GMC vs Bawa-Garba responses.

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Dr Gary Masterson, president of the society, reflects on the Intensive Care Member response to the case of GMC Vs Bawa-Garba.

Following the recent judgement in the case of GMC vs Bawa-Garba in the High Court the Society has expressed its concerns to its members and passed on advice from the Academy of Medical Royal Colleges (AOMRC). We’ve received a number of replies from you, all of which offer food for thought.

There is, not surprisingly, serious concern expressed, both from working and retired members.

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Overpressure

 

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Jeremy Groves considers the facts behind the recent Independent article on critical care winter activity and NHS England’s response.

You may have seen the article about critical care in the  Independent a couple of weeks ago.  In it our president, Gary Masterson, outlined the pressure units were under this winter.  NHS England’s press office went into overdrive.  Tweeting via NHS Media they said “It’s simply not true that intensive care beds are full”.  So where do they get their information from?

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Is ICM Training Fit for Purpose?

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Professor Hugh Montgomery considers the evolution of the patients and diseases we manage and worries that training may be too slow to adapt to change.

Some 252 million years ago, the Permian Mass Extinction saw the loss of the 96% of marine life and 70% of terrestrial vertebrate species due to a failure to adapt to their changing environment.

Arguably, the great polio epidemic of 1952 first led to the concept of ‘ICU’, the goal being to deliver life-saving mechanical ventilation. The requirement then was for staff who understood this domain, and that meant anaesthetists.

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Intensive Care: Lessons from the future

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Will Angus, ST6 Anaesthesia and Intensive Care Medicine, runner up in the Pecha Kucha session at State of the Art 2017, gave the following presentation where he looked back from 100 years hence.

Reflecting on the past century working within the speciality of Intensive Care, from the vantage point of the year 2117, and with only fifty years left before I reach retirement age, I wanted to share some pearls from the future via the medium of t-t-e-mail (time travel electronic mail).

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State of the Art 2017 in Liverpool: “Surprise, Surprise”.

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Professor Peter Brindley looks back at this year’s meeting and concludes; “The Conference is Dead, Long Live the Conference”.

To the seemingly endless list of unique wonderful things to have come out of Liverpool,2 we can assuredly add 2017’s Intensive Care Society State of the Art conference (SOA). In the sage words of local-girl-done-good Cilla Black: “Surprise surprise…the unexpected hits you between the eyes”. Regardless, I knew I was somewhere special when I asked for a hotel wake-up call and was told: “Certainly Sir, climate change is real”.3 I am delighted to report that the conference was similarly provocative, unexpected, and refreshing.

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State of the Art Day 3 Roundup

Day 3 at the ‘State of the Art’ proved a fitting finale to a meeting packed with lively talks, discussion  and engagement.

The morning started with a call to action with respect to organ donation. Dr Paul Murphy discussed the Government’s consultation on whether to move from an opt in to an opt out system in England following the example set in Wales.  He felt that ‘the time is right’ for such a move. The talk coincided with the launch of an on-line survey aimed at gaining an insight into the views of the critical care community on presumed consent. You can find it here.  Don’t hold back & share you’re views.  The answers will help form the response to the consultation from the Society and Faculty.

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Organ Donation, opt-in, opt-out?

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On October 3rd the Prime Minister announced plans to introduce an opt-out system of consent for organ donation into England (1), indicating that a consultation on the proposal would be launched before the end of the year.   Dr Paul Murphy, National Clinical Lead for Organ Donation, explains why the time for such a system is right.

Opt-out systems of consent are generally associated with higher donor numbers, although demonstrating a causal link remains elusive.  A consultation on a ‘soft opt out’ system in Scotland earlier in the year showed considerable support for it (2), whilst a system of so-called deemed consent already operates in Wales.  The Welsh system was enacted in December 2015 following an intense period of public education and professional preparation.  Whilst there have been encouraging signs in consent rates, as yet none have reached statistical significance and neither has there been any demonstrable increase in donor numbers.

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A consultation on a ‘soft opt out’ system in Scotland earlier in the year showed considerable support for it

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State of the Art Day 2 Round up

What has really come through in day 2 is the level of engagement and enthusiasm amongst the delegates. The varied program, enthusiasm of the speakers, and the fantastic support teams have taken the meeting from strength to strength.

The myth busting session in the morning got many people thinking: contrast induced nephropathy may not exist, post intensive care syndrome may not have anything to do with intensive care, and the Stewart model might just reign supreme for acid-base interpretation!

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State of the Art 2017 Day 1 Round Up.

We’ve had an incredibly energetic first day at State of the Art. People were buzzing as they entered the gates bright and early and the energy has yet to die down as I write this in the midst of the drinks reception sponsored by GE.

Our social media group were fantastic. They were on hand all day to moderate the various sessions, live-stream interviews with speakers and periscope stream from the conference floor.

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State of the Art – Open to Everyone.

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Dr Jeremy Groves shares his excitement for the upcoming annual State of the Art conference on 04/12/17. 

I’m excited.

I’m excited because, despite the long evenings, some very British rain while cycling home and the prospect of a weekend on-call, I have the State of the Art to look forward to next week.

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