Mastering Intensive Challenges - Run Larapinta - Episode 6

This is the fifth episode in the Mastering Intensive Care - Run Larapinta series. Ed Litton and I are back on opposite sides of Australia, and neither of us has had the perfect three weeks since we last chatted. There are now less than seven weeks until the event starts, so we chat about our training, then swing over to what we are each thinking about the logistical challenges we will be presented with. We hope you’ll enjoy listening to the conversation, even if you prefer the couch to your running shoes. If we can inspire you to get out for some exercise, that would be even better. Thanks for listening.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.  --------------------   Relevant links Ed Litton on Twitter: @ed_litton Ed Litton at University of Western Australia Ed Litton on Strava Andrew Davies on Strava Run Larapinta Stage Race Mastering Intensive Care podcast - Episode 40 with Ed Litton  Mastering Intensive Care podcast - Run Larapinta - Episode 1  Mastering Intensive Care podcast - Run Larapinta - Episode 2  Mastering Intensive Care podcast - Run Larapinta - Episode 3  Mastering Intensive Care podcast - Run Larapinta - Episode 4 Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care page on Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

This is the fifth episode in the Mastering Intensive Care - Run Larapinta series. Ed Litton and I are back on opposite sides of Australia, and neither of us has had the perfect three weeks since we last chatted. There are now less than seven weeks until the event starts, so we chat about our training, then swing over to what we are each thinking about the logistical challenges we will be presented with. We hope you’ll enjoy listening to the conversation, even if you prefer the couch to your running shoes. If we can inspire you to get out for some exercise, that would be even better. Thanks for listening. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links <a href="https://twitter.com/ed_litton" rel="nofollow" target="_blank">Ed Litton on Twitter: @ed_litton</a> <a href="https://research-repository.uwa.edu.au/en/persons/ed-litton" rel="nofollow" target="_blank">Ed Litton at University of Western Australia</a> <a href="https://www.strava.com/athletes/1658577" rel="nofollow" target="_blank">Ed Litton on Strava</a> <a href="https://www.strava.com/athletes/20570636" rel="nofollow" target="_blank">Andrew Davies on Strava</a> <a href="https://runlarapinta.rapidascent.com.au/" rel="nofollow" target="_blank">Run Larapinta Stage Race</a> <a href="https://masteringintensivecare.libsyn.com/episode-40-ed-litton" rel="nofollow" target="_blank">Mastering Intensive Care podcast - Episode 40 with Ed Litton</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-1" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 1</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-2" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 2</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-3" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 3</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-4" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 4</a> <a href="https://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care page on Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

Mastering Intensive Challenges - Run Larapinta - Episode 5

Here is another episode in the Mastering Intensive Care - Run Larapinta series. For this one, I travelled to Perth to meet with my Run Larapinta co-participant Ed Litton and to head out for a few runs together over a three day weekend. We also set up the microphones to update each other with our preparations and to discuss our perspectives on the social aspects of exercise, mainly endurance sport. We talked about group training, family support, and even using the social media platform Strava to share inspiration. We hope you’ll enjoy listening to the conversation, whatever exercise you choose to do. Thanks for listening.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.   --------------------   Relevant links Ed Litton on Twitter: @ed_litton Ed Litton at University of Western Australia Ed Litton on Strava Andrew Davies on Strava Run Larapinta Stage Race Mastering Intensive Care podcast - Episode 40 with Ed Litton  Mastering Intensive Care podcast - Run Larapinta - Episode 1  Mastering Intensive Care podcast - Run Larapinta - Episode 2  Mastering Intensive Care podcast - Run Larapinta - Episode 3 Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care page on Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

Here is another episode in the Mastering Intensive Care - Run Larapinta series. For this one, I travelled to Perth to meet with my Run Larapinta co-participant Ed Litton and to head out for a few runs together over a three day weekend. We also set up the microphones to update each other with our preparations and to discuss our perspectives on the social aspects of exercise, mainly endurance sport. We talked about group training, family support, and even using the social media platform Strava to share inspiration. We hope you’ll enjoy listening to the conversation, whatever exercise you choose to do. Thanks for listening.   Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links <a href="https://twitter.com/ed_litton" rel="nofollow" target="_blank">Ed Litton on Twitter: @ed_litton</a> <a href="https://research-repository.uwa.edu.au/en/persons/ed-litton" rel="nofollow" target="_blank">Ed Litton at University of Western Australia</a> <a href="https://www.strava.com/athletes/1658577" rel="nofollow" target="_blank">Ed Litton on Strava</a> <a href="https://www.strava.com/athletes/20570636" rel="nofollow" target="_blank">Andrew Davies on Strava</a> <a href="https://runlarapinta.rapidascent.com.au/" rel="nofollow" target="_blank">Run Larapinta Stage Race</a> <a href="https://masteringintensivecare.libsyn.com/episode-40-ed-litton" rel="nofollow" target="_blank">Mastering Intensive Care podcast - Episode 40 with Ed Litton</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-1" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 1</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-2" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 2</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-3" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 3</a> <a href="https://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care page on Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

Mastering Intensive Challenges - Run Larapinta - Episode 4

This is a follow on episode as Ed Litton and I continue our discussion about the Run Larapinta Stage Race we will be participating in soon. Ed and I tell each other how our running training is going. Then we talk about our general views on nutrition and sleep, especially as we lead into a multi-day endurance event. One of us has picked up a little niggle. And each of us has a different approach to what we consume during long runs. It might not be what we talk about on regular episodes of Mastering Intensive Care but we hope you’ll enjoy listening to the conversation, whether you run, walk, cycle, hike, workout in the gym, or do whatever is your style of physical activity. Thanks for listening.   Andrew Davies    --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.   --------------------   Relevant links Book “Community" (by Hetty McKinnon) Book “Eat &amp; Run” (by Scott Jurek) Rich Roll podcast Ed Litton on Twitter: @ed_litton Ed Litton at University of Western Australia Mastering Intensive Care podcast - Episode 40 with Ed Litton  Mastering Intensive Care podcast - Run Larapinta - Episode 1  Mastering Intensive Care podcast - Run Larapinta - Episode 2 Run Larapinta Stage Race Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care page on Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

This is a follow on episode as Ed Litton and I continue our discussion about the Run Larapinta Stage Race we will be participating in soon. Ed and I tell each other how our running training is going. Then we talk about our general views on nutrition and sleep, especially as we lead into a multi-day endurance event. One of us has picked up a little niggle. And each of us has a different approach to what we consume during long runs. It might not be what we talk about on regular episodes of Mastering Intensive Care but we hope you’ll enjoy listening to the conversation, whether you run, walk, cycle, hike, workout in the gym, or do whatever is your style of physical activity. Thanks for listening.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.   -------------------- Relevant links <a href="http://hettymckinnon.com/cookbooks" rel="nofollow" target="_blank">Book “Community" (by Hetty McKinnon)</a> <a href="http://www.scottjurek.com/eat-run" rel="nofollow" target="_blank">Book “Eat &amp; Run” (by Scott Jurek)</a> <a href="https://www.richroll.com/all-episodes/" rel="nofollow" target="_blank">Rich Roll podcast</a> <a href="https://twitter.com/ed_litton" rel="nofollow" target="_blank">Ed Litton on Twitter: @ed_litton</a> <a href="https://research-repository.uwa.edu.au/en/persons/ed-litton" rel="nofollow" target="_blank">Ed Litton at University of Western Australia</a> <a href="https://masteringintensivecare.libsyn.com/episode-40-ed-litton" rel="nofollow" target="_blank">Mastering Intensive Care podcast - Episode 40 with Ed Litton</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-1" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 1</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-2" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 2</a> <a href="https://runlarapinta.rapidascent.com.au/" rel="nofollow" target="_blank">Run Larapinta Stage Race</a> <a href="https://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care page on Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

Mastering Intensive Challenges - Run Larapinta - Episode 3

This episode features the wise perspectives of an Advanced Trainee in Intensive Care Medicine, Dr William Bonavia. The discussion covers:  Why he chose medicine and Intensive Care His training journey and his learning strategy What makes a good ward round Learning from colleagues The principles of good communication and collaboration The value of work being fun Making mistakes Dealing with the pressures of the job His thoughts on sleep, exercise, resilience and burnout Gender inequity in training The future of his career Tips for fellow trainees  Will Bonavia is an Intensive Care Trainee at the Alfred Hospital in Melbourne and has previously worked at Peninsula Health ICU. He has an interest in teaching, having previously played a role in tutorial, simulation and workshop environments, as well as coordinating a training program for ICU trainees sitting the CICM first part examination. He is also interested in staff welfare and has worked as a trainee representative within his intensive care department at Peninsula Health.   Will has an interest in the long term outcomes of ICU patients and has published research in the area of delirium prediction models. He is currently working on research in the area of persistent critical illness and long term outcomes of critically ill ICU patients with COVID-19. Outside of work, Will enjoys a rotating roster of hobbies but is currently an avid squash enthusiast.  Will has a highly compassionate and careful communication-focused approach. Whether you are a trainee, a fully fledged consultant or someone else involved in the practice of Intensive Care, I hope you enjoy my conversation with Dr Will Bonavia. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links  Life In The Fast Lane  Book “One Billion Years to the End of the World” (by Arkady Strugatsky &amp; Boris Strugatsky) Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

This episode features the wise perspectives of an Advanced Trainee in Intensive Care Medicine, Dr William Bonavia. The discussion covers: <ul> <li>Why he chose medicine and Intensive Care</li> <li>His training journey and his learning strategy</li> <li>What makes a good ward round</li> <li>Learning from colleagues</li> <li>The principles of good communication and collaboration</li> <li>The value of work being fun</li> <li>Making mistakes</li> <li>Dealing with the pressures of the job</li> <li>His thoughts on sleep, exercise, resilience and burnout</li> <li>Gender inequity in training</li> <li>The future of his career</li> <li>Tips for fellow trainees</li> </ul> Will Bonavia is an Intensive Care Trainee at the Alfred Hospital in Melbourne and has previously worked at Peninsula Health ICU. He has an interest in teaching, having previously played a role in tutorial, simulation and workshop environments, as well as coordinating a training program for ICU trainees sitting the CICM first part examination. He is also interested in staff welfare and has worked as a trainee representative within his intensive care department at Peninsula Health.   Will has an interest in the long term outcomes of ICU patients and has published research in the area of delirium prediction models. He is currently working on research in the area of persistent critical illness and long term outcomes of critically ill ICU patients with COVID-19. Outside of work, Will enjoys a rotating roster of hobbies but is currently an avid squash enthusiast.  Will has a highly compassionate and careful communication-focused approach. Whether you are a trainee, a fully fledged consultant or someone else involved in the practice of Intensive Care, I hope you enjoy my conversation with Dr Will Bonavia. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links <a href="https://litfl.com/" rel="nofollow" target="_blank"> Life In The Fast Lane</a> <a href="https://www.penguin.co.uk/books/320603/one-billion-years-to-the-end-of-the-world-by-strugatsky-arkady-and-boris/9780241472477" rel="nofollow" target="_blank"> Book “One Billion Years to the End of the World” (by Arkady Strugatsky &amp; Boris Strugatsky)</a> <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

82 - Will Bonavia - An ICU trainee’s perspective on learning, culture and wellbeing

In this second of a different style episode, Ed Litton and I continue our discussion about the Run Larapinta Stage Race we will be embarking on in August 2023.  Ed and I talk about our preparation and then tell each other why we run, and what we get out of it. Ed is a multi-sport endurance athlete whose reasons for getting out in nature are deep and truly inspiring. We hope you’ll enjoy hearing this conversation, whether you run, walk, cycle, hike, work out in the gym, or do whatever is your style of physical activity. Thanks for listening.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.   --------------------   Relevant links Ed Litton on Twitter: @ed_litton Ed Litton at University of Western Australia Mastering Intensive Care podcast - Episode 40 with Ed Litton  Mastering Intensive Care podcast - Run Larapinta - Episode 1 Run Larapinta Stage Race Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care page on Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

In this second of a different style episode, Ed Litton and I continue our discussion about the Run Larapinta Stage Race we will be embarking on in August 2023.  Ed and I talk about our preparation and then tell each other why we run, and what we get out of it. Ed is a multi-sport endurance athlete whose reasons for getting out in nature are deep and truly inspiring. We hope you’ll enjoy hearing this conversation, whether you run, walk, cycle, hike, work out in the gym, or do whatever is your style of physical activity. Thanks for listening. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links <a href="https://twitter.com/ed_litton" rel="nofollow" target="_blank">Ed Litton on Twitter: @ed_litton</a> <a href="https://research-repository.uwa.edu.au/en/persons/ed-litton" rel="nofollow" target="_blank">Ed Litton at University of Western Australia</a> <a href="https://masteringintensivecare.libsyn.com/episode-40-ed-litton" rel="nofollow" target="_blank">Mastering Intensive Care podcast - Episode 40 with Ed Litton</a> <a href="https://masteringintensivecare.libsyn.com/mastering-intensive-challenges-run-larapinta-episode-1" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Run Larapinta - Episode 1</a> <a href="https://runlarapinta.rapidascent.com.au/" rel="nofollow" target="_blank">Run Larapinta Stage Race</a> <a href="https://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care page on Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

Mastering Intensive Challenges - Run Larapinta - Episode 2

Tub Worthley

This episode features the memories, experiences and wisdom of Dr Lindsay ‘Tub’ Worthley, AM. The discussion covers the following:  Tub’s training to become an intensivist when no specific training existed His experience at a time when Australian ICUs were in their infancy The difference between the beginning and the end of his clinical career His eventual transition to retirement His writing of textbooks, scientific papers, editorials and a memoir What he learned about humanity in the ICU Working and communicating with various team members Enthusiastic leadership and the importance of a smooth-running team How he maintained his wellbeing His potential concern for the future of intensive care Some long-lasting career advice  Tub worked as an intensive care medical specialist at the Royal Adelaide hospital ICU between 1971 and 1991, before moving to the Flinders Medical Centre ICU, where he worked until 2007. He retired from active clinical intensive care practice in 2009 although his legacy remains through his prolific writing (of scientific papers, editorials and books). Tub has been a passionate and highly respected postgraduate teacher in intensive care medicine, establishing and running the Adelaide Short Course on Intensive Care Medicine (known colloquially as “Tub’s course) from 1983 – 2005. The course continues today and is now known as the South Australian CICM Fellowship Exam Course. He created the journal “Critical Care and Resuscitation” and was the inaugural Editor-In-Chief for 6 years. He has also served as President of ANZICS, as an examiner for several Colleges and as a convener of many conferences. Tub is married to Janice and has 3 sons and 8 grandchildren, all of who he loves dearly. In 2010 he was appointed as a Member in the General Division of the Order of Australia (AM) for “Service to medical education, particularly in the area of intensive care medicine, as a clinician, mentor and educator, and through contributions to professional associations”. His books are: - Worthley LIG. Synopsis of Intensive Care Medicine. London: Churchill Livingstone, 1994. - Worthley LIG. Handbook of Emergency Laboratory Tests. New York: Churchill Livingstone, 1996. - Worthley LIG. Clinical examination of the critically ill patient, 3rd Ed. Melbourne: The Australasian Academy of Critical Care Medicine, 2006. - Worthley LIG. Inside God’s shed: memoirs of an intensive care specialist. Adelaide: JANDL Holdings Pty Ltd, 2014. Most importantly, Tub was one of the consultants responsible for my training, so this episode is a big thrill for me. Thanks for listening to a true colossus of intensive care, Dr Tub Worthley. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links "Tub's Course"   Book “Inside God's shed: memoirs of an intensive care specialist" (by Lindsay Worthley) Journal “Critical Care and Resuscitation” Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care page on Life In The Fast Lane  Mastering Intensive Care podcast - Episode 5 with Jamie Cooper Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

This episode features the memories, experiences and wisdom of Dr Lindsay ‘Tub’ Worthley, AM. The discussion covers the following: <ul> <li>Tub’s training to become an intensivist when no specific training existed</li> <li>His experience at a time when Australian ICUs were in their infancy</li> <li>The difference between the beginning and the end of his clinical career</li> <li>His eventual transition to retirement</li> <li>His writing of textbooks, scientific papers, editorials and a memoir</li> <li>What he learned about humanity in the ICU</li> <li>Working and communicating with various team members</li> <li>Enthusiastic leadership and the importance of a smooth-running team</li> <li>How he maintained his wellbeing</li> <li>His potential concern for the future of intensive care</li> <li>Some long-lasting career advice</li> </ul> Tub worked as an intensive care medical specialist at the Royal Adelaide hospital ICU between 1971 and 1991, before moving to the Flinders Medical Centre ICU, where he worked until 2007. He retired from active clinical intensive care practice in 2009 although his legacy remains through his prolific writing (of scientific papers, editorials and books). Tub has been a passionate and highly respected postgraduate teacher in intensive care medicine, establishing and running the Adelaide Short Course on Intensive Care Medicine (known colloquially as “Tub’s course) from 1983 – 2005. The course continues today and is now known as the South Australian CICM Fellowship Exam Course. He created the journal “Critical Care and Resuscitation” and was the inaugural Editor-In-Chief for 6 years. He has also served as President of ANZICS, as an examiner for several Colleges and as a convener of many conferences. Tub is married to Janice and has 3 sons and 8 grandchildren, all of who he loves dearly. In 2010 he was appointed as a Member in the General Division of the Order of Australia (AM) for “Service to medical education, particularly in the area of intensive care medicine, as a clinician, mentor and educator, and through contributions to professional associations”. His books are: - Worthley LIG. Synopsis of Intensive Care Medicine. London: Churchill Livingstone, 1994. - Worthley LIG. Handbook of Emergency Laboratory Tests. New York: Churchill Livingstone, 1996. - Worthley LIG. Clinical examination of the critically ill patient, 3rd Ed. Melbourne: The Australasian Academy of Critical Care Medicine, 2006. - Worthley LIG. Inside God’s shed: memoirs of an intensive care specialist. Adelaide: JANDL Holdings Pty Ltd, 2014. Most importantly, Tub was one of the consultants responsible for my training, so this episode is a big thrill for me. Thanks for listening to a true colossus of intensive care, Dr Tub Worthley. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links <a href="https://saica.com.au/course_fellowship.html" rel="nofollow" target="_blank">"Tub's Course"</a> <a href="https://www.amazon.com.au/Inside-Gods-Shed-Intensive-Specialist-ebook/dp/B00IEY61SO" rel="nofollow" target="_blank"> Book “Inside God's shed: memoirs of an intensive care specialist" (by Lindsay Worthley)</a> <a href="https://ccr.cicm.org.au/" rel="nofollow" target="_blank">Journal “Critical Care and Resuscitation”</a> <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care page on Life In The Fast Lane</a> <a href="https://masteringintensivecare.libsyn.com/website/episode-5-jamie-cooper-managing-your-career-over-the-long-haul" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 5 with Jamie Cooper</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

80 - Tub Worthley - A pioneering “Grand Master” of intensive care

We are trying something different on Mastering Intensive Care. My friend and fellow intensivist Ed Litton has cajoled me into joining him in a running event. We will be running the Run Larapinta Stage Race in August 2023. In this episode, we commence a mini-series discussing our lead up to the event. Ed and I have different backgrounds as amateur endurance event participants, and in this episode, you’ll hear some of Ed’s endurance accomplishments, what the Run Larapinta event involves, and what we are both pondering as we start ramping up our training. If you are a runner, an endurance activity participant, a person who exercises regularly, or someone who enjoys hearing about other people’s challenges, I hope you will enjoy listening in.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.   --------------------   Relevant links Ed Litton on Twitter: @ed_litton Ed Litton at University of Western Australia  Mastering Intensive Care podcast - Episode 40 with Ed Litton Run Larapinta Stage Race Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

We are trying something different on Mastering Intensive Care. My friend and fellow intensivist Ed Litton has cajoled me into joining him in a running event. We will be running the Run Larapinta Stage Race in August 2023. In this episode, we commence a mini-series discussing our lead up to the event. Ed and I have different backgrounds as amateur endurance event participants, and in this episode, you’ll hear some of Ed’s endurance accomplishments, what the Run Larapinta event involves, and what we are both pondering as we start ramping up our training. If you are a runner, an endurance activity participant, a person who exercises regularly, or someone who enjoys hearing about other people’s challenges, I hope you will enjoy listening in. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links <a href="https://twitter.com/ed_litton" rel="nofollow" target="_blank">Ed Litton on Twitter</a>: @ed_litton <a href="https://research-repository.uwa.edu.au/en/persons/ed-litton" rel="nofollow" target="_blank">Ed Litton at University of Western Australia</a> <a href="https://masteringintensivecare.libsyn.com/episode-40-ed-litton" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 40 with Ed Litton</a> <a href="https://runlarapinta.rapidascent.com.au/" rel="nofollow" target="_blank">Run Larapinta Stage Race</a> <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

Mastering Intensive Challenges - Run Larapinta - Episode 1

Chris Nickson

This episode features the thoughts and perspectives of A/Prof Chris Nickson. The topics covered include:  How Chris became an intensivist and then an educator How he began working on Life In The Fast Lane (LITFL) The network of Clinical Educators he leads and the “Incubator” program Simulation and debriefing The current place of FOAM and podcasts in education What he tries to achieve on his ward round Clinical leadership, team dynamics and the necessity of psychological safety The difficulties of fatigue and undervaluing sleep Other aspects of personal wellbeing His reading (including a book recommendation) The future of Intensive Care, especially after COVID-19 Advice for new intensivists Advice on teaching the human aspects of ICU  Chris Nickson is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne and a Clinical Adjunct Associate Professor at Monash University. He is the Lead for the ANZCEN Clinician Educator Incubator programme, a Director of the Australia and New Zealand Intensive Care Foundation, and a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and improving the clinical performance of individuals and collectives. After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in intensive care medicine and emergency medicine; and post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professions education. Chris is involved in the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches numerous courses worldwide. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference. His one great achievement is being the father of three amazing children.  On Twitter, he is @precordialthump. Thanks for listening to my conversation with Chris Nickson.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.   --------------------    Links related to Chris Nickson Chris Nickson at Life In The Fast Lane Chris Nickson on Twitter: @precordialthump  Chris Nickson on LinkedIn Life In The Fast Lane Intensive blog    Links to other resources (in order of mentioning)  David Galler Mike Cadogan Aequanimitas Clinician Educator Incubator program  Cameron Knott  Manisa Ghani  Deb Massey  Kylie Moon  Steve Philpot  FOAM Scott Weingart EMCrit  Academic Life In Emergency Medicine blog SMACC conference Deranged Physiology  Steve McGloughlin  Marcus Aurelius  William Osler  Book “How The World Really Works" (by Vaclav Smil) Bill Gates    Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane  Mastering Intensive Care podcast - Episode 5 with Jamie Cooper  Mastering Intensive Care podcast - Episode 45 with Scott Weingart  Mastering Intensive Care podcast - Episode 59 with Steve McLoughlin  Mastering Intensive Care podcast - Episode 63 with Steve Philpot Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

This episode features the thoughts and perspectives of A/Prof Chris Nickson. The topics covered include: <ul> <li>How Chris became an intensivist and then an educator</li> <li>How he began working on <a href="https://litfl.com/" rel="nofollow" target="_blank">Life In The Fast Lane</a> (LITFL)</li> <li>The network of Clinical Educators he leads and the <a href="https://litfl.com/anzcen-incubator/" rel="nofollow" target="_blank">“Incubator” program</a></li> <li>Simulation and debriefing</li> <li>The current place of <a href="https://litfl.com/foam-free-open-access-medical-education/" rel="nofollow" target="_blank">FOAM</a> and podcasts in education</li> <li>What he tries to achieve on his ward round</li> <li>Clinical leadership, team dynamics and the necessity of psychological safety</li> <li>The difficulties of fatigue and undervaluing sleep</li> <li>Other aspects of personal wellbeing</li> <li>His reading (including a book recommendation)</li> <li>The future of Intensive Care, especially after COVID-19</li> <li>Advice for new intensivists</li> <li>Advice on teaching the human aspects of ICU</li> </ul> Chris Nickson is an Intensivist and ECMO specialist at the <a href="https://www.alfredicu.org.au/" rel="nofollow" target="_blank">Alfred ICU</a> in Melbourne and a Clinical Adjunct Associate Professor at <a href="https://www.monash.edu/" rel="nofollow" target="_blank">Monash University</a>. He is the Lead for the <a href="https://litfl.com/anzcen-incubator/" rel="nofollow" target="_blank">ANZCEN Clinician Educator Incubator programme</a>, a Director of the <a href="https://www.intensivecarefoundation.org.au/" rel="nofollow" target="_blank">Australia and New Zealand Intensive Care Foundation</a>, and a First Part Examiner for the <a href="https://www.cicm.org.au" rel="nofollow" target="_blank">College of Intensive Care Medicine</a>. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and improving the clinical performance of individuals and collectives. After finishing his medical degree at the <a href="https://www.auckland.ac.nz" rel="nofollow" target="_blank">University of Auckland</a>, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in intensive care medicine and emergency medicine; and post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professions education. Chris is involved in the Alfred ICU’s education and simulation programmes and runs the unit’s education website, <a href="https://intensiveblog.com/" rel="nofollow" target="_blank">INTENSIVE</a>. He created the ‘Critically Ill Airway’ course and teaches numerous courses worldwide. He is one of the founders of the <a href="https://litfl.com/foam-free-open-access-medical-education/" rel="nofollow" target="_blank">FOAM</a> movement (Free Open-Access Medical education) and is co-creator of <a href="https://litfl.com/" rel="nofollow" target="_blank">litfl.com</a>, the <a href="https://litfl.com/podcasts/rage-podcast/" rel="nofollow" target="_blank">RAGE</a> podcast, the <a href="https://resuscitology.com/" rel="nofollow" target="_blank">Resuscitology</a> course, and the <a href="https://smacc.net.au/" rel="nofollow" target="_blank">SMACC</a> conference. His one great achievement is being the father of three amazing children.  On Twitter, he is <a href="https://twitter.com/precordialthump" rel="nofollow" target="_blank">@precordialthump</a>. Thanks for listening to my conversation with Chris Nickson. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Links related to Chris Nickson <a href="https://litfl.com/about/chris-nickson/" rel="nofollow" target="_blank">Chris Nickson at Life In The Fast Lane</a> <a href="https://twitter.com/precordialthump" rel="nofollow" target="_blank">Chris Nickson on Twitter</a>: @precordialthump <a href="https://www.linkedin.com/in/cnickson/?originalSubdomain=au" rel="nofollow" target="_blank"> Chris Nickson on LinkedIn</a> <a href="https://litfl.com/" rel="nofollow" target="_blank">Life In The Fast Lane</a> <a href="https://intensiveblog.com/" rel="nofollow" target="_blank">Intensive blog</a> Links to other resources (in order of mentioning) <a href="https://www.linkedin.com/in/dr-galler/?originalSubdomain=nz" rel="nofollow" target="_blank"> David Galler</a> <a href="https://mikecadogan.com/" rel="nofollow" target="_blank">Mike Cadogan</a> <a href="https://litfl.com/aequanimitas/" rel="nofollow" target="_blank">Aequanimitas</a> <a href="https://litfl.com/anzcen-incubator/" rel="nofollow" target="_blank">Clinician Educator Incubator program</a> <a href="https://www.linkedin.com/in/cameron-knott-86066244/?originalSubdomain=au" rel="nofollow" target="_blank"> Cameron Knott</a> <a href="https://www.svph.org.au/specialists/dr-manisa-ghani-intensivist-st-vincents-private-ho" rel="nofollow" target="_blank"> Manisa Ghani</a> <a href="https://www.scu.edu.au/about/contacts/staff-directory/staff/52861.php" rel="nofollow" target="_blank"> Deb Massey</a> <a href="https://www.linkedin.com/in/kylie-moon-95a7aab/?originalSubdomain=au" rel="nofollow" target="_blank"> Kylie Moon</a> <a href="https://www.linkedin.com/in/steve-philpot-429289151/?originalSubdomain=au" rel="nofollow" target="_blank"> Steve Philpot</a> <a href="https://litfl.com/foam-free-open-access-medical-education/" rel="nofollow" target="_blank"> FOAM</a> <a href="https://scottweingart.com/" rel="nofollow" target="_blank">Scott Weingart</a> <a href="https://emcrit.org/" rel="nofollow" target="_blank">EMCrit</a> <a href="https://www.aliem.com/" rel="nofollow" target="_blank">Academic Life In Emergency Medicine blog</a> <a href="https://smacc.net.au/" rel="nofollow" target="_blank">SMACC conference</a> <a href="https://derangedphysiology.com/main/home" rel="nofollow" target="_blank">Deranged Physiology</a> <a href="https://www.alfredhealth.org.au/find-a-doctor/bio/dr-steven-mcgloughlin" rel="nofollow" target="_blank"> Steve McGloughlin</a> <a href="https://www.britannica.com/biography/Marcus-Aurelius-Roman-emperor" rel="nofollow" target="_blank"> Marcus Aurelius</a> <a href="https://profiles.nlm.nih.gov/spotlight/gf/feature/biographical-overview" rel="nofollow" target="_blank"> William Osler</a> <a href="https://www.penguin.com.au/books/how-the-world-really-works-9780241989678" rel="nofollow" target="_blank"> Book “How The World Really Works" (by Vaclav Smil)</a> <a href="https://www.gatesnotes.com/" rel="nofollow" target="_blank">Bill Gates</a> Links related to Mastering Intensive Care podcast <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://masteringintensivecare.libsyn.com/website/episode-5-jamie-cooper-managing-your-career-over-the-long-haul" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 5 with Jamie Cooper</a> <a href="https://masteringintensivecare.libsyn.com/episode-45-scott-weingart-useful-mental-strategies-of-a-thoughtful-ed-intensivist-and-hugely-influential-podcaster" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 45 with Scott Weingart</a> <a href="https://masteringintensivecare.libsyn.com/website/episode-59-steve-mcgloughlin-preparing-for-the-covid-19-pandemic" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 59 with Steve McLoughlin</a> <a href="https://masteringintensivecare.libsyn.com/website/episode-62-steve-philpot-communication-tribalism-shared-decision-making-and-the-value-of-knowing-you-already-know-enough" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 63 with Steve Philpot</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

78 - Chris Nickson - Modern & innovative clinician education

Mastering Intensive Care is returning from being offline for a full 12 months. In this episode, I ask you to ponder, “how are you going?” after the lengthy pandemic, which has lulled after the worst of the storm but has not yet settled into a state of calm. Whilst few intensive care clinicians have actively diminished what we’ve been through over the last few years, the relentless world of Intensive Care continues unabated. There have been many learnings from the pandemic, but we mustn’t sweep the emotions we’ve witnessed under the carpet. As you listen to this shorter episode than usual, I hope you’ll ponder questions about how you have managed yourself during the pandemic, both individually and in your local ICU community. I share what I’ve witnessed in myself and my colleagues before offering a few thoughts on where we might focus our actions in recovering from what we’ve been through. Thank you for listening as I use this opportunity to reinvigorate this podcast after 12 months of languishing.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing.   -------------------- Links to resources discussed (in order of mentioning)  Article in New York Times “There’s a Name for the Blah You’re Feeling: It’s Called Languishing” (by Adam Grant)  Article in New York Times “There’s a Specific Kind of Joy We’ve Been Missing” (by Adam Grant)  Mastering Intensive Care episode - Persevering Through A Pandemic - 1 - Sick Of COVID  Mastering Intensive Care episode - Persevering Through A Pandemic - 2 - It Was Inconceivable  Mastering Intensive Care episode - Persevering Through A Pandemic - 3 - Ultramarathon  Mastering Intensive Care episode - Persevering Through A Pandemic - 4 - Best &amp; Worst Year  Mastering Intensive Care episode - Persevering Through A Pandemic - 5 - 'Life' Support For Our People  Mastering Intensive Care episode - Persevering Through A Pandemic - 6 - Learnings We Might Take Away   Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn  Email Andrew Davies  Audio Producer Chris Burke Burke Sound &amp; Media

Mastering Intensive Care is returning from being offline for a full 12 months. In this episode, I ask you to ponder, “how are you going?” after the lengthy pandemic, which has lulled after the worst of the storm but has not yet settled into a state of calm. Whilst few intensive care clinicians have actively diminished what we’ve been through over the last few years, the relentless world of Intensive Care continues unabated. There have been many learnings from the pandemic, but we mustn’t sweep the emotions we’ve witnessed under the carpet. As you listen to this shorter episode than usual, I hope you’ll ponder questions about how you have managed yourself during the pandemic, both individually and in your local ICU community. I share what I’ve witnessed in myself and my colleagues before offering a few thoughts on where we might focus our actions in recovering from what we’ve been through. Thank you for listening as I use this opportunity to reinvigorate this podcast after 12 months of languishing. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower Intensive Care clinicians through conversations about the human side of Intensive Care to bring their best selves to work by focusing on compassion, collaboration and personal wellbeing. -------------------- Links to resources discussed (in order of mentioning) <a href="https://www.nytimes.com/2021/04/19/well/mind/covid-mental-health-languishing.html" rel="nofollow" target="_blank"> Article in New York Times “There’s a Name for the Blah You’re Feeling: It’s Called Languishing” (by Adam Grant)</a> <a href="https://www.nytimes.com/2021/07/10/opinion/sunday/covid-group-emotions-happiness.html" rel="nofollow" target="_blank"> Article in New York Times “There’s a Specific Kind of Joy We’ve Been Missing” (by Adam Grant)</a> <a href="https://masteringintensivecare.libsyn.com/71-persevering-through-a-pandemic-1-sick-of-covid" rel="nofollow" target="_blank"> Mastering Intensive Care episode - Persevering Through A Pandemic - 1 - Sick Of COVID</a> <a href="https://masteringintensivecare.libsyn.com/mic-ptap-2-final-edit-andrew" rel="nofollow" target="_blank"> Mastering Intensive Care episode - Persevering Through A Pandemic - 2 - It Was Inconceivable</a> <a href="https://masteringintensivecare.libsyn.com/73-persevering-through-a-pandemic-3-ultramarathon" rel="nofollow" target="_blank"> Mastering Intensive Care episode - Persevering Through A Pandemic - 3 - Ultramarathon</a> <a href="https://masteringintensivecare.libsyn.com/persevering-through-a-pandemic-4-best-worst-year" rel="nofollow" target="_blank"> Mastering Intensive Care episode - Persevering Through A Pandemic - 4 - Best &amp; Worst Year</a> <a href="https://masteringintensivecare.libsyn.com/persevering-through-a-pandemic-5-life-support-for-our-people" rel="nofollow" target="_blank"> Mastering Intensive Care episode - Persevering Through A Pandemic - 5 - 'Life' Support For Our People</a> <a href="https://masteringintensivecare.libsyn.com/persevering-through-a-pandemic-6-learnings-we-might-take-away" rel="nofollow" target="_blank"> Mastering Intensive Care episode - Persevering Through A Pandemic - 6 - Learnings We Might Take Away</a> Links related to Mastering Intensive Care podcast <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="https://www.linkedin.com/in/andrew-davies-2b14a2133/" rel="nofollow" target="_blank">Andrew Davies on LinkedIn</a> <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a> <a href="https://burkesound.wordpress.com/" rel="nofollow" target="_blank">Burke Sound &amp; Media</a>

77 - Recovering from the pandemic

This podcast is designed to inspire intensive care clinicians to become the very best they can be at delivering care to their critically ill patients.

Thank you! Great format and wonderful topics!

Thanks

Mastering Intensive Care

Rinaldo Bellomo

In this episode Prof Rinaldo Bellomo from the Austin Hospital in Melbourne, Australia describes how he has always had an enquiring mind and how he judges himself with respect to his ability to be caring, compassionate, competent, communicative and collegial, both professionally and personally. He discusses topics such as: how an experience as a 5th medical student sparked his interest in intensive care medicine; how intensive care has become more safe as technological advancements have occurred; how he seeks feedback from colleagues; how to give feedback and how it needs to be helpful in nature; what his daily routine is; how being at the bedside is so important to excellent clinical care; how experience has helped him deal with stress more easily but makes fatigue a bigger issue; how doing research is the basis of his stress management program; what his out of work pursuits are and how he'd love to have a 30 hour day. He carefully describes the process he uses in his end of life family conversations and astutely points out that end of life care can never be rushed. The interview concludes with Rinaldo's hope that he be known for his continuous desire to ask "how do we know that we know this" at the patient's bedside (which has no doubt fuelled his enormously successful research career) and precisely what he thinks all doctors could do to help them become more humble. This is an outstanding conversation about compassionate clinical care with one of the best intensive care researchers in the world who is also one of the great mentors of our time. This podcast was created to help and inspire intensive care clinicians to improve the care we give to our patients by providing interesting and thought-provoking conversations with highly respected and experienced clinicians. In each episode, Andrew Davies, an intensivist in Melbourne, Australia, speaks with a guest for the purpose of hearing their perspectives on the habits and behaviours that they believe are the most important for improving the outcomes of our patients. Things like bringing our best selves to work each day, optimal communication, coping with stress and preventing burn out, working well in a team, and interacting with patient’s families and the many other health professionals we deal with on a daily basis. The podcast is less about the drugs, devices and procedures that can be administered and more about the habits, behaviours and philosophies that can help intensive care clinicians to master the craft of intensive care.

In this episode Prof Rinaldo Bellomo from the Austin Hospital in Melbourne, Australia describes how he has always had an enquiring mind and how he judges himself with respect to his ability to be caring, compassionate, competent, communicative and collegial, both professionally and personally. He discusses topics such as: how an experience as a 5th medical student sparked his interest in intensive care medicine; how intensive care has become more safe as technological advancements have occurred; how he seeks feedback from colleagues; how to give feedback and how it needs to be helpful in nature; what his daily routine is; how being at the bedside is so important to excellent clinical care; how experience has helped him deal with stress more easily but makes fatigue a bigger issue; how doing research is the basis of his stress management program; what his out of work pursuits are and how he'd love to have a 30 hour day. He carefully describes the process he uses in his end of life family conversations and astutely points out that end of life care can never be rushed. The interview concludes with Rinaldo's hope that he be known for his continuous desire to ask "how do we know that we know this" at the patient's bedside (which has no doubt fuelled his enormously successful research career) and precisely what he thinks all doctors could do to help them become more humble. This is an outstanding conversation about compassionate clinical care with one of the best intensive care researchers in the world who is also one of the great mentors of our time. This podcast was created to help and inspire intensive care clinicians to improve the care we give to our patients by providing interesting and thought-provoking conversations with highly respected and experienced clinicians. In each episode, Andrew Davies, an intensivist in Melbourne, Australia, speaks with a guest for the purpose of hearing their perspectives on the habits and behaviours that they believe are the most important for improving the outcomes of our patients. Things like bringing our best selves to work each day, optimal communication, coping with stress and preventing burn out, working well in a team, and interacting with patient’s families and the many other health professionals we deal with on a daily basis. The podcast is less about the drugs, devices and procedures that can be administered and more about the habits, behaviours and philosophies that can help intensive care clinicians to master the craft of intensive care.

3 - Rinaldo Bellomo - Compassionate care combined with continuous enquiry

Laura Rock

Are you a good communicator? Can you identify the skills of optimal communication? Might you sometimes respond to emotion with facts?  Communication is perhaps the most important thing we do in healthcare, let alone in life. And to support our patients in understanding their ill health and their healthcare needs requires a high level of human connection for communication to be optimal. So let me introduce you to Dr Laura Rock, an American intensivist, who reminds us on this podcast that (1) communication skills are learnable, (2) there are benefits in understanding our patients emotionally, (3) we can help patients greatly if we don’t try to reassure with facts when we hear emotions in the words they use, and (4) a focus on transparency, respect and curiosity can help us all to understand each other better; all of which seem likely to help us in our roles in the Intensive Care Unit. Laura is a Pulmonologist, Intensivist and Director of Communication and Teamwork for Critical Care at Beth Israel Deaconess Medical Center in Boston, Massachusetts, an Assistant Professor at Harvard Medical School, Faculty for the Center for Medical Simulation and a VitalTalk instructor. Laura studies and teaches the role of emotion in critical conversations, debriefing, feedback, and interprofessional conflict negotiation. She thinks we can change the world one conversation at a time, when we truly listen, and when we allow for creative and collaborative possibilities. When not teaching or seeing patients in the ICU, Laura loves to spend time with her family and to hike, ski, mountain bike, surf and sing. In this episode you will hear Laura speaking about many aspects of communication, also including:  How she got into critical care and then became focused on communication What good communicators do to make human connection How micro-encounters and casual interactions are all part of building trust The GIVE acronym she suggests for responding to people’s emotions (Get there is emotion, Identify the emotion, Validate the feelings, Explore to understand) Some examples of how to respond to what sound like comments with emotions Some thoughts on what to do when the person is angry How we should guess at people’s emotions, not tell them what they are feeling Her thoughts on touch including hugs How the universality of communication skills can help us with friends and family too Being specific when helping debrief a team The teaching she does on ward rounds How most poor communication interactions can be helped by saying sorry Her self care including her approach to exercise, nature, guitar-playing, sleep and balance The gratitude she feels for having recently spent a lot of time with her dying mother.  Laura is kind, caring, astute, thoughtful and the sort of listener and communicator I would have liked to have been involved in the care of my father when he was dying, something we talk about towards the end of the episode. This one is really worth listening to, no matter how good you think your communication skills are. Please listen to and learn from Dr Laura Rock. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean insights to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient’s lives. -------------------- Links to people, organisations and other resources mentioned: Laura Rock on Twitter  Laura Rock at Beth Israel Deaconess Medical Center  Laura Rock at Harvard Catalyst Laura Rock on LinkedIn Center For Medical Simulation VitalTalk Published papers by Tony Back and Bob Arnold 2019 World Congress of Intensive Care Medicine SMACC Melbourne marathon  Melbourne Cricket Ground  Mastering Intensive Care podcast - Episode 47 with Matt Morgan New Normal Project podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook  Mastering Intensive Care at Life In The Fast Lane  Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66  Email Andrew Davies

Are you a good communicator? Can you identify the skills of optimal communication? Might you sometimes respond to emotion with facts? Communication is perhaps the most important thing we do in healthcare, let alone in life. And to support our patients in understanding their ill health and their healthcare needs requires a high level of human connection for communication to be optimal. So let me introduce you to Dr Laura Rock, an American intensivist, who reminds us on this podcast that (1) communication skills are learnable, (2) there are benefits in understanding our patients emotionally, (3) we can help patients greatly if we don’t try to reassure with facts when we hear emotions in the words they use, and (4) a focus on transparency, respect and curiosity can help us all to understand each other better; all of which seem likely to help us in our roles in the Intensive Care Unit. Laura is a Pulmonologist, Intensivist and Director of Communication and Teamwork for Critical Care at Beth Israel Deaconess Medical Center in Boston, Massachusetts, an Assistant Professor at Harvard Medical School, Faculty for the Center for Medical Simulation and a VitalTalk instructor. Laura studies and teaches the role of emotion in critical conversations, debriefing, feedback, and interprofessional conflict negotiation. She thinks we can change the world one conversation at a time, when we truly listen, and when we allow for creative and collaborative possibilities. When not teaching or seeing patients in the ICU, Laura loves to spend time with her family and to hike, ski, mountain bike, surf and sing. In this episode you will hear Laura speaking about many aspects of communication, also including: <ul> <li>How she got into critical care and then became focused on communication</li> <li>What good communicators do to make human connection</li> <li>How micro-encounters and casual interactions are all part of building trust</li> <li>The GIVE acronym she suggests for responding to people’s emotions (Get there is emotion, Identify the emotion, Validate the feelings, Explore to understand)</li> <li>Some examples of how to respond to what sound like comments with emotions</li> <li>Some thoughts on what to do when the person is angry</li> <li>How we should guess at people’s emotions, not tell them what they are feeling</li> <li>Her thoughts on touch including hugs</li> <li>How the universality of communication skills can help us with friends and family too</li> <li>Being specific when helping debrief a team</li> <li>The teaching she does on ward rounds</li> <li>How most poor communication interactions can be helped by saying sorry</li> <li>Her self care including her approach to exercise, nature, guitar-playing, sleep and balance</li> <li>The gratitude she feels for having recently spent a lot of time with her dying mother.</li> </ul> Laura is kind, caring, astute, thoughtful and the sort of listener and communicator I would have liked to have been involved in the care of my father when he was dying, something we talk about towards the end of the episode. This one is really worth listening to, no matter how good you think your communication skills are. Please listen to and learn from Dr Laura Rock. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean insights to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient’s lives. -------------------- Links to people, organisations and other resources mentioned: <a href="https://twitter.com/laurakanerock" rel="nofollow" target="_blank">Laura Rock on Twitter</a> <a href="https://findadoc.bidmc.org/details/1288/laura_kane-rock-critical_care_medicine-pulmonary_disease-boston" rel="nofollow" target="_blank"> Laura Rock at Beth Israel Deaconess Medical Center</a> <a href="https://connects.catalyst.harvard.edu/Profiles/display/Person/2075" rel="nofollow" target="_blank"> Laura Rock at Harvard Catalyst</a> <a href="https://www.linkedin.com/in/laura-rock-82076428/" rel="nofollow" target="_blank">Laura Rock on LinkedIn</a> <a href="https://harvardmedsim.org/" rel="nofollow" target="_blank">Center For Medical Simulation</a> <a href="https://www.vitaltalk.org/" rel="nofollow" target="_blank">VitalTalk</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Back+AL+AND+Arnold+RM" rel="nofollow" target="_blank">Published papers by Tony Back and Bob Arnold</a> <a href="https://www.worldcongressintensivecare2019.com/" rel="nofollow" target="_blank">2019 World Congress of Intensive Care Medicine</a> <a href="https://smacc.net.au/" rel="nofollow" target="_blank">SMACC</a> <a href="https://melbournemarathon.com.au/" rel="nofollow" target="_blank">Melbourne marathon</a> <a href="https://www.mcg.org.au/" rel="nofollow" target="_blank">Melbourne Cricket Ground</a> <a href="https://masteringintensivecare.libsyn.com/episode-47-matt-morgan-mixing-science-history-emotion-and-humanity-in-telling-critical-stories" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 47 with Matt Morgan</a> <a href="http://newnormalproject.libsyn.com/" rel="nofollow" target="_blank">New Normal Project podcast</a> <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a>

48 - Laura Rock - Teaching and learning about communication

Happy New Year. Here’s hoping 2019 is a great one for you. Mastering Intensive Care is aimed to inspire and empower you, as an intensive care clinician, to bring your best self to the ICU, through conversations with thought-provoking guests. I think there’s a gap in education on the topics we cover on this show and hopefully you find my guests useful. During the Christmas/New Year period I listened to all of the episodes I published in 2018. This allowed me to learn what I can do better as a podcaster and to package up the best bits of a year’s worth of podcasts into something I think is valuable on its own. It truly astounds me how extraordinary the advice, perspectives and stories of my guests are and I hope you find something to help you in most episodes. I couldn’t include all 2018 guests on this episode so I picked the best excerpts in my humble opinion. I am sorry if I chose a guest (or left out a guest) that you would not have. If you’ve heard them before it should jog your memory. If you missed some of the episodes it helps you to catch up on them. If you are a new listener this is a flavour of what this show is all about. I hope you enjoy what I see to be a crash course of what we covered during 2018 and one that can help you to bring your best self to work in 2019. Thanks for listening.   Andrew Davies   -------------------- People, organisations and resources mentioned in the episode: New Normal Project podcast – Episode 46 with Andy Ramage  OYNB challenge MIC Episode 32 with Kate Harding MIC Episode 38 with June Goh SG-ANZICS Asia Pacific Forum Singapore SICM ANZICS MIC Episode 35 with Paul Wischmeyer MIC Episode 27 with John Santamaria MIC Episode 28 with Simon Finfer MIC Episode 25 with Sarah Yong MIC Episode 33 with Wes Ely MIC Episode 29 with Claire Davies New Normal Project podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com

Happy New Year. Here’s hoping 2019 is a great one for you. Mastering Intensive Care is aimed to inspire and empower you, as an intensive care clinician, to bring your best self to the ICU, through conversations with thought-provoking guests. I think there’s a gap in education on the topics we cover on this show and hopefully you find my guests useful. During the Christmas/New Year period I listened to all of the episodes I published in 2018. This allowed me to learn what I can do better as a podcaster and to package up the best bits of a year’s worth of podcasts into something I think is valuable on its own. It truly astounds me how extraordinary the advice, perspectives and stories of my guests are and I hope you find something to help you in most episodes. I couldn’t include all 2018 guests on this episode so I picked the best excerpts in my humble opinion. I am sorry if I chose a guest (or left out a guest) that you would not have. If you’ve heard them before it should jog your memory. If you missed some of the episodes it helps you to catch up on them. If you are a new listener this is a flavour of what this show is all about. I hope you enjoy what I see to be a crash course of what we covered during 2018 and one that can help you to bring your best self to work in 2019. Thanks for listening. Andrew Davies -------------------- People, organisations and resources mentioned in the episode: <a href="http://newnormalproject.libsyn.com/episode-46-andy-ramage-using-an-alcohol-free-challenge-to-reframe-your-relationship-with-alcohol" rel="noopener nofollow" target="_blank">New Normal Project podcast – Episode 46 with Andy Ramage</a> <a href="https://www.oneyearnobeer.com/" rel="noopener nofollow" target="_blank">OYNB challenge</a> <a href="http://masteringintensivecare.libsyn.com/episode-32-dr-kate-harding-losing-richard-what-can-we-learn-from-her-intensivist-husbands-shocking-death" rel="noopener nofollow" target="_blank">MIC Episode 32 with Kate Harding</a> <a href="http://masteringintensivecare.libsyn.com/episode-38-june-goh-leading-by-creating-a-family-like-department-culture-sg-anzics-special-episode" rel="noopener nofollow" target="_blank">MIC Episode 38 with June Goh</a> <a href="http://sg-anzics.com/" rel="noopener nofollow" target="_blank">SG-ANZICS Asia Pacific Forum</a> <a href="https://sicm.org.sg/" rel="noopener nofollow" target="_blank">Singapore SICM</a> <a href="https://www.anzics.com.au/" rel="noopener nofollow" target="_blank">ANZICS</a> <a href="http://masteringintensivecare.libsyn.com/episode-35-paul-wischmeyer-never-underestimate-the-simple-things-we-do-to-our-patients" rel="noopener nofollow" target="_blank">MIC Episode 35 with Paul Wischmeyer</a> <a href="http://masteringintensivecare.libsyn.com/episode-27-john-santamaria-genuine-care-for-patients-both-during-and-after-the-icu-stay" rel="noopener nofollow" target="_blank">MIC Episode 27 with John Santamaria</a> <a href="http://masteringintensivecare.libsyn.com/episode-28-simon-finfer-flourishing-in-a-great-department-culture-querying-clinical-decisions-and-maintaining-humanity-in-an-intimidating-environment" rel="noopener nofollow" target="_blank">MIC Episode 28 with Simon Finfer</a> <a href="http://masteringintensivecare.libsyn.com/episode-25-sarah-yong-making-an-excellent-start-to-an-intensive-care-career" rel="noopener nofollow" target="_blank">MIC Episode 25 with Sarah Yong</a> <a href="http://masteringintensivecare.libsyn.com/episode-33-wes-ely-finding-out-what-matters-to-our-patients" rel="noopener nofollow" target="_blank">MIC Episode 33 with Wes Ely</a> <a href="http://masteringintensivecare.libsyn.com/episode-29-claire-davies-listen-to-our-intensive-care-nurses" rel="noopener nofollow" target="_blank">MIC Episode 29 with Claire Davies</a> <a href="http://newnormalproject.libsyn.com/" rel="noopener nofollow" target="_blank">New Normal Project podcast</a> <a href="http://masteringintensivecare.libsyn.com" rel="noopener nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare" rel="noopener nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://lifeinthefastlane.com/litfl/mastering-intensive-care" rel="noopener nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Email Andrew Davies: <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>

39 - The Best of Mastering Intensive Care in 2018

Neil Orford

In this episode Assoc Prof Neil Orford from University Hospital Geelong in Geelong, Australia describes how he has had to learn key leadership skills, how he values and now teaches communication skills, how he works on his overall life balance and how he has developed an interest in writing. Neil discusses topics such as: how he ended up studying medicine after considering being a vet and a mathematician; how he uses regular reflection to optimise his life balance, concentrating on understanding the number of major projects he is involved in at any one time; how he needed to find good leadership training once he became an ICU director in his 30s; how important skilled communication is and how he has become involved in a communication program which amongst other things uses professional actors; how communication skills can be used in all areas of life; the key characteristics of good clinicians; how he interacts with other team-members on a ward round; use of mobile phones on ward rounds and how important a regular presence in the ICU is. The interview concludes with a discussion of Neil's interest in writing, how he penned an opinion piece for the local newspaper and how this was received, where he is aiming at with his writing, and how writing gives him some release from the other aspects of his job. Neil guesses that his colleagues would consider him to be a caring leader and after listening to this excellent interview most listeners are likely to agree. This podcast was created to help and inspire intensive care clinicians to improve the care we give to our patients by providing interesting and thought-provoking conversations with highly respected and experienced clinicians. In each episode, Andrew Davies, an intensivist in Melbourne, Australia, speaks with a guest for the purpose of hearing their perspectives on the habits and behaviours that they believe are the most important for improving the outcomes of our patients. Things like bringing our best selves to work each day, optimal communication, coping with stress and preventing burn out, working well in a team, and interacting with patient’s families and the many other health professionals we deal with on a daily basis. The podcast is less about the drugs, devices and procedures that can be administered and more about the habits, behaviours and philosophies that can help intensive care clinicians to master the craft of intensive care.

In this episode Assoc Prof Neil Orford from University Hospital Geelong in Geelong, Australia describes how he has had to learn key leadership skills, how he values and now teaches communication skills, how he works on his overall life balance and how he has developed an interest in writing. Neil discusses topics such as: how he ended up studying medicine after considering being a vet and a mathematician; how he uses regular reflection to optimise his life balance, concentrating on understanding the number of major projects he is involved in at any one time; how he needed to find good leadership training once he became an ICU director in his 30s; how important skilled communication is and how he has become involved in a communication program which amongst other things uses professional actors; how communication skills can be used in all areas of life; the key characteristics of good clinicians; how he interacts with other team-members on a ward round; use of mobile phones on ward rounds and how important a regular presence in the ICU is. The interview concludes with a discussion of Neil's interest in writing, how he penned an opinion piece for the local newspaper and how this was received, where he is aiming at with his writing, and how writing gives him some release from the other aspects of his job. Neil guesses that his colleagues would consider him to be a caring leader and after listening to this excellent interview most listeners are likely to agree. This podcast was created to help and inspire intensive care clinicians to improve the care we give to our patients by providing interesting and thought-provoking conversations with highly respected and experienced clinicians. In each episode, Andrew Davies, an intensivist in Melbourne, Australia, speaks with a guest for the purpose of hearing their perspectives on the habits and behaviours that they believe are the most important for improving the outcomes of our patients. Things like bringing our best selves to work each day, optimal communication, coping with stress and preventing burn out, working well in a team, and interacting with patient’s families and the many other health professionals we deal with on a daily basis. The podcast is less about the drugs, devices and procedures that can be administered and more about the habits, behaviours and philosophies that can help intensive care clinicians to master the craft of intensive care.

4 - Neil Orford - Seeking optimal communication, leadership and balance

A year ago there was no such thing as the Mastering Intensive Care podcast. Now there are 22 episodes with 21 separate interviews, each of which have helped me and seem to have helped many of you to make improvements at delivering more compassionate, thoughtful and patient-centred intensive care. Without fail my guests throughout 2017 were excellent and I really enjoyed doing the interviews. And I promise to bring you the best content I can over 2018 too. Given the Christmas/New Year break is a time for reflection, I thought this was the time to slow down and relive the best of what was heard on Mastering Intensive Care in 2017. Here are the first five of the best 2017 guests, with a further five to follow next episode. This has been difficult as I have seriously enjoyed every one of my guests. I will upset some guests by not including them and I will upset some of you for not including your favourite guest. But nevertheless I have taken the five most downloaded episodes and mixed them with the five I enjoyed the most. Then I took what I considered the best excerpt of the conversation and put them in no particular order over two episodes. So enjoy listening to the best excerpts of the best episodes over the first year of Mastering Intensive Care. I hope it will inspire you to a fresh start in 2018 with some great perspectives for bringing your best self to work. If you’ve missed a few episodes over the year here is a chance to catch up with them and if you are totally new to the podcast here is a glimpse of what Mastering Intensive Care is all about.   Andrew Davies   -----------------   Resources from people, organisations and things mentioned in this episode: MIC Episode 3 with Rinaldo Bellomo:  http://masteringintensivecare.libsyn.com/episode-3-rinaldo-bellomo-compassionate-care-with-continuous-enquiry   MIC Episode 8 with Dianne Stephens:  http://masteringintensivecare.libsyn.com/episode-8-dianne-stephens-developing-a-happy-work-environment-by-respecting-and-valuing-everyone-in-the-intensive-care-team   MIC Episode 4 with Neil Orford:  http://masteringintensivecare.libsyn.com/episode-4-neil-orford-seeking-optimal-communication-leadership-and-balance   MIC Episode 13 with Sara Gray:  http://masteringintensivecare.libsyn.com/episode-13-sara-gray-voices-in-my-head-dassmacc-special-episode   MIC Episode 21 with Martin Bromiley:  http://masteringintensivecare.libsyn.com/episode-21-martin-bromiley-turning-tragedy-into-safer-healthcare-by-attention-to-human-factors-dassmacc-special-episode   Rich Roll podcast: http://www.richroll.com/category/podcast/   Mastering Intensive Care podcast on Libsyn: http://masteringintensivecare.libsyn.com/   Mastering Intensive Care podcast on Life In The Fast Lane: https://lifeinthefastlane.com/?s=mastering+intensive+care   Mastering Intensive Care on Facebook: https://www.facebook.com/masteringintensivecare/   Andrew Davies on Twitter: @andrewdavies66   Email Andrew Davies: andrew@masteringintensivecare.com

A year ago there was no such thing as the Mastering Intensive Care podcast. Now there are 22 episodes with 21 separate interviews, each of which have helped me and seem to have helped many of you to make improvements at delivering more compassionate, thoughtful and patient-centred intensive care. Without fail my guests throughout 2017 were excellent and I really enjoyed doing the interviews. And I promise to bring you the best content I can over 2018 too. Given the Christmas/New Year break is a time for reflection, I thought this was the time to slow down and relive the best of what was heard on Mastering Intensive Care in 2017. Here are the first five of the best 2017 guests, with a further five to follow next episode. This has been difficult as I have seriously enjoyed every one of my guests. I will upset some guests by not including them and I will upset some of you for not including your favourite guest. But nevertheless I have taken the five most downloaded episodes and mixed them with the five I enjoyed the most. Then I took what I considered the best excerpt of the conversation and put them in no particular order over two episodes. So enjoy listening to the best excerpts of the best episodes over the first year of Mastering Intensive Care. I hope it will inspire you to a fresh start in 2018 with some great perspectives for bringing your best self to work. If you’ve missed a few episodes over the year here is a chance to catch up with them and if you are totally new to the podcast here is a glimpse of what Mastering Intensive Care is all about. Andrew Davies ----------------- Resources from people, organisations and things mentioned in this episode: MIC Episode 3 with Rinaldo Bellomo: <a href="http://masteringintensivecare.libsyn.com/episode-3-rinaldo-bellomo-compassionate-care-with-continuous-enquiry" rel="nofollow" target="_blank"> http://masteringintensivecare.libsyn.com/episode-3-rinaldo-bellomo-compassionate-care-with-continuous-enquiry</a> MIC Episode 8 with Dianne Stephens: <a href="http://masteringintensivecare.libsyn.com/episode-8-dianne-stephens-developing-a-happy-work-environment-by-respecting-and-valuing-everyone-in-the-intensive-care-team" rel="nofollow" target="_blank"> http://masteringintensivecare.libsyn.com/episode-8-dianne-stephens-developing-a-happy-work-environment-by-respecting-and-valuing-everyone-in-the-intensive-care-team</a> MIC Episode 4 with Neil Orford: <a href="http://masteringintensivecare.libsyn.com/episode-4-neil-orford-seeking-optimal-communication-leadership-and-balance" rel="nofollow" target="_blank"> http://masteringintensivecare.libsyn.com/episode-4-neil-orford-seeking-optimal-communication-leadership-and-balance</a> MIC Episode 13 with Sara Gray: <a href="http://masteringintensivecare.libsyn.com/episode-13-sara-gray-voices-in-my-head-dassmacc-special-episode" rel="nofollow" target="_blank"> http://masteringintensivecare.libsyn.com/episode-13-sara-gray-voices-in-my-head-dassmacc-special-episode</a> MIC Episode 21 with Martin Bromiley: <a href="http://masteringintensivecare.libsyn.com/episode-21-martin-bromiley-turning-tragedy-into-safer-healthcare-by-attention-to-human-factors-dassmacc-special-episode" rel="nofollow" target="_blank"> http://masteringintensivecare.libsyn.com/episode-21-martin-bromiley-turning-tragedy-into-safer-healthcare-by-attention-to-human-factors-dassmacc-special-episode</a> Rich Roll podcast: <a href="http://www.richroll.com/category/podcast/" rel="nofollow" target="_blank">http://www.richroll.com/category/podcast/</a> Mastering Intensive Care podcast on Libsyn: <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">http://masteringintensivecare.libsyn.com/</a> Mastering Intensive Care podcast on Life In The Fast Lane: <a href="https://lifeinthefastlane.com/?s=mastering+intensive+care" rel="nofollow" target="_blank">https://lifeinthefastlane.com/?s=mastering+intensive+care</a> Mastering Intensive Care on Facebook: <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">https://www.facebook.com/masteringintensivecare/</a> Andrew Davies on Twitter: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com

23 - The Best of Mastering Intensive Care in 2017 (Part 1)

Claire Davies

This week is International Nurses Week culminating in International Nurses Day on Saturday May 12th, the date on which Florence Nightingale was born. To celebrate this, my special guest this week is an intensive care nurse, Claire Davies. Claire is my wife. To me, she is intelligent, caring, kind and compassionate, as both a nurse and a person. So after struggling for a while with the choice of who I should have as my first nurse guest on the podcast, it gradually became obvious that it should be Claire. Claire began as an intensive care nurse back in 1999 as a Critical Care Course student at the Alfred Hospital’s Intensive Care Unit in Melbourne. After rising to become an Associate Nurse Unit Manager there a few years later, Claire took time off to rear our 2 beautiful daughters before reestablishing herself as a Critical Care Liaison Nurse at the Epworth Hospital, also in Melbourne. Whilst Claire is definitely an excellent nurse, with a keen focus on developing healthy and valuable nurse-doctor relationships which place the patient’s needs above anything else, she is also the long-suffering partner of an intensivist, me. This gives Claire the perfect perspective to talk about being an intensivist’s partner, something we do towards the end of this conversation. We also talk about:  Her career journey What is it like being an intensive care nurse The dynamic and challenging environment of an ICU The characteristics of good intensive care doctors An instance where she confronted an intensivist about how she felt intimidated by him The aim to bring everything back to being about the patient Communication between ICU doctors and nurses How nurses are good at pattern recognition How important decisiveness is Respecting and not unfairly judging prior clinical decisions Drug and other types of errors An interesting tale of one of her patients falling out of bed How Claire felt in the period afterwards and how she dealt with it Communicating in family meetings, including the use of silence Prioritising rest to bring her best self to work Some other wellness habits including eating well, exercise and yoga Seeing the drinking of water as an important goal during a shift The “funny jokes” intensivists often tell on their ward rounds Her thoughts to help intensivists be more connected to their partners and families Her interest in a more focused acknowledgement of death in the ICU when it happens  My genuine hope with this podcast is to inspire and empower you to bring your best self to work and to consider adopting some of the habits and behaviours my guests give their perspectives on, with the ultimate purpose of improving outcomes for all of our patients. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. Feel free to leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at andrew@masteringintensivecare.com. Thanks for listening on the journey towards mastering intensive care. Andrew Davies   -------------------- Show notes (people, organisations, resources or links mentioned in the episode): Twitter handle for Claire Davies: @cldavies22 Instagram handle for Claire Davies: @clairedavies22 New Normal Project podcast: http://newnormalproject.libsyn.com/ Insight Timer app: https://insighttimer.com/ Dr Craig Hassed:  https://www.monash.edu/medicine/spahc/general-practice/about/staff-students/hassed Study focusing on the “Sacred Pause”: https://www.ncbi.nlm.nih.gov/pubmed/29618221 5th SG-ANZICS Asia Pacific Intensive Care Forum: www.sg-anzics.com Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care Email Andrew Davies: andrew@masteringintensivecare.com Twitter handle for Andrew Davies: @andrewdavies66

This week is International Nurses Week culminating in International Nurses Day on Saturday May 12th, the date on which Florence Nightingale was born. To celebrate this, my special guest this week is an intensive care nurse, Claire Davies. Claire is my wife. To me, she is intelligent, caring, kind and compassionate, as both a nurse and a person. So after struggling for a while with the choice of who I should have as my first nurse guest on the podcast, it gradually became obvious that it should be Claire. Claire began as an intensive care nurse back in 1999 as a Critical Care Course student at the Alfred Hospital’s Intensive Care Unit in Melbourne. After rising to become an Associate Nurse Unit Manager there a few years later, Claire took time off to rear our 2 beautiful daughters before reestablishing herself as a Critical Care Liaison Nurse at the Epworth Hospital, also in Melbourne. Whilst Claire is definitely an excellent nurse, with a keen focus on developing healthy and valuable nurse-doctor relationships which place the patient’s needs above anything else, she is also the long-suffering partner of an intensivist, me. This gives Claire the perfect perspective to talk about being an intensivist’s partner, something we do towards the end of this conversation. We also talk about: <ul> <li>Her career journey</li> <li>What is it like being an intensive care nurse</li> <li>The dynamic and challenging environment of an ICU</li> <li>The characteristics of good intensive care doctors</li> <li>An instance where she confronted an intensivist about how she felt intimidated by him</li> <li>The aim to bring everything back to being about the patient</li> <li>Communication between ICU doctors and nurses</li> <li>How nurses are good at pattern recognition</li> <li>How important decisiveness is</li> <li>Respecting and not unfairly judging prior clinical decisions</li> <li>Drug and other types of errors</li> <li>An interesting tale of one of her patients falling out of bed</li> <li>How Claire felt in the period afterwards and how she dealt with it</li> <li>Communicating in family meetings, including the use of silence</li> <li>Prioritising rest to bring her best self to work</li> <li>Some other wellness habits including eating well, exercise and yoga</li> <li>Seeing the drinking of water as an important goal during a shift</li> <li>The “funny jokes” intensivists often tell on their ward rounds</li> <li>Her thoughts to help intensivists be more connected to their partners and families</li> <li>Her interest in a more focused acknowledgement of death in the ICU when it happens</li> </ul> My genuine hope with this podcast is to inspire and empower you to bring your best self to work and to consider adopting some of the habits and behaviours my guests give their perspectives on, with the ultimate purpose of improving outcomes for all of our patients. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. Feel free to leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at andrew@masteringintensivecare.com. Thanks for listening on the journey towards mastering intensive care. Andrew Davies -------------------- Show notes (people, organisations, resources or links mentioned in the episode): Twitter handle for Claire Davies: @cldavies22 Instagram handle for Claire Davies: @clairedavies22 New Normal Project podcast: <a href="http://newnormalproject.libsyn.com/" rel="nofollow" target="_blank">http://newnormalproject.libsyn.com/</a> Insight Timer app: <a href="https://insighttimer.com/" rel="nofollow" target="_blank">https://insighttimer.com/</a> Dr Craig Hassed: <a href="https://www.monash.edu/medicine/spahc/general-practice/about/staff-students/hassed" rel="nofollow" target="_blank"> https://www.monash.edu/medicine/spahc/general-practice/about/staff-students/hassed</a> Study focusing on the “Sacred Pause”: <a href="https://www.ncbi.nlm.nih.gov/pubmed/29618221" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/29618221</a> 5th SG-ANZICS Asia Pacific Intensive Care Forum: <a href="http://www.sg-anzics.com" rel="nofollow" target="_blank">www.sg-anzics.com</a> Mastering Intensive Care podcast: <a href="http://masteringintensivecare.libsyn.com" rel="nofollow" target="_blank">http://masteringintensivecare.libsyn.com</a> Mastering Intensive Care at Life In The Fast lane: <a href="https://lifeinthefastlane.com/litfl/mastering-intensive-care" rel="nofollow" target="_blank">https://lifeinthefastlane.com/litfl/mastering-intensive-care</a> Email Andrew Davies: andrew@masteringintensivecare.com Twitter handle for Andrew Davies: @andrewdavies66

29 - Claire Davies - Listen to our intensive care nurses

Charles Gomersall

How did you feel the first day you worked in ICU? Was it like walking on the moon? So foreign, because you didn’t understand much about the machines, the techniques, or even the words that were being used. That’s what it felt like for me, all those years ago. Thanks to one of my consultants who really “held my hand” on that first day, I was OK, but I wish I could have completed a BASIC course like most resident doctors in Australia (and many other countries) do today when they start their term in intensive care. The BASIC course that those resident doctors now complete is mostly due to the efforts of Charles Gomersall. Over a decade ago, he realised the difficulties these junior doctors had in understanding what the Intensive Care consultants were both talking about and doing, so with a bunch of friends he set up BASIC (The Basic Assessment &amp; Support in Intensive Care) course with the aim to teach participants, over 2 days, to rapidly assess seriously ill patients and provide initial treatment and organ support. Topics like airway management, acute respiratory failure, mechanical ventilation, haemodynamic monitoring, management of shock, interpretation of arterial blood gases, transport of critically ill patients, severe trauma, neurological emergencies, oliguria &amp; acute renal failure, cardiopulmonary resuscitation, arrhythmias, nutrition, sedation and analgesia, etc. This week my guest is Charles who is Professor in the Department of Anaesthesia &amp; Intensive Care at The Chinese University of Hong Kong. In his words, his minor claims to fame are persuading some friends to write the BASIC course and denying a British prime minister entry to a London Intensive Care Unit, and his remaining ambition is to become a professional chef. That’s all he wanted me to say about his background but let me say that having resident doctors rapidly brought up to speed on basic intensive care skills and practice, mostly so that they can feel comfortable at the ICU bedside in their first few weeks, is something I think is hugely valuable, not only to them, but also to me as a consultant and especially our patients. So that makes Charles a hero in my eyes. Of course, BASIC has gone on to now consist of many other courses, which now help up-skill nurses, medical students, advanced trainees, consultants (by providing refresher courses) in many countries, including in the developing world. So I think Charles is a legendary educator, an inspiring leader and an outstanding clinician. He is softly spoken, humble, unassuming but incredibly well considered. He powerfully helps the patients in his own ICU and dramatically helps patients all around the world by providing BASIC. What a master. In this week’s episode you will hear all about the BASIC course, how it came to be, and where it is right now in amongst the other work of the BASIC Collaborative. You’ll also hear Charles speak about:  How he became both a doctor and an intensivist by accident How difficult it is to objectively judge the value of education The prime importance of putting the patient first in clinical, academic and educational practice Understanding the good and bad that surrounds us in our Intensive Care department culture How ICU specialists are like the hotel concierge of the hospital How paying back the support we received as trainees to our upcoming trainees is vital to the system of ICU education His views on sleep, cycling to work and listening to music The story of being on duty in a London hospital after a train crash people The benefits of communicating humanely to our patient’s families when things are not going well And, how there is compulsory retirement at age 60 in Hong Kong  With this podcast, and the previous episodes, please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. It would be much appreciated if you could help to spread the word by simply emailing your colleagues or posting on social media. If you have a comment or a question, let’s engage. Whilst my primary goal is to improve patient outcomes by helping us all get better thanks to the inspiring messages of my guests, I also have the goal of building community through Mastering Intensive Care, so people can share their thoughts and their own skills. So leave a comment (on the LITFL episode page or on twitter using #masteringintensivecare), send me an email at andrew@masteringintensivecare.com or engage in the facebook page Mastering Intensive Care. Thanks for listening. Do the best you can for those unfortunate people in our ICUs we call patients, and strive to get better at what you do, whilst looking after yourself.   Show notes (people, organisations, resources or links mentioned in the episode) Prof Charles Gomersall: https://www.cuhk.edu.hk/med/ans/prof_gomersall.htm BASIC course: https://www.aic.cuhk.edu.hk/web8/BASIC.htm

How did you feel the first day you worked in ICU? Was it like walking on the moon? So foreign, because you didn’t understand much about the machines, the techniques, or even the words that were being used. That’s what it felt like for me, all those years ago. Thanks to one of my consultants who really “held my hand” on that first day, I was OK, but I wish I could have completed a BASIC course like most resident doctors in Australia (and many other countries) do today when they start their term in intensive care. The BASIC course that those resident doctors now complete is mostly due to the efforts of Charles Gomersall. Over a decade ago, he realised the difficulties these junior doctors had in understanding what the Intensive Care consultants were both talking about and doing, so with a bunch of friends he set up BASIC (The Basic Assessment &amp; Support in Intensive Care) course with the aim to teach participants, over 2 days, to rapidly assess seriously ill patients and provide initial treatment and organ support. Topics like airway management, acute respiratory failure, mechanical ventilation, haemodynamic monitoring, management of shock, interpretation of arterial blood gases, transport of critically ill patients, severe trauma, neurological emergencies, oliguria &amp; acute renal failure, cardiopulmonary resuscitation, arrhythmias, nutrition, sedation and analgesia, etc. This week my guest is Charles who is Professor in the Department of Anaesthesia &amp; Intensive Care at The Chinese University of Hong Kong. In his words, his minor claims to fame are persuading some friends to write the BASIC course and denying a British prime minister entry to a London Intensive Care Unit, and his remaining ambition is to become a professional chef. That’s all he wanted me to say about his background but let me say that having resident doctors rapidly brought up to speed on basic intensive care skills and practice, mostly so that they can feel comfortable at the ICU bedside in their first few weeks, is something I think is hugely valuable, not only to them, but also to me as a consultant and especially our patients. So that makes Charles a hero in my eyes. Of course, BASIC has gone on to now consist of many other courses, which now help up-skill nurses, medical students, advanced trainees, consultants (by providing refresher courses) in many countries, including in the developing world. So I think Charles is a legendary educator, an inspiring leader and an outstanding clinician. He is softly spoken, humble, unassuming but incredibly well considered. He powerfully helps the patients in his own ICU and dramatically helps patients all around the world by providing BASIC. What a master. In this week’s episode you will hear all about the BASIC course, how it came to be, and where it is right now in amongst the other work of the BASIC Collaborative. You’ll also hear Charles speak about: <ul> <li>How he became both a doctor and an intensivist by accident</li> <li>How difficult it is to objectively judge the value of education</li> <li>The prime importance of putting the patient first in clinical, academic and educational practice</li> <li>Understanding the good and bad that surrounds us in our Intensive Care department culture</li> <li>How ICU specialists are like the hotel concierge of the hospital</li> <li>How paying back the support we received as trainees to our upcoming trainees is vital to the system of ICU education</li> <li>His views on sleep, cycling to work and listening to music</li> <li>The story of being on duty in a London hospital after a train crash people</li> <li>The benefits of communicating humanely to our patient’s families when things are not going well</li> <li>And, how there is compulsory retirement at age 60 in Hong Kong</li> </ul> With this podcast, and the previous episodes, please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. It would be much appreciated if you could help to spread the word by simply emailing your colleagues or posting on social media. If you have a comment or a question, let’s engage. Whilst my primary goal is to improve patient outcomes by helping us all get better thanks to the inspiring messages of my guests, I also have the goal of building community through Mastering Intensive Care, so people can share their thoughts and their own skills. So leave a comment (on the LITFL episode page or on twitter using #masteringintensivecare), send me an email at <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a> or engage in the facebook page Mastering Intensive Care. Thanks for listening. Do the best you can for those unfortunate people in our ICUs we call patients, and strive to get better at what you do, whilst looking after yourself. Show notes (people, organisations, resources or links mentioned in the episode) Prof Charles Gomersall: <a href="https://www.cuhk.edu.hk/med/ans/prof_gomersall.htm" rel="nofollow" target="_blank">https://www.cuhk.edu.hk/med/ans/prof_gomersall.htm</a> BASIC course: <a href="https://www.aic.cuhk.edu.hk/web8/BASIC.htm" rel="nofollow" target="_blank">https://www.aic.cuhk.edu.hk/web8/BASIC.htm</a>

16 - Charles Gomersall - Training junior doctors in the BASIC practice of intensive care

Hugh Montgomery

Climate change is a conversation we need to be having in Intensive Care circles. Right now. If the environmental catastrophe that is unfolding around us continues unabated there may no longer even be Intensive Care Units. The rising global temperatures, the melting ice, the extreme weather events, and their impact on agricultural crops and human habitation may well lead to such a fall in the economy that our healthcare system may not have the financial resources it does now. And given ICUs are the most expensive part of our hospitals, have a guess what might disappear first. So who is there better to listen to about the climate crisis than British intensivist, Professor Hugh Montgomery, a deeply passionate and highly intelligent man, who was a founding member of the UK Climate and Health Council, and who has helped raise awareness about climate change for over 2 decades. In this episode Hugh outlines some simple things you can do today to help fight climate change. Hugh is a Professor and the Director of the Institute for Human Health and Performance at University College London. He obtained a 1st class degree in cardiorespiratory physiology and neuropharmacology before graduating from the Middlesex Hospital Medical School in 1987. He has since obtained specialist accreditation in Cardiology, General Internal Medicine and Intensive Care medicine, and practices as a Consultant Intensivist in North London in the UK. Hugh obtained his MD(Res) in 1997, is known for his pioneering genetic research, and has published over 450 peer reviewed papers, three in Nature. Hugh is also an author of children's books, and most recently of the medical thriller ‘Control’. Hugh has a such diverse array of interests and expertise that it’s hard to understand how he fits it all in. He has presented on television shows, climbed tall Himalayan mountains, run ultra-marathons, jumped naked from a plane at 14,000 feet, holds the world record for underwater piano playing, and also consults as a medical expert on Artificial Intelligence. Despite all of this, he continues to work as a clinical intensivist, publishes in the medical literature about important critical care topics, and is working to raise patient awareness about their end of life wishes. To me this is one of the most important Mastering Intensive Care episodes so far, as in a wide-ranging conversation Hugh talks about:  How he became interested in physiology and then intensive care The intensivists that shaped his career Climate change and why we all need to care What actions we can take today as Intensive Care professionals to help the environment His own views on diet, renewable energy and international flights Some perspectives on the ICU ward round The importance of relationships and building connection with patients in clinical medicine How his father’s experience in hospital informed Hugh How “wisdom of the crowd” assists in making diagnoses Dealing with uncertainty at the bedside The importance of speaking to patients about end of life before they are admitted to the ICU How he speaks to families of the dying An end of life project he and his colleagues are working on Why he researches what he does Some tips for public speaking How the emergence of artificial intelligence might play out in healthcare Why we need to be engaged with Big Tech His own attitudes and practice of self-care and self development His non-medical writing, including his new medical thriller book “Control”  I can not recommend more highly that you settle in and listen to this amazing man, Professor Hugh Montgomery. Andrew Davies   -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you’ll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient’s lives.   -------------------- Links related to Hugh Montgomery Hugh Montgomery at UCL Hugh Montgomery at Whittington Hospital  Hugh Montgomery at ISEH Hugh Montgomery profile Hugh Montgomery on Twitter PubMed search for Hugh Montgomery Book “Control” (by Hugh Montgomery) Book “Control” (by Hugh Montgomery)  Book “Control” (by Hugh Montgomery)  Book “Cloudsailors” (by Hugh Montgomery)  Book “Voyage of The Arctic Tern” (by Hugh Montgomery)  Review of “Control” (by Hugh Montgomery)  Article 1 about “Control” (by Hugh Montgomery)  Article 2 about “Control” (by Hugh Montgomery) Interview of Hugh Montgomery on Desert Island Discs Interview of Hugh Montgomery on BBC  Press article 1 featuring Hugh Montgomery  Press article 2 featuring Hugh Montgomery  Press article 3 featuring Hugh Montgomery Press article 4 featuring Hugh Montgomery   Links to people, organisations and other resources as mentioned in order throughout podcast Physiologist Eric Neil  Samson Wright’s Applied Physiology 13th edition Hammersmith Hospital Article discussing Ron Bradley Gillian Hanson  Information about Hugh Montgomery’s 2019 talk at SMACC (video not released)  Lancet Commissions 2009: “Managing the health effects of climate change: Lancet and University College London Institute for Global Health Commission”  Lancet Commissions 2015: “Health and climate change: policy responses to protect public health”  Lancet Countdown 2017: "The Lancet Countdown: tracking progress on health and climate change"  Lancet Countdown 2018: "The Lancet Countdown on health and climate change: from 25 years of inaction to a global transformation for public health"  Lancet Countdown 2018: "The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come" Lancet Countdown: Tracking Progress on Health and Climate Change Lancet on “Health and Climate Change” Lancet Infographic on “Climate Change and Health” Philosophical Transactions of The Royal Society Book “Eat &amp; Run” (by Scott Jurek) Nature paper on microbiome and elite athletes Carbon Footprint Calculator SMACC Oli Flower Roger Harris CODA change Trillion Trees Trillion Trees Australia Whittington Hospital ITU/Critical Care University College Hospital London Andy Webb  Reading Hospital YouTube search for Hugh Montgomery Moore’s law Deep Neural Networks Nature Medicine paper co-authored by Hugh Montgomery “Clinically applicable deep learning for diagnosis and referral in retinal disease.” Nature paper co-authored by Hugh Montgomery “A clinically applicable approach to continuous prediction of future acute kidney injury.” Google Health Particle physics New Normal Project podcast  New Normal Project podcast - Episode 45 with Neal Barnard  New Normal Project podcast - Episode 48 with Caldwell Esselstyn  New Normal Project podcast - Episode 38 with Michael Klaper  New Normal Project podcast - Episode 43 with Kim Williams  New Normal Project podcast - Episode 49 with Scott Stoll  New Normal Project podcast - Episode 51 with Alan Desmond “2040” Movie CODA 2020  Mastering Intensive Care podcast - Episode 48 with Laura Rock   Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66  Email Andrew Davies  Audio Producer Chris Burke

Climate change is a conversation we need to be having in Intensive Care circles. Right now. If the environmental catastrophe that is unfolding around us continues unabated there may no longer even be Intensive Care Units. The rising global temperatures, the melting ice, the extreme weather events, and their impact on agricultural crops and human habitation may well lead to such a fall in the economy that our healthcare system may not have the financial resources it does now. And given ICUs are the most expensive part of our hospitals, have a guess what might disappear first. So who is there better to listen to about the climate crisis than British intensivist, Professor Hugh Montgomery, a deeply passionate and highly intelligent man, who was a founding member of the UK Climate and Health Council, and who has helped raise awareness about climate change for over 2 decades. In this episode Hugh outlines some simple things you can do today to help fight climate change. Hugh is a Professor and the Director of the Institute for Human Health and Performance at University College London. He obtained a 1st class degree in cardiorespiratory physiology and neuropharmacology before graduating from the Middlesex Hospital Medical School in 1987. He has since obtained specialist accreditation in Cardiology, General Internal Medicine and Intensive Care medicine, and practices as a Consultant Intensivist in North London in the UK. Hugh obtained his MD(Res) in 1997, is known for his pioneering genetic research, and has published over 450 peer reviewed papers, three in Nature. Hugh is also an author of children's books, and most recently of the medical thriller ‘Control’. Hugh has a such diverse array of interests and expertise that it’s hard to understand how he fits it all in. He has presented on television shows, climbed tall Himalayan mountains, run ultra-marathons, jumped naked from a plane at 14,000 feet, holds the world record for underwater piano playing, and also consults as a medical expert on Artificial Intelligence. Despite all of this, he continues to work as a clinical intensivist, publishes in the medical literature about important critical care topics, and is working to raise patient awareness about their end of life wishes. To me this is one of the most important Mastering Intensive Care episodes so far, as in a wide-ranging conversation Hugh talks about: <ul> <li>How he became interested in physiology and then intensive care</li> <li>The intensivists that shaped his career</li> <li>Climate change and why we all need to care</li> <li>What actions we can take today as Intensive Care professionals to help the environment</li> <li>His own views on diet, renewable energy and international flights</li> <li>Some perspectives on the ICU ward round</li> <li>The importance of relationships and building connection with patients in clinical medicine</li> <li>How his father’s experience in hospital informed Hugh</li> <li>How “wisdom of the crowd” assists in making diagnoses</li> <li>Dealing with uncertainty at the bedside</li> <li>The importance of speaking to patients about end of life before they are admitted to the ICU</li> <li>How he speaks to families of the dying</li> <li>An end of life project he and his colleagues are working on</li> <li>Why he researches what he does</li> <li>Some tips for public speaking</li> <li>How the emergence of artificial intelligence might play out in healthcare</li> <li>Why we need to be engaged with Big Tech</li> <li>His own attitudes and practice of self-care and self development</li> <li>His non-medical writing, including his new medical thriller book “Control”</li> </ul> I can not recommend more highly that you settle in and listen to this amazing man, Professor Hugh Montgomery. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you’ll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient’s lives. -------------------- Links related to Hugh Montgomery <a href="https://iris.ucl.ac.uk/iris/browse/profile?upi=HEMON01" rel="nofollow" target="_blank">Hugh Montgomery at UCL</a> <a href="https://www.whittington.nhs.uk/mini-apps/staff/profile/?id=267" rel="nofollow" target="_blank">Hugh Montgomery at Whittington Hospital</a> <a href="https://www.iseh.co.uk/consultantdetails/basic-scienceresearch/42/Hugh-Montgomery" rel="nofollow" target="_blank"> Hugh Montgomery at ISEH</a> <a href="https://londonspeakerbureau.com/speaker-profile/hugh-montgomery/" rel="nofollow" target="_blank">Hugh Montgomery profile</a> <a href="https://twitter.com/hugh_montgomery" rel="nofollow" target="_blank">Hugh Montgomery on Twitter</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Montgomery+H%5Bau%5D" rel="nofollow" target="_blank">PubMed search for Hugh Montgomery</a> <a href="https://www.amazon.co.uk/Control-Hugh-Montgomery/dp/1785767437" rel="nofollow" target="_blank">Book “Control” (by Hugh Montgomery)</a> <a href="https://www.amazon.com/Control-Hugh-Montgomery/dp/1785767437" rel="nofollow" target="_blank">Book “Control” (by Hugh Montgomery)</a> <a href="https://www.allenandunwin.com/browse/books/fiction/crime-mystery/Control-Hugh-Montgomery-9781785767432" rel="nofollow" target="_blank"> Book “Control” (by Hugh Montgomery)</a> <a href="https://www.bookdepository.com/Cloudsailors-Hugh-Montgomery/9781844286454?ref=grid-view&amp;qid=1573620576528&amp;sr=1-9" rel="nofollow" target="_blank"> Book “Cloudsailors” (by Hugh Montgomery)</a> <a href="https://www.bookdepository.com/Voyage-Of-The-Arctic-Tern-Hugh-Montgomery-Nick-Poullis/9780744594836" rel="nofollow" target="_blank"> Book “Voyage of The Arctic Tern” (by Hugh Montgomery)</a> <a href="https://www.compulsivereaders.com/reviews/control-hugh-montgomery/" rel="nofollow" target="_blank"> Review of “Control” (by Hugh Montgomery)</a> <a href="https://www.bonnierbooks.co.uk/news/zaffre-acquires-dark-medical-thriller-by-high-montgomery/" rel="nofollow" target="_blank"> Article 1 about “Control” (by Hugh Montgomery)</a> <a href="http://www.crimetime.co.uk/control-hugh-montgomery-talks-to-crime-time/" rel="nofollow" target="_blank"> Article 2 about “Control” (by Hugh Montgomery)</a> <a href="https://www.bbc.co.uk/programmes/b03vzhnz" rel="nofollow" target="_blank">Interview of Hugh Montgomery on Desert Island Discs</a> <a href="https://www.bbc.co.uk/sounds/play/p07kv9sl" rel="nofollow" target="_blank">Interview of Hugh Montgomery on BBC</a> <a href="https://www.theguardian.com/lifeandstyle/2019/aug/17/surgeon-ultrarunner-thriller-writer-hugh-montgomery-lives-life-to-the-full" rel="nofollow" target="_blank"> Press article 1 featuring Hugh Montgomery</a> <a href="https://www.dailymail.co.uk/home/event/article-7309761/Professor-Hugh-Montgomery-written-novel-based-experiences-doctor.html" rel="nofollow" target="_blank"> Press article 2 featuring Hugh Montgomery</a> <a href="https://www.suffolklibraries.co.uk/new-suggestions/meet-the-author/meet-the-author-hugh-montgomery/" rel="nofollow" target="_blank"> Press article 3 featuring Hugh Montgomery</a> <a href="https://www.ft.com/content/082b2408-b7df-11e9-96bd-8e884d3ea203" rel="nofollow" target="_blank">Press article 4 featuring Hugh Montgomery</a> Links to people, organisations and other resources as mentioned in order throughout podcast <a href="http://munksroll.rcplondon.ac.uk/Biography/Details/3294" rel="nofollow" target="_blank">Physiologist Eric Neil</a> <a href="https://www.amazon.com/Physiology-Thirteenth-Medicine-Publications-Paperback/dp/B011MCNC7C" rel="nofollow" target="_blank">Samson Wright’s Applied Physiology 13th edition</a> <a href="https://www.imperial.nhs.uk/our-locations/hammersmith-hospital" rel="nofollow" target="_blank">Hammersmith Hospital</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4952830/" rel="nofollow" target="_blank">Article discussing Ron Bradley</a> <a href="https://en.wikipedia.org/wiki/Gillian_Hanson" rel="nofollow" target="_blank">Gillian Hanson</a> <a href="https://smacc.net.au/abstract/framing-the-issue-when-climate-change-is-a-medical-emergency/" rel="nofollow" target="_blank"> Information about Hugh Montgomery’s 2019 talk at SMACC (video not released)</a> <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60935-1/fulltext" rel="nofollow" target="_blank"> Lancet Commissions 2009: “Managing the health effects of climate change: Lancet and University College London Institute for Global Health Commission”</a> <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60854-6/fulltext#%20" rel="nofollow" target="_blank"> Lancet Commissions 2015: “Health and climate change: policy responses to protect public health”</a> <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)32124-9/fulltext" rel="nofollow" target="_blank"> Lancet Countdown 2017: "The Lancet Countdown: tracking progress on health and climate change"</a> <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32464-9/fulltext" rel="nofollow" target="_blank"> Lancet Countdown 2018: "The Lancet Countdown on health and climate change: from 25 years of inaction to a global transformation for public health"</a> <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32594-7/fulltext?utm_campaign=climate18&amp;utm_source=hub" rel="nofollow" target="_blank"> Lancet Countdown 2018: "The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come"</a> <a href="http://www.lancetcountdown.org/" rel="nofollow" target="_blank">Lancet Countdown: Tracking Progress on Health and Climate Change</a> <a href="https://www.thelancet.com/climate-and-health" rel="nofollow" target="_blank">Lancet on “Health and Climate Change”</a> <a href="https://www.thelancet.com/infographics/climate-and-health" rel="nofollow" target="_blank">Lancet Infographic on “Climate Change and Health”</a> <a href="https://royalsocietypublishing.org/journal/rstl" rel="nofollow" target="_blank">Philosophical Transactions of The Royal Society</a> <a href="http://www.scottjurek.com/eat-run" rel="nofollow" target="_blank">Book “Eat &amp; Run” (by Scott Jurek)</a> <a href="https://www.nature.com/articles/s41591-019-0485-4" rel="nofollow" target="_blank">Nature paper on microbiome and elite athletes</a> <a href="https://www.carbonfootprint.com/calculator.aspx" rel="nofollow" target="_blank">Carbon Footprint Calculator</a> <a href="https://smacc.net.au/" rel="nofollow" target="_blank">SMACC</a> <a href="https://codachange.org/about/executive-committee/" rel="nofollow" target="_blank">Oli Flower</a> <a href="https://codachange.org/about/executive-committee/" rel="nofollow" target="_blank">Roger Harris</a> <a href="https://codachange.org/" rel="nofollow" target="_blank">CODA change</a> <a href="https://www.trilliontrees.org/" rel="nofollow" target="_blank">Trillion Trees</a> <a href="https://trilliontrees.org.au/" rel="nofollow" target="_blank">Trillion Trees Australia</a> <a href="https://www.whittington.nhs.uk/default.asp?c=3969" rel="nofollow" target="_blank">Whittington Hospital ITU/Critical Care</a> <a href="http://www.uclh.nhs.uk/Pages/Home.aspx" rel="nofollow" target="_blank">University College Hospital London</a> <a href="https://www.ebpom.org/Dr-Andrew-Webb" rel="nofollow" target="_blank">Andy Webb</a> <a href="https://reading.towerhealth.org/" rel="nofollow" target="_blank">Reading Hospital</a> <a href="https://www.youtube.com/results?search_query=hugh+montgomery" rel="nofollow" target="_blank">YouTube search for Hugh Montgomery</a> <a href="https://en.wikipedia.org/wiki/Moore's_law" rel="nofollow" target="_blank">Moore’s law</a> <a href="https://en.wikipedia.org/wiki/Deep_learning#Deep_neural_networks" rel="nofollow" target="_blank">Deep Neural Networks</a> <a href="https://www.nature.com/articles/s41591-018-0107-6" rel="nofollow" target="_blank">Nature Medicine paper co-authored by Hugh Montgomery “Clinically applicable deep learning for diagnosis and referral in retinal disease.”</a> <a href="https://www.nature.com/articles/s41746-019-0100-6" rel="nofollow" target="_blank">Nature paper co-authored by Hugh Montgomery “A clinically applicable approach to continuous prediction of future acute kidney injury.”</a> <a href="https://health.google/" rel="nofollow" target="_blank">Google Health</a> <a href="https://en.wikipedia.org/wiki/Particle_physics" rel="nofollow" target="_blank">Particle physics</a> <a href="http://newnormalproject.libsyn.com/" rel="nofollow" target="_blank">New Normal Project podcast</a> <a href="http://newnormalproject.libsyn.com/episode-45-neal-barnard-how-to-start-plant-based-eating-and-which-health-benefits-you-might-expect" rel="nofollow" target="_blank"> New Normal Project podcast - Episode 45 with Neal Barnard</a> <a href="http://newnormalproject.libsyn.com/episode-48-caldwell-esselstyn-eating-the-right-foods-to-reverse-heart-disease" rel="nofollow" target="_blank"> New Normal Project podcast - Episode 48 with Caldwell Esselstyn</a> <a href="http://newnormalproject.libsyn.com/episode-38-michael-klaper-plant-based-eating-to-reverse-disease-for-healthier-living-and-for-our-environment" rel="nofollow" target="_blank"> New Normal Project podcast - Episode 38 with Michael Klaper</a> <a href="http://newnormalproject.libsyn.com/episode-43-kim-williams-the-worlds-most-famous-vegan-cardiologist" rel="nofollow" target="_blank"> New Normal Project podcast - Episode 43 with Kim Williams</a> <a href="http://newnormalproject.libsyn.com/episode-49-scott-stoll-leading-with-love-in-helping-people-transition-to-a-plant-based-diet" rel="nofollow" target="_blank"> New Normal Project podcast - Episode 49 with Scott Stoll</a> <a href="http://newnormalproject.libsyn.com/episode-51-alan-desmond-improving-your-gut-health-by-eating-more-plants" rel="nofollow" target="_blank"> New Normal Project podcast - Episode 51 with Alan Desmond</a> <a href="https://whatsyour2040.com/" rel="nofollow" target="_blank">“2040” Movie</a> <a href="https://codachange.org/coda2020/" rel="nofollow" target="_blank">CODA 2020</a> <a href="http://masteringintensivecare.libsyn.com/episode-48-laura-rock-teaching-and-learning-about-communication" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 48 with Laura Rock</a> Links related to Mastering Intensive Care podcast <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="mailto:andrew@masteringintensivecare.com?subject=Podcast%20feedback"> Email Andrew Davies</a> <a href="https://www.linkedin.com/in/chris-burke-439938188/?originalSubdomain=au" rel="nofollow" target="_blank"> Audio Producer Chris Burke</a>

49 - Hugh Montgomery -  We’ve got to act right now

John Myburgh

How important is the main daily ward round we do each day in the Intensive Care Unit? Is the ward round in your ICU focused and concise? Do you adequately communicate the plans you generate on the ward round to the whole ICU team? John Myburgh, AO, an experienced Australian intensivist, who began his life and career in South Africa, is Professor of Intensive Care Medicine at St George Clinical School, University of New South Wales and Director of Critical Care at the George Institute, Sydney. He has an international research profile and is a Foundation Member and Past-Chairman of the ANZICS Clinical Trials Group. In this episode, John gives a very insightful commentary on how much attention he puts on the clinical ward round as our key tool in intensive care practice. We might do more than one ward round a day but John says the main daily ward round is where it should all happen. Where we try and think about how the patient, with their individual characteristics of life and disease, is actually progressing through their critical illness. Whether they are on an upward trajectory to improvement, whether they are on a downward trajectory that may lead to death, or whether they are stuck on the flat “curve” which we often don’t have our eyes open to. John also tells us to be careful of using too many “toys” (machines) and focusing too much on the test results. And he warns us that we are at point in the development of intensive care medicine where we save the lives of more people, but forget to realise that many of these have a greater disease burden from their chronic critical illness than they did when they were admitted to the ICU. This podcast was created to help and inspire intensive care clinicians to improve the care we give to our patients by providing interesting and thought-provoking conversations with highly respected and experienced clinicians. In each episode, Andrew Davies, an intensivist from Frankston Hospital in Melbourne, Australia, speaks with a guest for the purpose of hearing their perspectives on the habits and behaviours that they believe are the most important for improving the outcomes of our patients. Things like bringing our best selves to work each day, optimal communication, coping with stress and preventing burn out, working well in a team, and interacting with patient’s families and the many other health professionals we deal with on a daily basis. The podcast is less about the drugs, devices and procedures that can be administered and more about the habits, behaviours and philosophies that can help intensive care clinicians to master the craft of intensive care. Please send any comments through the Life In The Fast Lane website, facebook (masteringintensivecare), twitter (@andrewdavies66) or by simply emailing andrew@masteringintensivecare.com.

How important is the main daily ward round we do each day in the Intensive Care Unit? Is the ward round in your ICU focused and concise? Do you adequately communicate the plans you generate on the ward round to the whole ICU team? John Myburgh, AO, an experienced Australian intensivist, who began his life and career in South Africa, is Professor of Intensive Care Medicine at St George Clinical School, University of New South Wales and Director of Critical Care at the George Institute, Sydney. He has an international research profile and is a Foundation Member and Past-Chairman of the ANZICS Clinical Trials Group. In this episode, John gives a very insightful commentary on how much attention he puts on the clinical ward round as our key tool in intensive care practice. We might do more than one ward round a day but John says the main daily ward round is where it should all happen. Where we try and think about how the patient, with their individual characteristics of life and disease, is actually progressing through their critical illness. Whether they are on an upward trajectory to improvement, whether they are on a downward trajectory that may lead to death, or whether they are stuck on the flat “curve” which we often don’t have our eyes open to. John also tells us to be careful of using too many “toys” (machines) and focusing too much on the test results. And he warns us that we are at point in the development of intensive care medicine where we save the lives of more people, but forget to realise that many of these have a greater disease burden from their chronic critical illness than they did when they were admitted to the ICU. This podcast was created to help and inspire intensive care clinicians to improve the care we give to our patients by providing interesting and thought-provoking conversations with highly respected and experienced clinicians. In each episode, Andrew Davies, an intensivist from Frankston Hospital in Melbourne, Australia, speaks with a guest for the purpose of hearing their perspectives on the habits and behaviours that they believe are the most important for improving the outcomes of our patients. Things like bringing our best selves to work each day, optimal communication, coping with stress and preventing burn out, working well in a team, and interacting with patient’s families and the many other health professionals we deal with on a daily basis. The podcast is less about the drugs, devices and procedures that can be administered and more about the habits, behaviours and philosophies that can help intensive care clinicians to master the craft of intensive care. Please send any comments through the Life In The Fast Lane website, facebook (masteringintensivecare), twitter (@andrewdavies66) or by simply emailing <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>.

9 - John Myburgh - The importance of the intensive care clinical ward round

Brian Cuthbertson

Do you think your procedural skills are more important than your ability to lead and to mentor? Do you have a department head who talks about your personal wellness with you? How do you maintain and improve your skills in leading a family meeting?   Professor Brian Cuthbertson believes that our non-technical skills, those human factor aspects like leadership, mentoring, communication and leading meetings with patient’s relatives, are more important than our clinical procedural skills as we evolve in our careers. But do we talk enough about them? In this episode Brian discusses several of these important non-technical skills giving some powerful insights as a highly experienced clinician and leader in the field of intensive care. Brian is Chief of the Department of Critical Care Medicine at Sunnybrook Health Sciences Centre and Professor in the Interdepartmental Division of Critical Care Medicine at the University of Toronto in Toronto, Canada. He is also an Honorary Professor of Critical Care Medicine at the University of Aberdeen and an Honorary Professorial Fellow at the George Institute of Global Health in Sydney. Brian’s research interests include improving outcomes from critical illness and major surgery. He has over 135 peer-reviewed publications and $17 million of research grants as well as playing a leading role in a number of key clinical guidelines. Brian was very keen to talk about how much he values the human factors we all need to concentrate on to be the best we can be. Some of the main topics of discussion include:  Brian’s love for intensive care, which began with the machines and is now much more about humans The benefits he has realised from having high-class mentors in different areas His role as a mentor to others and how there needs to be some structure to this relationship How leadership at the bedside is like conducting an orchestra where everyone needs to be heard The need for senior trainees to stay in charge of resuscitation teams even when the consultant arrives How being a good team-player often requires us to drop our egos The value of good habits at the start of a ward round The need for department heads to address their team member’s personal wellness requirements to maximise vitality and balance The importance of family members being at the bedside on clinical rounds to represent the values of the patient The fact that the highest level skill we can have is the ability to lead a family meeting, especially in culturally-diverse cities Placing the patient’s values and needs at the centre of any inter-professional discussions, particularly differences in opinion The requirement for greater academic study of all of these non-technical skills  With this podcast, and the previous episodes, please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. It would be much appreciated if you could help to spread the word by simply emailing your colleagues or posting on social media. If you wish to send a comment or respond to something Brian said on this episode, feel free to email me andrew@masteringintensivecare.com, leave a comment on the Mastering Intensive Care podcast page on LITFL or on Facebook, or post on twitter using #masteringintensivecare. Please take the very best care of your patients, their families and your colleagues. And above all, consider that taking care of yourself might actually be the best thing you can do for your patients. I hope you have a great week.  ______________ Show notes (people, organisations, resources or links mentioned in the episode) Sunnybrook Health Sciences Centre: http://sunnybrook.ca/ Brian Cuthbertson:  http://sunnybrook.ca/team/member.asp?t=17&amp;page=2780&amp;m=407 Malcolm Fisher:  http://www.nslhd.health.nsw.gov.au/newsevents/Pages/MalcolmFisherICU.aspx Nigel Webster: https://www.abdn.ac.uk/ims/profiles/n.r.webster Marion Campbell: https://www.abdn.ac.uk/hsru/people/m.k.campbell/ Mentorship in Academic Medicine – Author Sharon Strauss: http://www.mentorshipacademicmedicine.com/ Atul Gawande: http://atulgawande.com/

Do you think your procedural skills are more important than your ability to lead and to mentor? Do you have a department head who talks about your personal wellness with you? How do you maintain and improve your skills in leading a family meeting? Professor Brian Cuthbertson believes that our non-technical skills, those human factor aspects like leadership, mentoring, communication and leading meetings with patient’s relatives, are more important than our clinical procedural skills as we evolve in our careers. But do we talk enough about them? In this episode Brian discusses several of these important non-technical skills giving some powerful insights as a highly experienced clinician and leader in the field of intensive care. Brian is Chief of the Department of Critical Care Medicine at Sunnybrook Health Sciences Centre and Professor in the Interdepartmental Division of Critical Care Medicine at the University of Toronto in Toronto, Canada. He is also an Honorary Professor of Critical Care Medicine at the University of Aberdeen and an Honorary Professorial Fellow at the George Institute of Global Health in Sydney. Brian’s research interests include improving outcomes from critical illness and major surgery. He has over 135 peer-reviewed publications and $17 million of research grants as well as playing a leading role in a number of key clinical guidelines. Brian was very keen to talk about how much he values the human factors we all need to concentrate on to be the best we can be. Some of the main topics of discussion include: <ul> <li>Brian’s love for intensive care, which began with the machines and is now much more about humans</li> <li>The benefits he has realised from having high-class mentors in different areas</li> <li>His role as a mentor to others and how there needs to be some structure to this relationship</li> <li>How leadership at the bedside is like conducting an orchestra where everyone needs to be heard</li> <li>The need for senior trainees to stay in charge of resuscitation teams even when the consultant arrives</li> <li>How being a good team-player often requires us to drop our egos</li> <li>The value of good habits at the start of a ward round</li> <li>The need for department heads to address their team member’s personal wellness requirements to maximise vitality and balance</li> <li>The importance of family members being at the bedside on clinical rounds to represent the values of the patient</li> <li>The fact that the highest level skill we can have is the ability to lead a family meeting, especially in culturally-diverse cities</li> <li>Placing the patient’s values and needs at the centre of any inter-professional discussions, particularly differences in opinion</li> <li>The requirement for greater academic study of all of these non-technical skills</li> </ul> With this podcast, and the previous episodes, please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. It would be much appreciated if you could help to spread the word by simply emailing your colleagues or posting on social media. If you wish to send a comment or respond to something Brian said on this episode, feel free to email me <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>, leave a comment on the Mastering Intensive Care podcast page on LITFL or on Facebook, or post on twitter using #masteringintensivecare. Please take the very best care of your patients, their families and your colleagues. And above all, consider that taking care of yourself might actually be the best thing you can do for your patients. I hope you have a great week. ______________ Show notes (people, organisations, resources or links mentioned in the episode) Sunnybrook Health Sciences Centre: <a href="http://sunnybrook.ca/" rel="nofollow" target="_blank">http://sunnybrook.ca/</a> Brian Cuthbertson: <a href="http://sunnybrook.ca/team/member.asp?t=17&amp;page=2780&amp;m=407" rel="nofollow" target="_blank"> http://sunnybrook.ca/team/member.asp?t=17&amp;page=2780&amp;m=407</a> Malcolm Fisher: <a href="http://www.nslhd.health.nsw.gov.au/newsevents/Pages/MalcolmFisherICU.aspx" rel="nofollow" target="_blank"> http://www.nslhd.health.nsw.gov.au/newsevents/Pages/MalcolmFisherICU.aspx</a> Nigel Webster: <a href="https://www.abdn.ac.uk/ims/profiles/n.r.webster" rel="nofollow" target="_blank">https://www.abdn.ac.uk/ims/profiles/n.r.webster</a> Marion Campbell: <a href="https://www.abdn.ac.uk/hsru/people/m.k.campbell/" rel="nofollow" target="_blank">https://www.abdn.ac.uk/hsru/people/m.k.campbell/</a> Mentorship in Academic Medicine – Author Sharon Strauss: <a href="http://www.mentorshipacademicmedicine.com/" rel="nofollow" target="_blank">http://www.mentorshipacademicmedicine.com/</a> Atul Gawande: <a href="http://atulgawande.com/" rel="nofollow" target="_blank">http://atulgawande.com/</a>

14 - Brian Cuthbertson - On important non-technical skills like mentorship, teamwork and family meetings

Jean-Louis Vincent

Is your ward round stimulating and educational?   Do you help learning by creating debates on the ward round for and against the simple interventions we use?   In this week’s episode, Belgian intensivist, Professor Jean-Louis Vincent describes what happens in his ICU, on a daily basis, and indeed on the ward rounds. He tells us how he enjoys going several times a day to see what is happening in his ICU, the schedule of ward rounds there, the importance of a single conversation on the ward round, and how much we can learn from our patients, especially about their physiology. Jean-Louis is perhaps the most well-known intensivist in the world. He is a major leader of his generation and in fact a pioneer of the large international conference, having run the Brussels International Symposium of Intensive Care and Emergency Medicine (ISICEM) for a staggering 38 consecutive years. Jean-Louis is a Professor of Intensive Care Medicine at the University of Brussels and an intensivist in the Department of Intensive Care at Erasme University Hospital in Brussels. He is a Past-President of the World Federation of Societies of Intensive and Critical Care Medicine, the European Society of Intensive Care Medicine, the European Shock Society, the Belgian Society of Intensive Care Medicine and the International Sepsis Forum. Jean-Louis has published over 900 original articles, over 400 book chapters and review articles and has edited 102 books. He is the editor-in-chief of Critical Care, Current Opinion in Critical Care, and ICU Management &amp; Practice and he is a member of the editorial boards of about 30 other journals. In this conversation, Jean-Louis and I also covered topics such as:  Why the speed of change with patients is what he loves the most His enjoyment of a combination of clinical, research and education Mentoring trainees starts by having them present their organized thoughts about each patient’s problems and their management plans How his ICU uses the SOAP approach (subjective, objective, assessment, plan) on ward rounds How trainees should try to learn a couple of important things every day (rather than everything they are told) Communication requires being open and honest including when there is imprecision The need for optimal personal behaviour during communication encounters The benefits of differing opinions in clinical care How large conferences fit in to overall educational activity How his active social life keeps him balanced The benefits of coming to work with a smile to encourage others in your team to be in a good mood How developing research activity widens our career horizon We should all be trying to improve ourselves every day The diversity of intensive care makes it the best job in medicine  My genuine hope with the Mastering Intensive Care podcast is to inspire and empower you to bring your best self to work and to adopt some of the habits and behaviours my guests give their perspectives on, with the ultimate purpose of improving outcomes for all of our patients. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. If you wish to connect, leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at andrew@masteringintensivecare.com. Professor Jean-Louis Vincent has had incredible influence and an imposing career. I first heard him speak 24 years ago and was mesmerized by his exuberant, passionate and entertaining presentation style on a diverse range of topics about which he seemed deeply knowledgable. I suspect many of you have heard Jean-Louis speak at a conference, with his wonderful Belgian accent. But how many of us have heard him speak about what really happens in his own clinical environment? Please enjoy listening to this episode. Andrew Davies   -------------------- Show notes (people, organisations, resources or links mentioned in the episode): Twitter handle for Professor Jean-Louis Vincent: @jlvincen International Symposium on Intensive Care and Emergency Medicine (ISICEM): https://www.intensive.org/ Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care Twitter handle for Andrew Davies: @andrewdavies66 Instagram handle for Andrew Davies: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com

Is your ward round stimulating and educational? Do you help learning by creating debates on the ward round for and against the simple interventions we use? In this week’s episode, Belgian intensivist, Professor Jean-Louis Vincent describes what happens in his ICU, on a daily basis, and indeed on the ward rounds. He tells us how he enjoys going several times a day to see what is happening in his ICU, the schedule of ward rounds there, the importance of a single conversation on the ward round, and how much we can learn from our patients, especially about their physiology. Jean-Louis is perhaps the most well-known intensivist in the world. He is a major leader of his generation and in fact a pioneer of the large international conference, having run the Brussels International Symposium of Intensive Care and Emergency Medicine (ISICEM) for a staggering 38 consecutive years. Jean-Louis is a Professor of Intensive Care Medicine at the University of Brussels and an intensivist in the Department of Intensive Care at Erasme University Hospital in Brussels. He is a Past-President of the World Federation of Societies of Intensive and Critical Care Medicine, the European Society of Intensive Care Medicine, the European Shock Society, the Belgian Society of Intensive Care Medicine and the International Sepsis Forum. Jean-Louis has published over 900 original articles, over 400 book chapters and review articles and has edited 102 books. He is the editor-in-chief of Critical Care, Current Opinion in Critical Care, and ICU Management &amp; Practice and he is a member of the editorial boards of about 30 other journals. In this conversation, Jean-Louis and I also covered topics such as: <ul> <li>Why the speed of change with patients is what he loves the most</li> <li>His enjoyment of a combination of clinical, research and education</li> <li>Mentoring trainees starts by having them present their organized thoughts about each patient’s problems and their management plans</li> <li>How his ICU uses the SOAP approach (subjective, objective, assessment, plan) on ward rounds</li> <li>How trainees should try to learn a couple of important things every day (rather than everything they are told)</li> <li>Communication requires being open and honest including when there is imprecision</li> <li>The need for optimal personal behaviour during communication encounters</li> <li>The benefits of differing opinions in clinical care</li> <li>How large conferences fit in to overall educational activity</li> <li>How his active social life keeps him balanced</li> <li>The benefits of coming to work with a smile to encourage others in your team to be in a good mood</li> <li>How developing research activity widens our career horizon</li> <li>We should all be trying to improve ourselves every day</li> <li>The diversity of intensive care makes it the best job in medicine</li> </ul> My genuine hope with the Mastering Intensive Care podcast is to inspire and empower you to bring your best self to work and to adopt some of the habits and behaviours my guests give their perspectives on, with the ultimate purpose of improving outcomes for all of our patients. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. If you wish to connect, leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>. Professor Jean-Louis Vincent has had incredible influence and an imposing career. I first heard him speak 24 years ago and was mesmerized by his exuberant, passionate and entertaining presentation style on a diverse range of topics about which he seemed deeply knowledgable. I suspect many of you have heard Jean-Louis speak at a conference, with his wonderful Belgian accent. But how many of us have heard him speak about what really happens in his own clinical environment? Please enjoy listening to this episode. Andrew Davies -------------------- Show notes (people, organisations, resources or links mentioned in the episode): Twitter handle for Professor Jean-Louis Vincent: @jlvincen International Symposium on Intensive Care and Emergency Medicine (ISICEM): <a href="https://www.intensive.org/" rel="nofollow" target="_blank">https://www.intensive.org/</a> Mastering Intensive Care podcast: <a href="http://masteringintensivecare.libsyn.com" rel="nofollow" target="_blank">http://masteringintensivecare.libsyn.com</a> Mastering Intensive Care at Life In The Fast lane: <a href="https://lifeinthefastlane.com/litfl/mastering-intensive-care" rel="nofollow" target="_blank">https://lifeinthefastlane.com/litfl/mastering-intensive-care</a> Twitter handle for Andrew Davies: @andrewdavies66 Instagram handle for Andrew Davies: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com

31 - Jean-Louis Vincent - The Intensive Care ward round should not be boring

Sarah Yong

What are the biggest challenges when beginning as a fully-fledged intensive care clinician? How do you best use your senior colleagues when your experience bank is still small? What can you do to help achieve gender equity in intensive care medicine?   These are some of the questions you’ll ponder as you listen to the latest Mastering Intensive Care podcast guest Dr Sarah Yong from Melbourne. Having started off 2018 with two “Best of 2017” episodes on the podcast, today allows you the opportunity to hear a new interview. I am enthusiastic and passionate about bringing you some further valuable perspectives on improving how we do our jobs in intensive care units around the world. And this year I’m hoping to branch out a bit and try some new things and some new types of guests. Mastering Intensive Care is not just about interviewing older and experienced intensivists. It’s also about hearing some of the challenges from less experienced intensivists as they traverse the early days of their careers. So in this episode you’ll hear from Sarah who is right in the middle of this phase working at the Alfred Hospital in Melbourne, Australia. After graduating from The University of Melbourne, she completed training in general medicine before obtaining her fellowship of intensive care medicine. Along with critical care, she has a strong interest in education, simulation and the free open-access medical education (FOAMed) revolution. She is currently completing a Masters in Clinical Education in non-technical skills in intensive care. Sarah is a strong advocate for her peers including convening the Victorian Primary Exam Course, chairing the Trainee Committee and being the New Fellows' Representative for the College of Intensive Care Medicine here in Australia and New Zealand. She is a founding convenor of the Women in Intensive Care Medicine Network, which is dedicated to improving the gender balance in Australasian Intensive Care Medicine through advocacy, research and networking. I really enjoyed talking with Sarah. She is eloquent, mature, humble and honest; and she has a great perspective on how we can all take action to achieve improved gender balance in intensive care. In the episode we talk about many things, including:  What attracted Sarah to intensive care The rewards of delivering end of life conversations Whether she can sustain a lifelong career in the specialty How she dealt with the transition between trainee and fully fledged specialist Her utilization of other colleagues to support her ever-improving experience base The characteristics of the senior specialists who stood out to her What habits she is concentrating on to develop professionally How she has learnt and developed her communication skills Her excellent approach to a family conversation Dealing with the demands of an intensive care career Preparing at home for a busy clinical week Blending family and career The main gender-related issues women face in intensive care Sarah’s work with the Women In Intensive Care network Her advice for current trainees  My genuine hope with this podcast is to inspire and empower you to bring your best self to work and to adopt improved habits and behaviours at work, so you can more masterfully interact with and care for your patients, their families and your colleagues. Thanks for joining me on a quest to improve outcomes both in your intensive care and in mine. Please help me to spread the message by simply emailing your colleagues, posting on social media or rating and reviewing the podcast. Feel free to leave a comment or a question on the LITFL episode page, on twitter using #masteringintensivecare, on the Facebook “mastering intensive care” page or by sending me an email at andrew@masteringintensivecare.com. Thanks for listening on the journey towards mastering intensive care. Andrew Davies   Show notes (people, organisations, resources or links mentioned in the episode): CICM: https://www.cicm.org.au/ Sarah Yong on Twitter: @drsarahyong Women In Intensive Care Medicine Network: http://www.womenintensive.org/ Women In Intensive Care Medicine Network on Twitter: @womenintensive Women In Intensive Care Medicine Network on Facebook: womenintensive Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com/ Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care/

What are the biggest challenges when beginning as a fully-fledged intensive care clinician? How do you best use your senior colleagues when your experience bank is still small? What can you do to help achieve gender equity in intensive care medicine? These are some of the questions you’ll ponder as you listen to the latest Mastering Intensive Care podcast guest Dr Sarah Yong from Melbourne. Having started off 2018 with two “Best of 2017” episodes on the podcast, today allows you the opportunity to hear a new interview. I am enthusiastic and passionate about bringing you some further valuable perspectives on improving how we do our jobs in intensive care units around the world. And this year I’m hoping to branch out a bit and try some new things and some new types of guests. Mastering Intensive Care is not just about interviewing older and experienced intensivists. It’s also about hearing some of the challenges from less experienced intensivists as they traverse the early days of their careers. So in this episode you’ll hear from Sarah who is right in the middle of this phase working at the Alfred Hospital in Melbourne, Australia. After graduating from The University of Melbourne, she completed training in general medicine before obtaining her fellowship of intensive care medicine. Along with critical care, she has a strong interest in education, simulation and the free open-access medical education (FOAMed) revolution. She is currently completing a Masters in Clinical Education in non-technical skills in intensive care. Sarah is a strong advocate for her peers including convening the Victorian Primary Exam Course, chairing the Trainee Committee and being the New Fellows' Representative for the College of Intensive Care Medicine here in Australia and New Zealand. She is a founding convenor of the Women in Intensive Care Medicine Network, which is dedicated to improving the gender balance in Australasian Intensive Care Medicine through advocacy, research and networking. I really enjoyed talking with Sarah. She is eloquent, mature, humble and honest; and she has a great perspective on how we can all take action to achieve improved gender balance in intensive care. In the episode we talk about many things, including: <ul> <li>What attracted Sarah to intensive care</li> <li>The rewards of delivering end of life conversations</li> <li>Whether she can sustain a lifelong career in the specialty</li> <li>How she dealt with the transition between trainee and fully fledged specialist</li> <li>Her utilization of other colleagues to support her ever-improving experience base</li> <li>The characteristics of the senior specialists who stood out to her</li> <li>What habits she is concentrating on to develop professionally</li> <li>How she has learnt and developed her communication skills</li> <li>Her excellent approach to a family conversation</li> <li>Dealing with the demands of an intensive care career</li> <li>Preparing at home for a busy clinical week</li> <li>Blending family and career</li> <li>The main gender-related issues women face in intensive care</li> <li>Sarah’s work with the Women In Intensive Care network</li> <li>Her advice for current trainees</li> </ul> My genuine hope with this podcast is to inspire and empower you to bring your best self to work and to adopt improved habits and behaviours at work, so you can more masterfully interact with and care for your patients, their families and your colleagues. Thanks for joining me on a quest to improve outcomes both in your intensive care and in mine. Please help me to spread the message by simply emailing your colleagues, posting on social media or rating and reviewing the podcast. Feel free to leave a comment or a question on the LITFL episode page, on twitter using #masteringintensivecare, on the Facebook “mastering intensive care” page or by sending me an email at <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>. Thanks for listening on the journey towards mastering intensive care. Andrew Davies Show notes (people, organisations, resources or links mentioned in the episode): CICM: <a href="https://www.cicm.org.au/" rel="nofollow" target="_blank">https://www.cicm.org.au/</a> Sarah Yong on Twitter: @drsarahyong Women In Intensive Care Medicine Network: <a href="http://www.womenintensive.org/" rel="nofollow" target="_blank">http://www.womenintensive.org/</a> Women In Intensive Care Medicine Network on Twitter: @womenintensive Women In Intensive Care Medicine Network on Facebook: womenintensive Mastering Intensive Care podcast: <a href="http://masteringintensivecare.libsyn.com/" rel="nofollow" target="_blank">http://masteringintensivecare.libsyn.com/</a> Mastering Intensive Care at Life In The Fast lane: <a href="https://lifeinthefastlane.com/litfl/mastering-intensive-care/" rel="nofollow" target="_blank">https://lifeinthefastlane.com/litfl/mastering-intensive-care/</a>

25 - Sarah Yong - Making an excellent start to an intensive care career

Rana Awdish

If you work in healthcare and haven’t read the book “In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope” I really hope you will. In the meantime listen to intensivist and best-selling author Dr Rana Awdish on this week’s episode of Mastering Intensive Care and you’ll understand why. In her book, Rana brilliantly tells the real-life story of her near-death experience and subsequent recovery into which she weaves insightful observations and reflections on both the good and the bad of the healthcare she witnessed. Whilst Rana would have died without the excellence of the team who managed her sudden medical crisis the seeming lack of humanity was stark and frequently counterproductive. At the time Rana was in the final days of her Critical Care Fellowship in Detroit. Now an intensivist and frequent public speaker she has ample experience and expertise to assist intensive care clinicians to improve, the aim of this show. Rana graduated from Wayne State University School of Medicine in Detroit, completed Internal Medicine residency in New York, and then Pulmonary and Critical Care Medicine Fellowships at Henry Ford Health System in Detroit where she now works. She is Assistant Professor at the Department of Internal Medicine, Director of the Pulmonary Hypertension program, Senior Staff Physician in the Department of Pulmonary and Critical Care Medicine and Medical Director, Care Experience. Amongst many accomplishments she is the Physician Facilitator for the CLEAR Conversations program, teaches on communication, bioethics and physician wellness, and has won the National Compassionate Caregiver of the Year Award at the Schwartz Center for Compassionate Healthcare. Apart from beautifully describing how it really felt to be a patient, Rana also talks about:  The suboptimal communication encounters she remembers Her gratitude for the skill and grace she received The benefits of being more engaged and connected with our patients Why first impressions matter The value of curiosity Using mindfulness to enhance presence What being cut off from knowledge as a patient felt like Her experience of asking for working suction in her own operation The value of community in unburdening ourselves as health practitioners How Schwartz rounds can be helpful The very first patient she met after recovering from her illness Her belief that showing compassion will make you more efficient The healing effect of family member presence The benefits of self-care (and what Rana does herself) The part spirituality might play in healthcare Better understanding the use of opiates and pain management Going home after a chronic critical illness How the whole experience has affected how she acts on ward rounds  Our own healthcare experiences should not be the main driver towards the compassionate and caring practitioners our patients need. But as you’ll hear in this episode, they can deliver the sort of truth and learning we may not otherwise find. Please enjoy listening to Dr Rana Awdish.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean things to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient’s lives.   --------------------   Links to people, organisations and other resources mentioned: Rana Awdish on Twitter @RanaAwdish Rana Awdish website Book "In Shock" (by Rana Awdish) Mastering Intensive Care podcast – episode 35 with Paul Wischmeyer CLEAR conversations Schwartz Center for Compassionate Healthcare Kenneth Schwartz Schwartz rounds Mindful Practice with Ronald Epstein and Mick Krasner New York Times article “After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea” (by Firoozeh Dumas) Mastering Intensive Care podcast – episode 40 with Ed Litton SMACC New Normal Project podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Email Andrew Davies

If you work in healthcare and haven’t read the book “In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope” I really hope you will. In the meantime listen to intensivist and best-selling author Dr Rana Awdish on this week’s episode of Mastering Intensive Care and you’ll understand why. In her book, Rana brilliantly tells the real-life story of her near-death experience and subsequent recovery into which she weaves insightful observations and reflections on both the good and the bad of the healthcare she witnessed. Whilst Rana would have died without the excellence of the team who managed her sudden medical crisis the seeming lack of humanity was stark and frequently counterproductive. At the time Rana was in the final days of her Critical Care Fellowship in Detroit. Now an intensivist and frequent public speaker she has ample experience and expertise to assist intensive care clinicians to improve, the aim of this show. Rana graduated from Wayne State University School of Medicine in Detroit, completed Internal Medicine residency in New York, and then Pulmonary and Critical Care Medicine Fellowships at Henry Ford Health System in Detroit where she now works. She is Assistant Professor at the Department of Internal Medicine, Director of the Pulmonary Hypertension program, Senior Staff Physician in the Department of Pulmonary and Critical Care Medicine and Medical Director, Care Experience. Amongst many accomplishments she is the Physician Facilitator for the CLEAR Conversations program, teaches on communication, bioethics and physician wellness, and has won the National Compassionate Caregiver of the Year Award at the Schwartz Center for Compassionate Healthcare. Apart from beautifully describing how it really felt to be a patient, Rana also talks about: <ul> <li>The suboptimal communication encounters she remembers</li> <li>Her gratitude for the skill and grace she received</li> <li>The benefits of being more engaged and connected with our patients</li> <li>Why first impressions matter</li> <li>The value of curiosity</li> <li>Using mindfulness to enhance presence</li> <li>What being cut off from knowledge as a patient felt like</li> <li>Her experience of asking for working suction in her own operation</li> <li>The value of community in unburdening ourselves as health practitioners</li> <li>How Schwartz rounds can be helpful</li> <li>The very first patient she met after recovering from her illness</li> <li>Her belief that showing compassion will make you more efficient</li> <li>The healing effect of family member presence</li> <li>The benefits of self-care (and what Rana does herself)</li> <li>The part spirituality might play in healthcare</li> <li>Better understanding the use of opiates and pain management</li> <li>Going home after a chronic critical illness</li> <li>How the whole experience has affected how she acts on ward rounds</li> </ul> Our own healthcare experiences should not be the main driver towards the compassionate and caring practitioners our patients need. But as you’ll hear in this episode, they can deliver the sort of truth and learning we may not otherwise find. Please enjoy listening to Dr Rana Awdish. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean things to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient’s lives. -------------------- Links to people, organisations and other resources mentioned: <a href="https://twitter.com/ranaawdish" rel="noopener nofollow" target="_blank">Rana Awdish on Twitter</a> @RanaAwdish <a href="http://www.ranaawdishmd.com" rel="noopener nofollow" target="_blank">Rana Awdish website</a> <a href="https://www.ranaawdishmd.com/book" rel="noopener nofollow" target="_blank">Book "In Shock" (by Rana Awdish)</a> <a href="http://masteringintensivecare.libsyn.com/episode-35-paul-wischmeyer-never-underestimate-the-simple-things-we-do-to-our-patients" rel="noopener nofollow" target="_blank">Mastering Intensive Care podcast – episode 35 with Paul Wischmeyer</a> <a href="https://www.henryford.com/hcp/med-ed/cme/clear-conversations" rel="noopener nofollow" target="_blank">CLEAR conversations</a> <a href="http://www.theschwartzcenter.org/" rel="noopener nofollow" target="_blank">Schwartz Center for Compassionate Healthcare</a> <a href="http://www.theschwartzcenter.org/about-us/story-mission/" rel="noopener nofollow" target="_blank">Kenneth Schwartz</a> <a href="http://www.theschwartzcenter.org/supporting-caregivers/schwartz-center-rounds/" rel="noopener nofollow" target="_blank">Schwartz rounds</a> <a href="https://www.urmc.rochester.edu/family-medicine/mindful-practice/faculty.aspx" rel="noopener nofollow" target="_blank">Mindful Practice with Ronald Epstein and Mick Krasner</a> <a href="https://www.nytimes.com/2018/01/27/opinion/sunday/surgery-germany-vicodin.html" rel="noopener nofollow" target="_blank">New York Times article “After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea” (by Firoozeh Dumas)</a> <a href="http://masteringintensivecare.libsyn.com/episode-40-ed-litton" rel="noopener nofollow" target="_blank">Mastering Intensive Care podcast – episode 40 with Ed Litton</a> <a href="https://www.smacc.net.au/" rel="noopener nofollow" target="_blank">SMACC</a> <a href="http://newnormalproject.libsyn.com/" rel="noopener nofollow" target="_blank">New Normal Project podcast</a> <a href="http://masteringintensivecare.libsyn.com/" rel="noopener nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="noopener nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="noopener nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/andrewdavies66" rel="noopener nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66/" rel="noopener nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="mailto:andrew@masteringintensivecare.com" rel="noopener">Email Andrew Davies</a>

41 - Rana Awdish - From In Shock to true connection with our patients

Paul Wischmeyer

How did your patient feel that time you took several attempts to place a CVC? What might happen after a dose of haloperidol for delirium?   In this compelling episode, Professor Paul Wischmeyer, shares some of his experiences as a patient in the ICU. Since he was 15 he has endured multiple hospitalizations and ICU stays for his inflammatory bowel disease. This has given him an excellent vantage point to notice what we as ICU professionals do and say to our patients. And from Paul’s perspective we could do much better. Some of the procedures we might think are simple (like placing intravenous or intra-arterial cannulae) can cause significant suffering. And if we treat these procedures as something just to tick off on our list we may diminish the person-centred care we should all be attempting to deliver. Paul’s passion for helping patients recover from illness and surgery arises from his personal experiences as both a doctor and patient in the ICU. As a trained intensivist, anaesthetist, clinical pharmacologist and research scientist, he works predominantly as a Perioperative physician who specializes in enhancing preparation and recovery from surgery and critical care at Duke University. He practices on the Critical Care and Nutrition clinical teams, serves as the Director of Perioperative Research for the Duke Clinical Research Institute, as Associate Vice Chair for Clinical Research in the Department of Anesthesiology and as Director of the Nutrition Support Team. Paul has been awarded significant amounts of funding, won many awards, published over 135 papers and given hundreds of invited presentations. Five days ago Paul tweeted he was back in hospital so I thought it was a good time to bring this interview we did a few months ago. I’m hoping he is much better today and that he’ll be out of hospital and back home very soon. Paul has a lot of valuable things to say in this interview. We also spoke about:  How in the early part of his career he loved the physiology and pharmacology but now he loves the family interactions and teaching Learning from people all around the world makes him a better doctor How his personal experiences have helped him to use more sedation in his practice Our need to get away from the concept of keeping a patient quiet with sedatives so we can have a peaceful night in the ICU The effects on his mother of a child psychiatrist asking her about her parenting in the work up of Paul’s illness His reflections on the difference in ward rounds between his current and previous institutions His views on having a close partnership between intensivists and the palliative care team, especially in family meetings The importance of body position and body language in communication How he feels less healthy in a system of 12 hour shifts for intensivists because scheduling self-care can be difficult The anxiety he notices when he doesn’t exercise His views on a good diet and the supplements he takes His need to feel ready to be hospitalised at any time due to his illness The benefit of having a good department chair who helps him say no to too many responsibilities How he deals with feeling overwhelmed The importance of staying well-hydrated during our work His main points about giving a great lecture, including the use of images and developing the skill of inspiring or convincing the audience with emotion Some tips for younger clinicians, including being open minded, keeping up with the literature and focusing on connection to patients  My genuine hope with the Mastering Intensive Care podcast is to inspire and empower you to bring your best self to the ICU by listening to the perspectives of such thought-provoking guests as Paul Wischmeyer. I genuinely believe we can all improve, as both professionals and as human beings, so that we can do the absolute best for the people we are privileged to care for as patients. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. To connect, leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at andrew@masteringintensivecare.com. Thanks for listening. Andrew Davies   -------------------- Show notes (people, organisations, resources and links mentioned in the episode): Paul Wischmeyer profile: https://scholars.duke.edu/person/paul.wischmeyer Paul’s webpage on Duke Clinical Research Institute website:  https://dcri.org/our-work/therapeutic-expertise/perioperative-nutrition/ Twitter handle for Paul Wischmeyer: @Paul_Wischmeyer Book: “Presentation Zen Design” (by Garr Reynolds):  http://www.presentationzen.com/presentationzen/2010/02/presentation-zen-design-the-book.html Book “In Shock” (by Dr Rana Awdish): https://www.ranaawdishmd.com/book TARGET study:  https://clinicaltrials.gov/ct2/show/NCT02306746?term=TARGET+nutrition&amp;type=Intr&amp;cntry=AU&amp;city=Adelaide&amp;rank=1 Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com Mastering Intensive Care page on Facebook: https://www.facebook.com/masteringintensivecare Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care Twitter handle for Andrew Davies: @andrewdavies66 Instagram handle for Andrew Davies: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com

How did your patient feel that time you took several attempts to place a CVC? What might happen after a dose of haloperidol for delirium? In this compelling episode, Professor Paul Wischmeyer, shares some of his experiences as a patient in the ICU. Since he was 15 he has endured multiple hospitalizations and ICU stays for his inflammatory bowel disease. This has given him an excellent vantage point to notice what we as ICU professionals do and say to our patients. And from Paul’s perspective we could do much better. Some of the procedures we might think are simple (like placing intravenous or intra-arterial cannulae) can cause significant suffering. And if we treat these procedures as something just to tick off on our list we may diminish the person-centred care we should all be attempting to deliver. Paul’s passion for helping patients recover from illness and surgery arises from his personal experiences as both a doctor and patient in the ICU. As a trained intensivist, anaesthetist, clinical pharmacologist and research scientist, he works predominantly as a Perioperative physician who specializes in enhancing preparation and recovery from surgery and critical care at Duke University. He practices on the Critical Care and Nutrition clinical teams, serves as the Director of Perioperative Research for the Duke Clinical Research Institute, as Associate Vice Chair for Clinical Research in the Department of Anesthesiology and as Director of the Nutrition Support Team. Paul has been awarded significant amounts of funding, won many awards, published over 135 papers and given hundreds of invited presentations. Five days ago Paul tweeted he was back in hospital so I thought it was a good time to bring this interview we did a few months ago. I’m hoping he is much better today and that he’ll be out of hospital and back home very soon. Paul has a lot of valuable things to say in this interview. We also spoke about: <ul> <li>How in the early part of his career he loved the physiology and pharmacology but now he loves the family interactions and teaching</li> <li>Learning from people all around the world makes him a better doctor</li> <li>How his personal experiences have helped him to use more sedation in his practice</li> <li>Our need to get away from the concept of keeping a patient quiet with sedatives so we can have a peaceful night in the ICU</li> <li>The effects on his mother of a child psychiatrist asking her about her parenting in the work up of Paul’s illness</li> <li>His reflections on the difference in ward rounds between his current and previous institutions</li> <li>His views on having a close partnership between intensivists and the palliative care team, especially in family meetings</li> <li>The importance of body position and body language in communication</li> <li>How he feels less healthy in a system of 12 hour shifts for intensivists because scheduling self-care can be difficult</li> <li>The anxiety he notices when he doesn’t exercise</li> <li>His views on a good diet and the supplements he takes</li> <li>His need to feel ready to be hospitalised at any time due to his illness</li> <li>The benefit of having a good department chair who helps him say no to too many responsibilities</li> <li>How he deals with feeling overwhelmed</li> <li>The importance of staying well-hydrated during our work</li> <li>His main points about giving a great lecture, including the use of images and developing the skill of inspiring or convincing the audience with emotion</li> <li>Some tips for younger clinicians, including being open minded, keeping up with the literature and focusing on connection to patients</li> </ul> My genuine hope with the Mastering Intensive Care podcast is to inspire and empower you to bring your best self to the ICU by listening to the perspectives of such thought-provoking guests as Paul Wischmeyer. I genuinely believe we can all improve, as both professionals and as human beings, so that we can do the absolute best for the people we are privileged to care for as patients. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. To connect, leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>. Thanks for listening. Andrew Davies -------------------- Show notes (people, organisations, resources and links mentioned in the episode): Paul Wischmeyer profile: <a href="https://scholars.duke.edu/person/paul.wischmeyer" rel="nofollow" target="_blank">https://scholars.duke.edu/person/paul.wischmeyer</a> Paul’s webpage on Duke Clinical Research Institute website: <a href="https://dcri.org/our-work/therapeutic-expertise/perioperative-nutrition/" rel="nofollow" target="_blank"> https://dcri.org/our-work/therapeutic-expertise/perioperative-nutrition/</a> Twitter handle for Paul Wischmeyer: @Paul_Wischmeyer Book: “Presentation Zen Design” (by Garr Reynolds): <a href="http://www.presentationzen.com/presentationzen/2010/02/presentation-zen-design-the-book.html" rel="nofollow" target="_blank"> http://www.presentationzen.com/presentationzen/2010/02/presentation-zen-design-the-book.html</a> Book “In Shock” (by Dr Rana Awdish): <a href="https://www.ranaawdishmd.com/book" rel="nofollow" target="_blank">https://www.ranaawdishmd.com/book</a> TARGET study: <a href="https://clinicaltrials.gov/ct2/show/NCT02306746?term=TARGET+nutrition&amp;type=Intr&amp;cntry=AU&amp;city=Adelaide&amp;rank=1" rel="nofollow" target="_blank"> https://clinicaltrials.gov/ct2/show/NCT02306746?term=TARGET+nutrition&amp;type=Intr&amp;cntry=AU&amp;city=Adelaide&amp;rank=1</a> Mastering Intensive Care podcast: <a href="http://masteringintensivecare.libsyn.com" rel="nofollow" target="_blank">http://masteringintensivecare.libsyn.com</a> Mastering Intensive Care page on Facebook: <a href="https://www.facebook.com/masteringintensivecare" rel="nofollow" target="_blank">https://www.facebook.com/masteringintensivecare</a> Mastering Intensive Care at Life In The Fast lane: <a href="https://lifeinthefastlane.com/litfl/mastering-intensive-care" rel="nofollow" target="_blank">https://lifeinthefastlane.com/litfl/mastering-intensive-care</a> Twitter handle for Andrew Davies: @andrewdavies66 Instagram handle for Andrew Davies: @andrewdavies66 Email Andrew Davies: <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>

35 - Paul Wischmeyer - Never underestimate the simple things we do to our patients

Jo Stewart

On International Nurses Day, please listen to Jo Stewart, the Clinical Nurse Unit Manager at the ICU in which I work - Frankston Hospital. On May 12th, the date that commemorates the birthdate of Florence Nightingale, we celebrate every single one of the many nurses who support and care for us when we are sick. Pretty much everyone on earth comes in contact with a nurse and, for us in intensive care, nurses are so important to all that we do. Let me simply say thank you to the nurses of the world. You are the lifeblood of healthcare, and especially in hospitals. I have learnt from watching hundreds of you; about how to better care for a patient, about how to better communicate, and how to better support a critically unwell person and their loved ones. If you read the cards that are sent to the ICUs when the patients and their families want to say thank you, you’ll see who they value the most. Our nurses are simply amazing. On this episode I speak with Jo Stewart. Her role as Clinical Nurse Unit Manager allows her to offer training and support to the nurses of Frankston ICU as well as to work on quality and operational requirements of the unit. Jo is passionate about education and supporting novice nurses and brings experience from a variety of specialty ICU nursing areas such as Cardiothoracics (including ECMO), Neurosurgery, and Critical Care Liaison Nursing. Jo completed her Masters in Intensive Care Nursing at The Alfred Hospital in 2007, worked in Vancouver, and then commenced working at Frankston Hospital as a Clinical Support and Development Nurse in ICU in 2011 whilst concurrently lecturing at Monash University for both Undergraduate and Post Graduate Nursing courses. In the episode Jo speaks about:  How she got into ICU nursing and what she enjoys about it Attracting and retaining ICU nurses The various roles she has worked in throughout her career Educating nurses How Jo educates herself Leading as a nurse unit manager Creating the right culture as a leader How she allocates her own time to different tasks Interactions between doctors and nurses in the ICU Principles of good communication Her self-care practices Encouraging wellness for the nursing workforce Working better as a team Some tips for the ICU doctors  Jo is extraordinarily passionate and enthusiastic about her role. She is very welcoming, always happy for a chat, and I thought she would make an excellent guest for the show. Please enjoy listening to Jo Stewart.   Andrew Davies   -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean insights to help you improve as a healthcare professional and as a human being so you can make the most valuable contribution to your patient’s lives.   -------------------- Links to people, organisations and other resources mentioned: Jo Stewart on Twitter: @JoStu82  Frankston Hospital ICU website BASIC for nurses FOAM (free open-access medical education) Insight Timer Smiling Mind 1 Giant Mind Mastering Intensive Care podcast: Episode 42 with Paul Young Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66  Andrew Davies on Instagram: @andrewdavies66 Email Andrew Davies

On International Nurses Day, please listen to Jo Stewart, the Clinical Nurse Unit Manager at the ICU in which I work - Frankston Hospital. On May 12th, the date that commemorates the birthdate of Florence Nightingale, we celebrate every single one of the many nurses who support and care for us when we are sick. Pretty much everyone on earth comes in contact with a nurse and, for us in intensive care, nurses are so important to all that we do. Let me simply say thank you to the nurses of the world. You are the lifeblood of healthcare, and especially in hospitals. I have learnt from watching hundreds of you; about how to better care for a patient, about how to better communicate, and how to better support a critically unwell person and their loved ones. If you read the cards that are sent to the ICUs when the patients and their families want to say thank you, you’ll see who they value the most. Our nurses are simply amazing. On this episode I speak with Jo Stewart. Her role as Clinical Nurse Unit Manager allows her to offer training and support to the nurses of Frankston ICU as well as to work on quality and operational requirements of the unit. Jo is passionate about education and supporting novice nurses and brings experience from a variety of specialty ICU nursing areas such as Cardiothoracics (including ECMO), Neurosurgery, and Critical Care Liaison Nursing. Jo completed her Masters in Intensive Care Nursing at The Alfred Hospital in 2007, worked in Vancouver, and then commenced working at Frankston Hospital as a Clinical Support and Development Nurse in ICU in 2011 whilst concurrently lecturing at Monash University for both Undergraduate and Post Graduate Nursing courses. In the episode Jo speaks about: <ul> <li>How she got into ICU nursing and what she enjoys about it</li> <li>Attracting and retaining ICU nurses</li> <li>The various roles she has worked in throughout her career</li> <li>Educating nurses</li> <li>How Jo educates herself</li> <li>Leading as a nurse unit manager</li> <li>Creating the right culture as a leader</li> <li>How she allocates her own time to different tasks</li> <li>Interactions between doctors and nurses in the ICU</li> <li>Principles of good communication</li> <li>Her self-care practices</li> <li>Encouraging wellness for the nursing workforce</li> <li>Working better as a team</li> <li>Some tips for the ICU doctors</li> </ul> Jo is extraordinarily passionate and enthusiastic about her role. She is very welcoming, always happy for a chat, and I thought she would make an excellent guest for the show. Please enjoy listening to Jo Stewart. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean insights to help you improve as a healthcare professional and as a human being so you can make the most valuable contribution to your patient’s lives. -------------------- Links to people, organisations and other resources mentioned: <a href="https://twitter.com/jostu82" rel="noopener nofollow" target="_blank">Jo Stewart on Twitter</a>: @JoStu82  <a href="https://www.peninsulahealth.org.au/services/services-f-m/intensive-care-unit/" rel="noopener nofollow" target="_blank">Frankston Hospital ICU website</a> <a href="https://www.aic.cuhk.edu.hk/basic_for_nurses/country.php" rel="noopener nofollow" target="_blank">BASIC for nurses</a> <a href="https://litfl.com/foam-free-open-access-medical-education/%20" rel="noopener nofollow" target="_blank">FOAM (free open-access medical education)</a> <a href="https://insighttimer.com/" rel="noopener nofollow" target="_blank">Insight Timer</a> <a href="https://www.smilingmind.com.au/" rel="noopener nofollow" target="_blank">Smiling Mind</a> <a href="https://www.1giantmind.com/" rel="noopener nofollow" target="_blank">1 Giant Mind</a> <a href="http://masteringintensivecare.libsyn.com/episode-42-paul-young-perpetuating-the-family-like-culture-after-the-death-of-a-respected-leader" rel="noopener nofollow" target="_blank">Mastering Intensive Care podcast: Episode 42 with Paul Young</a> <a href="https://www.facebook.com/masteringintensivecare/" rel="noopener nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care/" rel="noopener nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/AndrewDavies66" rel="noopener nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66  <a href="https://www.instagram.com/andrewdavies66/" rel="noopener nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="mailto:andrew@masteringintensivecare.com" rel="noopener">Email Andrew Davies</a>

43 - Jo Stewart - Educating, leading, retaining and supporting Intensive Care nurses

Colin McArthur

Do you give feedback to your intensive care colleagues when they do their job well? Have you become overscheduled because you have trouble saying no to new tasks? How well do you listen to the views of the intensive care nurses in your ICU?   The first international guest of the podcast series, Dr Colin McArthur, is a highly experienced intensivist, anaesthetist, researcher, administrator and leader from Auckland in New Zealand. In this episode he reflects on many aspects of his career and gives loads of useful advice about aspects such as giving both positive and negative feedback, learning to say no so we don’t exceed our work capacity, and listening to and respecting the views of the intensive care nurses in our ICUs. Colin is a senior intensive care specialist and past-Clinical Director in the Department of Critical Care Medicine at the Auckland City Hospital in Auckland. He is the immediate past Chair of the ANZICS Clinical Trials Group, with which he has been actively involved since its formation in the mid-1990’s. Colin currently leads research governance for New Zealand’s largest clinical research facility at Auckland City Hospital, and holds adjunct/honorary appointments at Auckland and Monash Universities. He is married to Juliet and has 3 sons in their early 20’s. Colin is currently in transition from being a keen runner to (in his words) a mediocre cyclist. Colin is wise, thoughtful, hugely supportive, skilled in many areas, and highly experienced, making what he says all the more useful to intensivists and trainees at all levels. Having been a leader for much of his career, he encourages trainees to find out how intensive care is delivered in many different institutions, both locally and internationally; he describes how although self-reflection is important, hearing the views of others on our performance is even better; he discusses his attitude to sleep and how the hours before midnight count most; and he tells how the benefits of running for him have included ensuring regular exercise, helping manage stress, and weight control. Also hear him speak about how:  He found ICU an intimidating place when he first transferred patients from surgery as an anaesthetic trainee but began to like the people who worked there He worked for 2 years in Hong Kong and learnt from Dr Teik Oh, a pioneer and true master of intensive care in the Asian and Australasian region Senior mentors in our career can teach us about communication, interacting with others and the other highly important non-technical skills Working in an ICU that might be considered strong has good and bad aspects but does provide leadership in looking after the sickest patients Intensivists need to grow in their careers to operate at a level above simply having basic clinical skills so as to allow the main focus to be overall patient management through coordination and communication We can learn from seeing things done both well and done poorly The days in which he feels he is not at his best are usually related to what he has brought to work by not being well rested, not being well fed or not having done exercise He likes to get to work a little bit early to enable social interaction prior to the work phase of the day Tough he finds it to keep the details of more than 12 patients in his mind A really good stress management strategy is to carefully pick our battles Most intensivists would benefit from having a string to their bow other than simply clinical work Speaking to families and patients requires regular and multiple interactions, honesty, frankness, recognition of uncertainty, recognition of the limitations of medical knowledge and the need to value what the families bring to the conversation  With this podcast, and the previous episodes, please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to more masterfully interact with our patients, their families and our fellow health professionals to deliver the most satisfactory outcomes to all. It would be much appreciated if you helped spread the word by simply emailing your colleagues or posting on social media. If you wish to send any feedback or simply want to keep the conversation from this episode going, please leave a comment on this page, go to the Mastering Intensive Care page on facebook, post on twitter using #masteringintensivecare or send an email to andrew@masteringintensivecare.com.

Do you give feedback to your intensive care colleagues when they do their job well? Have you become overscheduled because you have trouble saying no to new tasks? How well do you listen to the views of the intensive care nurses in your ICU? The first international guest of the podcast series, Dr Colin McArthur, is a highly experienced intensivist, anaesthetist, researcher, administrator and leader from Auckland in New Zealand. In this episode he reflects on many aspects of his career and gives loads of useful advice about aspects such as giving both positive and negative feedback, learning to say no so we don’t exceed our work capacity, and listening to and respecting the views of the intensive care nurses in our ICUs. Colin is a senior intensive care specialist and past-Clinical Director in the Department of Critical Care Medicine at the Auckland City Hospital in Auckland. He is the immediate past Chair of the ANZICS Clinical Trials Group, with which he has been actively involved since its formation in the mid-1990’s. Colin currently leads research governance for New Zealand’s largest clinical research facility at Auckland City Hospital, and holds adjunct/honorary appointments at Auckland and Monash Universities. He is married to Juliet and has 3 sons in their early 20’s. Colin is currently in transition from being a keen runner to (in his words) a mediocre cyclist. Colin is wise, thoughtful, hugely supportive, skilled in many areas, and highly experienced, making what he says all the more useful to intensivists and trainees at all levels. Having been a leader for much of his career, he encourages trainees to find out how intensive care is delivered in many different institutions, both locally and internationally; he describes how although self-reflection is important, hearing the views of others on our performance is even better; he discusses his attitude to sleep and how the hours before midnight count most; and he tells how the benefits of running for him have included ensuring regular exercise, helping manage stress, and weight control. Also hear him speak about how: <ul> <li>He found ICU an intimidating place when he first transferred patients from surgery as an anaesthetic trainee but began to like the people who worked there</li> <li>He worked for 2 years in Hong Kong and learnt from Dr Teik Oh, a pioneer and true master of intensive care in the Asian and Australasian region</li> <li>Senior mentors in our career can teach us about communication, interacting with others and the other highly important non-technical skills</li> <li>Working in an ICU that might be considered strong has good and bad aspects but does provide leadership in looking after the sickest patients</li> <li>Intensivists need to grow in their careers to operate at a level above simply having basic clinical skills so as to allow the main focus to be overall patient management through coordination and communication</li> <li>We can learn from seeing things done both well and done poorly</li> <li>The days in which he feels he is not at his best are usually related to what he has brought to work by not being well rested, not being well fed or not having done exercise</li> <li>He likes to get to work a little bit early to enable social interaction prior to the work phase of the day</li> <li>Tough he finds it to keep the details of more than 12 patients in his mind</li> <li>A really good stress management strategy is to carefully pick our battles</li> <li>Most intensivists would benefit from having a string to their bow other than simply clinical work</li> <li>Speaking to families and patients requires regular and multiple interactions, honesty, frankness, recognition of uncertainty, recognition of the limitations of medical knowledge and the need to value what the families bring to the conversation</li> </ul> With this podcast, and the previous episodes, please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to more masterfully interact with our patients, their families and our fellow health professionals to deliver the most satisfactory outcomes to all. It would be much appreciated if you helped spread the word by simply emailing your colleagues or posting on social media. If you wish to send any feedback or simply want to keep the conversation from this episode going, please leave a comment on this page, go to the Mastering Intensive Care page on facebook, post on twitter using #masteringintensivecare or send an email to <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>.

11 - Colin McArthur - Superb career reflections on aspects like giving feedback, saying no and valuing intensive care nurses

John Marshall

Are your ICU patients ever in a holding pattern? Do you aim to liberate your patients from ICU as soon as possible? Is your caution about moving things forward harmful to our patients?   I don’t think we talk often enough about the dangers of conservatism in intensive care. About how if we are cautious in thinking the patient is not quite ready to be extubated, or have the sedation turned off, or stop the antibiotics, then we sometimes don’t realize the harm our inaction may cause. A topic you will enjoy hearing about in this interview with Professor John Marshall on the Mastering Intensive Care podcast. John is a Professor of Surgery at the University of Toronto, and a trauma surgeon and intensivist at St. Michael’s Hospital in Toronto, Canada. John has an active clinical research interest in sepsis and ICU-acquired infection, and in the design of clinical trials and outcome measures. He has published more than 325 manuscripts, and 85 book chapters, and is the editor of 2 books. He is the founding chair of the International Forum of Acute Care Trialists (InFACT) – a global network of investigator-led critical care clinical research groups, he is Secretary-General of the World Federation of Societies of Intensive and Critical Care Medicine, and vice-chair of the International Severe Acute Respiratory and Emerging Infections Consortium.  He is also past-chair of the International Sepsis Forum, past-President of the Surgical Infection Society, and past-chair of the Canadian Critical Care Trials Group. He has given invited lectures at more than 470 meetings around the world, is a member of seven journal editorial boards, and an Associate Editor of Critical Care Medicine and Critical Care. In this conversation we also cover topics including:  Being both a surgeon and an intensivist – and why ICU might be more fun Humility and curiosity as the two most important habits for intensivists That surgeons seem to own their complications more than intensivists The benefits of family member presence on the ICU ward round Why we should question everything we do in a provocative dialogue How research helps us at the bedside The value of collaborative research networks The observations that some ICUs can feel joyless Withdrawing interventions may not always lead to death The time when John was involved in a 4 hour CPR If we can’t define what an intervention can or cannot do, perhaps we shouldn’t do it The privilege John feelsto be able to make mistakes that might cost people their lives His artistic pursuits outside of medicine (including the story of a rock band) The constant feeling of rejection in academia The skills required to give a good talk How developing academic capital might be the best way to get a job  With this podcast please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. It would be much appreciated if you could help to spread the word by simply emailing your colleagues or posting on social media. If you have a comment or a question, let’s engage. Whilst my primary goal is to improve patient outcomes by helping us all get better thanks to the inspiring messages of my guests, I also have the goal of building community through Mastering Intensive Care, so people can share their thoughts and their own skills. So leave a comment (on the LITFL episode page or on twitter using #masteringintensivecare), send me an email at andrew@masteringintensivecare.com or engage in the facebook page Mastering Intensive Care. Thanks for listening. Please go out and do the best you can for your patients. Andrew Davies

Are your ICU patients ever in a holding pattern? Do you aim to liberate your patients from ICU as soon as possible? Is your caution about moving things forward harmful to our patients? I don’t think we talk often enough about the dangers of conservatism in intensive care. About how if we are cautious in thinking the patient is not quite ready to be extubated, or have the sedation turned off, or stop the antibiotics, then we sometimes don’t realize the harm our inaction may cause. A topic you will enjoy hearing about in this interview with Professor John Marshall on the Mastering Intensive Care podcast. John is a Professor of Surgery at the University of Toronto, and a trauma surgeon and intensivist at St. Michael’s Hospital in Toronto, Canada. John has an active clinical research interest in sepsis and ICU-acquired infection, and in the design of clinical trials and outcome measures. He has published more than 325 manuscripts, and 85 book chapters, and is the editor of 2 books. He is the founding chair of the International Forum of Acute Care Trialists (InFACT) – a global network of investigator-led critical care clinical research groups, he is Secretary-General of the World Federation of Societies of Intensive and Critical Care Medicine, and vice-chair of the International Severe Acute Respiratory and Emerging Infections Consortium.  He is also past-chair of the International Sepsis Forum, past-President of the Surgical Infection Society, and past-chair of the Canadian Critical Care Trials Group. He has given invited lectures at more than 470 meetings around the world, is a member of seven journal editorial boards, and an Associate Editor of Critical Care Medicine and Critical Care. In this conversation we also cover topics including: <ul> <li>Being both a surgeon and an intensivist – and why ICU might be more fun</li> <li>Humility and curiosity as the two most important habits for intensivists</li> <li>That surgeons seem to own their complications more than intensivists</li> <li>The benefits of family member presence on the ICU ward round</li> <li>Why we should question everything we do in a provocative dialogue</li> <li>How research helps us at the bedside</li> <li>The value of collaborative research networks</li> <li>The observations that some ICUs can feel joyless</li> <li>Withdrawing interventions may not always lead to death</li> <li>The time when John was involved in a 4 hour CPR</li> <li>If we can’t define what an intervention can or cannot do, perhaps we shouldn’t do it</li> <li>The privilege John feelsto be able to make mistakes that might cost people their lives</li> <li>His artistic pursuits outside of medicine (including the story of a rock band)</li> <li>The constant feeling of rejection in academia</li> <li>The skills required to give a good talk</li> <li>How developing academic capital might be the best way to get a job</li> </ul> With this podcast please help me in my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. It would be much appreciated if you could help to spread the word by simply emailing your colleagues or posting on social media. If you have a comment or a question, let’s engage. Whilst my primary goal is to improve patient outcomes by helping us all get better thanks to the inspiring messages of my guests, I also have the goal of building community through Mastering Intensive Care, so people can share their thoughts and their own skills. So leave a comment (on the LITFL episode page or on twitter using #masteringintensivecare), send me an email at <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a> or engage in the facebook page Mastering Intensive Care. Thanks for listening. Please go out and do the best you can for your patients. Andrew Davies

18 - John Marshall - Getting patients out of the ICU as soon as we can

Do you spend time finding out what the “why” is for your patient? Have you considered it’s not what is the matter with the patient but what matters to the patient? What the patient thinks their purpose is? Or at the very least, what they wish for during the next part of life, however short that may be? In this episode American intensivist, Dr Wes Ely, tells us how he deeply cares about the whole patient – the body, the mind and the spirit. He is passionate about really getting to know his patients. And to do that he thinks we need to be heavily focused on both ICU liberation and good listening. The ICU liberation bit sounds easy. It's removing the patient from the sedatives, the ventilator and whatever other harmful interventions are no longer needed when their situation is improving. But it's harder than we think. And to help with this, he has led the development of the ABCDEF bundle. With the assistance of many colleagues, and based on high quality science, he has progressively developed a simple 6 factor approach that has been shown to speed up ICU liberation and improve patient outcomes. And in this podcast he describes how he uses it, and how you can too. Listening to our patients also sounds easy. But how many of us spend the time required, and really be there for that person with grace and humility, so we can truly find out what matters to them, and respect their spiritual faith. Wes will be well known to many of you. He is a Pulmonary and Critical Care specialist who conducts patient-oriented, health services research as a Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University School of Medicine, in Tennessee, USA. He is also a practicing intensivist with a focus on Geriatric ICU Care, as the Associate Director for Research for the VA Tennessee Valley Geriatric Research and Education Clinical Center. His research has focused on improving the care and outcomes of critically ill patients with ICU-acquired brain disease. Wes has built the ICU Delirium and Cognitive Impairment Study Group and his team have developed the primary tool by which delirium and health-related quality of life outcomes are measured, the CAM-ICU. He has over 350 peer-reviewed publications and over 50 published book chapters and editorials. In this conversation, Wes and I cover many other topics including:  How he chose medicine after observing family illness as he grew up The enjoyment he receives from holding the hands of and looking into the eyes of patients How good doctors are not distracted by technology A Wall St journal and a CNN.com article he has penned which display his ability to find out what really mattered to 2 of his patients The importance of reading - and the 3 types of reading we should do How his ICU ward round is patient-centric and heavily nurse-focused The need to understand our unconscious biases and to have humility The concept of becoming the best version of our selves That life balance requires exercise, sleep and healthy eating His passion for triathlons, including the ironman How he balances family and work How his spiritual faith helps him to minimize stress His understanding that there is something bigger than us happening around us How burnout is simply an imbalance in the fundamentals of life The Nietzsche quote “He who has a why to live can bear any how” His appreciation of the work of the 3 Wishes Project (links below) What happened when he read the Jabberwocky poem (link below) to one of his patients His advice that young clinicians should be patient and truthful What the mnemonic DR-DRE means to him  My genuine hope with the Mastering Intensive Care podcast is to inspire and empower you to bring your best self to the ICU by listening to the perspectives of such thought-provoking guests as Wes Ely. I passionately believe we can all get better, both as carers and as people, so we can do our absolute best for those patients whose lives are truly in our hands. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. If you wish to connect, leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at andrew@masteringintensivecare.com. Wes Ely is a genuine leader of our specialty and is a wise, philosophical and compassionate doctor with a refreshing spiritual perspective. Please enjoy listening to the podcast. Andrew Davies   -------------------- Show notes (people, organisations, resources and links mentioned in the episode): Wall St journal article about bringing a swimming pool to the ICU:  https://www.wsj.com/articles/a-swimming-pool-in-the-icu-1466117000 This article was published in the medical literature too: https://link.springer.com/article/10.1007/s00134-016-4434-0 CNN.com article about patient Paul:  https://edition.cnn.com/2018/03/20/opinions/caregiving-what-its-like-to-be-me-wes-ely-opinion/index.html The ABCDEF bundle: http://www.iculiberation.org/Bundles/Pages/default.aspx Lancet article on an RCT of no sedation:  https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)62072-9/abstract New England Journal of Medicine article on RCT of daily interruption of sedative infusions: https://www.ncbi.nlm.nih.gov/pubmed/10816184 New England Journal of Medicine article on RCT of spontaneous breathing: https://www.ncbi.nlm.nih.gov/pubmed/8948561 Lancet article on Awakening and Breathing Controlled RCT: https://www.ncbi.nlm.nih.gov/pubmed/18191684 Lancet article on RCT of early physical and occupational therapy: https://www.ncbi.nlm.nih.gov/pubmed/19446324 Critical Care Medicine article about the ABCDEF bundle: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830123/ Critical Care Medicine article about a single-centre ABCDE bundle trial: https://www.ncbi.nlm.nih.gov/pubmed/24394627 Critical Care Medicine article about a multi-centre ABCDEF bundle trial: https://www.ncbi.nlm.nih.gov/pubmed/27861180 William Osler: https://en.wikipedia.org/wiki/William_Osler Dalai Lama: https://www.dalailama.com/ Matthew Kelly: http://www.matthewkelly.com/ Fulton Sheen: https://www.fultonsheen.com/ David Bennett: https://www.rushu.rush.edu/faculty/david-bennett-md The Merton prayer:  https://reflections.yale.edu/article/seize-day-vocation-calling-work/merton-prayer Friedrich Nietzsche: https://en.wikipedia.org/wiki/Friedrich_Nietzsche Viktor Frankl: https://en.wikipedia.org/wiki/Viktor_Frankl Annals of Internal Medicine article on the 3 Wishes Project: https://www.ncbi.nlm.nih.gov/pubmed/26167721 Another article on the 3 Wishes Project: https://www.ncbi.nlm.nih.gov/pubmed/27525361 Poem “Jabberwocky” by Lewis Carroll: https://www.poets.org/poetsorg/poem/jabberwocky Mother Teresa: http://www.motherteresa.org/index.html Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com Mastering Intensive Care page on Facebook: https://www.facebook.com/masteringintensivecare Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care Twitter handle for Andrew Davies: @andrewdavies66 Instagram handle for Andrew Davies: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com

Do you spend time finding out what the “why” is for your patient? Have you considered it’s not what is the matter with the patient but what matters to the patient? What the patient thinks their purpose is? Or at the very least, what they wish for during the next part of life, however short that may be? In this episode American intensivist, Dr Wes Ely, tells us how he deeply cares about the whole patient – the body, the mind and the spirit. He is passionate about really getting to know his patients. And to do that he thinks we need to be heavily focused on both ICU liberation and good listening. The ICU liberation bit sounds easy. It's removing the patient from the sedatives, the ventilator and whatever other harmful interventions are no longer needed when their situation is improving. But it's harder than we think. And to help with this, he has led the development of the ABCDEF bundle. With the assistance of many colleagues, and based on high quality science, he has progressively developed a simple 6 factor approach that has been shown to speed up ICU liberation and improve patient outcomes. And in this podcast he describes how he uses it, and how you can too. Listening to our patients also sounds easy. But how many of us spend the time required, and really be there for that person with grace and humility, so we can truly find out what matters to them, and respect their spiritual faith. Wes will be well known to many of you. He is a Pulmonary and Critical Care specialist who conducts patient-oriented, health services research as a Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University School of Medicine, in Tennessee, USA. He is also a practicing intensivist with a focus on Geriatric ICU Care, as the Associate Director for Research for the VA Tennessee Valley Geriatric Research and Education Clinical Center. His research has focused on improving the care and outcomes of critically ill patients with ICU-acquired brain disease. Wes has built the ICU Delirium and Cognitive Impairment Study Group and his team have developed the primary tool by which delirium and health-related quality of life outcomes are measured, the CAM-ICU. He has over 350 peer-reviewed publications and over 50 published book chapters and editorials. In this conversation, Wes and I cover many other topics including: <ul> <li>How he chose medicine after observing family illness as he grew up</li> <li>The enjoyment he receives from holding the hands of and looking into the eyes of patients</li> <li>How good doctors are not distracted by technology</li> <li>A Wall St journal and a <a href="http://CNN.com" rel="nofollow" target="_blank">CNN.com</a> article he has penned which display his ability to find out what really mattered to 2 of his patients</li> <li>The importance of reading - and the 3 types of reading we should do</li> <li>How his ICU ward round is patient-centric and heavily nurse-focused</li> <li>The need to understand our unconscious biases and to have humility</li> <li>The concept of becoming the best version of our selves</li> <li>That life balance requires exercise, sleep and healthy eating</li> <li>His passion for triathlons, including the ironman</li> <li>How he balances family and work</li> <li>How his spiritual faith helps him to minimize stress</li> <li>His understanding that there is something bigger than us happening around us</li> <li>How burnout is simply an imbalance in the fundamentals of life</li> <li>The Nietzsche quote “He who has a why to live can bear any how”</li> <li>His appreciation of the work of the 3 Wishes Project (links below)</li> <li>What happened when he read the Jabberwocky poem (link below) to one of his patients</li> <li>His advice that young clinicians should be patient and truthful</li> <li>What the mnemonic DR-DRE means to him</li> </ul> My genuine hope with the Mastering Intensive Care podcast is to inspire and empower you to bring your best self to the ICU by listening to the perspectives of such thought-provoking guests as Wes Ely. I passionately believe we can all get better, both as carers and as people, so we can do our absolute best for those patients whose lives are truly in our hands. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. If you wish to connect, leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>. Wes Ely is a genuine leader of our specialty and is a wise, philosophical and compassionate doctor with a refreshing spiritual perspective. Please enjoy listening to the podcast. Andrew Davies -------------------- Show notes (people, organisations, resources and links mentioned in the episode): Wall St journal article about bringing a swimming pool to the ICU: <a href="https://www.wsj.com/articles/a-swimming-pool-in-the-icu-1466117000" rel="nofollow" target="_blank"> https://www.wsj.com/articles/a-swimming-pool-in-the-icu-1466117000</a> This article was published in the medical literature too: <a href="https://link.springer.com/article/10.1007/s00134-016-4434-0" rel="nofollow" target="_blank">https://link.springer.com/article/10.1007/s00134-016-4434-0</a> <a href="http://CNN.com" rel="nofollow" target="_blank">CNN.com</a> article about patient Paul: <a href="https://edition.cnn.com/2018/03/20/opinions/caregiving-what-its-like-to-be-me-wes-ely-opinion/index.html" rel="nofollow" target="_blank"> https://edition.cnn.com/2018/03/20/opinions/caregiving-what-its-like-to-be-me-wes-ely-opinion/index.html</a> The ABCDEF bundle: <a href="http://www.iculiberation.org/Bundles/Pages/default.aspx" rel="nofollow" target="_blank">http://www.iculiberation.org/Bundles/Pages/default.aspx</a> Lancet article on an RCT of no sedation: <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)62072-9/abstract" rel="nofollow" target="_blank"> https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)62072-9/abstract</a> New England Journal of Medicine article on RCT of daily interruption of sedative infusions: <a href="https://www.ncbi.nlm.nih.gov/pubmed/10816184" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/10816184</a> New England Journal of Medicine article on RCT of spontaneous breathing: <a href="https://www.ncbi.nlm.nih.gov/pubmed/8948561" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/8948561</a> Lancet article on Awakening and Breathing Controlled RCT: <a href="https://www.ncbi.nlm.nih.gov/pubmed/18191684" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/18191684</a> Lancet article on RCT of early physical and occupational therapy: <a href="https://www.ncbi.nlm.nih.gov/pubmed/19446324" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/19446324</a> Critical Care Medicine article about the ABCDEF bundle: <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830123/" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830123/</a> Critical Care Medicine article about a single-centre ABCDE bundle trial: <a href="https://www.ncbi.nlm.nih.gov/pubmed/24394627" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/24394627</a> Critical Care Medicine article about a multi-centre ABCDEF bundle trial: <a href="https://www.ncbi.nlm.nih.gov/pubmed/27861180" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/27861180</a> William Osler: <a href="https://en.wikipedia.org/wiki/William_Osler" rel="nofollow" target="_blank">https://en.wikipedia.org/wiki/William_Osler</a> Dalai Lama: <a href="https://www.dalailama.com/" rel="nofollow" target="_blank">https://www.dalailama.com/</a> Matthew Kelly: <a href="http://www.matthewkelly.com/" rel="nofollow" target="_blank">http://www.matthewkelly.com/</a> Fulton Sheen: <a href="https://www.fultonsheen.com/" rel="nofollow" target="_blank">https://www.fultonsheen.com/</a> David Bennett: <a href="https://www.rushu.rush.edu/faculty/david-bennett-md" rel="nofollow" target="_blank">https://www.rushu.rush.edu/faculty/david-bennett-md</a> The Merton prayer: <a href="https://reflections.yale.edu/article/seize-day-vocation-calling-work/merton-prayer" rel="nofollow" target="_blank"> https://reflections.yale.edu/article/seize-day-vocation-calling-work/merton-prayer</a> Friedrich Nietzsche: <a href="https://en.wikipedia.org/wiki/Friedrich_Nietzsche" rel="nofollow" target="_blank">https://en.wikipedia.org/wiki/Friedrich_Nietzsche</a> Viktor Frankl: <a href="https://en.wikipedia.org/wiki/Viktor_Frankl" rel="nofollow" target="_blank">https://en.wikipedia.org/wiki/Viktor_Frankl</a> Annals of Internal Medicine article on the 3 Wishes Project: <a href="https://www.ncbi.nlm.nih.gov/pubmed/26167721" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/26167721</a> Another article on the 3 Wishes Project: <a href="https://www.ncbi.nlm.nih.gov/pubmed/27525361" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/27525361</a> Poem “Jabberwocky” by Lewis Carroll: <a href="https://www.poets.org/poetsorg/poem/jabberwocky" rel="nofollow" target="_blank">https://www.poets.org/poetsorg/poem/jabberwocky</a> Mother Teresa: <a href="http://www.motherteresa.org/index.html" rel="nofollow" target="_blank">http://www.motherteresa.org/index.html</a> Mastering Intensive Care podcast: <a href="http://masteringintensivecare.libsyn.com" rel="nofollow" target="_blank">http://masteringintensivecare.libsyn.com</a> Mastering Intensive Care page on Facebook: <a href="https://www.facebook.com/masteringintensivecare" rel="nofollow" target="_blank">https://www.facebook.com/masteringintensivecare</a> Mastering Intensive Care at Life In The Fast lane: <a href="https://lifeinthefastlane.com/litfl/mastering-intensive-care" rel="nofollow" target="_blank">https://lifeinthefastlane.com/litfl/mastering-intensive-care</a> Twitter handle for Andrew Davies: @andrewdavies66 Instagram handle for Andrew Davies: @andrewdavies66 Email Andrew Davies: <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>

33 - Wes Ely - Finding out what matters to our patients

Alex Psirides

Are you receiving elderly intubated patients where someone else says they want “everything” done? Are the doctors who refer patients to intensive care finding out what their patients really want towards the end of life? Does this frustrate you on a daily basis?   This is a huge topic in intensive care. Finding out the wishes of our patients before they end up on a ventilator with no one to speak for them is vital if we wish to deliver optimal healthcare. Yet so often we intensivists are left to deal with this situation. And whilst in most cases we do this very well, many of us like Dr Alex Psirides, a UK, New Zealand and Australian-trained intensivist, feel the despair as we hold another lengthy meeting with a patient’s family. In this episode I spoke with Alex about this topic, which he had just delivered a brilliant TED-like talk on at the DasSMACC international conference in June. Alex has a great perspective to share as two of his specific clinical interests are managing dying patients and rapid response systems for deteriorating patients. This is the fourth in a series of DasSMACC special episodes, where I interviewed speakers from the recent DasSMACC conference held in Berlin. Alex is an Intensive Care specialist at Wellington Regional Hospital in Wellington, New Zealand. His work and research in the area of rapid response systems has led to an appointment as the clinical lead for the New Zealand Health Quality &amp; Safety Commission’s 5-year national ‘Deteriorating Patient’ programme. He is also the clinical lead for Wellington’s aeromedical retrieval service, which covers the lower North and upper South Islands of New Zealand. In his spare time, when not walking his dog or children, he builds websites &amp; designs logos for Wellington ICU’s prodigious research department, as well as sending a few tweets via Twitter handle @psirides. Given Alex has been an ICU consultant for less time than most of my other guests, I had to talk him into doing an interview, but I’m really glad he agreed. There is so much to like about this conversation. Alex is honest and humble enough to say he’s not so sure he’s that good at predicting patient outcomes, at least in neurosurgical patients, which is the precise reason he has something to teach us on the podcast. We also cover topics including:  Why Alex loves intensive care (with a great answer) How his consultant team work so cohesively The need to respect co-worker’s opinions and to avoid tribalism How a team of intensivists meeting with a team of neurosurgeons away from the patients can make practice more consistent and evidence-based How his team uses simulation to reduce rudeness and lack of respect How efficiently his hospital ran when there was a 3 day doctors strike A good ward round requires asking for and addressing the nurse’s concerns but also finishes with a clear plan to move the patient forwards Bringing his best self to work requires feeling loved at home and having a great team to work with Some of the non-textbook medical books Alex has been enjoying reading Hobbies allow him to escape from work and to use his creativity How far away he feels right now from burnout What he can get better at over the next 5 years How palliative care physicians can be helpful in teaching us and our trainees about end of life discussions  This podcast is my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. Please help me to spread the word by simply emailing your colleagues or posting on social media. Feel free to leave a comment or a question. I hope we can build community through Mastering Intensive Care so colleagues can share their thoughts and tell us how they are mastering their own skills. Leave a comment on the LITFL episode page, on twitter using #masteringintensivecare, on the Facebook “mastering intensive care” page or by sending me an email at andrew@masteringintensivecare.com. Thanks for listening. Please do the very best you can for your patients. Andrew Davies     Show notes (people, organisations, resources or links mentioned in the episode): Wellington Intensive Care medical team: http://www.wellingtonicu.com/AboutUs/Staff/SMO/ DasSMACC: www.smacc.net.au Alex Psirides talk on “Doing everything at end of life”:  http://wellingtonicu.com/Data/Doing%20Everything%20DasSMACC.pdf Book “Being Mortal” by Atul Gawande: http://atulgawande.com/book/being-mortal/ Book “Do No Harm” by Henry Marsh: https://henrymarshdonoharm.wordpress.com/reviews/ Alex Psirides on Twitter: @psirides

Are you receiving elderly intubated patients where someone else says they want “everything” done? Are the doctors who refer patients to intensive care finding out what their patients really want towards the end of life? Does this frustrate you on a daily basis? This is a huge topic in intensive care. Finding out the wishes of our patients before they end up on a ventilator with no one to speak for them is vital if we wish to deliver optimal healthcare. Yet so often we intensivists are left to deal with this situation. And whilst in most cases we do this very well, many of us like Dr Alex Psirides, a UK, New Zealand and Australian-trained intensivist, feel the despair as we hold another lengthy meeting with a patient’s family. In this episode I spoke with Alex about this topic, which he had just delivered a brilliant TED-like talk on at the DasSMACC international conference in June. Alex has a great perspective to share as two of his specific clinical interests are managing dying patients and rapid response systems for deteriorating patients. This is the fourth in a series of DasSMACC special episodes, where I interviewed speakers from the recent DasSMACC conference held in Berlin. Alex is an Intensive Care specialist at Wellington Regional Hospital in Wellington, New Zealand. His work and research in the area of rapid response systems has led to an appointment as the clinical lead for the New Zealand Health Quality &amp; Safety Commission’s 5-year national ‘Deteriorating Patient’ programme. He is also the clinical lead for Wellington’s aeromedical retrieval service, which covers the lower North and upper South Islands of New Zealand. In his spare time, when not walking his dog or children, he builds websites &amp; designs logos for Wellington ICU’s prodigious research department, as well as sending a few tweets via Twitter handle @psirides. Given Alex has been an ICU consultant for less time than most of my other guests, I had to talk him into doing an interview, but I’m really glad he agreed. There is so much to like about this conversation. Alex is honest and humble enough to say he’s not so sure he’s that good at predicting patient outcomes, at least in neurosurgical patients, which is the precise reason he has something to teach us on the podcast. We also cover topics including: <ul> <li>Why Alex loves intensive care (with a great answer)</li> <li>How his consultant team work so cohesively</li> <li>The need to respect co-worker’s opinions and to avoid tribalism</li> <li>How a team of intensivists meeting with a team of neurosurgeons away from the patients can make practice more consistent and evidence-based</li> <li>How his team uses simulation to reduce rudeness and lack of respect</li> <li>How efficiently his hospital ran when there was a 3 day doctors strike</li> <li>A good ward round requires asking for and addressing the nurse’s concerns but also finishes with a clear plan to move the patient forwards</li> <li>Bringing his best self to work requires feeling loved at home and having a great team to work with</li> <li>Some of the non-textbook medical books Alex has been enjoying reading</li> <li>Hobbies allow him to escape from work and to use his creativity</li> <li>How far away he feels right now from burnout</li> <li>What he can get better at over the next 5 years</li> <li>How palliative care physicians can be helpful in teaching us and our trainees about end of life discussions</li> </ul> This podcast is my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. Please help me to spread the word by simply emailing your colleagues or posting on social media. Feel free to leave a comment or a question. I hope we can build community through Mastering Intensive Care so colleagues can share their thoughts and tell us how they are mastering their own skills. Leave a comment on the LITFL episode page, on twitter using #masteringintensivecare, on the Facebook “mastering intensive care” page or by sending me an email at <a href="mailto:andrew@masteringintensivecare.com">andrew@masteringintensivecare.com</a>. Thanks for listening. Please do the very best you can for your patients. Andrew Davies Show notes (people, organisations, resources or links mentioned in the episode): Wellington Intensive Care medical team: <a href="http://www.wellingtonicu.com/AboutUs/Staff/SMO/" rel="nofollow" target="_blank">http://www.wellingtonicu.com/AboutUs/Staff/SMO/</a> DasSMACC: <a href="http://www.smacc.net.au" rel="nofollow" target="_blank">www.smacc.net.au</a> Alex Psirides talk on “Doing everything at end of life”: <a href="http://wellingtonicu.com/Data/Doing%20Everything%20DasSMACC.pdf" rel="nofollow" target="_blank"> http://wellingtonicu.com/Data/Doing%20Everything%20DasSMACC.pdf</a> Book “Being Mortal” by Atul Gawande: <a href="http://atulgawande.com/book/being-mortal/" rel="nofollow" target="_blank">http://atulgawande.com/book/being-mortal/</a> Book “Do No Harm” by Henry Marsh: <a href="https://henrymarshdonoharm.wordpress.com/reviews/" rel="nofollow" target="_blank">https://henrymarshdonoharm.wordpress.com/reviews/</a> Alex Psirides on Twitter: @psirides

19 - Alex Psirides - Doing everything at the end of life (DasSMACC special episode)

Deborah Cook

What do you do for your patients around their dying experience? Do you celebrate their lives and support those left behind in grief? Could you bring more humanity to your ICU?   Whilst you and your ICU colleagues likely act with kindness much of the time, I suspect listening to this podcast will have you wondering whether you could do better, especially when your patients are receiving end of life care. This episode’s guest, Professor Deborah Cook, from Hamilton in Canada, is striving to do this through the 3 Wishes Project she and her colleagues initiated several years ago. They encourage specific wishes unique to their dying patients, thereby dignifying the person, giving greater voice to the family and evoking clinician compassion. In this podcast you will hear all about this profound and important work, the sort of acts of kindness that have occurred in her ICU, the way you could approach this in your ICU, the benefits to clinical staff and institutional leaders, some of the logistical challenges they’ve faced, and some thoughts on spiritual care in the ICU. Deborah Cook is a Distinguished Professor at McMaster University in the Departments of Medicine, Clinical Epidemiology and Biostatistics. As a life long clinician-scientist, she holds the first Canada Research Chair in Intensive Care Medicine and is the Academic Chair in Critical Care Medicine at McMaster. She is a founding member and 2-term Chair of the Canadian Critical Care Trials Group. Deborah is an active practitioner in critical care medicine at St. Joseph’s Hospital where she supervises junior and senior clinical trainees. She is devoted to mentoring Masters and PhD graduate students in McMaster's Health Research Methodology Program, and junior faculty around the world, resulting in the creation of the Deborah J Cook Mentorship Award by the Canadian Critical Care Trials Group. Deborah has published over 700 peer-review articles with an associated H index of 168. Her multi-method multi-disciplinary research interests include life support technology, prevention of ICU-acquired complications, end-of-life care, and research ethics. She has received numerous national and international awards for her practice, teaching, mentoring and research. She is a pre-eminent critical care scholar. Dr. Cook was inducted as a Fellow of the Royal Society of Canada (2009), a Fellow of the Canadian Academy of Health Sciences (2010), and received the inaugural Distinguished Lecturer Award in Critical Care Sciences from CIHR's Institute of Circulatory and Respiratory Health (2017). Her work on microbiome modification in critical illness using probiotics resulted in a prestigious Killam Fellowship in Health Sciences from the Canadian Council of the Arts (2017). Deborah received the Gold Leaf Award from CIHR for her enduring contributions to health care (2019). For life long scientific contributions to the improvement of global intensive care and her foundational leadership in the first national ICU research network in the world, Dr. Cook was appointed an Officer of the Order of Canada (2016). In this conversation Deborah also talks about:  How she was drawn to intensive care from internal medicine How she discovered several gold mines to conduct research on Her belief that following your passion is the key to research success How humanity has fallen by the wayside as intensive care has developed How she was dissuaded from doing end of life research early in her career The growing interest in ethics and end of life care How she approaches ward rounds Dealing with our fixation on computer screens Being present and avoiding note-writing on ward rounds Her high expectations as a clinical mentor (including of herself) The importance of presence and engagement as the attending consultant The irrelevance of many of the words spoken on ward rounds The importance of keeping things fresh by releasing dying passions Her thoughts about how she cares for herself Which exercise and which books she prefers Her mindfulness practice Her love for family Some invaluable career tips  Deborah is passionate about patients receiving the very best care, about clinicians delivering this in an organised and cohesive fashion, and about researchers providing the highest quality evidence to guide this. She has been a kind friend and advisor to me over many years and I can’t think of anyone with a better mix of acumen, experience and personality as the ideal Mastering Intensive Care podcast guest. She is a personal favourite so please enjoy listening to the wonderful Deborah Cook.   Andrew Davies   -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean insights to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient’s lives.   -------------------- Links to people, organisations and other resources mentioned:  Deborah Cook (McMaster University)  Article about Deborah Cook  Article 2 about Deborah Cook Video of Deborah Cook Canadian Critical Care Trials Group PROTECT study comparing dalteparin and heparin The 3 Wishes Project  Publication from 3 Wishes Project Other publications from 3 Wishes Project ANZICS Clinical Trials Group David Sackett Book "Essentialism – The Disciplined Pursuit of Less" (by Greg McKeown)  Mastering Intensive Care podcast - Episode 45 with Scott Weingart EMCrit podcast 2019 World Congress of Intensive Care Medicine New Normal Project podcast Plantfit Summit Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66  Email Andrew Davies

What do you do for your patients around their dying experience? Do you celebrate their lives and support those left behind in grief? Could you bring more humanity to your ICU? Whilst you and your ICU colleagues likely act with kindness much of the time, I suspect listening to this podcast will have you wondering whether you could do better, especially when your patients are receiving end of life care. This episode’s guest, Professor Deborah Cook, from Hamilton in Canada, is striving to do this through the 3 Wishes Project she and her colleagues initiated several years ago. They encourage specific wishes unique to their dying patients, thereby dignifying the person, giving greater voice to the family and evoking clinician compassion. In this podcast you will hear all about this profound and important work, the sort of acts of kindness that have occurred in her ICU, the way you could approach this in your ICU, the benefits to clinical staff and institutional leaders, some of the logistical challenges they’ve faced, and some thoughts on spiritual care in the ICU. Deborah Cook is a Distinguished Professor at McMaster University in the Departments of Medicine, Clinical Epidemiology and Biostatistics. As a life long clinician-scientist, she holds the first Canada Research Chair in Intensive Care Medicine and is the Academic Chair in Critical Care Medicine at McMaster. She is a founding member and 2-term Chair of the Canadian Critical Care Trials Group. Deborah is an active practitioner in critical care medicine at St. Joseph’s Hospital where she supervises junior and senior clinical trainees. She is devoted to mentoring Masters and PhD graduate students in McMaster's Health Research Methodology Program, and junior faculty around the world, resulting in the creation of the Deborah J Cook Mentorship Award by the Canadian Critical Care Trials Group. Deborah has published over 700 peer-review articles with an associated H index of 168. Her multi-method multi-disciplinary research interests include life support technology, prevention of ICU-acquired complications, end-of-life care, and research ethics. She has received numerous national and international awards for her practice, teaching, mentoring and research. She is a pre-eminent critical care scholar. Dr. Cook was inducted as a Fellow of the Royal Society of Canada (2009), a Fellow of the Canadian Academy of Health Sciences (2010), and received the inaugural Distinguished Lecturer Award in Critical Care Sciences from CIHR's Institute of Circulatory and Respiratory Health (2017). Her work on microbiome modification in critical illness using probiotics resulted in a prestigious Killam Fellowship in Health Sciences from the Canadian Council of the Arts (2017). Deborah received the Gold Leaf Award from CIHR for her enduring contributions to health care (2019). For life long scientific contributions to the improvement of global intensive care and her foundational leadership in the first national ICU research network in the world, Dr. Cook was appointed an Officer of the Order of Canada (2016). In this conversation Deborah also talks about: <ul> <li>How she was drawn to intensive care from internal medicine</li> <li>How she discovered several gold mines to conduct research on</li> <li>Her belief that following your passion is the key to research success</li> <li>How humanity has fallen by the wayside as intensive care has developed</li> <li>How she was dissuaded from doing end of life research early in her career</li> <li>The growing interest in ethics and end of life care</li> <li>How she approaches ward rounds</li> <li>Dealing with our fixation on computer screens</li> <li>Being present and avoiding note-writing on ward rounds</li> <li>Her high expectations as a clinical mentor (including of herself)</li> <li>The importance of presence and engagement as the attending consultant</li> <li>The irrelevance of many of the words spoken on ward rounds</li> <li>The importance of keeping things fresh by releasing dying passions</li> <li>Her thoughts about how she cares for herself</li> <li>Which exercise and which books she prefers</li> <li>Her mindfulness practice</li> <li>Her love for family</li> <li>Some invaluable career tips</li> </ul> Deborah is passionate about patients receiving the very best care, about clinicians delivering this in an organised and cohesive fashion, and about researchers providing the highest quality evidence to guide this. She has been a kind friend and advisor to me over many years and I can’t think of anyone with a better mix of acumen, experience and personality as the ideal Mastering Intensive Care podcast guest. She is a personal favourite so please enjoy listening to the wonderful Deborah Cook. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean insights to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient’s lives. -------------------- Links to people, organisations and other resources mentioned: <a href="https://fhs.mcmaster.ca/main/canada_chairs/research_transfer_intensive_care_chair.html" rel="nofollow" target="_blank"> Deborah Cook (McMaster University)</a> <a href="https://brighterworld.mcmaster.ca/articles/a-pioneer-in-critical-care/" rel="nofollow" target="_blank"> Article about Deborah Cook</a> <a href="https://fhs.mcmaster.ca/main/news/news_2019/professor_wins_top_national_prize.html" rel="nofollow" target="_blank"> Article 2 about Deborah Cook</a> <a href="https://www.youtube.com/watch?v=-O8WhZVbOeY" rel="nofollow" target="_blank">Video of Deborah Cook</a> <a href="https://www.ccctg.ca/" rel="nofollow" target="_blank">Canadian Critical Care Trials Group</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/21417952" rel="nofollow" target="_blank">PROTECT study comparing dalteparin and heparin</a> <a href="https://3wishesproject.com/" rel="nofollow" target="_blank">The 3 Wishes Project</a> <a href="https://annals.org/aim/article-abstract/2395727/personalizing-death-intensive-care-unit-3-wishes-project-mixed-methods" rel="nofollow" target="_blank"> Publication from 3 Wishes Project</a> <a href="https://3wishesproject.com/publications/" rel="nofollow" target="_blank">Other publications from 3 Wishes Project</a> <a href="https://www.anzics.com.au/clinical-trials-group/" rel="nofollow" target="_blank">ANZICS Clinical Trials Group</a> <a href="https://en.wikipedia.org/wiki/David_Sackett" rel="nofollow" target="_blank">David Sackett</a> <a href="https://gregmckeown.com/book/" rel="nofollow" target="_blank">Book "Essentialism – The Disciplined Pursuit of Less" (by Greg McKeown)</a> <a href="https://masteringintensivecare.libsyn.com/episode-45-scott-weingart-useful-mental-strategies-of-a-thoughtful-ed-intensivist-and-hugely-influential-podcaster" rel="nofollow" target="_blank"> Mastering Intensive Care podcast - Episode 45 with Scott Weingart</a> <a href="https://emcrit.org" rel="nofollow" target="_blank">EMCrit podcast</a> <a href="https://www.worldcongressintensivecare2019.com/" rel="nofollow" target="_blank">2019 World Congress of Intensive Care Medicine</a> <a href="http://newnormalproject.libsyn.com" rel="nofollow" target="_blank">New Normal Project podcast</a> <a href="https://plantfitsummit.com/" rel="nofollow" target="_blank">Plantfit Summit</a> <a href="https://masteringintensivecare.libsyn.com" rel="nofollow" target="_blank">Mastering Intensive Care podcast</a> <a href="https://www.facebook.com/masteringintensivecare" rel="nofollow" target="_blank">Mastering Intensive Care page on Facebook</a> <a href="https://litfl.com/podcasts/mastering-intensive-care" rel="nofollow" target="_blank">Mastering Intensive Care at Life In The Fast Lane</a> <a href="https://twitter.com/AndrewDavies66" rel="nofollow" target="_blank">Andrew Davies on Twitter</a>: @andrewdavies66 <a href="https://www.instagram.com/andrewdavies66" rel="nofollow" target="_blank">Andrew Davies on Instagram</a>: @andrewdavies66 <a href="mailto:andrew@masteringintensivecare.com?subject=Feedback%20on%20Mastering%20Intensive%20Care"> Email Andrew Davies</a>

46 - Deborah Cook - The compassionate and world-leading Canadian granting wishes at end of life

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