Jellybean Podcast with Doug Lynch

CICMxJB 6 Susanna Price CICM ASM 2018 (Jellybean 98)

09.11.2018 - By Doug Lynch @TheTopEndPlay

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CICMxJellybean 6

Recorded at ASM 2018 Hobart

The GUCH Jellybean with Intensivist and Cardiologist Susanna Price

Dr Susanna Price,Clinical Lead in Critical Care, Royal Brompton Hospital, President Elect of the European Society of Cardiology, published everywhere and part of so many guidelines related to cardiology.

Fresh off the flight from London Susanna stepped up and talked sense to the biggest crowd ever to attend a CICM ASM. The cardiology focussed meeting was a bit of a silo smasher. Perhaps no group of patients bridge across the divide between paediatric and adult intensive care more than the “Grown Up Congenital Heart Disease” (GUCH) patient. These are amazing people with amazing medical histories and they are around in greater and greater numbers. They may have started in a hyper-specialised surgical centres but they might end up in any emergency department anywhere. The catch is that these people will not always know all the details of their past interventions. They were, after all, children at the time. Even if you understand what their original pathology was you may not know what type of surgery was done, where, why, when, who and do we still do that?

Don’t be afraid, be informed. Susanna Price opens a GUCH treasure chest to show us what is in there.

The organisers of the CICM ASM in Hobart worked hard to shine a light on the areas of critical care cardiology that cross the borders between specialities and the borders between paediatric, adolescent and adult intensive care. Dr Price clinical practice crosses borders and she is a Dual Trained UK Cardiologist and Intensivist, which is a rather rare combination in Britain.

(It would be good to have a Different Strokes picture but it seems that all available images are under copyright. There are some great Different Gooch clips here though: http://heliotricity.com/diffrentstrokes.html)

https://www.dailymotion.com/video/x548zhx

Sometimes doing one specialty is not enough. For some it's an intellectual journey, for others it might be a migration. For a few it is a way to make things happen. Important things. Like getting your patient to the cath lab or into theatre.

So not satisfied with just being a good intensivist, Susanna Price also became a cardiologist. That helps when you are working at the Royal Brompton Hospital, the largest specialist heart and lung centre in the UK [http://www.rbht.nhs.uk/#].

Add to the mix that Susanna worked with Adult Congenital Heart Disease pioneer, Dr Jane Somerville [YouTube URL - https://youtu.be/QmrUOK2dhO0]. It turns out that adult intensivists still need to know about paediatric congenital heart diseases and their management, because having survived their childhood, with or without surgery, they turn up as adults in any hospital. This matters. It affects assessment, monitoring and therapies. They may not even know they have or “had” a congenital heart disease.

But there is help. Susanna and her European Society of Cardiology [https://www.escardio.org/] colleagues have decided that this is so important, they built an educational platform and give access away for free: ESC Grown Up Congenital Heart Disease (GUCH) E-Learning - https://www.escardio.org/Education/E-Learning/Clinical-cases/grown-up-congenital-heart-disease-guch

Here is Susanna's talk on ICN;

https://intensivecarenetwork.com/guch-a-growing-problem/

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