Mastering Intensive Care

In many parts of the world the COVID-19 pandemic is overburdening Intensive Care Units with huge numbers of critically unwell patients, many of whom are dying. Whilst China, Italy, Spain, France, Germany and the UK have been crisis-ridden over the last few months, one of the most inundated parts of the world right now is the USA and especially the state of New York. In this episode you will hear the firsthand experience of a New York City ICU nurse where things are extremely intense and overwhelming.

Simone Hannah-Clark is a critical care nurse in the Medical ICU at the Mount Sinai hospital in Manhattan. Originally a New Zealander, she worked in both New Zealand and Australia before moving to the USA 15 years ago. Simone recently penned an engrossing New York Times opinion piece entitled "An ICU Nurse's Coronavirus Diary". In this podcast she delves deeper into her recent reality as a nurse caring for ICU patients with COVID-19. She recounts stories of the hard work, the sense of duty, the intricacies of personal protective equipment, the inspiring camaraderie, her revived passion for her job, and above all the heartbreaking emotion of dying patients with absent relatives.

Nurses around the globe are doing extremely arduous jobs and risking their own health as they care for thousands of seriously ill people with COVID-19. They are the true linchpins of the ICU. As you'll glean in this episode, Simone is a perfect example of the compassion, professionalism and humanity that is so essential in the world right now.

Thanks for listening to this conversation with Simone Hannah-Clark.

Andrew Davies

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About the Mastering Intensive Care podcast: The show aims to focus on the human aspects of what happens at the Intensive Care Unit bedside. Conversations with thought-provoking guests should hopefully help you to bring your best self to work as an intensive care clinician.

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Links related to Simone Hannah-Clark

Simone Hannah-Clark on Twitter

Opinion piece in New York Times "An ICU Nurse's Coronavirus Diary" (by Simone Hannah-Clark)

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

In the midst of the global COVID-19 pandemic, this episode focuses on the pandemic planning all ICUs should be doing - if they haven't already been overwhelmed.

This week a Working Group of 30 colleagues released the Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines. This episode features the Chair of that Working Group, A/Prof Steve McGloughlin. Steve is an intensivist, an infectious diseases physician, and the Director of the ICU at the Alfred Hospital in Melbourne, one of the largest Australian ICUs.

In this conversation, Steve talks about:

• How he is "hoping for the best and preparing for the worst"
• His confidence in the Australian Intensive Care system
• How and why the ANZICS COVID-19 Guidelines were developed
• Measures for increasing ICU capacity
• His belief that intensive care can be offered to all who might benefit in the pandemic
• The need to communicate more in a crisis to ease anxiety
• The value of asking "Are you confident we know what we are doing as a team"?
• PPE being safe as long as the equipment is used properly
• His ICU developing the role of a PPE monitor
• The hierarchy for negative pressure room use
• Splitting teams into 3 so workers are either on, on call, or totally off
• What the guidelines recommend about high flow nasal oxygen, non-invasive ventilation & ECMO
• The lack of evidence for medications and COVID-19
• Looking after our teams by ensuring a degree of confidence
• How he will deal with the social isolation
• The ways we might obtain additional intensive care trained healthcare workers
• His thoughts on older health care workers and their risks

If you are in a place where the number of COVID-19 patients are ramping up, I really think this is a must listen episode.

We are all in this together.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links related to Steve McGloughlin

A/Prof Steve McGloughlin

A/Prof Steve McGloughlin on LinkedIn

Alfred Intensive Care Unit

Links to resources (in order of mentioning)

WHO situation reports on COVID-19

ANZICS COVID-19 guidelines (Version 1)

ANZICS

JAMA Network Video "Coronavirus in Italy - Reports From The Front Lines"

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Mastering Intensive Care podcast - Episode 58 on "COVID-19 - We are all in this together"

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

Our need to bring our best selves to work has become more important in the face of this COVID-19 pandemic sweeping the globe.

Many intensive care clinicians are presently overwhelmed by escalating numbers of critically ill COVID-19 patients whilst many others are carefully preparing for seemingly inevitable local outbreaks.

There is an eerie feeling where I live and work in Melbourne especially with the online reports and accounts from our heroic colleagues in harder hit places like China, Italy and even parts of the USA.

My wife, Claire Davies, and I thought it would be useful to record a conversation about what's going through our minds, right now in mid-March 2020, as public health officials and healthcare organisations around the world are either managing or preparing for the onslaught of individuals infected with the virus whilst also enacting public health measures such as social distancing and airline travel restrictions.

Claire, who was a previous interview guest on episode 29, spent almost 2 decades as an intensive care nurse before retraining in pastoral care and now works in that role at Epworth Hospital in Melbourne.

Claire and I fully recognise that colleagues in some parts of the world have significantly more experience with the novel Corona virus than we do but if, like us, you are thinking a lot about this pandemic and fearful of what is about to happen I hope you find some value in this conversation between Claire and I.

In it we talk about:

• Our gratitude for those clinicians working in the overwhelmed areas
• Claire's hope they know they are not alone
• Claire's own current fears and how this has manifest
• Balancing the need to manage our fears whilst doing our crucial jobs
• Claire's perspective on how we bring our whole selves to work
• The likely moral distress of making "war time-like" decisions about rationing ventilators
• The unknowns of providing pastoral/spiritual care in this situation
• Useful ways to help look after ourselves during the outbreak
• Recognising that if we don't transform our personal trauma, we transfer it
• Trying to eat well, drink less alcohol, sleep well and to get in some exercise
• Trying to have deep compassion for people making the big decisions
• The opportunity this pandemic provides to bring us closer together as an intensive care community
• Being grateful and caring for each other in these times

We are definitely all in this COVID-19 thing together.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links to resources (in order of mentioning)

WHO situation reports on COVID-19

Robcast Podcast episode "I am calling you to talk about the Coronavirus" (by Rob Bell)

Book "The Body Keeps The Score" (by Bessel van der Kolk)

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 29 with Claire Davies

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

Those of you who are consultant intensivists or attendings hopefully remember most of your trainees - especially the ones you met when you were a brand new intensivist.

In this episode I speak with Dr Georg Auzinger who in 1997 moved from Austria to Australia to train in intensive care at the same ICU I was beginning my first job as a specialist intensivist. I have fond memories of working with Georg, have enjoyed the friendship we have developed and have been thrilled to see from afar how well his career has progressed.

Nowadays Georg has a senior position in the United Kingdom intensive care field where he is Consultant Honorary Senior Lecturer in Intensive Care Medicine, Lead Clinician at the Liver Intensive Care Unit and Director of the Veno Arterial ECMO service at King's College Hospital NHS Foundation Trust in London. He is PTEeXAM board certified for perioperative transoesophageal echocardiography and also leads on critical care echocardiography training.

Georg has played a substantial role in the outstanding international reputation the Liver Intensive Care Unit at King's has maintained over the last decade. He is member and associate fellow of the UK Intensive Care Society, as well as member of the European Society of Intensive Care Medicine, the Society of Critical Care Medicine, the Austrian Society of Internal Medicine and the International Liver Transplantation Society.

In this conversation, Georg and I do some reminiscing, as we talk about:

• His transition from doing general medicine in Austria to intensive care in Australia
• How he found his way to Kings College Hospital in London
• The changes in the last 2 decades in the types of patients being admitted to ICU
• The current resource constraints in the UK
• Working in the Clinical Director role in a busy institution
• How beneficial colleague performance reviews can be for both parties
• Relationship building between nurses and doctors
• Communicating with colleagues
• The importance of keeping the patient at the centre of what we do
• The difficulties he recognises in balancing his work and life

Please enjoy listening to Dr Georg Auzinger.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links related to Georg Auzinger

Dr Georg Auzinger at Kings College

Kings College Hospital Liver ICU

Links to other resources (in order of mentioning)

Prof Julia Wendon

Cleveland Clinic London

New Normal Project podcast

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 3 with Rinaldo Bellomo

Mastering Intensive Care podcast - Episode 12 with Julia Wendon

Mastering Intensive Care podcast - Episode 55 with Mervyn Singer

Mastering Intensive Care podcast - Episode 56 - What's in the Journals to help you care

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

In this episode I talk about what's been recently published in the medical literature to help you master intensive care from a humanity point of view.

In a departure from the usual interview episode, and as a trial, I searched the December 2019 issues of 8 well-respected journals and found a large number of articles focused on non-technical aspects of intensive care. Not the drugs, devices, procedures or interventions, but the person-based and human-focused topics I like to concentrate this podcast on.

As I've transitioned in my own career from being a researcher of interventions to a producer of a podcast focused on being the best all-round intensive care-givers we can be, I've realised there is a growing literature on non-technical topics, some of which I'm not well enough aware of on a day to day basis.

So in this episode I found numerous articles from December 2019 which I believe can help you and your colleagues humanise the intensive care you give at the bedside. Some are research studies, some are reviews, and others are stories, essays, poems, or simply writings.

I focus in some detail on 3 specific journal articles on the topics of (1) family engagement, (2) family support and (3) early palliative care consultation. I then refer you briefly to 10 other articles so you can read these in full if you are interested. There are links to all of these articles below.

I really hope you enjoy and value this episode. I learnt a lot from reading these articles myself. Please send any feedback, questions or comments to [email protected].

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links to 3 Journal articles reviewed in detail

Kleinpell R, Zimmerman J, Vermoch KL, et al. Promoting Family Engagement in the ICU: Experience From a National Collaborative of 63 ICUs. Crit Care Med. 2019;47(12):1692–1698. doi:10.1097/CCM.0000000000004009 PubMed link Associated editorial

Lee HW, Park Y, Jang EJ, Lee YJ. Intensive care unit length of stay is reduced by protocolized family support intervention: a systematic review and meta-analysis [published correction appears in Intensive Care Med. 2019 Oct 8;:]. Intensive Care Med. 2019;45(8):1072–1081. doi:10.1007/s00134-019-05681-3 PubMed link

Ma J, Chi S, Buettner B, et al. Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial. Crit Care Med. 2019;47(12):1707–1715. doi:10.1097/CCM.0000000000004016 PubMed link

Links to 10 Journal articles mentioned briefly

Barreto BB, Luz M, Rios MNO, Lopes AA, Gusmao-Flores D. The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and meta-analysis. Crit Care. 2019; 23(1):411. Published 2019 Dec 16. doi:10.1186/s13054-019-2678-0 PubMed link

Ramchand P. The gift. Lancet. 2020; 394(10216):2283–2284. doi:10.1016/S0140-6736(19)32961-7 PubMed link

Harrington JL. The Case for Waking. JAMA. 2019; 322(22):2251. doi:10.1001/jama.2019.17962 PubMed link

Maskell G. True candour. BMJ. 2019; 367:l6754. Published 2019 Dec 3. doi:10.1136/bmj.l6754 PubMed link

Rimmer A. Bring me joy. BMJ. 2019; 367:l6745. Published 2019 Dec 16. doi:10.1136/bmj.l6745 PubMed link

Klaber RE, Bailey S. Kindness: an underrated currency. BMJ. 2019; 367:l6099. Published 2019 Dec 16. doi:10.1136/bmj.l6099 PubMed link

Morgan M. Matt Morgan: Cold food on hot desks. BMJ. 2019; 367:l6829. Published 2019 Dec 10. doi:10.1136/bmj.l6829 PubMed link

Rimmer A. Suicide in anaesthetists: five minutes with . . . Samantha Shinde. BMJ. 2019;367:l6781. Published 2019 Dec 2. doi:10.1136/bmj.l6781 PubMed link

Auriemma CL, Van den Berghe G, Halpern SD. Less is more in critical care is supported by evidence-based medicine. Intensive Care Med. 2019;45(12):1806–1809. doi:10.1007/s00134-019-05771-2 PubMed link

Auñón-Chancellor S. Earthling. Ann Intern Med. 2019; 171(12):937–938. doi:10.7326/M19-2759 PubMed link

Links to 8 Journals searched

New England Journal of Medicine

JAMA: Journal of the American Medical Association

BMJ: British Medical Journal

The Lancet

Annals of Internal Medicine

Critical Care Medicine

ICM Journal: Intensive Care Medicine

American Journal of Respiratory and Critical Care Medicine

Critical Care

Links to other resources mentioned

Mastering Intensive Care podcast - Episode 3 with Rinaldo Bellomo

Critical Care Reviews

Link to sign up to Critical Care Reviews newsletter

PRISMA statement

Mastering Intensive Care podcast - Episode 32 with Kate Harding

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 50 with Andrew Davies

Mastering Intensive Care podcast - Episode 51 - A Recap of 2019

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

Anyone who has heard UK intensivist Prof Mervyn Singer speak at an Intensive Care conference will no doubt enjoy listening to him speak on this episode of Mastering Intensive Care.

Mervyn Singer is Professor of Intensive Care Medicine at University College London in the UK. He was born, bred, trained, and now works in London as an intensivist and a researcher whose career spans from basic mechanistic work through to translational investigations and multi-centre trials. He co-chaired the 'Sepsis-3' international definitions task force, is Editor-in-Chief of Intensive Care Medicine Experimental and Treasurer of the International Sepsis Forum. Mervyn has published widely in a variety of journals and has authored or co-edited several textbooks including the Oxford Textbook of Critical Care. He was the first UK intensivist to be awarded Senior Investigator status by the UK National Institute for Health Research, and to be invited to give plenary lectures at the European and US Intensive Care Congresses.

In this conversation Mervyn is full of his usual enthusiasm as we covered many important topics including:

• How he became an intensivist
• What he's observed about the physiological basis of intensive care
• The clinical ward round process he follows
• The scheme in his ICU to allow patients to die at home
• How he leads an end of life conversation
• The benefits to having an ICU-based psychologist
• How institutions might better care for their junior staff
• How much he enjoys his career
• His "can do" attitude
• How his passion for sport has helped him
• His regular sleep pattern
• The value he receives from doing body stretching
• His use of email and social media
• Mentoring younger trainees
• Which of his research makes him most proud
• His tips for giving a good lecture
• Some excellent advice to conclude our conversation

I invite you to listen in to my conversation with Mervyn Singer.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links related to Mervyn Singer

Prof Mervyn Singer

Mervyn Singer brief CV

Links to other resources (in order of mentioning)

David Bennett's Obituary (co-authored by Mervyn Singer)

Edith Piaf

The Cricket "Ashes"

New Normal Project podcast

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 51 - A Recap of 2019

Mastering Intensive Care podcast - Episode 52 with Martin Bromiley

Mastering Intensive Care podcast - Episode 53 with Paul Wischmeyer

Mastering Intensive Care podcast - Episode 54 with Deborah Cook

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Deborah Cook (broadcast originally as episode 46).

Deborah is an intensivist at St. Joseph's Healthcare in Hamilton and Distinguished Professor of Medicine, Clinical Epidemiology & Biostatistics, and Academic Chair of Critical Care at McMaster University. Deborah has received numerous awards for her practice, teaching, mentoring and research, including an Officer of the Order of Canada. She is one of the evidence-based medicine pioneers, and has cultivated and led countless large international investigator-initiated intensive care research studies, mostly with the Canadian Critical Care Trials Group, which she was a Founder of, and which now awards the Deborah J. Cook Mentoring Award to recognise the huge number of people she has mentored around the planet.

In this replayed interview from 2019, Deborah talks about the rekindling of her early career desire to study and practice better end of life care to improve the quality of the dying experience for patients and their families, with the Three Wishes project. She also gives her wise and experienced thoughts on the keys to success in research, ward rounds, family involvement in the ICU, her expectations as an ICU consultant, communication, note-writing, her own self-care and love for family, and some valuable closing career tips.

I invite you to listen to this replay episode with Deborah Cook.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links related to Deborah Cook

Prof Deborah Cook

Article about Deborah Cook

Article 2 about Deborah Cook

Video of Deborah Cook

Links to other resources (in order of mentioning)

Canadian Critical Care Trials Group

The 3 Wishes Project

Publication from 3 Wishes Project

Other publications from 3 Wishes Project

David Sackett

Book "Essentialism - The Disciplined Pursuit of Less" (by Greg McKeown)

ANZICS Clinical Trials Group

New Normal Project podcast

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 46 with Deborah Cook

Mastering Intensive Care podcast - Episode 50 with Andrew Davies

Mastering Intensive Care podcast - Episode 51 - A Recap of 2019

Mastering Intensive Care podcast - Episode 52 with Martin Bromiley

Mastering Intensive Care podcast - Episode 53 with Paul Wischmeyer

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Paul Wischmeyer (broadcast originally as episode 35).

Paul is a Professor of Anesthesiology and Surgery, the Director of Perioperative Research at the Duke Clinical Research Institute and the Co-Director of the Nutrition Support Service at Duke University Hospital in the United States. Paul works mainly as a perioperative, critical care, and nutrition physician focused on enhancing preparation and recovery from surgery and critical care. His academic career has led to large numbers of publications, grants and invited presentations. And what's unique about Paul is that his passion for helping patients stems from his own personal experience as a patient.

In this replayed interview from 2018, Paul describes how he ended up as a physician, after having disturbing and traumatic patient experiences (including procedures, medications and suboptimal communication) and how this has helped him to be a better doctor and an example and teacher to others. He also discusses topics including ward rounds, cooperating with a palliative care team, caring for ourselves, the importance of nutrition and exercise, good onstage presentation techniques, and some valuable closing tips for all of us.

I invite you to listen to this replay episode with Paul Wischmeyer.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links related to Paul Wischmeyer

Paul Wischmeyer website

Paul Wischmeyer at Duke University

Paul Wischmeyer at Duke Health

Paul Wischmeyer on Twitter: @Paul_Wischmeyer

Paul Wischmeyer on LinkedIn

Links to other resources (in order of mentioning)

2019/2020 Australian Bush Fires

American Delirium Society

Prof Wes Ely

SCCM ICU liberation initiative

Book "Presentation Zen Design" (by Garr Reynolds)

Prof Jean-Louis Vincent

Prof Mervyn Singer

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 31 with Jean-Louis Vincent

Mastering Intensive Care podcast - Episode 33 with Wes Ely

Mastering Intensive Care podcast - Episode 35 with Paul Wischmeyer

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Mastering Intensive Care podcast - Episode 52 with Martin Bromiley

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Martin Bromiley (broadcast originally as episode 21).

Martin is an airline captain, whose wife Elaine Bromiley sadly died in tragic circumstances, the story of which he describes here and is also documented in the video "Just a routine operation". Martin used his experience in human factors to found and now lead the Clinical Human Factors Group, the charity working to make healthcare safer, by combining the efforts of academics, clinicians, leaders and policy makers. His work is widely recognised and his many awards include an Order of the British Empire (OBE), the Royal College of Anaesthetists Medal and Fellowship of the Royal College of Surgeons of Edinburgh.

In this replayed interview from 2017, Martin tells Elaine's sorry story, describes how he dealt with it, and the support he received, before going on describe his work and the founding of the Clinical Human Factors Group, what he thinks is required to improve safety in healthcare, what healthcare can and cannot learn from aviation, the importance of honesty about errors, the 3 key lessons in human factors for clinicians, how he uses mental rehearsal in his role as an airline pilot, and a final important tip about listening.

I invite you to listen to this replay episode with Martin Bromiley.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links related to Martin Bromiley

Martin Bromiley

Martin Bromiley on Twitter: @MartinBromiley

Martin Bromiley on LinkedIn

Clinical Human Factors Group

Donations to Clinical Human Factors Group

Video "Just a routine operation"

Video "How to Fail…Part Two" (a talk by Martin Bromiley at DasSMACC conference)

Video "Martin Bromiley, a Patient's Perspective" (talk by Martin Bromiley at Patient Safety Movement)

Anonymous version of an Independent Report on the death of Elaine Bromiley

Article "The husbands story: from tragedy to learning and action" (authored by Martin Bromiley)

Article "Clinical Human Factors" (co-authored by Martin Bromiley)

Article 1 on Martin Bromiley

Article 2 on Martin Bromiley

Article 3 on Martin Bromiley

Article "Lessons from the Bromiley Case" (by Mike Cadogan on Life In The Fast Lane)

Links to other resources (in order of mentioning)

SMACC

TED

Book "Black Box Thinking" (by Matthew Syed)

Paper on the Safety 1 and Safety 2 model

Second paper on the Safety 1 and Safety 2 model

Third article on the Safety 1 and Safety 2 model

Jim Harlow on Twitter

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 21 with Martin Bromiley

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media

Happy New Year. Thanks for listening to Mastering Intensive Care in 2019.

If you reflect on and put into action many of the perspectives shared on this podcast, and if your colleagues do too, I truly believe your ICUs should improve in the care you deliver. That's not to say you don't do well already. It's rather to suggest that the topics we cover on this podcast are not covered well in textbooks and journals, and are often better relayed through the stories and experience of the real people I talk to with the "fly on the wall" intimacy that audio podcasts allow.

In this 2019 recap episode you will either hear some of the interview guests you may have missed, or you will re-listen to some of the topics & people I selected, so as to showcase several of the themes this show focuses on. For the third year in a row I have simply been astounded by just how much I personally have valued and learned from the perspectives, stories and wisdom of the people I've interviews on the show in the last 12 months. This is my thank you to each of those guests (even if they haven't been highlighted today). It's also my thank you to you, whether you are a first-time or long-time listener, and a special thank you to all who have helped me by sharing the show with others.

I couldn't include all 2019 guests so I picked the excerpts I enjoyed rehearing. I am sorry if I left out someone you might have included. If you did miss some of the episodes, here is your chance to catch up. If you are a new listener, this series of audio snippets is what I feel best characterises the show.

The 6 extracts are from interviews with Rana Awdish, Matt Morgan, Jo Stewart, Laura Rock, Paul Young & Ed Litton.

I hope you do enjoy what I see to be as a virtual cramming of the 2019 Mastering Intensive Care curriculum, packaged up into just over an hour of listening, that should really help you to bring your best self to work in 2020.

Thanks for listening.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you'll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient's lives.

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Links to the 6 interviews excerpted (in order of playing)

Mastering Intensive Care podcast - Episode 41 with Rana Awdish

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Mastering Intensive Care podcast - Episode 43 with Jo Stewart

Mastering Intensive Care podcast - Episode 48 with Laura Rock

Mastering Intensive Care podcast - Episode 42 with Paul Young

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Links to resources (in order of mentioning)

See above links for more information about individual guests and the resources discussed in each excerpt

New Normal Project podcast

Rich Roll Podcast

Rich Roll Podcast - Episode 488 (Best of 2019 Part 1)

Mastering Intensive Care podcast - Episode 15 with Peter Brindley

New Normal Project podcast - New Normal in Action episode (October 2019)

New Normal Project podcast - New Normal in Action episode (November 2019)

New Normal Project podcast - New Normal in Action episode (December 2019)

Mastering Intensive Care podcast - Episode 45 with Scott Weingart

EMCrit podcast - Episode 252

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Mastering Intensive Care podcast - Episode 50 with Andrew Davies

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast

Mastering Intensive Care page on Facebook

Mastering Intensive Care at Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Andrew Davies on LinkedIn

Email Andrew Davies

Audio Producer Chris Burke

Burke Sound & Media