Hospital Politics

Reporters: M Beed, G Suntharalingam, P Brindley

As results came in, it became clear that asking hospital staff for their opinion had backfired. Ms May, from the orthopaedic wing of the party, has been accused of fighting a lacklustre campaign, and there are calls for her to resign as Chief Surgeon. Ms May has taken responsibility and has sought support from eight little-known staff Anaesthetists Continue reading “Hospital Politics”

The Manchester Attack – A personal view

The amazing responses of the of the NHS to the recent atrocities & fire in Manchester and London is a testament to the dedication of the critical care teams as well as other medical staff in those hospitals involved.  An overriding desire to help when adversity struck was the hallmark of their attitude.  The last five years in the NHS has been punctuated with feelings of doom at times – not enough money, not enough staff, too much poorly considered change etc, etc. It’s all too easy to forget why we entered our professions in the first place.  This blog by Dr Andrew Bently, Clinical Director of the University of South Manchester adult critical care unit might help jog our memories.

Gary Masterson, ICS President Continue reading “The Manchester Attack – A personal view”

Are We Innovators?

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by Craig Brown

I was speaking to a colleague recently who reflected that it appears we have been through the age of research, then came the age of standards and now we appear to be moving into “the age of innovation” in the NHS.

It was an interesting comment and perhaps picks up the zeitgeist where we have seen the development of “Quality Improvement” initiatives, sometimes on a local scale and sometimes on a regional or national level. The growth and expansion of Academic Health Science Networks (AHSNs) supports this regional transformation through platforms for education, supporting system wide projects and attempting to link innovators with the appropriate clinicians. Continue reading “Are We Innovators?”

Learning from Patient Safety Incidents

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by Jeremy Groves, Consultant, Critical Care and Anaesthesia

I was helping out this morning with a bronchoscopy on a patient with a significant sputum load. My colleague Tim, who was supervising one of our trainees, Naomi, who was steering the scope, couldn’t see the wall mounted monitor.  I commented that the patient’s ventilation was being compromised by the presence of the scope. Tim wanted to see what was going on and asked me to turn the monitor towards him.  This I did and, with rather a large crash, a yelp from Naomi and a gasp of surprise from the rest of us, the monitor fell off the wall. Continue reading “Learning from Patient Safety Incidents”

[Long Read] The TGN1412 drug trial: A personal view

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by Ganesh Suntharalingam, Honorary Secretary, Intensive Care Society

On the morning of Monday 13 March 2006, six out of eight healthy male volunteers on a clinical trial received a first dose of a drug never before given to humans, in an independent commercially-run clinical trials unit within the grounds of Northwick Park Hospital.

This was planned and expected to be completely routine. However, all six men had a life-threatening reaction requiring an emergency response by the NHS, which not only had a lasting impact on them but also brought about changes in how higher-risk clinical trials are run and regulated in the UK, EU, and beyond.

Saving the lives of those volunteers Continue reading “[Long Read] The TGN1412 drug trial: A personal view”

Neil Smith on his research into decision making in the ICU [Interview]

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Alfred Long, ICS Communications Officer

Neil Smith, the recipient of the 2014 Nurse and AHP Foundation Fellowship Award, speaks about his research on decision making in ICUs. He is currently working at Hull Royal Infirmary whilst pursuing a PhD at the University of Hull.

Neil’s study looks into individual decision making in the use of Continuous Renal Replacement Therapy (CRRT). Continue reading “Neil Smith on his research into decision making in the ICU [Interview]”

Meet the President

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by Gary Masterson

President of the Intensive Care Society

As your new ICS President, I thought an introduction would be useful as I don’t see myself as one of the big national names .

I was brought up in Belfast in the 60s and 70s, and studied medicine at Trinity College, Cambridge. My first exposure to critical care was during my surgical house job (or F1 in modern parlance) in Great Yarmouth, when one of my surgical patients was admitted to the intensive care unit. It was a seminal moment. I was mesmerised by the available technology, the data and numbers, and mostly the medical staff. Continue reading “Meet the President”

Meet an… Academic Clinical Lecturer

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by Simon Lambden, Academic Clinical Lecturer

Critical care is a great specialty in which to train; technical and non-technical skills are tested every day, and it is increasingly clear that the delivery of high quality care is dependent upon effective team interactions at every stage. During the last decade, critical care has become safer, and better at limiting the damage caused by supportive therapies. However, the development of new treatments has not kept pace, and no drug for the treatment of sepsis has retained a license for clinical use. We may be able to address this challenge by developing a cohort of clinicians with academic training Continue reading “Meet an… Academic Clinical Lecturer”

Meet a… physio

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By Gareth Cornell, Clinical Specialist Physiotherapist in Critical Care

What is a Clinical Specialist Physiotherapist (CSP) in Critical Care? Physiotherapy in Critical Care is a well-established role, but we are still learning the depth and breadth of the impact we can have on a patient’s journey through Critical Care and beyond.

Traditionally, the role may have been directed more around ‘chest physiotherapy’. Over time greater emphasis has been placed upon the value of rehabilitation. A modern-day Critical Care Physiotherapist is required to be expert in both advanced respiratory care and complex, often specialist, rehabilitation.

Continue reading “Meet a… physio”

“I’m extremely happy with the money raised!” [Interview]

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Helle Sorensen, Communications Officer

in conversation with

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Caroline Race, Fundraiser

Caroline Race raised a staggering total of £1,234.23 for an Acute Respiratory Distress Syndome (ARDS) project supported by the Intensive Care Foundation. Caroline Race, fundraiser for the Intensive Care Foundation, wears a happy, albeit exhausted, look on her face these days. Caroline walked from coast to coast in 8 days unsupported, with a tent and everything on her back: “I didn’t really appreciate the scale of what I was doing until I started the walk. Other people told me they were all taking at least 11 days to complete it and had their gear shipped around by a van. They told me I was crackers!”

Continue reading ““I’m extremely happy with the money raised!” [Interview]”