Hannah Wunsch & Anthony
Gordon
Panel Conversation and
Questions John Myburgh,
Anders Perner, Francois
Lamontagne, Hannah
Wunsch & Tony Gordon
Life after SPICE – When Should We Use Alpha-2-Agonists in the ICU? Tim Walsh
Restraint on ICU: Rope, dope or hope. Nitin Arora
Psychologist-Led Interventions for Delirious Patients Dorothy Wade
Mind the Gap: Overcoming Barriers to Mobilisation in ICU Deena Costa
Panel Conversation and Questions. Tim Walsh, Nitin Arora, Dorothy Wade & Deena Costa
This is a podcast recorded at the Intensive Care Society State of the Art meeting in 2019 in Birmingham where John Myburgh AO, Australian Intensivist and Researcher, shares some of his wisdom with ICS Radio members David Lyness and Segun Olusanya.
A session on Mechanical Ventilation from ICS SOA 2019
Mechanical Ventilation: Looking for New Paradigms in Managing the Stressed Lung: Tom Barnes
Spontaneous Breathing in ARDS: Giacomo Bellani @GicoBellani
Winning Weaning Together: An Interprofessional Approach: Deena Costa
@DeenaKCosta Panel Conversation and Questions: Tom Barnes, Giacomo Bellani & Deena Costa
In this podcast, we introduce FUSIC : the modular approach to bedside ultrasound Certification in Intensive Care
Sponsored by the Intensive Care Society
Another podcast, with more detail around accreditation, will follow...
We welcome you to ICS Radio.
This episode is a recording of the Opening Plenary at ICS SOA Dec 2019
This episode features
Welcome
Ganesh Suntharalingam (ICS President) & Steve Mathieu
(ICS Conference Director)
Born to Survive? the Genetics of Life and Death
Alice Roberts in conversation with Hugh Montgomery
A Gift of Life: Perspectives on Organ Donation
and Deemed Consent
Dale Gardiner, Paul Frost & Joanna Duckworth
Looking After Each Other in a Crisis: Lessons from Novichok
Kate Jenkins
A Glance into the Future: What Will Be The Next Game
Changer for Critical Care?
John Myburgh, Hannah Wunsch, Danny McAuley & Peter Brindley
This was the award winning SOA18 Gold Medal presentation by Dr Tom Hellyer. Information about the ICS Gold Medal can be found here https://soa.ics.ac.uk/goldmedal/
This year’s title, “Critical Care Game Changers” is your chance to think innovatively: think about the controversies facing our specialty now, next year, next decade…tell us your idea to change the game! The top 5 scored abstracts submitted in response to this title will be invited to give a presentation to a panel of critical care experts on the main stage at the State of the Art meeting in Westminster on the 10th 11th or 12th of December 2018. Don’t be put off that all of our presenters will be subject to on stage ‘questioning’ by the dragons; it will be friendly fire.
The best presentation as judged by the panel will be awarded the prestigious ICS Trainee Committee Prize for Controversies in Critical Care.
All 5 accepted abstracts will also be published in the Journal of the Intensive Care Society’s e-supplement
This year’s title, “Critical Care Game Changers” is your chance to think innovatively: think about the controversies facing our specialty now, next year, next decade…tell us your idea to change the game! The top 5 scored abstracts submitted in response to this title will be invited to give a presentation to a panel of critical care experts on the main stage at the State of the Art meeting in Westminster on the 10th 11th or 12th of December 2018. Don’t be put off that all of our presenters will be subject to on stage ‘questioning’ by the dragons; it will be friendly fire.
The best presentation as judged by the panel will be awarded the prestigious ICS Trainee Committee Prize for Controversies in Critical Care.
All 5 accepted abstracts will also be published in the Journal of the Intensive Care Society’s e-supplement
Kev Dhaliwal is Professor of Molecular Imaging & Healthcare Technology and Consultant Physician in Respiratory Medicine in Edinburgh. He leads an EPSRC interdisciplinary Hub based in the Medical School in Edinburgh developing novel technologies for interventional pulmonary medicine. PROTEUS (@EPSRC_Proteus) is the UK’s largest biophotonics healthcare project and is developing novel tools and technologies for respiratory critical care by exploiting the power of light to enable new insights. PROTEUS will develop new pathways and leverage the power of TEAM SCIENCE
Brian Cuthbertson is Chief of the Department of Critical Care Medicine at Sunnybrook Health Sciences Centre and Professor in the Interdepartmental Division of Critical Care Medicine at the University of Toronto. He is also an Honorary Professor of Critical Care Medicine at the University of Aberdeen and an Honorary Professorial Fellow at the George Institute of Global Health in Sydney. His research interests include improving outcomes from critical illness and major surgery. He has over 100 peer-reviewed publications and $10million of research grants as well as playing a leading role in a number of key clinical guidelines.
Dr Lisa Hinton is a medical sociologist, and leads applied research in the Health Experiences Research Group (HERG). Improving patient experience is a global priority for health policy makers and care providers. How research on patient and staff experiences can make a difference in these areas is at the core of her research interests.
Lisa has a portfolio of applied, mixed methods, social science research specialising primarily in women's health, in particular experiences of infertility, pregnancy, childbirth and neonatal care. She is also involved in several studies seeking to improve patient experiences in critical care.The role of digital technology in patient self-management and healthcare is another area of interest.
Lisa leads qualitative work developing and evaluating complex interventions and is currently working on two clinical trials of self-monitoring of blood pressure. One is studying the impact of SMBP during pregnancy and a second the impact of SMBP after a stroke or TIA (see Hypertension). She also leads a programme of work as part of the Oxford BRC's Partnerships for Health Wealth and Innovation theme exploring research participation and patient and public involvement.
Lisa has a developing interest in studying the potential for patient experiences research in resource poor countries. Initial work, in collaboration with colleagues at KEMRI-Wellcome Trust in Kenya, can be seen here: http://www.dipexinternational.org/2018/01/premature-birth-in-kenya-sharing-mothers-voices/
Lisa currently supervises doctoral students on a range of studies focused on maternal and newborn health and nursing in the UK, Kenya and India. She teaches on the HERG Qualitative Research Methods courses and the MSc in Evidence-based Healthcare.
Before joining the department in 2007 Lisa was a TV and web producer, working for the BBC and Channel 4.
Dr Peter Watkinson, Associate Professor of Intensive Care Medicine, is joint clinical lead for the Critical Care Research Group based at the Kadoorie Centre for Critical Care Research & Education at the John Radcliffe Hospital, Oxford.
He is an NHS consultant in intensive care and acute medicine and is part of the senior clinical team at the Oxford University Hospitals NHS Foundation Trust. His research interests focus on the identification of the deteriorating patient in hospital and he has designed and run a number of studies in the field of wearable monitoring devices. The research group is now exploring the opportunities offered through non-contact monitoring and standard electronically-recorded descriptors of a patient’s condition.
The research group has a strong link with the University of Oxford Institute of Biomedical Engineering. Using data collected from thousands of patients’ vital signs in Oxford and elsewhere the multi-disciplinary team investigates ways to locate patterns which precede and predict clinical deterioration in hospitalised patients.
Other areas of interest for the research group include development of electronic monitoring systems, use of human factors techniques to introduce new technology into the healthcare environment, and assessing the longer-term effects of critical illnesses on patients’ quality of life.
I work as a Consultant Obstetrician and am based at Leeds General Infirmary. I have a special interest in maternal medicine and high risk obstetrics and I run the Obstetric Cardiac and Renal Service in this tertiary referral centre. I also work with the Diabetes team and am part of the twice weekly Diabetic Antenatal Clinic at St. James’s University Hospital. I see women with pre-existing medical conditions for pre-pregnancy counselling and I participate in the consultant on-call rota at LTHT.
I am the Yorkshire and Humber Clinical Network Clinical lead for maternity services and try to link this with my clinical role to optimise what can be achieved to improve maternity services for women and their families in Yorkshire and Humber.
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.
Anna Batchelor, Sean Bagshaw, Carole Boulanger, Jamie Strachan, Natalie Pattison, Craig Brown
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.
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.
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.
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
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.
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.
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.
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
https://www.surveymonkey.co.uk/r/DY6VYSM
http://www.manslaughterandhealthcare.org.uk/2018/02/20/events/
. http://www.bmj.com/content/360/bmj.k479
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/
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
Rob Mac Sweeney is an intensivist working at the Royal Victoria Hospital in Belfast, Northern Ireland. He founded and runs Critical Care Reviews, a free, not-for-profit critical care educational project spanning a website, journal watch facility, newsletter, international meeting, annual book and podcast. He also co-founded a platinium open access journal, Critical Care Horizons. Rob is a passionate believer that scientific advances, especially through publically funded research, should be available to all and works to promote open access to such work through Critical Care Reviews and Critical Care Horizons.
Alex Psirides is an Intensive Care specialist working in Wellington, having trained in London, Melbourne and New Zealand. He has been involved in the design and implementation of Rapid Response Systems in several different hospitals. Because of this, he is clinical lead for the New Zealand Health Quality & Safety Commission’s national ‘Deteriorating Patient’ programme. In his spare time, when not walking his dog or his children, he builds websites & designs logos for Wellington ICU’s prodigious research department. He has nearly written a lot more research papers & as such needs to spend less time on Twitter. He also once ventilated a chimpanzee but it didn’t end well (for the chimp).
Mark McPhail is a senior lecturer and consultant in liver critical care at Kings College London. He trained in physics and medicine in Glasgow and following medical school he trained in Oxford, Southampton and London in gastroenterology, hepatology, general internal medicine and intensive care medicine. His research interests include outcome prediction, statistical methods, metabonomics and immunometabolism in liver failure syndromes.
Nazir Lone is a Senior Clinical Lecturer in Critical Care and Honorary Consultant in Critical Care at the Royal Infirmary of Edinburgh. His programme of research focuses on health services research and health care quality improvement for acutely ill patients. His research aims to directly improve the quality of care for patients before, during and after an episode of critical illness through rigorously conducted research and engagement with key stakeholders. He has a particular research interest in epidemiological methods and using linked ‘big’ data.
Dr Xand van Tulleken trained in medicine at the University of Oxford, he has a diploma in Tropical Medicine from the University of Liverpool, a Diploma in International Humanitarian Assistance from Fordham University and a Master’s in Public Health from Harvard where he was a Fulbright Scholar. He was the Helen Hamlyn Senior Fellow at Fordham University’s Institute of International Humanitarian Affairs 2011-2017. In 2010 he was MDM Head of Mission in Darfur. Xand is a contributing editor to the first edition of the Oxford Handbook of Humanitarian Medicine and has worked for Doctors of the World, Merlin and the World Health Organization in humanitarian crises around the world. His primary interest is in health care delivery and public health in wars and disasters.
Dr. Needham is Professor of Pulmonary and Critical Care Medicine, and of Physical Medicine and Rehabilitation at the Johns Hopkins University in Baltimore, USA. He is Director of the “Outcomes After Critical Illness and Surgery” (OACIS) Research Group and core faculty with the Armstrong Institute for Patient Safety and Quality, both at Johns Hopkins. From a clinical perspective, he is an attending physician in the medical intensive care unit at Johns Hopkins Hospital and Medical Director of the Johns Hopkins Critical Care Physical Medicine and Rehabilitation program.
Dr. Needham received his MD degree from McMaster University in Hamilton, Canada, and completed both his residency in internal medicine and his fellowship in critical care medicine at the University of Toronto. He obtained his PhD in Clinical Investigation from the Bloomberg School of Public Health at Johns Hopkins University. Notably, prior to his medical training, he completed Bachelor and Master degrees in Accounting and practiced in a large international accounting firm, with a focus in the health care field.
Dr. Needham is Principal Investigator on a number of NIH research grants and has authored more than 250 publications. His research interests include evaluating and improving ICU patients’ long-term physical, cognitive and mental health outcomes, including research in the areas of sedation, delirium, early physical rehabilitation, and knowledge translation and quality improvement.
Alex is an Intensive Care specialist working in Wellington, having trained in London, Melbourne and New Zealand. He has been involved in the design and implementation of Rapid Response Systems in several different hospitals. Because of this, he is clinical lead for the New Zealand Health Quality & Safety Commission’s national ‘Deteriorating Patient’ programme. In his spare time, when not walking his dog or his children, he builds websites & designs logos for Wellington ICU’s prodigious research department. He has nearly written a lot more research papers & as such needs to spend less time on Twitter. He also once ventilated a chimpanzee but it didn’t end well (for the chimp).
Gavin Perkins is Professor of Critical Care Medicine at the University of Warwick. He leads the emergency and critical care group within Warwick Clinical Trials Unit. He served as Chief Investigator for the BALTI, BALTI-prevention and PARAMEDIC-1 (LUCAS) trial and is currently Chief Investigator for the PARAMEDIC-2 (Adrenaline) and Breathe Trials. Clinically he holds appointments as a Consultant Physician in Critical Care Medicine at Heart of England NHS Foundation Trust and MERIT Team Consultant with West Midlands Ambulance Service. Prof Perkins is a Director of Research for the Intensive Care Foundation and Clinical Speciality Lead for Critical Care (West Midlands CRN), Division 6 Clinical Research Lead (West Midlands CRN). He has been a member (2000-10) and then chairman (2010-present) of the ALS Sub-committee during which time he developed, evaluated and implemented the e-ALS course. He has served as ILCOR and ERC Co-chair for BLS/AED since 2010. In these roles he has developed collaborative networks with international partners and co-ordinated the revision to the 2015 Utstein cardiac arrest template. He was elected as ILCOR Co-chair in 2015.
Jerry is a consultant in anaesthesia and intensive care medicine at the Royal United Hospital, Bath and Honorary Professor of Resuscitation Medicine at the University of Bristol. He trained at Bristol Medical School (MB ChB 1983) and undertook anaesthesia and critical care training in Plymouth, Bristol, Bath and Southampton, and at the Shock Trauma Center, Baltimore in the United States. Jerry is Chair of the European Resuscitation Council (ERC), past Chair of the Resuscitation Council (UK), and the immediate past Co-Chair of the International Liaison Committee on Resuscitation (ILCOR). He received a Lifetime Achievement Award in Cardiac Resuscitation Science from the American Heart Association in 2016. Jerry is Editor-in-Chief of the journal Resuscitation. Jerry’s research interests are in cardiopulmonary resuscitation, airway management, and post-cardiac arrest treatment – he has authored over 300 original papers, reviews and editorials on these topics.
Rachael graduated from the University of Hertfordshire and after spending some time working for the British Army and London Hospitals settled at the Newcastle Upon Tyne NHS Foundation Trust in 2001. Rachael specialised in respiratory physiotherapy initially within cardiothoracic transplantation before moving into a rotational ICU Band 7 post. She developed a specialist interest in neuro-trauma and this role evolved to become the senior physiotherapy link within the North East long term ventilation team.
More recently Rachael was Respiratory Lead at St Georges Hospital, London managing a diverse team and specialities to now working in a new Consultant Physiotherapy post at Royal Preston Hospital. Rachael’s area of expertise include complex ventilation and weaning and advanced airway clearance techniques for which she lectures and presents both in the UK and internationally and at pre and post graduate level.
Rachael currently sits on BTS Council and the Critical Care Specialist Advisory Group representing AHPs, is an expert member of NHSE Patient Safety Group, AHP representative on the NIV NCEPOD study, Co-chair HMV-UK, Chair Respiratory Leaders in Physiotherapy UK, Board Member and Trustee St Catherines Hospice and most recently elected onto Physiotherapy Council.
Marcus Peck is a consultant in anaesthesia and intensive care medicine at Frimley Park Hospital, a founding member of the FICE committee, and its current chair. He is an enthusiastic FICE trainer, and teaches widely, believing that all clinicians in front line specialities should have focused ultrasound skills
Dr Susanna Price trained in both cardiology and intensive care medicine in the UK, and completed a fellowship at the Thorax center with Jos Roelandt. She was awarded a PhD from Imperial College London, and following completion of her training was awarded the two-year BHF Jill Dando GUCH Fellowship in order to train further in critical care and imaging in congenital heart disease. She is a
consultant at the Royal Brompton Hospital where she is Clinical Lead for Critical Care, Honorary Senior Lecturer at National Heart & Lung Institute, Imperial College London.
Dr Price is President-elect of the European Society of Cardiology (ESC) Acute Cardiovascular Care Association, and sits on numerous committees including the ESC Education Committee, ESC Press & Media Committee, ALS subcommittee of the RCUK and SCCM US guideline committee. She is an Associate Editor of the European Heart Journal of Acute Cardiovascular Care, and an invited reviewer
for a number of other journals. She has been a member of a number of Task Forces relating to international guidelines including VA-ECMO, acute cardiovascular care, the management of cardiovascular diseases including valvular disease, endocarditis, non-cardiac surgery, pulmonary hypertension, pericardial disease, cardiovascular disease in pregnancy and grown-up congenital heart disease. Dr Price has authored numerous papers and book chapters on cardiology, echocardiography and intensive care, and lectures regularly globally
Chair: Simon Finfer
Understanding the epidemiology and outcomes - Kathy Rowan
Timing and choice of vasoactive drugs in sepsis - Anthony Gordon
Steroids in sepsis - Manu Shankar-Hari
Is Vitamin C the answer? - David Sweet
What will improve outcomes in resource limited settings? - Madiha Hashmi
How can we make sepsis trials “work”? - Hallie Prescott
Panel debate each speaker will introduce their topic and straight to discussion!
Simon Carley is Professor of Emergency Medicine in Manchester, England. He is an active clinician at Manchester Royal Infirmary and the Royal Manchester Children’s Hospital. He has published over 100 papers in clinical journals with research interests in disaster medicine, diagnostics, evidence base medicine and medical education.
He has additional roles as associate editor of the Emergency Medicine Journal. As a co-founder and developer of the BestBets and St.Emlyn’s websites he has integrated web based learning into all levels of EM education.
He developed the StEmlyns Blog to share learning across the globe in the true spirit of #FOAM.
Alastair Proudfoot is a general and cardiac intensivist at Barts Heart Centre. He has a clinical and research interest in the management of cardiogenic shock and both short term and durable mechanical circulatory support
Dr Michael Griksaitis joined University Hospital Southampton in 2011, and is experienced in all aspects of paediatric critical care. He has a particular interest in paediatric cardiac patients. He is passionate about teaching and training, both at an undergraduate and postgraduate level. He is an Honorary external clinical lecturer at Durham University, Clinical lead for organ donation (paediatrics) at University Hospital Southampton and Co-lead for paediatric critical care outreach in the Wessex and Thames Valley Operational Delivery Network
Emma Ridley, ANZIC-RC, Monash University and Alfred Health
Emma leads the ICU Nutrition Research Program at the Australian and New Zealand Intensive Care Research Centre, Melbourne, Australia and has 13 years of clinical dietetic experience, including as a senior dietitian in the ICU at The Alfred Hospital, Melbourne. Emma’s research interests include the clinical application of indirect calorimetry, as well as the effect of optimal nutrition delivery on short and long-term outcomes in ICU patients. Emma was awarded a prestigious Churchill Fellowship in 2011 to investigate the role of indirect calorimetry internationally and regularly delivers invited national and international presentations. Emma is on the management committee for the TARGET trial (the largest blinded enteral nutrition trial conducted in critical care) and has been a named investigator on $6.2 million dollars of research funding, including a project based on findings from her PhD of $2.3 million dollars (NCT03292237).
Alex is an Intensive Care specialist working in Wellington, having trained in London, Melbourne and New Zealand. He has been involved in the design and implementation of Rapid Response Systems in several different hospitals. Because of this, he is clinical lead for the New Zealand Health Quality & Safety Commission’s national ‘Deteriorating Patient’ programme. In his spare time, when not walking his dog or his children, he builds websites & designs logos for Wellington ICU’s prodigious research department. He has nearly written a lot more research papers & as such needs to spend less time on Twitter. He also once ventilated a chimpanzee but it didn’t end well (for the chimp).
Dr Murray is a Chartered and Registered Health Psychologist with an interest in social inequalities in health, wellbeing in medical students and doctors, and doctor patient communication. She has a long-standing interest in the wellbeing of healthcare professionals and since starting work at Barts and the London she has been developing her research in the area of moral injury. As well us undertaking research on this issue, she works with NHS staff to develop workshops and seminars which focus on psychological wellbeing and moral injury. Her early research was in chronic pain and its effect on doctor-patient communication and she has a background in psychological intervention in cardiac care and training NHS staff in communication skills. She Health Psychology to MBBS students and Physician Associates at Barts and she is course leader for the iBSc in Medical Education.
This talk from SOA2018 brings adaptive physiology to life. Mel Wilson is an Olympic Rowing Medallist. Watch the Rio race here https://www.youtube.com/watch?v=paRQ7IgYLhk
Tom Evens is an Emergency Physician at Imperial College Healthcare, and also a consultant in Prehospital Care at Barts Health and London’s Air Ambulance.
He leads the Human Performance workstream at London’s Air Ambulance, and is a convenor of the London Performance Psychology Symposium for the Institute of Prehospital Care.
With a background in the sport of rowing, he has coached elite athletes in Australia and the UK. He has coached a World Cup Silver medal, and his athletes have gone on to win Olympic and World Championship medals. In the course of this work, he developed an interest in sports physiology, performance psychology, and ergonomics.
Tom now works with UK Sport, the FA and other elite organisations to support coaches to apply the performance lessons from successful medical teams to their own work.
Mark Homer - Following a brief career in teaching, Mark has worked for British Rowing for 11 years, supporting the team as a physiologist through 3 Olympic cycles and directly at the Beijing, London and Rio Games. During this time he completed a PhD titled ‘Determinants of Rowing Performance – Implications for Developing Rowers’. He has recently become the Head of High Performance Science & Medicine, tasked with leading the various support services and coordinating the research and innovation strategy in preparation for the Tokyo Games.
Melanie Wilson - is a double Olympian, and won an historic silver medal in the Rio Olympic Games, rowing as part of the women’s eight. She studied medicine alongside her training for both Olympics, and now works at a hospital in North West London, with aspirations to train in anaesthetics. She’s interested in the cross over between sports and medicine, in particular teamwork and performance under pressure. She has presented at conferences focusing on using skills from different industries and applying them to clinical performance.
This is Hallie Prescott's presentation from the opening plenary session at the Intensive Care Society State of the Art Meeting 2018
Dr. Hallie Prescott is an Assistant Professor in Pulmonary & Critical Care Medicine at the University of Michigan and staff physician at the Ann Arbor Veterans Affairs Hospital. She leads grants on post sepsis morbidity and hospital performance measurement from the US National Institutes of Health and the US Department of Veteran’s Affairs. She is an expert in long-term outcomes and recovery after sepsis, with a focus on preventable hospital readmissions. She is co-chair of the Surviving Sepsis Campaign guidelines, inaugural Lowry-Fink fellow of the International Sepsis Forum (2017-2019), a former ANZICS Intensive Care Global Rising Star fellow (2015), and winner of the Early Career Achievement award from the American Thoracic Society’s Critical Care Assembly (2018).
SOA18. Session 1: Opening Plenary
Welcome Gary Masterson (ICS President) & Steve Mathieu (ICS Programme Director)
Session 20.3: Better way to look at ABGs in critical care: Have we neglected the Stewart method? - Herve Quintard, Franc
Session 20.2: Post Intensive Care Syndrome only exists in North America - Tim Walsh, UK, Terri Hough, USA
Session 20.1: Contrast CT doesn’t kill your kidneys, and other renal myths resolved - Chris Laing, UK