By Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
As I Learn, You Learn Too
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...
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...
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...
“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...
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...
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...
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...
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...
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!! [table id=1 /] [Stitcher_Radio_Logo] [get_in_touch_with_jonathan] CCP...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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:...
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...
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,...
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...
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...
Happy Christmas…thats all! Happy Christmas…thats all!
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...
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....
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...
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...
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...
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...
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...
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...
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...
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...
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...