ICS Cast

ICS Cast

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ICS Cast episodes

  • Opt in, Opt out, stirred not shaken - Dale Gardiner

    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

    28 min
  • INTEREST: Efficacy and Safety of FP-1201-lyo (Interferon Beta-1a) in Patients Having Acute Respiratory Distress Syndrome (ARDS) - Geoff Bellingan

    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.

    20 min
  • POPPI: Provision Of Psychological support to People in Intensive care - Kathy Rowan

    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.

    27 min
  • Defence of physiological function during high risk airway management - Paul Mayo

    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.

    20 min
  • Criminalisation of Healthcare. Does it improve patient safety? - Jenny Vaughan

    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

    3. https://www.surveymonkey.co.uk/r/DY6VYSM

    4. http://www.manslaughterandhealthcare.org.uk/2018/02/20/events/

    5. . http://www.bmj.com/content/360/bmj.k479

    6. 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/

    7. 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

    9. https://blogs.bmj.com/bmj/2018/06/21/jenny-vaughan-the-williams-review-a-significant-step-forward-for-all/
    40 min
  • It's safer to intubate critically ill patients without muscle relaxation - Rob Mac Sweeney (Pro) & Alex Psirides (Con)

    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).

    24 min
  • All liver patients should have 48 hour treatment trial in ICU as intensivists are a bunch of nihilists - Mark McPhail (Pro) & Nazir Lone (Con)

    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.

    26 min
  • Compassions, crossings and refugees - Xand van Tulleken
    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.
    27 min
  • The New 2018 SCCM PADIS Guidelines: Quick hits of recommendations for sedation, delirium and mobility - Dale Needham

    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.

    20 min

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