ICS Cast

ICS Cast

By Intensive Care SocietyMedicineHealth & Fitness
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ICS Cast episodes

  • Making Britain great again - Brian Cuthbertson

    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.

    15 min
  • Learning from patients' experiences & challenges to improving care - Lisa Hinton

    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.

    14 min
  • Obstetric Early Warning scores – the 4 P's study - Peter Watkinson

    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.

    12 min
  • Enhanced Maternal Care – The Yorkshire & Humber experience - Sarah Winfield

    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.

    26 min
  • Care of the Critically Ill Woman in Childbirth - Audrey Quinn

    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.

    21 min
  • How do we get it right first time? - Anna Batchelor

    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.

    15 min
  • The impact of strained ICU Capacity - Sean Bagshaw

    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.

    21 min
  • It's good to talk - Above Cuff Vocalisation for tracheostomised patients - Sarah Wallace

    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.

    22 min

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