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FICMlearningFICMlearningProfessional Affairs and Safety Committee UpdateWelcome to the FICM Learning Podcast, where we explore key topics shaping Intensive Care Medicine. This episode, recorded in Summer 2024, features an update from the Professional Affairs and Safety Committee on their ongoing workstreams. Joining us are: 🔹 Dr. Dale Gardiner, Chair of the Professional Affairs and Safety Committee🔹 Dr. Pete Hersey, Board Member and Chair of the Safety Committee🔹 Dr. Monika Beatty, Chair of the Ethical and Legal Policy Unit Together, they’ll discuss the latest developments in patient safety, professional standards, and ethical decision-making in critical care. Stay tuned for an...2025-03-2012 minFICMlearningFICMlearningFICM Treatment Escalation PlanningJoin us for an insightful episode of the FICM learning podcast featuring Dr. Sonya Daniel as we delve into the complex and essential topic of treatment escalation planning. In this episode, Dr. Daniel shares her expertise on how to approach conversations around treatment limitations, the ethical considerations involved, and the practical challenges clinicians face when balancing patient autonomy with clinical judgment. We’ll discuss strategies for engaging patients and their families, how to navigate difficult discussions, and the importance of interdisciplinary collaboration in ensuring patient-centered care. Don't miss this vital conversation aimed at enhancing your understanding and confidence in tr...2024-11-2826 minFICMlearningFICMlearningFICM Training, Assessment and Quality In this podcast episode, Gilly Fleming interviews Shashi Chandrasekhariah and Sarah Clark from the Training, Assessment and Quality Group. They discuss the activities of the group, including training, assessment, and quality assurance for doctors in training. They also talk about the portfolio pathway program and the increasing demand for non-traditional training pathways. The group has been working on addressing issues raised in the STR lead training survey, such as differential training experiences and undermining behaviors. The podcast concludes with an invitation for members to get involved in the group's work. Would you like to be involved in...2024-08-0117 minFICMlearningFICMlearningPerioperative Medicine : The Past, the Present and the Future This FICM Learning podcast episode discusses perioperative medicine, its history, current state, and future direction. The panel includes Prof Ramani Moonesinghe, Professor of Perioperative medicine at UCL, Dr David Murray, Chair of the National Laparotomy Audit project, and Dr Luke Flowers, Chair of the trainee research network. The panel members, who have extensive experience in establishing perioperative medicine as a specialty, provide insights into risk assessment, risk prediction models, and the importance of shared decision-making. They emphasize the need to consider not only mortality but also other patient-centered outcomes, such as discharge destination and length of hospital stay. The...2024-06-0642 minFICMlearningFICMlearningResearch in ICM - a trainee’s perspectiveGareth (@garemlyn) speak with Dr Alicia Waite (@_aacw) about her journey as a trainee involved in research. They discuss the challenges and barriers to research and those specific to being a trainee focussed and acadaemia.   The TRIC network is a collective of trainees with a passion for research in ICM. They are interested in hearing from any trainee who wishes to be involved in research at any level. So far they have conducted the PIM-COVID study and are collaborating on more. Follow them on Twitter @tricnetwork or check out their website https://tricnetwork.co.uk/2023-07-0642 minFICMlearningFICMlearningTransfer of the Critical Care PatientGareth Thomas speaks with Dr Michael Slattery (@mkyslattery), the Clinical Lead of the Adult Critical Care Transfer Service Cymru (@CritCareCymru), on the topic of Critical Care transfers. They discuss how a service can be established to meet the needs of a geographically challenging systems, the challenges faced and how they can be overcome. An essential highlight is the important role undertaken by Retrieval & Transfer Practitioners and the potential to alter the landscape of transfer medicine. #processnotlocation Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or...2023-05-1851 minFICMlearningFICMlearning“Point of Care UltraSound training on the ICU – With Hannah Conway – Assistant Professor of Clinical Practice and member of the ICS Focused UltraSound in Intensive Care committee.“Point of Care UltraSound training on the ICU – With Hannah Conway – Assistant Professor of Clinical Practice and member of the ICS Focused UltraSound in Intensive Care committee. This episode outlines the use and benefits of ultrasound on intensive care, as well as the training pathway to accreditation in this valuable skill. “2023-04-0631 minFICMlearningFICMlearningBurns Burns for the Intensivist   Mr Sanjay Varma, Burn Care Speciality Service Lead and Consultant Plastic Surgeon talks about burns management on the intensive care unit. Airway management, fluid management and surgical care of the burns patient. 2023-02-0326 minFICMlearningFICMlearningFrom Faculty to College: Why now?From Faculty to College – an interview with Dr Danny Bryden and Dr Jack Parry-Jones FICM recently released a statement detailing the desire to progress from being a Faculty to an independent, standalone College. Gareth Thomas (@garemlyn) and Ricky Bell (@renalricky) talk with the Dean and Vice-Dean of FICM, Dr Daniele Bryden and Dr Jack Parry-Jones about the path to becoming a college. The interview is split into three parts. This first part looks at the timing of this announcement, why now? The second part considers the process itself, the effects on members and those involved in...2022-12-0821 minFICMlearningFICMlearningFrom Faculty to College: What happens?From Faculty to College – an interview with Dr Danny Bryden and Dr Jack Parry-Jones FICM recently released a statement detailing the desire to progress from being a Faculty to an independent, standalone College. Gareth Thomas (@garemlyn) and Ricky Bell (@renalricky) talk with the Dean and Vice-Dean of FICM, Dr Daniele Bryden and Dr Jack Parry-Jones about the path to becoming a college. The interview is split into three parts. This second part considers the process itself, the effects on members and those involved in providing critical care in the UK. The first part investigated the ti...2022-12-0849 minFICMlearningFICMlearningFrom Faculty to College: The FutureFrom Faculty to College – an interview with Dr Danny Bryden and Dr Jack Parry-Jones FICM recently released a statement detailing the desire to progress from being a Faculty to an independent, standalone College. Gareth Thomas (@garemlyn) and Ricky Bell (@renalricky) talk with the Dean and Vice-Dean of FICM, Dr Daniele Bryden and Dr Jack Parry-Jones about the path to becoming a college. The interview is split into three parts.  This third part looks more to the future and some of the issues that will become important the further into this process we go. The first par...2022-12-0821 minFICMlearningFICMlearningThe Surgical Patient on ICU - a Surgeons View Part 2Gareth Thomas @garemlyn speaks with Mr Peter Coyne @petercoyne1982, a Consultant Colorectal Surgeon in Newcastle with a special interest in advanced cancer and robotic surgery. This second part of the discussion looks at some the aspects of surgical patients on ICU that may not receive as much focus including laparostomies, complex wounds, stomas, abdominal compartment syndrome. Common themes surround each issue in their management that they tease out in the discussion. Missed Part 1? Check it out to understand more about the viewpoint of a surgeon towards patients on ICU and how communication can be improved. ...2022-10-2047 minFICMlearningFICMlearningThe Surgical Patient on ICU - a Surgeons ViewTitle – The Surgical Viewpoint on ICU   Intro text – Gareth Thomas @garemlyn speaks with Mr Peter Coyne @petercoyne1982, a Consultant Colorectal Surgeon in Newcastle with a special interest in advanced cancer and robotic surgery. This first part of the discussion homes in on the viewpoint of the surgeon regarding patients on ICU. Areas of particular focus are who has ownership of their care? Who should know if there is a deterioration? How are decisions made when more than one specialty has a vested interest?   Part 2 will cover common and serious complications affecting the ge...2022-08-1841 minFICMlearningFICMlearningPodcast: ARDS part 2The final episode of our two part interview with Dr Caroline Sampson, ECMO and ICM Consultant. 2022-06-3038 minFICMlearningFICMlearningInitial management of ARDSThis podcast is a two part interview with Dr Caroline Sampson, ECMO and intensive care consultant, on the topic of the clinical management of ARDS . This first part discusses some aspects of who benefits from escalation to intensive care, as well as strategies to avoid intubation, and how the decision to intubate is made. 2022-05-1825 minFICMlearningFICMlearningSexism in MedicineGareth speaks with Dr Chelcie Jewitt (@ByChelcie), a doctor in Liverpool about her personal experiences of sexism in the workplace. Following this, she worked with the BMA to survey UK doctors and produce a report on sexism in medicine (link below). The discussion talks through the findings of the survey, lived experiences of sexism and discrimination and what can be done to improve the environment. Link to full report: https://www.bma.org.uk/media/4487/sexism-in-medicine-bma-report.pdf2022-04-0731 minFICMlearningFICMlearningRenal Replacement Therapy - Dr Ricky BellThis episode we are taking a different slant than previous ones and turning more clinical. Gareth (@garemlyn) speaks with fellow podcast lead, Dr Ricky Bell, a consultant in Nephrology and Intensive Care Medicine, on the subject of Renal Replacement Therapy in Acute Kidney Injury. The discussion is designed to be practical in nature and as such does not constitute guidance from FICM and the views expressed are those of Gareth and Ricky only.  We would really appreaciate your feedback on these clincal segments so please do get in touch via the FICM website, the FICM t...2022-02-2442 minFICMlearningFICMlearningWomen In Intensive Care Medicine (WICM) with Dr Liz ThomasThis episode Gareth speaks with Dr Liz Thomas (@lizgoingon), Consultant in Anaesthesia and Intensive Care Medicine and chair of the Women In Intensive Care Medicine sub-committee within FICM. The blogs for WICM can be found and the FICMlearning website www.ficmlearning.org and their twitter handle is @womenICM A second, follow up episode looking more closely at sexism in medicine will follow in the near future. If you enjoy the podcast then please subscribe if not already, share with others who you think will benefit and rate us to help others find the...2022-02-2432 minFICMlearningFICMlearningPalliative Care in ICU - Part 1Gareth Thomas speaks with Dr Carol Davies (Consultant in Palliative Medicine at Southampton), Dr David Harvie (Higher Trainee in Anaesthetics and Intensive Care in Wessex) and Dr Rob Chambers (Consultant in Intensive Care in Southampton). In this two-part series, we discuss the role that palliative medicine can play within the ICU both for patients and staff, the surprising impact when dealing with referrals. Part two focusses more on the future of palliative medicine within ICU and where development of closer working can lead the two services.2021-12-1620 minFICMlearningFICMlearningPalliative Care in ICU - Part 2Intro text – Gareth Thomas speaks with Dr Carol Davies (Consultant in Palliative Medicine at Southampton), Dr David Harvie (Higher Trainee in Anaesthetics and Intensive Care in Wessex) and Dr Rob Chambers (Consultant in Intensive Care in Southampton). In this two-part series, we discuss the role that palliative medicine can play within the ICU both for patients and staff, the surprising impact when dealing with referrals. Part two focusses more on the future of palliative medicine within ICU and where development of closer working can lead the two services.2021-12-1623 minFICMlearningFICMlearningHugh Montgomery - Artificial IntelligenceIn this podcast James Sira talks to Hugh Montgomery about the application of Artificial Intelligence in critical care and the wider healthcare environment.2021-10-0737 minFICMlearningFICMlearningWhat do I wish I had known?Matt Morgan, Segun Olusanya, Alex Scott, Ben Jones and Ben Ivory deliver some interesting and useful thoughts and reflections from their own experiences of pursuing a career in Intensive Care Medicine. Whilst these aren’t the things that you would read in evidence-based journals and they may not necessarily help you pass the FFICM exams, they do provide some useful insights into the art of being an effective clinician and leader in Intensive Care Medicine.2021-08-0522 minFICMlearningFICMlearningNicki Credland - The Critical Care NurseIn this podcast Gareth Thomas talks to Nicki Credland about the roles of the critical care nurse and briefly summarises the training & career structure.2021-06-1014 minFICMlearningFICMlearningNicki Credland – The impact of COVID and the future of critical care nursingNext Nicki talks about the impact of the recent COVID pandemic on critical care nurses and gives some important insights into the future of critical care nursing in the UK.2021-06-1017 minFICMlearningFICMlearningAlex Scott & John Cully – The Advanced Critical Care PractitionerIn this podcast Gareth Thomas talks to Alex Scott and John Cully about the relatively new role of the ACCP and their experiences of training and working as an ACCP at Liverpool University Hospitals NHS Foundation Trust.2021-06-1019 minFICMlearningFICMlearningAndrew Davies – The Intensivist Part 1In this podcast Gareth Thomas talks to Andrew Davies about how the role of the intensivist has changed over the course of his career and focusses on the importance of the ‘human touch’ and having meaningful discussions with patients about the priorities of care.2021-04-1516 minFICMlearningFICMlearningAndrew Davies – The Intensivist Part 2Next Andrew talks about how the rest of the hospital views the role of an intensivist and the importance of having a calming influence on the critical care team. He also talks about the balance between academic and clinical roles and gives some key tips on how to maintain a good career balance.2021-04-1516 minFICMlearningFICMlearningSarah Clarke – The Intensivist Part 3Gareth Thomas has a discussion with Sarah Clarke about the involvement of intensivists in decisions about admission to critical care, building effective working relationships with other hospital specialties and the need for more people to be aware of what critical care entails and the limitations of treatment.2021-04-1511 minFICMlearningFICMlearningLauren Maher & James Bruce – The Critical Care Occupational TherapistIn this podcast Gareth Thomas talks to Lauren Maher and James Bruce about what can be gained by involving occupational therapy in both the acute and rehabilitation phases of critical illness. Lauren and James are both occupational therapist who work in the critical care units of Kingston Hospital, London and Torbay Hospital respectively.2021-03-1121 minFICMlearningFICMlearningJulie Highfield & Dorothy Wade – The Critical Care PsychologistNext Gareth has a discussion with Julie Highfield and Dorothy Wade about the role of the psychologist in the recovery of patients and staff from the traumatic experiences associated with critical illness. This podcast gives an excellent summary of the important aspects of psychological support in critical care with a particular focus on delirium and staff well-being.2021-03-1123 minFICMlearningFICMlearningSusan McGowan, Helen Newman & Rachel Jones – Speech & Language TherapyNext Gareth has a discussion with Susan McGowan, Helen Newman & Rachel Jones about the role of speech and language therapy in the recovery and rehabilitation of critical care patients.2021-02-0418 minFICMlearningFICMlearningPaul Twose & Gareth Cornell – The Critical Care PhysiotherapistIn this podcast Gareth Thomas talks to Paul Twose and Gareth Cornell about the importance of the critical care physiotherapist and some common misconceptions about their roles.2021-02-0420 minFICMlearningFICMlearningGreg Barton - The Critical Care PharmacistIn this podcast Gareth Thomas talks to Greg Barton about the importance of the critical care pharmacist.2021-01-1413 minFICMlearningFICMlearningElla Terblanche & Danielle Bear - The Critical Care DieticianIn this podcast Gareth Thomas has a discussion with Ella Terblanche and Danielle Bear about the role of the critical care dietician and common misconceptions.2021-01-1419 minFICMlearningFICMlearningBev Frankland - Writing a statement & preparing for an inquestIn this podcast, Bev talks about how to write a statement that may prevent you needing to attend an inquest and how to prepare if you do need to attend.2020-12-0314 minFICMlearningFICMlearningBev Frankland - Giving evidence at an inquestBev then goes on to talk about giving evidence at the coroner’s inquest, and how to communicate effectively with families to prevent misunderstanding and complaints.2020-12-0317 minFICMlearningFICMlearningDerek Winter - The Coroner & Medical ExaminerIn this podcast, Derek talks about the role of the coroner and medical examiner, and how to decide which cases should be referred.2020-11-0516 minFICMlearningFICMlearningDerek Winter - The Coroner's InquestIn this podcast, Derek talk's about the coroner’s inquest and gives a clear and insightful account of the process and its purpose. Please note that on 13 November 2020 the Supreme Court gave judgment in the case of Maughan.   By a majority of three to two the Supreme Court has ruled that all conclusions in coronial inquests, whether short form or narrative, are to be determined on what is known as the civil standard of proof: the balance of probabilities- more likely than not.2020-11-0523 minFICMlearningFICMlearningMax & Kiera's Law - A clinical perspectiveDale Gardiner is the National Clinical Lead for Organ Donation. In this podcast he gives a clinical perspective of the new legislation relating to deemed consent, with a particular focus on communication with families.2020-10-0829 minFICMlearningFICMlearningMax & Kiera's Law - The Welsh experiencePhil Walton is the Project Lead for Deemed Consent Legislation at NHSBT and played a pivotal role in the implementation of Max & Keira’s law in Wales. In this podcast he talks about his experiences of introducing a mass behaviour change strategy, which also involved getting help from a professor of linguistics and a hostage negotiator.2020-10-0828 minFICMlearningFICMlearningFrailty - IntroductionMartin Huntley introduces the latest FICMLearning podcast on frailty in critical care.2020-09-1001 minFICMlearningFICMlearningSimon Conroy - Understanding frailtyMatt Bromley talks to Professor Simon Conroy about understanding frailty and how it impacts care for older people.2020-09-1019 minFICMlearningFICMlearningJohn Fletcher & Manoj Wickramasinghe - High-fidelity intensive care simulationMatt Bromley talks to John Fletcher and Manoj Wickramasinghe about the practicalities of developing a high-fidelity simulation course for critical care with an MDT focus. 2020-07-2317 minFICMlearningFICMlearningAndrew Jacques - In-situ simulationMatt Bromley talks to Andrew Jacques about how he developed an in-situ simulation program on their intensive care unit in Reading.2020-07-2314 minFICMlearningFICMlearningSimulation Part 2 - IntroductionMartin Huntley introduces the second part of the series of podcasts on simulation as an educational tool in critical care.2020-07-2302 minFICMlearningFICMlearningDominic Bell - Conflict & the lawJames Sira talks to Dominic Bell about the ethical and legal aspects of managing conflict around decisions to provide, withhold or withdraw treatment.2020-06-0417 minFICMlearningFICMlearningDominic Bell - Futility as a framework for decision makingJames Sira talks to Dominic Bell about the concept of futility and how it can be used as a framework when making decisions.2020-06-0432 minFICMlearningFICMlearningDecision Making Part 2 - IntroductionMartin Huntley introduces the second part of the series on difficult decision making in critical care. 2020-06-0401 minFICMlearningFICMlearningDale Gardner - Moral BalanceDale Gardiner introduces the MORAL balance framework in this podcast, and describes its use in decision making around admission to critical care.2020-04-0628 minFICMlearningFICMlearningDanny Bryden - COVID-19 & WellbeingDanny Bryden talks to FICMLearning about decision making on critical care admission during the COVID-19 pandemic and how to maintain your wellbeing as an intensive care consultant.2020-04-0613 minFICMlearningFICMlearningDifficult Decision Making Part 1 - IntroductionMartin Huntley introduces the first part of the FICMLearning podcasts on difficult decision making in critical care.2020-04-0602 minFICMlearningFICMlearningDanny Bryden - Good practice in decision makingDanny Bryden talks to FICMLearning about good practice in decision making when considering admission to critical care.2020-04-0625 minFICMlearningFICMlearningPaul Bedford - Getting the most out of simulationPaul Bedford talks to FICMLearning  about how to plan and get the most out of a simulation program2020-03-0513 minFICMlearningFICMlearningSimulation Part 1 - IntroductionMartin Huntley introduces the first part of the FICMLearning podcast on simulation in Intensive Care Medicine2020-03-0503 minFICMlearningFICMlearningDavid Grant - Improving outcomes with effective debriefingDavid Grant talks to FICMLearning about the evidence for simulation improving patient outcomes and the importance of debriefing well2020-03-0515 minFICMlearningFICMlearningDavid Grant - Simulation as an effective educational toolDavid Grant talks to FICMLearning about how to use simulation as an effective educational tool2020-03-0517 minFICMlearningFICMlearningDavid Grant - The role of simulation on the ICU & ensuring sustainabilityDavid Grant talks to FICMLearning about the role of simulation on the Intensive Care Unit and how to ensure that your simulation program is sustainable2020-03-0516 minFICMlearningFICMlearningMatt Morgan - Managing the highs and the lowsMatt Morgan the author of 'Critical: Science and stories from the brink of human life'. In this episode he talks to Martin Huntley about managing the highs and lows of publishing his first book and relates this to his work as an intensive care consultant.2020-02-0119 minFICMlearningFICMlearningSarah Marsh - Balancing work and a busy home lifeSarah Marsh is an intensive care consultant and the deputy chair for WICM. In this episode she talks to Martin Huntley about the challenge of balancing a busy day at work with the demands of home life.2020-02-0113 minFICMlearningFICMlearningAlison Pittard - Losing your place of safetyAlison is dean of the Faculty of Intensive Care Medicine. In this episode she talks to Martin Huntley about a difficult family encounter.2020-02-0118 minFICMlearningFICMlearningResilience - IntroductionAn introduction to our series of podcasts on the topic of resilience. What is resilience and why is it important?2020-02-0106 minFICMlearningFICMlearningSegun Olusanya - A personal tragedySegun Olusanya is an intensive care doctor with a special interest in resilience and burnout. In this podcast, Segun shares his story of encountering a personal tragedy and how he lived through this experience.2020-02-0116 minFICMlearningFICMlearningRosie Baruah - Recovering from blindness and returning to workRosie Baruah is a consultant in intensive care medicine and anaesthesia in Edinburgh. Her story takes us on a journey from suddenly losing the sight in one eye to making a successful return to work.2020-02-0116 min