Serious Hazards of Transfusion Report

Jeremy Groves, ICS Council representative on the SHOT Steering Group, reflects on their latest report.

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One of the great things about being on the ICS Council is the privilege of being able to represent the profession on various national committees.  Committees aren’t every ones cup of tea of course and when at a recent Council meeting, a vacancy came up for an ICS representative on the SHOT committee, everyone suddenly seemed more interested in their computers.

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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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JICS is listed in PubMed .

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 The Society’s journal, the Journal of the Intensive Care Society, has achieved the milestone of a PubMed listing.  Jeremy Groves considers the background and implications of the decision.

The Journal of the Intensive Care Society (JICS) has always had a bit of a place in my heart.  Not only has it published a couple of my articles (astute, discerning editors) but it is readable too.  The format is light and airy, it has a wide variety of papers and individuals from all the disciplines within our speciality contribute.

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Rehabilitation after critical illness in adults

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Gillian Sharpe, Lead Critical Care Physiotherapist, Chesterfield Royal Hospital, welcomes the update on NICE Quality Standard CG83 and the increased focus on rehabilitation of the critically ill it will bring.

Historically, mortality rates have been the main indicator of success following critical illness. Healthcare professionals working with the critically ill however, have long recognized that many of those who survive are left with significant physical and non-physical morbidity and often face a lengthy convalescence.

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Using a Winston Churchill Memorial Trust Travelling Fellowship for critical care research – Applications open for 2018

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by Joanne McPeake

In 2011, I was a Staff Nurse in critical care in Glasgow, and a Lecturer Practitioner at the University of Glasgow. I first heard about the Travelling Fellowships through a list of openings advertised by the university. I felt that this could be a fantastic opportunity for me so I decided to apply. I was elated when I found out my application had been successful. I discovered after the interview that about 1,000 people had applied, so I definitely didn’t expect to be chosen!

For my Fellowship, I went to the USA for four weeks. The broad aims of my project were to look at how to improve outcomes for patients recovering from a period of critical illness. I visited several Intensive Care Units (ICUs), exploring the use of various techniques to improve short and long-term outcomes for patients.

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The 2nd Sprint National Anaesthesia Project

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by Danny Wong

The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS)

The SNAPs are short, sharp, point prevalence studies conducted by the National Institute of Academic Anaesthesia Health Services Research Centre of perioperative practice in the UK. SNAP-1 was a study into postoperative patient reported outcome measures, and was recently published in the British Journal of Anaesthesia. SNAP-2 will involve Continue reading “The 2nd Sprint National Anaesthesia Project”

Jottings from JICS: Prolonging the life of arterial lines – Finding the right solution.

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by Jeremy Groves, Consultant in Anaesthesia and Critical Care

It is disheartening for all concerned when an arterial line stops working.  The patient’s monitoring is compromised, re-siting a line takes up both medical and nursing time and it always seems to happen in the patient who is either desperately ill, or has such a poor arterial tree that the wire won’t thread.

An intervention that prolongs the life of a line must be a good thing Continue reading “Jottings from JICS: Prolonging the life of arterial lines – Finding the right solution.”