The Critical Care Practitioner: Recent Episodes
Jonathan Downham: Advanced Critical Care Practitioner, Teaching, and Sharing.
I am an Advanced Critical Care Practitioner in the UK and have been making podcasts for over 8 years now. I chat with others about their experiences, research and teaching in the area of Critical Care
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The right ventricle is often overlooked in critical care in favour of the attention to the left side of the heart. But acute right heart failure is important and today on the podcast we discuss its implications for critical care. My guest is Barbara McLean, a critical care nurse practitioner from Atlanta, GA. You can […]
This is the second chat with Thomas Piraino (@respresource) who is a Clinical Specialist in mechanical ventilation at the Centre of Excellence in Mechanical Ventilation, St. Michael’s Hospital. We are moving onto some of the more complex modes of ventilation here with more variability and tweekability being offered by the ventilator. Interview Questions for Advanced Critical […]
This is an episode I recorded with Professor Stephen Brett, outgoing President of the Intensive Care Society at the State of the Art meeting 2016 about the merits of the ICU Follow Up Clinics. During the conference, he had had a pro-con debate with Brian Cuthbertson who is Chief of the Department of Critical Care Medicine at […]
This episode is in conjunction with my friends over at JICScast Segun Olusanya and James Day. We met with Dr Anna Batchelor, Carole Boulanger and Gavin Denton to discuss the role of the Advanced Critical Care Practitioner, its impact on the service as a whole and what the future may look like for this growing […]
Cricoid pressure is the application of backwards pressure on the cricoid cartilage to occlude the oesophagus. Originally described by Sellick in 1961, he described how pressure applied at the level of the 5th cervical vertebrae obstructed the lumen of the oesophagus. This manoeuvre is performed to minimise the risk of gastric aspiration should the patient […]
The third in the series with Ollie Poole (@RespReview) on mechanical ventilation. Ollie goes into some more detail on the phases of the breath. This requires some visualisation of the waveform involved. Below is the video from YouTube that Ollie originally produced which should help with that. Irma Bilgrami does a great job of breaking […]
Another busy time in the world of the Critical Care Practitioner! This episode focuses on a discussion I had with Kaye Rolls (@Kaye_rolls) Clinical Nurse Consultant at the Intensive Care Coordination & Monitoring Unit (ICCMU). She and I had a Twitter discussion around a couple of articles she had read about the use of social media […]
NOT The Two Ronnies…but The Two Jonnys….and Twitter! This is the another episode of an exciting new podcast project with Jonny Wilkinson (@WilkinsonJonny) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website, Critical Care Northampton, from where he does regular reviews of some of the many issues one can find […]
In this episode I talked to Jennifer Cotton (@sonomojo) who runs the website Sonomojo which is a guide to ultrasound education and she talks about her reasons for setting up the site. The aim of the site is about connecting people to resources about ultrasound. Jennifer is just about to become a doctor and has worked […]
I have covered some aspects of PTSD already in CCP Podcast 041: PTSD in Critical Care when I chatted with Dorothy Wade about some of her research. This gave me great food for thought, so I went to read some of the plentiful research out there. I posted this recently but also decided to release my […]
Lynn Schallom is a research scientist at the Barnes-Jewish Hospital in St. Louis. She published a paper ‘Head of Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration, and Pressure Ulcers’ in the American Journal of Critical Care in January 2015. Head of Bed Elevation There is a conflict between the need to keep a patients head […]
Nicol (@nicchik90) is an RN and an author over in the US. She also has a website over at nicolekupchikconsulting.com where she has many other great resources for others in the profession to use. She recently presented at NTI Boston 2018 and. amongst other subjects, she discussed some of the recent papers we should all be aware […]
Why Won’t My Patient Sleep! The Intensive Care patient will often lie awake at night, eyes wide open, clearly with no intention of sleeping. So why won’t the intensive care patient sleep? Perhaps we need to understand what happens during normal sleep and take it from there….. Stages of sleep Sleep is divided into non-rapid […]
I was lucky enough to be able to join Tanj and Dale Needham in this conversation at the ICS State of the Art conference 2018 in London. We discuss some of the ongoing issues with delirium in the critical care patient and how we might help them in prevention. Interview Questions for Advanced Critical Care Practitioners […]
ACCPs skills are many and varied as those of you who do the job will know. My friend Gavin Denton (@DentonGavin) has conducted 3 different audits along with his colleagues at the Heart of England NHS trust. In this podcast he presents some of the very interesting findings. I think it proves that we are very worth the time […]
David Barton is Head of Department of Nursing at Swansea University and has been very involved in the development of the Advanced Nurse Practitioner role both locally and nationally. This discussion centres around his history and some of the issues in the development of the role as well as some thoughts for the future. There […]
I love the world of social media. It was through the medium of Twitter that I was able to connect with James DuCanto (@jducanto)who is an anesthesiologist at Aurora Health Care in Wisconsin. Gavin Denton (@DentonGavin) and I picked his brains about some of the pitfalls in intubation especially for those not so experienced but […]
Three more papers of the month for us to peruse. This time Gavin (@DentonGavin) and I are also joined by Sean Munnelly (@seanmunn). The CLASSIC trial. Restricting volumes of resuscitation fluid in adults with septic shock after initial management: the CLASSIC randomised, parallel-group, multicentre feasibility trial. Hjortrup et al. Intensive Care Med. 2016 Nov;42(11):1695-1705. Epub […]
“Magnesium For the Win!”- with Bryan Boling. Guest: Habib Srour Dr. Srour is an attending in the Anesthesia Critical Care Division at the University of Kentucky where I practice. The episode is the first in a mini-series on electrolyte imbalances in the ICU. I hope to record an episode on hyponatremia soon. In the episode, […]
Palliative Care in the ICU All too often, we see critical care and palliative care as opposites, but they really go together nicely. Today on the podcast, we talk with Dr. Jessica McFarlin (@JessMcFarlinMD) about palliative care and how we can integrate it into the care of our ICU patients. Center to Advance Palliative Care […]
NOT The Two Ronnies…but The Two Jonnys….and Twitter! This is an exciting new podcast project with Jonny Wilkinson (@WilkinsonJonny) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website, Critical Care Northampton, from where he does regular reviews of some of the many issues one can find on Twitter. During this podcast, […]
This is a chat about the ICU patient with problems with their swallow or dysphagia, I had with Martin Brodsky (@MBBrodskyPhD), who is an Assistant Professor of Physical Medicine and Rehabilitation at the Johns Hopkins University School of Medicine. He is a clinician, researcher and educator with interests in swallowing and swallowing disorders, head and […]
I think this might be one of the most important podcasts I have ever done along with the next in the series. This is the first of two podcasts covering the latest NCEPOD paper on Non-Invasive Ventilation. This can also be found on the NCEPOD web page, but they also kindly agreed to allow me […]
CCP Podcast 026 was myself and Ken Spearpoint (@K_G_Spearpoint) talking about some of the issues around Crew resource Management. We continue the conversation in this episode and maybe even arrive at some conclusions….maybe!! CCP Podcast 026 was myself and Ken Spearpoint (@K_G_Spearpoint) talking about some of the issues around Crew resource Management. We continue […]
Dorothy Wade works as a chartered health psychologist in the Critical Care Unit at UCH. She is registered as a practitioner psychologist with the Health and Care Professions Council, and has a PhD in psychology and health care evaluation from University College London. She is available to support patients, families and staff in Critical Care. […]
The psychology of our patients, their relatives and the staff we work with is under discussion in this podcast. I managed to get Megan Hosey (@DrMeganHoseyPhD), a psychologist from Johns Hopkins, Dr Julie Highfield (@DrJulie_H), a psychologist from Cardiff and Dorothy Wade (@dwadepsych) a psychologist from London together to discuss these important issues. We talk about […]
Happy Christmas all! A usurper (Jesse Spurr- Injectable Orange) takes the reins in this episode which allows Jonathan to talk about himself. Hope thats not too narcissistic! Some old guests make an appearance as well. Hope you enjoy it and Have a great Christmas. Happy Christmas all! A usurper (Jesse Spurr- Injectable Orange) takes […]
In this podcast I carry on my conversation with Ollie Poole (@respreview) about some of the issues with mechanical ventilation. We talk about the different types of breath and why we use them. This then helps us identify some of the very confusing terms the ventilator companies use when describing their ventilator modes. We somehow […]
Simple…DasSMACC Day 1- me summarising what happened. Great day-fabulous networking. Interview Questions for Advanced Critical Care Practitioners The Content on the website is provided for FREE as is the podcast. You could help support this work by going to Amazon via this link. This means that I will earn a small commission from any purchases […]
Simple- DasSMACC Day 2! Interview Questions for Advanced Critical Care Practitioners The Content on the website is provided for FREE as is the podcast. You could help support this work by going to Amazon via this link. This means that I will earn a small commission from any purchases you make with NO extra cost […]
This is a discussion I had with Liz Staveacre (@lizzys39) who is Senior Critical Care Outreach Clinical Nurse Specialist at Northwick Park Hospital. Her Masters’ dissertation looked at the factors that influence whether nurses will escalate the patient when it is necessary. From the discussion, it would seem that there is still some work to be done. It […]
Levosimendan for the Prevention of Acute Organ Dysfunction in Sepsis Gavin and I try to peel apart the layers of the LeoPARDS Trial which assesses the benefits of levosimendan for the prevention of organ dysfunction in sepsis. It’s another interesting study which actually asks more questions that it answers, but all questions we may try to answer […]
The Two Jonnys are back! We have had a break but time we got together again. In this podcast Jonny Wilkinson (@wilkinsonjonny) and I discuss the latest post on his fabulous website breaking down some of the new stuff out there on the internet relevant to our practice. Lots of food for thought. Go and look at […]
Bethan Bishop is Head of Innovation and Industry Engagement at the Heart of England NHS Trust in Birmingham. In this podcast she discusses how this role came about, having come from a background in the Pharmaceutical industry. She works as part of the MIDRU team which aims to help in the innovation process. She is […]
TEAM is a program of research to evaluate the effect of early mobilisation to assess functional recovery and patient-centered outcomes of ICU survivors. Carol Hodgson is one of the lead clinicians in this project, She will be presenting at the 2015 Intensive Care Society State of the Art conference, so this is an opportunity to […]
The Intensive Care Society, Faculty of Intensive Care Medicine, Difficult Airway Society and the Royal College of Anaesthetists have combined to provide the ‘Guidelines for the management of tracheal intubation in critically ill adults‘. The main part of the document covers Plan A to Plan D when performing this procedure. This is well worth a read […]
Myself and Tracey Starkey-Moore (@TraceyStarkeyMo) led a @WeNurses chat on the 1st October about Advanced Practitioners. You can find the Summary on the discussion on the WeCommunities website with the relevant key word clouds. Tracey and I then got together with Gavin Denton (@DentonGavin) and Jemma Owen (@JemmaOwen1) to discuss some of the key issues […]
Fluids- WTF!
I am very confused by the fluid discussions that seem to be constantly ongoing and changing! Which fluids to give, how much, when etc, etc. I am hoping to learn something during this mini-series starting with this discussion with Segun Olunsanya- @iceman_ex. We talk about some of the physiology involved. Stick with it- I learned something and hope you will too!
Interview Questions for Advanced Critical Care Practitioners
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This episode features a chat with Fiona Moffat who is a lecturer in Physiotherapy and practising physiotherapist. She was involved in some LEAN thinking and is now interested in early mobilisation in the critical care world. As a social scientist she is also interested in how we get to normalise new technologies or interventions in health […]
Characterisation of sleep in intensive care using 24-hour polysomnography: an observational study. This was a very enlightening discussion with Rosalind Elliott from Sydney about her study. Our poor ITU patients are struggling to get any decent sleep- what can we do to help them? Rosalind Elliott qualified as a nurse in London, England in the […]
This is an episode featuring Dr Paul Wischmeyer (@Paul_wischmeyer) who is a doctor at the Department of Anesthesiology and Duke Clinical Research Institute, Duke University Medical Center. I noticed he had tweeted about a presentation (Surviving the ICU-The Patient Experience: What Patients Need Their Doctors to Know) he gave which was available on YouTube and […]
I thought it was time we explored the subject of mechanical ventilation again and so I reached out on Twitter and am now joined by Thomas Piraino (@respresource) who is a Clinical Specialist in mechanical ventilation at the Centre of Excellence in Mechanical Ventilation, St. Michael’s Hospital. We start with the basic modes and what is […]
NOT The Two Ronnies…but The Two Jonnys….and Twitter! This is the fourth episode of an exciting new podcast project with Jonny Wilkinson (@WilkinsonJonny) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website, Critical Care Northampton, from where he does regular reviews of some of the many issues one can find […]
In this podcast episode I was lucky enough to have a discussion with Ollie Poole who is a respiratory therapist in Canada. I came across Ollies’ YouTube site Respiratory Review and was very impressed with his series on mechanical ventilation helping to explain some of the terminology and reasoning behind how we ventilate patients. He […]
Reducing ventilator associated pneumonia in adult patients through high standards of oral care: A historical control study Lee Cutler, Paula Sluman. Intensive and Critical care Nursing. 2014 Consultant Nurse Lee Cutler discusses the study he was involved in with his colleague Paula Sluman. Ventilator associated pneumonia is a big problem in the critical care environment so […]
RSI My good friend Dr. Nitin Arora and I had a discussion about the various combinations of drugs which can be used during a rapid sequence induction or RSI and the reasons for giving them. Sometimes its not always evident why the doctor wants the drugs he asks for. Hopefully, in this podcast, some of […]
This is a conversation I had with Marcus Peck (@ICUltrasonica) who is the chair of the FICE committee (Focussed Intensive Care Echocardiography) and Hannah Conway who is an ACCP at Glenfield Hospital and is VERY qualified when it comes to ultrasound and echocardiography. It would seem that Marcus and colleagues are very keen for us to do echo! […]
In this podcast episode, Gavin Denton and I look at three recent papers, breaking them down to try to help us and you understand some of their conclusions and how they reached them. Our notes can be found below. Video laryngoscopy vs direct laryngoscopy on successful first pass orotracheal intubation amongst ICU patients. JAMA Jan […]
I have been an advocate of using YouTube for many years now and one of the YouTube resources I have used for a while now is that created by Dr Eric Strong. I love his style and he teaches a lot of subjects which I encounter in critical and emergency care. People often ask me […]
Gavin Denton and I get together again to review a couple of recent papers that have some bearing on our practice. Welcome to the Papers of the month. This month we cover Check Up- Position- “A Multicenter, Randomized Trial of Ramped Position vs Sniffing Position During Endotracheal Intubation of Critically Ill Adults” and the APRV trial –BILEVEL-APRV […]
This is a conversation I had with Martin Horton (@chuckyhorton), Aimee Wright (@AimsleyW) and Ashleigh Lowther (@ashleighlowther) about an ACP conference they are planning on the 6th October 2017 at Birmingham City Football Club. The agenda looks great and it will also be a fabulous networking opportunity. Its also very reasonably priced! Go here to book your […]
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN) This is an update and expansion of the previous nutrition guidelines and this is a summary of the some of the key points. I […]
In my second podcast I think I set the scene for one of the tools I am going to use the most for the rest of the series, and in the podcast I explain why, going into some depth about Twitter. I also talk about the new History Taking and Examination course and my new […]
AKI: Acute Kidney Injury is a common complication in the ICU. Today we discuss it with Dr. Juan-Carlos Aycinena, a critical care nephrologist at the University of Kentucky. Dr. Aycinena refers to the KDIGO guidelines, those, along with a lot of other great guidelines and information about renal disease can be found at https://kdigo.org/guidelines/. Interview Questions […]
Shiela Pantrini has been developing the educational route for the Advanced Clinical Practitioners along side Garry Swann at the Heart of England NHS Trust. She tells us how this occurred and the principles that drove it. We also go on to discuss the plans for the future and what would make a good potential practitioner. […]
Ken Spearpoint and I talk about Crew resource management as it relates to the cardiac arrest scenario. I love talking with Ken as he is so knowledgeable and puts his points across so well. i found it really interesting to chat with him about this. I have broken it down into two parts as we […]
I was lucky enough to be joined by Cath Edwards (@cathedwards_1), a physio up in Lancashire. She attended this years British Thoracic Society 2018 Summer meeting. So I picked her brains about what she heard there. It sounds like a great conference and I think one I will be trying to attend in the future. Interview Questions […]
This is an important update from Carole Boulanger and Dr Simon Gardener at the 5th NAACCP conference in London 2017 about some of the changes anticipated for the ACCP body and how they hope the future will pan out. It is only short but full of lots of useful, and very encouraging information. Interview Questions for […]
Psychological well being, health related quality of life and memories of intensive care and a specialised weaning centre reported by survivors of prolonged mechanical ventilation. Intensive and Critical Care Nursing Volume 30, Issue 3, Pages 145–151, June 2014 The lead author of this paper Louise Rose very kindly agreed to discuss this article and some of […]
This is a discussion which follows on from CCP Podcast 077: NCEPOD 2017 Acute Non-Invasive Ventilation: Inspiring Change. In this episode, I have a chat about the NCEPOD findings with one of the authors, Mark Juniper and with Vicky Mummery a physio who is very involved in improving practice at her trust. I think this discussion […]
I made contact with Dr Segun Olunsanya via Twitter to discuss some of the issues around the fluid management of the sick patient. He in turn persuaded a couple of others involved in ITU. This has led to this fascinating discussion around this issue and it is one of the podcasts I am most pleased […]
Extracorporeal membrane oxygenation or ECMO is one of those treatments we sometimes need to think about with our very sick patients. I recently had to make a referral to my local centre and doing so made me wonder what it is that the ECMO centres want from us to make the path smoother. So I […]
Claire is a staff nurse at the Heart of England NHS Trust and is very passionate about her job. She has only been qualified for about 6 months at the time of the interview, but her passion for nursing is very evident in the interview. She also discusses her role as a Caremaker which you […]
Episode number three features a discussion with Robin a colleague and friend in the trust I work in. We discuss the varied elements to his job which include training, keeping up with current practice and audit. Team management at the arrest situation is also discussed and mention of crisis resource management. [maxbutton id=”1″] The Rage […]
Selecting the intervention in Intubated patients: Evidence, Guidelines and Clinical Application This is a chat with Rachael Moses (@rachaelmoses) who is a consultant respiratory physiotherapist. I noticed from a twitter post that she had been at a meeting and presented on the above topic. She was kind enough to chat with me for the podcast. […]
Simon Cooper is an Associate Professor at Monash University in Australia and developed the First2Act website which looks at the management of the deteriorating patient using multi media teaching tools. The website is a free resource and will prove very helpful for those trying to work with this kind of patient. Some of the links […]
Jonny Wilkinson (@wilkinsonjonny) and Dave Lyness (@Gas_Craic) were not at the Intensive Care Society State of the Art in person but both followed very closely via social media. Jonny has summarised a lot of the key points on his website Critical Care Northampton and in this podcast, we all discuss some of the issues raised. […]
Very short episode…listen and you will hear why. See you in September 2015!! http://traffic.libsyn.com/criticalcarepractitioner/CCP_break.mp3 Very short episode…listen and you will hear why. See you in September 2015!!
NOT The Two Ronnies…but The Two Jonnys….and Twitter! This is the second episode of an exciting new podcast project with Jonny Wilkinson (@WilkinsonJonny) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website, Critical Care Northampton, from where he does regular reviews of some of the many issues one can find […]
Desarmenien. The chronic critical illness: a new disease in intensive care. Swiss Med Wkly 2016;146:w14336 This paper is one from the Swiss Medical Weekly 2016 and is a description of the efforts to develop what they call a multi modal care management approach to those patients at risk of chronic critical illness. They call these […]
This is a very interesting chat I had with Dr Bronwen Connolly who is a Consultant Clinical research Physiotherapist and an NIHR post-doctoral research fellow about early mobilisation in the critical care. She was asked to present at the ICS SOA 2016 to summarise key evidence published in 2016 examining physical rehabilitation in critical illness and […]
In this podcast episode, Gavin Denton and I look at three recent papers, breaking them down to try to help us and you understand some of their conclusions and how they reached them. Our notes can be found below. Dynamic light application therapy to reduce the incidence and duration of delirium in intensive care patients: […]
A prospective randomised trial comparing insertion success rate and incidence of catheterisation-related complications for subclavian venous catheterisation using a thin-walled introducer needle or a catheter-over-needle technique Kim, B. G. Kim, Y. J. Lim, Y. T. Jeon, J. W. Hwang, H. C. Kim, Y. H. Choi and H. P. Park http://dx.doi.org/10.1111/anae.13543 Gavin Denton and I […]
Another look at some of the recent Papers of the Month to catch our eyes. This time Gavin (@DentonGavin) and I look at two papers, one focussing on the use of Ultrasound with central lines and the other a study in African children and the possibility of heart failure being caused by fluids. Myocardial and […]
This is a discussion I had with Cath and Rachael, both senior physios about the European Respiratory Society 2018. We also talk about how they finance some of the conferences they attend. Food for thought. Interview Questions for Advanced Critical Care Practitioners The Content on the website is provided for FREE as is the podcast. You could […]
NOT The Two Ronnies…but The Two Jonnys….and Twitter! This is the third episode of an exciting new podcast project with Jonny Wilkinson (@WilkinsonJonny) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website, Critical Care Northampton, from where he does regular reviews of some of the many issues one can find […]
NOT The Two Ronnies…but The Two Jonnys….and Twitter! This is an exciting new podcast project with Jonny Wilkinson (@WilkinsonJonny) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website, Critical Care Northampton, from where he does regular reviews of some of the many issues one can find on Twitter. During this […]
Hyponatremia: Continuing with our mini-series on electrolyte disturbances, today we talk with Aaron Cook about hyponatremia in the ICU. Aaron is a clinical pharmacist at the University of Kentucky specializing in Neurocritical Care. We discuss some of the causes and treatments of hyponatremia in critically ill patients. Interview Questions for Advanced Critical Care Practitioners The […]
I was lucky to be asked to give a presentation about the role and the training of the Advanced Critical Care Practitioner at the 14th Critical Care Symposium in Manchester this year. This is the audio from that meeting as a podcast and I have also linked to the video with audio and slides combines. […]
This is a discussion with Garry Swann. Garry is the Consultant nurse lead in the Emergency Department at the Heart of England NHS Trust and is one of the main driving forces behind the development of the Advanced Clinical Practitioner roles at this trust. This is an innovative way of solving some of the medical staffing […]
In May of this year, the American Association of Critical Care Nurses held their National Teaching Institute & Critical Care Exposition. NTI2018. By UK standards this is huge with over 9,500 delegates and 350 presentations to go to! I followed this conference via social media so kind of experienced it. I also watched the Facebook Livestreams they did […]
Welcome to the first ever podcast from Critical Care Practitioner. This is an exciting project for me and I hope one that will continue to develop and improve over time. The intention is to cover a variety of subjects from those directly linked to critical care such as research, learning resources, websites involved in critical […]
PLEASE go to www.life-saver.org.uk to see the fantastic job this podcasts interviewee has done of making the teaching of basic life support so much easier. I was blown away when I came across it, even as an experienced ALS team member. It sucks you in and gets you involved. To the novice it is a wonderful […]
Simple- My take of DasSMACC Day 3! Interview Questions for Advanced Critical Care Practitioners The Content on the website is provided for FREE as is the podcast. You could help support this work by going to Amazon via this link. This means that I will earn a small commission from any purchases you make with […]
ICU acquired weakness or polyneuropathy An interview with Dr John Kress, an ITU physician from the University of Chicago. Dr Kress is a highly respected and well published doctor with an interest in ICU acquired weakness or polyneuropathy, one of his more well known papers being ” Daily Interruption of Sedative Infusions in Critically Ill Patients […]
How high should I sit my patient? Should we measure the angle of the bed? I was lucky enough to be able to chat to Louise Rose again. She and I first had a conversation back on CCP Podcast 013: Mind and Body. In this episode we talk about a study she was involved in, […]
This is the second of a series of podcasts with Ollie Poole who was a respiratory therapist in Canada and is now doing his medical training. You can listen to the first episode if you wish… CCP Podcast 018: Mechanical Ventilation…. We go back to some of the basics here, discussing some of the reasons and […]
Wendy Sinclair (@wlasinclair) is a lecturer in childrens nursing at Salford University and has been there for the last eight years. She started using Twitter about a year ago as a way of engaging the Salford Nursing Students. Also to see how they could use social media in both a professional and social capacity. She […]
Kirsten Kingma (@surferkirst) is currently a medical student, traning to be one of the Doctors in South Africa who started her health care career as a paramedic We start by talking about the role of the paramedic in South Africa and how the different funding system impacts upon health care. We also talk about the […]
I am lucky enough to get to chat to Teresa Chinn from @WeNurses. I first spoke with Teresa on my very first podcast and since then we have both grown our various enterprises. Teresa has been awarded an MBE in the New Years honours list this year and it is thoroughly deserved for all her […]
It’s no secret that I love a good SMACC. For those that don’t know this stands for social media and critical care and has been a conference in Australia held over the last two years. The last conference was on Australia’s Gold Coast and the philosophy behind these conferences is summed up by free open […]
Simon Hayward (aka @sonophysio) is a great advocate of lung ultrasound in the critical care patient. He currently is running a very popular course with one of his medical colleagues to help introduce people to this technique. He is busy! We talk about the reasons for doing so as well as discussing the recent conference […]
Non-pharmacological interventions for sleep promotion in the intensive care unit Cochrane Database Syst Rev. 2015 Oct It is well-known that patients in the intensive care units do suffer from a lack of sleep and frequent sleep disturbances. So how can we help the ITU patient sleep? This is a Cochrane review looking at the efficacy […]
This episode of the Critical Care Practitioner is going to focus on some of the other podcasts I listen to which influence my practice as a critical care practitioner and which I think will be useful to those of you pout there who want to keep up to date with current practice and thinking. How […]
My friend and colleague Dr Nitin Arora (@aroradrn) has just completed his Focussed Intensive Care Echocardiography (FICE) course and has managed to complete the 50 required scans in 63 days! It can be done. Segun (@iceman_ex) and I chat with him about his experience. Interview Questions for Advanced Critical Care Practitioners The Content on the website […]
This podcast is a discussion with one of the main organisers of the SMACC event later this year, Oli Flower (@OliFlower). The conference is looming fast, in June of this year in Chicago. We discuss the past conferences and the ethos behind them and the upcoming one. Oli is also involved with the Intensive Care Network […]
“Practicing Critical Care Like an Adult” This is the first podcast with my new co-host Bryan Boling without me! He has chosen to have a discussion with Brandon Oto (@critconcepts). Brandon is a PA in the Washington DC area who also writes a blog called Critical Concepts (http://www.critcon.org). The episode discusses maturing as a provider […]
“Have you ever wanted the speaker to fail?” In this episode of the podcast I speak with Dr Ross Fisher (@ffolliet) about presentation skills. Many of us have sat through ‘death by powerpoint’ and have come away non the wiser afterwards. Having watched a lot of TED talks I can testify that a good presentation […]
I would like to introduce you all to Bryan Boling (@bryanboling) who is a critical care nurse practitioner over in the States. He is going to be a regular contributor to the podcast and he has many ideas and topics he wants to cover. In this episode, we talk about the differences and similarities of the practitioner role […]
This episode features Ken Spearpoint. Ken is Consultant Nurse, Resuscitation, Hammersmith Hospital & Principal Lecturer, Medical Simulation, University of Hertfordshire. Ken is very experienced in the area of resuscitation, having been working in this field since the 1990’s. He has seen the service develop a lot in that time and that is discussed in the podcast. […]
I was fortunate to be able to have a good chat at the ICS State of the Art 2016 conference with Roger Harris (@RogerrdHarris), Danni Bear (@Danni_Dietician), Ella Segaran @ESegaran) and Todd Rice about their interpretation of the Nutrition Guidelines released last year. Todd is one of the original authors and both Ella and Danni […]
A follow up discussion from my chat with Garry Swann in episode 15 of CCP Podcast. Garry is the Consultant nurse lead in the Emergency Department at the Heart of England NHS Trust and is one of the main driving forces behind the development of the Advanced Clinical Practitioner roles at this trust. The plans we […]
The three boys get together again to talk about the papers of the month. A Multicenter, Randomized Trial of Ramped Position versus Sniffing Position during Endotracheal Intubation of Critically Ill Adults Semler et al, 2017. Clinical question. In critically ill adults requiring endotracheal intubation, does the ramped position increase the lowest oxygen saturation […]
I was lucky enough to be invited to the Home Mechanical Ventilation Conference in June 2017 by Rachael Moses (@rachaelmoses) and Professor Nick Hart (@NickHartThorax) and this is one of the presentations I thought you might like to hear. Bariatric surgery has become almost routine now and Andrew Jenkinson tells us why. Diets will never seem […]
In an attempt to further my understanding of some of the methods used in research Gavin Denton (@dentongavin) and I had a discussion about the SepsisPAM trial below. This is a new approach on the podcast and one which I hope people will find useful. We go through the article using a systematic approach, and […]