Mastering Intensive Care – Détails, épisodes et analyse

Andrew Davies on X (Twitter): @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Peter Brindley, MD, FRCPC (Canada), FRCP (Lond), FRCP (Edin)

91 - Peter Brindley - Clinical leadership, podcasting and identifying when patients are dying

Saison 1 · Épisode 91

mardi 3 septembre 2024 • Durée 01:23:05

My guest in this episode is Dr Peter Brindley, an intensivist in Edmonton, Canada.

Peter is a tenured full Professor of Critical Care Medicine, Anesthesiology, and Medical Ethics, with over 150 peer-reviewed manuscripts, over 30 book chapters, and over 100 other articles, including regular opinion pieces for the British Medical Journal. He has written one book and co-hosts a podcast (The Critical Care Commute). He has presented to audiences in 15 countries during appoximately 650 invited presentations, 50 plenaries and 10 named lectures. He is convinced happiness comes from finding meaning and showing gratitude. He is proudest of two feral kids, neither of whom give a hoot about his work-related achievements.

Peter was previously featured in episode 15 as well as in the Persevering Through A Pandemic series from 2021. These episodes are well worth listening to. Given he was in Australia for the Annual Scientific Meeting of the CICM, I thought I had to have him on the show again.

In this episode, Peter talks about why he’s a doctor and why he stays working where he does, before touching on a variety of topics including clinical leadership, imposter syndrome, the differing skills of the people making up our teams, efficiency, understanding when patients are dying, podcasting, wellbeing and parting advice.

Thank you for listening to Dr Peter Brindley.

Andrew Davies

--------------------

Relevant links

Critical Care Commute podcast

Opinion piece "Diagnosing dying: is it time for doctors to write 'dying certificates'?" (by Peter Brindley & Matt Morgan)

Mastering Intensive Care podcast - Episode 15 with Peter Brindley

Mastering Intensive Care podcast - Persevering Through A Pandemic - Series Trailer

Mastering Intensive Care podcast - Persevering Through A Pandemic - 1 - Sick Of COVID

Mastering Intensive Care podcast - Persevering Through A Pandemic - 2 - It Was Inconceivable

Mastering Intensive Care podcast - Persevering Through A Pandemic - 3 - Ultramarathon

Mastering Intensive Care podcast - Persevering Through A Pandemic - 4 - Best & Worst Year

Mastering Intensive Care podcast - Persevering Through A Pandemic - 5 - 'Life' Support For Our People

Mastering Intensive Care podcast - Persevering Through A Pandemic - 6 - Learnings We Might Take Away

Andrew Davies on X (Twitter): @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Book “One Billion Years to the End of the World” (by Arkady Strugatsky & Boris Strugatsky)

82 - Will Bonavia - An ICU trainee’s perspective on learning, culture and wellbeing

Saison 1 · Épisode 82

vendredi 2 juin 2023 • Durée 01:04:12

This episode features the wise perspectives of an Advanced Trainee in Intensive Care Medicine, Dr William Bonavia.

The discussion covers:

Why he chose medicine and Intensive Care
His training journey and his learning strategy
What makes a good ward round
Learning from colleagues
The principles of good communication and collaboration
The value of work being fun
Making mistakes
Dealing with the pressures of the job
His thoughts on sleep, exercise, resilience and burnout
Gender inequity in training
The future of his career
Tips for fellow trainees

Will Bonavia is an Intensive Care Trainee at the Alfred Hospital in Melbourne and has previously worked at Peninsula Health ICU. He has an interest in teaching, having previously played a role in tutorial, simulation and workshop environments, as well as coordinating a training program for ICU trainees sitting the CICM first part examination. He is also interested in staff welfare and has worked as a trainee representative within his intensive care department at Peninsula Health.

Will has an interest in the long term outcomes of ICU patients and has published research in the area of delirium prediction models. He is currently working on research in the area of persistent critical illness and long term outcomes of critically ill ICU patients with COVID-19. Outside of work, Will enjoys a rotating roster of hobbies but is currently an avid squash enthusiast.

Will has a highly compassionate and careful communication-focused approach. Whether you are a trainee, a fully fledged consultant or someone else involved in the practice of Intensive Care, I hope you enjoy my conversation with Dr Will Bonavia.

Andrew Davies

--------------------

About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.

--------------------

Relevant links

Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Ed Litton on Twitter: @ed_litton

Mastering Intensive Challenges - Run Larapinta - Episode 2

Saison 1 · Épisode 81

jeudi 11 mai 2023 • Durée 47:04

In this second of a different style episode, Ed Litton and I continue our discussion about the Run Larapinta Stage Race we will be embarking on in August 2023.

Ed and I talk about our preparation and then tell each other why we run, and what we get out of it.

Ed is a multi-sport endurance athlete whose reasons for getting out in nature are deep and truly inspiring.

We hope you’ll enjoy hearing this conversation, whether you run, walk, cycle, hike, work out in the gym, or do whatever is your style of physical activity.

Thanks for listening.

Andrew Davies

--------------------

Relevant links

Ed Litton at University of Western Australia

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Mastering Intensive Care podcast - Run Larapinta - Episode 1

Run Larapinta Stage Race

Mastering Intensive Care page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Book “Inside God's shed: memoirs of an intensive care specialist" (by Lindsay Worthley)

80 - Tub Worthley - A pioneering “Grand Master” of intensive care

Saison 1 · Épisode 80

jeudi 4 mai 2023 • Durée 01:04:23

This episode features the memories, experiences and wisdom of Dr Lindsay ‘Tub’ Worthley, AM.

The discussion covers the following:

Tub’s training to become an intensivist when no specific training existed
His experience at a time when Australian ICUs were in their infancy
The difference between the beginning and the end of his clinical career
His eventual transition to retirement
His writing of textbooks, scientific papers, editorials and a memoir
What he learned about humanity in the ICU
Working and communicating with various team members
Enthusiastic leadership and the importance of a smooth-running team
How he maintained his wellbeing
His potential concern for the future of intensive care
Some long-lasting career advice

Tub worked as an intensive care medical specialist at the Royal Adelaide hospital ICU between 1971 and 1991, before moving to the Flinders Medical Centre ICU, where he worked until 2007. He retired from active clinical intensive care practice in 2009 although his legacy remains through his prolific writing (of scientific papers, editorials and books).

Tub has been a passionate and highly respected postgraduate teacher in intensive care medicine, establishing and running the Adelaide Short Course on Intensive Care Medicine (known colloquially as “Tub’s course) from 1983 – 2005. The course continues today and is now known as the South Australian CICM Fellowship Exam Course.

He created the journal “Critical Care and Resuscitation” and was the inaugural Editor-In-Chief for 6 years. He has also served as President of ANZICS, as an examiner for several Colleges and as a convener of many conferences.

Tub is married to Janice and has 3 sons and 8 grandchildren, all of who he loves dearly. In 2010 he was appointed as a Member in the General Division of the Order of Australia (AM) for “Service to medical education, particularly in the area of intensive care medicine, as a clinician, mentor and educator, and through contributions to professional associations”.

His books are:
- Worthley LIG. Synopsis of Intensive Care Medicine. London: Churchill Livingstone, 1994.
- Worthley LIG. Handbook of Emergency Laboratory Tests. New York: Churchill Livingstone, 1996.
- Worthley LIG. Clinical examination of the critically ill patient, 3rd Ed. Melbourne: The Australasian Academy of Critical Care Medicine, 2006.
- Worthley LIG. Inside God’s shed: memoirs of an intensive care specialist. Adelaide: JANDL Holdings Pty Ltd, 2014.

Most importantly, Tub was one of the consultants responsible for my training, so this episode is a big thrill for me.

Thanks for listening to a true colossus of intensive care, Dr Tub Worthley.

Andrew Davies

--------------------

Relevant links

"Tub's Course"

Journal “Critical Care and Resuscitation”

Mastering Intensive Care page on Life In The Fast Lane

Mastering Intensive Care podcast - Episode 5 with Jamie Cooper

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Ed Litton at University of Western Australia

Mastering Intensive Challenges - Run Larapinta - Episode 1

Saison 1 · Épisode 79

vendredi 14 avril 2023 • Durée 35:06

We are trying something different on Mastering Intensive Care.

My friend and fellow intensivist Ed Litton has cajoled me into joining him in a running event.

We will be running the Run Larapinta Stage Race in August 2023.

In this episode, we commence a mini-series discussing our lead up to the event.

Ed and I have different backgrounds as amateur endurance event participants, and in this episode, you’ll hear some of Ed’s endurance accomplishments, what the Run Larapinta event involves, and what we are both pondering as we start ramping up our training.

If you are a runner, an endurance activity participant, a person who exercises regularly, or someone who enjoys hearing about other people’s challenges, I hope you will enjoy listening in.

Andrew Davies

--------------------

Relevant links

Ed Litton on Twitter: @ed_litton

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Run Larapinta Stage Race

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Chris Nickson at Life In The Fast Lane

78 - Chris Nickson - Modern & innovative clinician education

Saison 1 · Épisode 78

mardi 4 avril 2023 • Durée 01:20:35

This episode features the thoughts and perspectives of A/Prof Chris Nickson.

The topics covered include:

How Chris became an intensivist and then an educator
How he began working on Life In The Fast Lane (LITFL)
The network of Clinical Educators he leads and the “Incubator” program
Simulation and debriefing
The current place of FOAM and podcasts in education
What he tries to achieve on his ward round
Clinical leadership, team dynamics and the necessity of psychological safety
The difficulties of fatigue and undervaluing sleep
Other aspects of personal wellbeing
His reading (including a book recommendation)
The future of Intensive Care, especially after COVID-19
Advice for new intensivists
Advice on teaching the human aspects of ICU

Chris Nickson is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne and a Clinical Adjunct Associate Professor at Monash University. He is the Lead for the ANZCEN Clinician Educator Incubator programme, a Director of the Australia and New Zealand Intensive Care Foundation, and a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and improving the clinical performance of individuals and collectives.

After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in intensive care medicine and emergency medicine; and post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professions education.

Chris is involved in the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches numerous courses worldwide. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.

His one great achievement is being the father of three amazing children.

On Twitter, he is @precordialthump.

Thanks for listening to my conversation with Chris Nickson.

Andrew Davies

--------------------

Links related to Chris Nickson

Chris Nickson on Twitter: @precordialthump

Chris Nickson on LinkedIn

Life In The Fast Lane

Intensive blog

Links to other resources (in order of mentioning)

David Galler

Mike Cadogan

Aequanimitas

Clinician Educator Incubator program

Academic Life In Emergency Medicine blog

Book “How The World Really Works" (by Vaclav Smil)

Bill Gates

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 5 with Jamie Cooper

Mastering Intensive Care podcast - Episode 45 with Scott Weingart

Mastering Intensive Care podcast - Episode 59 with Steve McLoughlin

Mastering Intensive Care podcast - Episode 63 with Steve Philpot

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Article in New York Times “There’s a Name for the Blah You’re Feeling: It’s Called Languishing” (by Adam Grant)

77 - Recovering from the pandemic

Saison 1 · Épisode 77

samedi 24 décembre 2022 • Durée 22:45

Mastering Intensive Care is returning from being offline for a full 12 months. In this episode, I ask you to ponder, “how are you going?” after the lengthy pandemic, which has lulled after the worst of the storm but has not yet settled into a state of calm.

Whilst few intensive care clinicians have actively diminished what we’ve been through over the last few years, the relentless world of Intensive Care continues unabated. There have been many learnings from the pandemic, but we mustn’t sweep the emotions we’ve witnessed under the carpet.

As you listen to this shorter episode than usual, I hope you’ll ponder questions about how you have managed yourself during the pandemic, both individually and in your local ICU community. I share what I’ve witnessed in myself and my colleagues before offering a few thoughts on where we might focus our actions in recovering from what we’ve been through.

Thank you for listening as I use this opportunity to reinvigorate this podcast after 12 months of languishing.

Andrew Davies

--------------------

About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing.

--------------------

Links to resources discussed (in order of mentioning)

Article in New York Times “There’s a Specific Kind of Joy We’ve Been Missing” (by Adam Grant)

Mastering Intensive Care episode - Persevering Through A Pandemic - 1 - Sick Of COVID

Mastering Intensive Care episode - Persevering Through A Pandemic - 2 - It Was Inconceivable

Mastering Intensive Care episode - Persevering Through A Pandemic - 3 - Ultramarathon

Mastering Intensive Care episode - Persevering Through A Pandemic - 4 - Best & Worst Year

Mastering Intensive Care episode - Persevering Through A Pandemic - 5 - 'Life' Support For Our People

Mastering Intensive Care episode - Persevering Through A Pandemic - 6 - Learnings We Might Take Away

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Book "Every Deep-Drawn Breath" (by Wes Ely)

Persevering Through A Pandemic - 6 - Learnings We Might Take Away

Saison 1 · Épisode 76

lundi 20 décembre 2021 • Durée 46:14

This episode focuses on learnings from the COVID-19 pandemic. Important lessons our global Intensive Care community, your local ICU and you personally might take away from what the novel coronavirus has caused - at least so far.

Previous episodes of this series (a series best listened to in episode order) have allowed you to hear the experiences of busy ICU clinicians, the work of an ICU clinical psychologist, and some supportive strategies different institutions have used during the pandemic. Here you’ll listen to the valuable thoughts and considerations about topics including personal wellbeing, awareness of mindset, effects on healthcare workers as a group and even some possible gains from the pandemic hardship.

In this sixth episode of the “Persevering Through A Pandemic” series, the guests (in order of appearance) are Dr Rana Awdish, Dr Hayley Gershengorn, Dr Laura Rock, Dr Wes Ely, CCRN Simone Hannah-Clark, Dr Peter Brindley, Dr Matt Morgan, Dr Hugh Montgomery, Dr Georg Auzinger and Dr Julie Highfield.

I firmly believe that ICU clinicians across the world need to spend time reflecting, processing or simply healing from this pandemic. Reinvigorating ourselves from the difficulties we’ve suffered and restoring ourselves for whatever is to come. My hope is this episode will help you to do this.

Thank you for listening to these wise and thoughtful Intensive Care clinicians speak about how they’ve been “Persevering Through A Pandemic”.

Andrew Davies

--------------------

Links to featured guests (in order of appearance)

Dr Rana Awdish

Dr Rana Awdish on Twitter @RanaAwdish

Dr Hayley Gershengorn

Dr Hayley Gershengorn on Twitter @HBGMD

Dr Laura Rock

Dr Laura Rock on Twitter @drlaurarock

Dr Wes Ely

Dr Wes Ely on Twitter @WesElyMD

CCRN Simone Hannah-Clark

CCRN Simone Hannah-Clark on Twitter @kiwi_yankee

Dr Peter Brindley

Dr Peter Brindley on Twitter @docpgb

Dr Matthew Morgan

Dr Matthew Morgan on Twitter @dr_mattmorgan

Dr Hugh Montgomery

Dr Hugh Montgomery on Twitter @hugh_montgomery

Dr Georg Auzinger

Dr Julie Highfield

Dr Julie Highfield on Twitter @DrJulie_H

Links to other resources (in order of mentioning)

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 15 with Peter Brindley

Mastering Intensive Care podcast - Episode 33 with Wes Ely

Mastering Intensive Care podcast - Episode 36 with Hayley Gershengorn

Mastering Intensive Care podcast - Episode 41 with Rana Awdish

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Mastering Intensive Care podcast - Episode 48 with Laura Rock

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Mastering Intensive Care podcast - Episode 57 with Georg Auzinger

Mastering Intensive Care podcast - Episode 60 with Simone Hannah-Clark

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Persevering Through A Pandemic - 5 - 'Life' Support For Our People

Saison 1 · Épisode 75

lundi 13 décembre 2021 • Durée 50:04

Intensive Care clinicians are used to being busy. Critically ill patients constantly arrive in the ICU with no awareness of staff workload at that moment. So being busy has not been the major problem of the COVID-19 pandemic.

The difficult emotional responses to physical exhaustion, mental strain, heart-breaking human loss and the unpredictability of SARS-CoV-2 have been significant, and the commonly held attitude of “just power through” has not been sustainable. Instead, the most critical influence on the overall wellbeing of Intensive Care practitioners has been the degree to which they have felt supported socially.

Maintaining social support and cohesion is hard. Intensive Care professionals have often depended on social support through camaraderie and workplace culture yet have been crying out during this healthcare crisis to hospital administrators, often in vain, for direct and valuable supportive measures for staff wellbeing.

The pandemic has therefore required a more healing and individual-focused type of supportive strategy. Coming up with successful strategies is not easy and a specific strategy will not support all individuals in all contexts. So, ICU teams have had to try a mixture of strategies, philosophies, support groups, or simply caring attitudes to provide effective staff wellbeing support.

In this fifth episode of the “Persevering Through A Pandemic” series, you’ll hear some of the types of supportive actions that my guests in this series have witnessed in their ICUs and hospitals. My guests on the episode (in order of appearance) are Dr Hugh Montgomery, Dr Rana Awdish, CCRN Simone Hannah-Clark, Dr Hayley Gershengorn, Dr Laura Rock, Dr Matt Morgan, Dr Peter Brindley, Dr Wes Ely and Dr Georg Auzinger.

There is so much we can learn from the COVID-19 pandemic. My hope is this episode will help you as a listener to reflect on and to process your own pandemic experience whilst hearing lessons you might take away to your Intensive Care community.

Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they’ve been “Persevering Through A Pandemic”.

Andrew Davies

--------------------

--------------------

Links to featured guests (in order of appearance)

Dr Hugh Montgomery

Dr Hugh Montgomery on Twitter @hugh_montgomery

Dr Rana Awdish

Dr Rana Awdish on Twitter @RanaAwdish

CCRN Simone Hannah-Clark

CCRN Simone Hannah-Clark on Twitter @kiwi_yankee

Dr Hayley Gershengorn

Dr Hayley Gershengorn on Twitter @HBGMD

Dr Laura Rock

Dr Laura Rock on Twitter @drlaurarock

Dr Matthew Morgan

Dr Matthew Morgan on Twitter @dr_mattmorgan

Dr Peter Brindley

Dr Peter Brindley on Twitter @docpgb

Dr Wes Ely

Dr Wes Ely on Twitter @WesElyMD

Dr Georg Auzinger

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 15 with Peter Brindley

Mastering Intensive Care podcast - Episode 33 with Wes Ely

Mastering Intensive Care podcast - Episode 36 with Hayley Gershengorn

Mastering Intensive Care podcast - Episode 41 with Rana Awdish

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Mastering Intensive Care podcast - Episode 48 with Laura Rock

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Mastering Intensive Care podcast - Episode 57 with Georg Auzinger

Mastering Intensive Care podcast - Episode 60 with Simone Hannah-Clark

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66