This is a conversation I had with professor Tim Buchman who is Professor of Surgery and founding director at the Emory Centre for Critical Care in the US.  We discuss the advent of Advanced Practice in the US and how it will inform the same developments in the UK

The post Are ACCPs here to stay? appeared first on Critical Care Practitioner.

AI is here! How will it effect us and how can we use it to make learning fun with AI, or not use it to help with our work? Aarti gives some easy to understand explanations of the key concepts.

The post CCP Podcast: AI with Aarti Sarwal appeared first on Critical Care Practitioner.

Vikki has been a clinical lead for Organ Donation in the past so I spent some time picking her brains about the role of the Organ Donation team and how that affects how we look after our patients. Lots of really valuable insights.

The post Organ Donation from the Frontline- with Vikki Howarth appeared first on Critical Care Practitioner.

ACCPs skills are many and varied as those of you who do the job will know. My friend Gavin Denton (@DentonGavin) has conducted 3 different audits along with his colleagues at the Heart of England NHS trust. In this podcast he presents some of the very interesting findings. I think it proves that we are very worth the time […]

The post CCP Podcast 084: Audits on some ACCPs skills with Gavin Denton. appeared first on Critical Care Practitioner.

David Barton is Head of Department of Nursing at Swansea University and has been very involved in the development of the Advanced Nurse Practitioner role both locally and nationally. This discussion centres around his history and some of the issues in the development of the role as well as some thoughts for the future. There […]

The post CCP Podcast 006: Chat with David Barton appeared first on Critical Care Practitioner.

I love the world of social media. It was through the medium of Twitter that I was able to connect with James DuCanto (@jducanto)who is an anesthesiologist at Aurora Health Care in Wisconsin. Gavin Denton (@DentonGavin) and I picked his brains about some of the pitfalls in intubation especially for those not so experienced but […]

The post CCP Podcast 028: James DuCanto Talks Intubation appeared first on Critical Care Practitioner.

Three more papers of the month for us to peruse. This time Gavin (@DentonGavin) and I are also joined by Sean Munnelly (@seanmunn). The CLASSIC trial. Restricting volumes of resuscitation fluid in adults with septic shock after initial management: the CLASSIC randomised, parallel-group, multicentre feasibility trial. Hjortrup et al.  Intensive Care Med. 2016 Nov;42(11):1695-1705. Epub […]

The post CCP Podcast 061: Papers of the Month: March 2017 appeared first on Critical Care Practitioner.

“Magnesium For the Win!”- with Bryan Boling. Guest: Habib Srour Dr. Srour is an attending in the Anesthesia Critical Care Division at the University of Kentucky where I practice. The episode is the first in a mini-series on electrolyte imbalances in the ICU. I hope to record an episode on hyponatremia soon. In the episode, […]

The post CCP Podcast 094: Magnesium for the win. appeared first on Critical Care Practitioner.

Palliative Care in the ICU All too often, we see critical care and palliative care as opposites, but they really go together nicely. Today on the podcast, we talk with Dr. Jessica McFarlin (@JessMcFarlinMD) about palliative care and how we can integrate it into the care of our ICU patients. Center to Advance Palliative Care […]

The post CCP Podcast 101: Palliative Care appeared first on Critical Care Practitioner.

NOT The Two Ronnies…but The Two Jonnys….and Twitter! This is an exciting new podcast project with Jonny Wilkinson (@WilkinsonJonny) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website, Critical Care Northampton, from where he does regular reviews of some of the many issues one can find on Twitter. During this podcast, […]

The post CCP Podcast 076: The Two Jonnys September 2017 appeared first on Critical Care Practitioner.

This is a chat about the ICU patient with problems with their swallow or dysphagia,  I had with Martin Brodsky (@MBBrodskyPhD), who is an Assistant Professor of Physical Medicine and Rehabilitation at the Johns Hopkins University School of Medicine.  He is a clinician, researcher and educator with interests in swallowing and swallowing disorders, head and […]

The post CCP Podcast 060: My Critical Care Patient Can’t Swallow! Why? appeared first on Critical Care Practitioner.

I think this might be one of the most important podcasts I have ever done along with the next in the series. This is the first of two podcasts covering the latest NCEPOD paper on Non-Invasive Ventilation. This can also be found on the NCEPOD web page, but they also kindly agreed to allow me […]

The post CCP Podcast 077: NCEPOD 2017 Acute Non-Invasive Ventilation: Inspiring Change. appeared first on Critical Care Practitioner.

CCP Podcast 026 was myself and Ken Spearpoint (@K_G_Spearpoint) talking about some of the issues around Crew resource Management. We continue the conversation in this episode and maybe even arrive at some conclusions….maybe!! [table id=1 /] [Stitcher_Radio_Logo] [get_in_touch_with_jonathan]   CCP Podcast 026 was myself and Ken Spearpoint (@K_G_Spearpoint) talking about some of the issues around […]

The post CCP Podcast 027: Crew Resource Management Continued appeared first on Critical Care Practitioner.

This study entitled "Prone Positioning in Severe Acute Respiratory Distress Syndrome" was published in 2013 and its aim was to evaluate the effect of early application of prone positioning on outcomes of patients with severe ARDS. It was a multicentre, prospective, randomised controlled trial mainly in French Hospitals.  The primary outcome was 28 day mortality. Recruited patients had […]

The post Proning- The PROSEVA Trial appeared first on Critical Care Practitioner.

Dorothy Wade works as a chartered health psychologist in the Critical Care Unit at UCH. She is registered as a practitioner psychologist with the Health and Care Professions Council, and has a PhD in psychology and health care evaluation from University College London. She is available to support patients, families and staff in Critical Care. […]

The post CCP Podcast 041: PTSD in Critical Care. appeared first on Critical Care Practitioner.

The psychology of our patients, their relatives and the staff we work with is under discussion in this podcast. I managed to get Megan Hosey (@DrMeganHoseyPhD), a psychologist from Johns Hopkins, Dr Julie Highfield (@DrJulie_H), a psychologist from Cardiff and Dorothy Wade (@dwadepsych) a psychologist from London together to discuss these important issues. We talk about […]

The post CCP Podcast 086: Psychology of patients, relatives and staff. appeared first on Critical Care Practitioner.

Happy Christmas all! A usurper (Jesse Spurr- Injectable Orange) takes the reins in this episode which allows Jonathan to talk about himself. Hope thats not too narcissistic! Some old guests make an appearance as well. Hope you enjoy it and Have a great Christmas. [table id=1 /] [Stitcher_Radio_Logo] [get_in_touch_with_jonathan]   Happy Christmas all! A usurper […]

The post CCP Podcast 021: Jesses’ Show! appeared first on Critical Care Practitioner.

In this podcast I carry on my conversation with Ollie Poole (@respreview) about some of the issues with mechanical ventilation. We talk about the different types of breath and why we use them. This then helps us identify some of the very confusing terms the ventilator companies use when describing their ventilator modes. We somehow […]

The post CCP Podcast 034: Mechanical Ventilation…Types of breath. appeared first on Critical Care Practitioner.

This is a discussion I had with Liz Staveacre (@lizzys39) who is Senior Critical Care Outreach Clinical Nurse Specialist at Northwick Park Hospital. Her Masters’ dissertation looked at the factors that influence whether nurses will escalate the patient when it is necessary. From the discussion, it would seem that there is still some work to be done. It […]

The post CCP Podcast 062: Escalate the Patient! appeared first on Critical Care Practitioner.

Levosimendan for the Prevention of Acute Organ Dysfunction in Sepsis Gavin and I try to peel apart the layers of the LeoPARDS Trial which assesses the benefits of levosimendan for the prevention of organ dysfunction in sepsis. It’s another interesting study which actually asks more questions that it answers, but all questions we may try to answer […]

The post CCP Podcast 050: LeoPARDS Trial appeared first on Critical Care Practitioner.

The Two Jonnys are back! We have had a break but time we got together again. In this podcast Jonny Wilkinson (@wilkinsonjonny) and I discuss the latest post on his fabulous website breaking down some of the new stuff out there on the internet relevant to our practice. Lots of food for thought. Go and look at […]

The post CCP Podcast 100: The Two Jonnys Season Two! appeared first on Critical Care Practitioner.

Bethan Bishop is Head of Innovation and Industry Engagement at the Heart of England NHS Trust in Birmingham. In this podcast she discusses how this role came about, having come from a background in the Pharmaceutical industry. She works as part of the MIDRU team which aims to help in the innovation process. She is […]

The post CCP Podcast 007: Chat with Bethan Bishop appeared first on Critical Care Practitioner.

TEAM is a program of research to evaluate the effect of early mobilisation to assess functional recovery and patient-centered outcomes of ICU survivors. Carol Hodgson is one of the lead clinicians in this project, She will be presenting at the 2015 Intensive Care Society State of the Art conference, so this is an opportunity to […]

The post CCP Podcast 039: Early Mobilisation- Get Them Moving! appeared first on Critical Care Practitioner.

The Intensive Care Society, Faculty of Intensive Care Medicine, Difficult Airway Society and the Royal College of Anaesthetists have combined to provide the ‘Guidelines for the management of tracheal intubation in critically ill adults‘. The main part of the document covers Plan A to Plan D when performing this procedure. This is well worth a read […]

The post CCP Podcast 083: Guidelines for Tracheal Intubation in Critically Ill Adults 2017 appeared first on Critical Care Practitioner.

Let’s improve our understanding of the capnograph. Very valuable when caring for your patient.

The post CCP Podcast- End Tidal CO2 appeared first on Critical Care Practitioner.

Myself and Tracey Starkey-Moore (@TraceyStarkeyMo) led a @WeNurses chat on the 1st October about Advanced Practitioners. You can find the Summary on the discussion on the WeCommunities website with the relevant key word clouds. Tracey and I then got together with Gavin Denton (@DentonGavin) and Jemma Owen (@JemmaOwen1) to discuss some of the key issues […]

The post CCP Podcast 038: WeNurses Tweet Chat About Advanced Practitioners appeared first on Critical Care Practitioner.

The post CCP Podcast 099: Segun and Jonathan talk fluids- Part I appeared first on Critical Care Practitioner.

This episode features a chat with Fiona Moffat who is a lecturer in Physiotherapy and practising physiotherapist. She was involved in some LEAN thinking and is now interested in early mobilisation in the critical care world. As a social scientist she is also interested in how we get to normalise new technologies or interventions in health […]

The post CCP Podcast 040: Why Won’t We Change? appeared first on Critical Care Practitioner.

Characterisation of sleep in intensive care using 24-hour polysomnography: an observational study. This was a very enlightening discussion with Rosalind Elliott from Sydney about her study. Our poor ITU patients are struggling to get any decent sleep- what can we do to help them? Rosalind Elliott qualified as a nurse in London, England in the […]

The post CCP Podcast 045: Simple Things to Help Them Sleep. appeared first on Critical Care Practitioner.

This is an episode featuring Dr Paul Wischmeyer (@Paul_wischmeyer) who is a doctor at the Department of Anesthesiology and Duke Clinical Research Institute, Duke University Medical Center. I noticed he had tweeted about a presentation (Surviving the ICU-The Patient Experience: What Patients Need Their Doctors to Know) he gave which was available on YouTube and […]

The post CCP Podcast 059: Surviving the ICU-The Patient Experience appeared first on Critical Care Practitioner.

I thought it was time we explored the subject of mechanical ventilation again and so I reached out on Twitter and am now joined by Thomas Piraino (@respresource) who is a Clinical Specialist in mechanical ventilation at the Centre of Excellence in Mechanical Ventilation, St. Michael’s Hospital. We start with the basic modes and what is […]

The post CCP Podcast 090: Mechanical Ventilation with Thomas appeared first on Critical Care Practitioner.

NOT The Two Ronnies…but The Two Jonnys….and Twitter! This is the fourth episode of an exciting new podcast project with Jonny Wilkinson (@WilkinsonJonny) who is an anaesthetist and Intensive Care Consultant at Northampton hospital He has a website, Critical Care Northampton, from where he does regular reviews of some of the many issues one can find […]

The post CCP Podcast 072: The Two Jonnys Do Twitter July 2017 appeared first on Critical Care Practitioner.

In this podcast episode I was lucky enough to have a discussion with Ollie Poole who is a respiratory therapist in Canada. I came across Ollies’ YouTube site Respiratory Review and was very impressed with his series on mechanical ventilation helping to explain some of the terminology and reasoning behind how we ventilate patients. He […]

The post CCP Podcast 018: Mechanical Ventilation…. appeared first on Critical Care Practitioner.

Reducing ventilator associated pneumonia in adult patients through high standards of oral care: A historical control study Lee Cutler, Paula Sluman. Intensive and Critical care Nursing. 2014 Consultant Nurse Lee Cutler discusses the study he was involved in with his colleague Paula Sluman. Ventilator associated pneumonia is a big problem in the critical care environment so […]

The post CCP Podcast 023: Wash Your Mouth Out!! appeared first on Critical Care Practitioner.

Happy Christmas…thats all! Happy Christmas…thats all!

The post CCP Podcast: Happy Christmas 2015 appeared first on Critical Care Practitioner.

We all go grab the essential equipment when we need to intubate the patient. Buts what’s it all for? In this podcast I cover some of this. If you want to join me on FREE 15 Minute Friday go find the Critical Care Practitioner page on Facebook.

The post FREE 15 Minute Friday- Intubation- whats all that equipment? appeared first on Critical Care Practitioner.

RSI My good friend Dr. Nitin Arora and I had a discussion about the various combinations of drugs which can be used during a rapid sequence induction or RSI and the reasons for giving them. Sometimes its not always evident why the doctor wants the drugs he asks for. Hopefully, in this podcast, some of […]

The post CCP Podcast 048:RSI- Which Drug? appeared first on Critical Care Practitioner.

This is a conversation I had with Marcus Peck (@ICUltrasonica) who is the chair of the FICE committee (Focussed Intensive Care Echocardiography) and Hannah Conway who is an ACCP at Glenfield Hospital and is VERY qualified when it comes to ultrasound and echocardiography. It would seem that Marcus and colleagues are very keen for us to do echo! […]

The post CCP Podcast 082: FICE…Just Do It! appeared first on Critical Care Practitioner.

In this podcast episode, Gavin Denton and I look at three recent papers, breaking them down to try to help us and you understand some of their conclusions and how they reached them. Our notes can be found below. Video laryngoscopy vs direct laryngoscopy on successful first pass orotracheal intubation amongst ICU patients. JAMA Jan […]

The post CCP Podcast 055: Papers of the Month appeared first on Critical Care Practitioner.

I have been an advocate of using YouTube for many years now and one of the YouTube resources I have used for a while now is that created by Dr Eric Strong. I love his style and he teaches a lot of subjects which I encounter in critical and emergency care. People often ask me […]

The post CCP Podcast 016: The Strong Arm of Eric…YouTube Learning appeared first on Critical Care Practitioner.

Gavin Denton and I get together again to review a couple of recent papers that have some bearing on our practice. Welcome to the Papers of the month. This month we cover Check Up- Position- “A Multicenter, Randomized Trial of Ramped Position vs Sniffing Position During Endotracheal Intubation of Critically Ill Adults” and the APRV trial –BILEVEL-APRV  […]

The post CCP Podcast 085: Papers of the Month March 2018 appeared first on Critical Care Practitioner.

This is a conversation I had with Martin Horton (@chuckyhorton), Aimee Wright (@AimsleyW) and Ashleigh Lowther (@ashleighlowther) about an ACP conference they are planning on the 6th October 2017 at Birmingham City Football Club. The agenda looks great and it will also be a fabulous networking opportunity. Its also very reasonably priced! Go here to book your […]

The post CCP Podcast 075: ACP Conference 6th October 2017 appeared first on Critical Care Practitioner.

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN) This is an update and expansion of the previous nutrition guidelines and this is a summary of the some of the key points. I […]

The post CCP Podcast 053: Nutrition Guidelines appeared first on Critical Care Practitioner.

In my second podcast I think I set the scene for one of the tools I am going to use the most for the rest of the series, and in the podcast I explain why, going into some depth about Twitter. I also talk about the new History Taking and Examination course and my new […]

The post CCP Podcast 002: Twitter, Google Hang Outs and Speakpipe! appeared first on Critical Care Practitioner.

AKI: Acute Kidney Injury is a common complication in the ICU. Today we discuss it with Dr. Juan-Carlos Aycinena, a critical care nephrologist at the University of Kentucky. Dr. Aycinena refers to the KDIGO guidelines, those, along with a lot of other great guidelines and information about renal disease can be found at https://kdigo.org/guidelines/. Interview Questions […]

The post CCP Podcast 098: Bryan talks AKI appeared first on Critical Care Practitioner.

Shiela Pantrini has been developing the educational route for the Advanced Clinical Practitioners along side Garry Swann at the Heart of England NHS Trust. She tells us how this occurred and the principles that drove it. We also go on to discuss the plans for the future and what would make a good potential practitioner. […]

The post CCP Podcast 022: ACP’s Education, Education, Education. appeared first on Critical Care Practitioner.

It could be that they have dropped quickly or slowly. Either way its sensible to have a thought process ready so that you might be able to solve it! This is what I cover in this podcast.

The post Free 15 Minute Friday- Why have my patients sats dropped? appeared first on Critical Care Practitioner.

Ken Spearpoint and I talk about Crew resource management as it relates to the cardiac arrest scenario. I love talking with Ken as he is so knowledgeable and puts his points across so well. i found it really interesting to chat with him about this. I have broken it down into two parts as we […]

The post CCP Podcast 026: Crew Resource Management…What? appeared first on Critical Care Practitioner.

I was lucky enough to be joined by Cath Edwards (@cathedwards_1), a physio up in Lancashire. She attended this years British Thoracic Society 2018 Summer meeting. So I picked her brains about what she heard there. It sounds like a great conference and I think one I will be trying to attend in the future. Interview Questions […]

The post CCP Podcast 089: Cath and Jonathan chat about BTS2018 appeared first on Critical Care Practitioner.

Psychological well being, health related quality of life and memories of intensive care and a specialised weaning centre reported by survivors of prolonged mechanical ventilation. Intensive and Critical Care Nursing Volume 30, Issue 3, Pages 145–151, June 2014 The lead author of this paper Louise Rose very kindly agreed to discuss this article and some of […]

The post CCP Podcast 013: Mind and Body appeared first on Critical Care Practitioner.