Mastering Intensive Care

Andrew Davies on X (Twitter): @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Emily's mind.life.me podcast

92 - Emily Amos - From burnout to educating doctors on mindfulness and wellbeing Oct 11, 2024

My guest in this episode is Dr Emily Amos, a general practitioner and a passionate educator on mindfulness in Melbourne.

Emily might not be an intensivist but she is a doctor with a powerful burnout story that led to her becoming an enthusiastic guide and teacher about mindfulness and self care. Emily has roles as a GP, a surgical assistant, a lactation consultant, a yoga teacher, a university tutor and a registered mindfulness meditation teacher. Her business, Whole Hearted Medicine, runs mindfulness & self care retreats for doctors. These immersive, CPD approved retreats offer doctors the chance to learn skills in mindfulness, meditation and self compassion away from both work and family pressures. Emily also blogs, speaks, podcasts, runs workshops, and offers several courses through her website www.dremilyamos.com.

Emily provides excellent perspectives on burnout, wellbeing, mindfulness, stress management, life balance and psychological safety. On this episode, Emily openly shares her vivid recollection of the day her life fell apart, what she discovered about herself during her recovery, and, most importantly, how this fuelled her subsequent drive to guide and support people, including doctors, through mindfulness-based self care.

Thank you for listening to Dr Emily Amos.

Andrew Davies

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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 work, with a focus on compassion, collaboration and personal wellbeing.

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Relevant links

Dr Emily Amos

Emily Amos website with links to courses, podcast, blog and other useful material

Emily Amos on Instagram

Emily Amos on Facebook

Whole Hearted Medicine retreats

Andrew Davies on X (Twitter): @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Peter Brindley, MD, FRCPC (Canada), FRCP (Lond), FRCP (Edin)

91 - Peter Brindley - Clinical leadership, podcasting and identifying when patients are dying Sep 03, 2024

My guest in this episode is Dr Peter Brindley, an intensivist in Edmonton, Canada.

Peter is a tenured full Professor of Critical Care Medicine, Anesthesiology, and Medical Ethics, with over 150 peer-reviewed manuscripts, over 30 book chapters, and over 100 other articles, including regular opinion pieces for the British Medical Journal. He has written one book and co-hosts a podcast (The Critical Care Commute). He has presented to audiences in 15 countries during appoximately 650 invited presentations, 50 plenaries and 10 named lectures. He is convinced happiness comes from finding meaning and showing gratitude. He is proudest of two feral kids, neither of whom give a hoot about his work-related achievements.

Peter was previously featured in episode 15 as well as in the Persevering Through A Pandemic series from 2021. These episodes are well worth listening to. Given he was in Australia for the Annual Scientific Meeting of the CICM, I thought I had to have him on the show again.

In this episode, Peter talks about why he’s a doctor and why he stays working where he does, before touching on a variety of topics including clinical leadership, imposter syndrome, the differing skills of the people making up our teams, efficiency, understanding when patients are dying, podcasting, wellbeing and parting advice.

Thank you for listening to Dr Peter Brindley.

Andrew Davies

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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 work, with a focus on compassion, collaboration and personal wellbeing.

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Relevant links

Critical Care Commute podcast

Opinion piece "Diagnosing dying: is it time for doctors to write 'dying certificates'?" (by Peter Brindley & Matt Morgan)

Mastering Intensive Care podcast - Episode 15 with Peter Brindley

Mastering Intensive Care podcast - Persevering Through A Pandemic - Series Trailer

Mastering Intensive Care podcast - Persevering Through A Pandemic - 1 - Sick Of COVID

Mastering Intensive Care podcast - Persevering Through A Pandemic - 2 - It Was Inconceivable

Mastering Intensive Care podcast - Persevering Through A Pandemic - 3 - Ultramarathon

Mastering Intensive Care podcast - Persevering Through A Pandemic - 4 - Best & Worst Year

Mastering Intensive Care podcast - Persevering Through A Pandemic - 5 - 'Life' Support For Our People

Mastering Intensive Care podcast - Persevering Through A Pandemic - 6 - Learnings We Might Take Away

Andrew Davies on X (Twitter): @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

90 - Andrew Holt - Dealing with a progressive condition towards the end of a long & supportive career Jun 19, 2024

Mastering Intensive Care is back after a long hiatus between episodes, and a fun divergence into a series about at athletic adventure.

This episode features Dr Andrew Holt, a highly experienced intensivist at Flinders Medical Centre in Adelaide, who was one of the mentors who significantly shaped my career.

You’ll discover why Andrew was pivotal in my journey, what he sees as the key aspects of a good intensivist, what he has done in coaching and supporting trainees, how he was nearly waylaid by an early career mishap, and what's been profoundly challenging him in recent years.

This conversation is personal, candid, sombre and essential listening - even if it has taken me longer to publish than I would have liked.

I’m grateful to Andrew for courageously and vulnerably sharing his recent difficulties in amongst some valuable lessons and wisdom.

Thank you for listening to Dr Andrew Holt.

Andrew Davies

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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.

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Relevant links

Andrew Davies on X (Twitter): @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Mastering Intensive Challenges - Run Larapinta - Episode 9 Sep 25, 2023

Thank you for listening to the ninth and final episode of the Mastering Intensive Challenges - Run Larapinta series.

If you’ve listened to the series, you’ll know my friend Ed Litton and I entered a four-day stage trail running event, the Run Larapinta Stage Race, and ran, climbed, descended, scrambled and walked with 200 other enthusiastic participants along a mountainous and rugged trail in the spectacular red centre of Australia.

Ed and I thought these conversations on the podcast might help others in setting and completing endurance exercise challenges, something we both prioritise in supporting our well-being to keep bringing our best selves to work in the ICU.

In this episode, we thought we’d record a final episode to reflect on how we have recovered, what the whole experience meant, what we learned from the challenge and what might be next for each of us?

Thank you for listening.

Andrew Davies

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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.

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Relevant links

Image Credit: James Tudor from Forktail

Ed Litton on Twitter: @ed_litton

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 1

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 2

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 3

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 4

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 5

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 6

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 7

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 8

Mastering Intensive Care page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Mastering Intensive Challenges - Run Larapinta - Episode 8 Sep 05, 2023

This is the 8th episode of the "Mastering Intensive Challenges - Run Larapinta" series and if you’ve been listening to the previous ones, you’ll know that this episode is coming out after the four day stage race that fellow intensivist Ed Litton and I set ourselves the challenge of running many months ago.

Two Intensive Care doctors, both novices at trail running, looking for something moderately hard, something we could do together, and something we could talk about on the show to hopefully inspire you and other listeners to go for a run or to set yourself your own exercise challenge.

We’ve had regular conversations in the lead up to the event, held from August 24th-27th, on the spectacular Larapinta trail, near Alice Springs in the red centre of Australia, and now it’s time to tell you how it all played out.

Did we make it? Were there obstacles? How hard was it? And did it measure up to our expectations?

Thanks for listening.

Andrew Davies

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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.

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Relevant links

Image Credit: James Tudor from Forktail

Ed Litton on Twitter: @ed_litton

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 1

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 2

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 3

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 4

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 5

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 6

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 7

Mastering Intensive Care page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Mastering Intensive Challenges - Run Larapinta - Episode 7 Aug 16, 2023

Fellow intensivist Ed Litton and I signed up for a big challenge 10 months ago when we registered to run in the Run Larapinta, a 4-day stage race in central Australia. We’ve both completed many endurance events, however neither of us have done any serious trail running nor have we ever run 130km in 4 days on a rocky and mountainous trail like the beautiful Larapinta trail in the Northern Territory of Australia.

It’s now only a week away so Ed and I had a conversation to update each other on our recent training before answering 5 questions we thought were worth asking each other at this final stage of our preparations.

What’s worked well in our preparations?
What’s not worked well in our preparations?
What’s the focus of the remaining time?
What have we learned from taking on this challenge?
What is exciting us about the upcoming challenge?

We hope you’ll enjoy listening to the conversation, and that it might inspire you to get out for a run or for any type of exercise that suits you.

Thanks for listening.

Andrew Davies

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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.

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Relevant links

Ed Litton on Twitter: @ed_litton

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 1

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 2

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 3

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 4

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 5

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 6

Mastering Intensive Care page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Dr Cheryl Martin on LinkedIn

Mastering Intensive Challenges - Run Larapinta - Episode 6 Jul 28, 2023

To help Ed Litton and I get really prepared for the Run Larapinta stage race we are only a few weeks away from competing in, today we bring a seasoned ultra trail running doctor on to the podcast to share her advice.

In this sixth episode of the Mastering Intensive Challenges series, we welcome Dr Cheryl Martin, who is an Emergency Medicine specialist, a podcaster and has huge experience in trail running, including ultra marathons.

Cheryl’s podcast, the Mind Full Medic podcast, explores health, wellbeing, optimal performance and professional fulfilment, with a focus on doctors and healthcare. I love listening to it, and the best bit for me is that Cheryl has interviewed a bunch of endurance athletes including several high performing ultra runners.

Today we thought we’d ask Cheryl lots of questions about our training and our preparations including heat adaptation, nutrition, footwear and other aspects that will hopefully help us to complete this event successfully.

We hope you’ll enjoy listening to the conversation, especially if you are a trail runner yourself. If not, hopefully it might inspire you to get out for a run or for any type of exercise that suits you.

Thanks for listening.

Andrew Davies

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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

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Relevant links

Cheryl Martin on Twitter: @mindfullmedic

Cheryl Martin on Instagram: @themindfullmedicpodcast

Cheryl Martin on Strava

The Mind Full Medic podcast

The Mind Full Medic podcast - Episode with Dr Kellie Angel

Ed Litton on Twitter: @ed_litton

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 1

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 2

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 3

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 4

Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 5

Mastering Intensive Care page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Mastering Intensive Challenges - Run Larapinta - Episode 5 Jul 11, 2023

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

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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.

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Relevant links

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 page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Mastering Intensive Challenges - Run Larapinta - Episode 4 Jun 29, 2023

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

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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.

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Relevant links

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 page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Book “Community" (by Hetty McKinnon)

Mastering Intensive Challenges - Run Larapinta - Episode 3 Jun 08, 2023

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

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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.

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Relevant links

Book “Eat & Run” (by Scott Jurek)

Rich Roll podcast

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 page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Book “One Billion Years to the End of the World” (by Arkady Strugatsky & Boris Strugatsky)

82 - Will Bonavia - An ICU trainee’s perspective on learning, culture and wellbeing Jun 02, 2023

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

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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.

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Relevant links

Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Mastering Intensive Challenges - Run Larapinta - Episode 2 May 11, 2023

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

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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.

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Relevant links

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Mastering Intensive Care podcast - Run Larapinta - Episode 1

Mastering Intensive Care page on Life In The Fast Lane

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Book “Inside God's shed: memoirs of an intensive care specialist" (by Lindsay Worthley)

80 - Tub Worthley - A pioneering “Grand Master” of intensive care May 04, 2023

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

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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.

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Relevant links

"Tub's Course"

Journal “Critical Care and Resuscitation”

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

Email Andrew Davies

Mastering Intensive Challenges - Run Larapinta - Episode 1 Apr 14, 2023

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

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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.

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Relevant links

Ed Litton on Twitter: @ed_litton

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Chris Nickson at Life In The Fast Lane

78 - Chris Nickson - Modern & innovative clinician education Apr 04, 2023

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

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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.

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Links related to Chris Nickson

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

Academic Life In Emergency Medicine blog

Book “How The World Really Works" (by Vaclav Smil)

Bill Gates

Links related to Mastering Intensive Care podcast

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

Email Andrew Davies

Article in New York Times “There’s a Name for the Blah You’re Feeling: It’s Called Languishing” (by Adam Grant)

77 - Recovering from the pandemic Dec 24, 2022

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

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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.

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Links to resources discussed (in order of mentioning)

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 & 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

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Book "Every Deep-Drawn Breath" (by Wes Ely)

Persevering Through A Pandemic - 6 - Learnings We Might Take Away Dec 20, 2021

This episode focuses on learnings from the COVID-19 pandemic. Important lessons our global Intensive Care community, your local ICU and you personally might take away from what the novel coronavirus has caused - at least so far.

Previous episodes of this series (a series best listened to in episode order) have allowed you to hear the experiences of busy ICU clinicians, the work of an ICU clinical psychologist, and some supportive strategies different institutions have used during the pandemic. Here you’ll listen to the valuable thoughts and considerations about topics including personal wellbeing, awareness of mindset, effects on healthcare workers as a group and even some possible gains from the pandemic hardship.

In this sixth episode of the “Persevering Through A Pandemic” series, the guests (in order of appearance) are Dr Rana Awdish, Dr Hayley Gershengorn, Dr Laura Rock, Dr Wes Ely, CCRN Simone Hannah-Clark, Dr Peter Brindley, Dr Matt Morgan, Dr Hugh Montgomery, Dr Georg Auzinger and Dr Julie Highfield.

I firmly believe that ICU clinicians across the world need to spend time reflecting, processing or simply healing from this pandemic. Reinvigorating ourselves from the difficulties we’ve suffered and restoring ourselves for whatever is to come. My hope is this episode will help you to do this.

Thank you for listening to these wise and thoughtful Intensive Care clinicians speak about how they’ve been “Persevering Through A Pandemic”.

Andrew Davies

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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.

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Links to featured guests (in order of appearance)

Dr Rana Awdish

Dr Rana Awdish on Twitter @RanaAwdish

Dr Hayley Gershengorn

Dr Hayley Gershengorn on Twitter @HBGMD

Dr Laura Rock

Dr Laura Rock on Twitter @drlaurarock

Dr Wes Ely

Dr Wes Ely on Twitter @WesElyMD

CCRN Simone Hannah-Clark

CCRN Simone Hannah-Clark on Twitter @kiwi_yankee

Dr Peter Brindley

Dr Peter Brindley on Twitter @docpgb

Dr Matthew Morgan

Dr Matthew Morgan on Twitter @dr_mattmorgan

Dr Hugh Montgomery

Dr Hugh Montgomery on Twitter @hugh_montgomery

Dr Georg Auzinger

Dr Julie Highfield

Dr Julie Highfield on Twitter @DrJulie_H

Links to other resources (in order of mentioning)

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 15 with Peter Brindley

Mastering Intensive Care podcast - Episode 33 with Wes Ely

Mastering Intensive Care podcast - Episode 36 with Hayley Gershengorn

Mastering Intensive Care podcast - Episode 41 with Rana Awdish

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Mastering Intensive Care podcast - Episode 48 with Laura Rock

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Mastering Intensive Care podcast - Episode 57 with Georg Auzinger

Mastering Intensive Care podcast - Episode 60 with Simone Hannah-Clark

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Persevering Through A Pandemic - 5 - 'Life' Support For Our People Dec 13, 2021

Intensive Care clinicians are used to being busy. Critically ill patients constantly arrive in the ICU with no awareness of staff workload at that moment. So being busy has not been the major problem of the COVID-19 pandemic.

The difficult emotional responses to physical exhaustion, mental strain, heart-breaking human loss and the unpredictability of SARS-CoV-2 have been significant, and the commonly held attitude of “just power through” has not been sustainable. Instead, the most critical influence on the overall wellbeing of Intensive Care practitioners has been the degree to which they have felt supported socially.

Maintaining social support and cohesion is hard. Intensive Care professionals have often depended on social support through camaraderie and workplace culture yet have been crying out during this healthcare crisis to hospital administrators, often in vain, for direct and valuable supportive measures for staff wellbeing.

The pandemic has therefore required a more healing and individual-focused type of supportive strategy. Coming up with successful strategies is not easy and a specific strategy will not support all individuals in all contexts. So, ICU teams have had to try a mixture of strategies, philosophies, support groups, or simply caring attitudes to provide effective staff wellbeing support.

In this fifth episode of the “Persevering Through A Pandemic” series, you’ll hear some of the types of supportive actions that my guests in this series have witnessed in their ICUs and hospitals. My guests on the episode (in order of appearance) are Dr Hugh Montgomery, Dr Rana Awdish, CCRN Simone Hannah-Clark, Dr Hayley Gershengorn, Dr Laura Rock, Dr Matt Morgan, Dr Peter Brindley, Dr Wes Ely and Dr Georg Auzinger.

There is so much we can learn from the COVID-19 pandemic. My hope is this episode will help you as a listener to reflect on and to process your own pandemic experience whilst hearing lessons you might take away to your Intensive Care community.

Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they’ve been “Persevering Through A Pandemic”.

Andrew Davies

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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.

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Links to featured guests (in order of appearance)

Dr Hugh Montgomery

Dr Hugh Montgomery on Twitter @hugh_montgomery

Dr Rana Awdish

Dr Rana Awdish on Twitter @RanaAwdish

CCRN Simone Hannah-Clark

CCRN Simone Hannah-Clark on Twitter @kiwi_yankee

Dr Hayley Gershengorn

Dr Hayley Gershengorn on Twitter @HBGMD

Dr Laura Rock

Dr Laura Rock on Twitter @drlaurarock

Dr Matthew Morgan

Dr Matthew Morgan on Twitter @dr_mattmorgan

Dr Peter Brindley

Dr Peter Brindley on Twitter @docpgb

Dr Wes Ely

Dr Wes Ely on Twitter @WesElyMD

Dr Georg Auzinger

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 15 with Peter Brindley

Mastering Intensive Care podcast - Episode 33 with Wes Ely

Mastering Intensive Care podcast - Episode 36 with Hayley Gershengorn

Mastering Intensive Care podcast - Episode 41 with Rana Awdish

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Mastering Intensive Care podcast - Episode 48 with Laura Rock

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Mastering Intensive Care podcast - Episode 57 with Georg Auzinger

Mastering Intensive Care podcast - Episode 60 with Simone Hannah-Clark

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Wellbeing Hub at Intensive Care Society website

Persevering Through A Pandemic - 4 - Best & Worst Year Dec 06, 2021

The physical, mental and emotional burden of the COVID-19 pandemic on Intensive Care clinicians has been colossal. Many ICU staff, of all types and at all levels, have suffered significant psychological effects.

After hearing the pandemic experiences and perspectives of bedside clinicians in recent episodes, the focus of today’s episode is a clinical psychologist who’s been working inside several busy ICUs and supported hundreds of people across the United Kingdom during the pandemic.

In this fourth episode of the “Persevering Through A Pandemic” series, you’ll hear the thoughts of Dr Julie Highfield who has led a national UK-based wellbeing program in response to COVID-19. Dr Highfield works as a consultant clinical psychologist in several ICUs in Wales and has an additional role as the National Wellbeing Director for the Intensive Care Society in the UK.

In this episode Julie talks about:

The first year of the pandemic feeling like the best and worst year of her life
Her witnessing of ICU staff “just getting on with it” and “shelving their feelings”
The types of support she provided – in both her local ICUs and across the UK
Which support worked best for which staff
The value of one-on-one sessions - yet their impracticality in a pandemic
The types of group sessions she led
Two typical examples of who Julie has been supporting
What surprised her about the ICU teams
The rise in the number of UK ICUs with a clinical psychologist
The value of having a clinical psychologist embedded in an ICU
How Julie fared herself during the height of the pandemic
Her thoughts on the restrictions to visitors caused by COVID-19
The lingering effects of this pandemic
Advice for people who are considering championing wellbeing in their ICUs.

The culture around wellbeing in our ICUs is slowly changing and the effects of the COVID-19 may accelerate this. A good psychologist is vital to stimulating that change and to providing valuable assistance.

My hope is that this episode, as part of a focused series of episodes, will help Intensive Care clinicians to reflect on their own experiences and to learn valuable lessons about psychological aspects of the pandemic. Thank you for listening to the wise and supportive Dr Julie Highfield, an ideal person to share perspectives on how ICU clinicians have been “Persevering Through A Pandemic”.

Andrew Davies

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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.

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Links to featured guests

Dr Julie Highfield

Julie Highfield on Twitter @DrJulie_H

Psychologists In Critical Care UK (PINC-UK)

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Book "Critical" (by Matt Morgan)

Persevering Through A Pandemic - 3 - Ultramarathon Nov 29, 2021

Whilst some people choose to run long distances, caring for patients in the ICU is not supposed to feel like an ultramarathon.

If you work in the complex, high stress, emotion-generating environment of an ICU, it might sometimes feel like you are the logistics organiser of an ultimate endurance event, but you should hardly feel like you are a competitor.

Yet when COVID-19 arrived, the initial sprint became a marathon and that’s now turned into a seemingly never-ending ultramarathon.

In this third episode of the “Persevering Through A Pandemic” series, you’ll hear about this pandemic ultramarathon and the effects it’s had on the people working in ICUs in the UK. A period which has been physically and emotionally difficult yet has provided glimpses of career satisfaction along the journey.

Amongst other topics, UK intensivists Drs Matt Morgan, Hugh Montgomery & Georg Auzinger talk honestly about their worst pandemic days, the discomfort that they and their colleagues felt, how their teams kept afloat in such an overwhelming situation and the lingering effects on clinician mental health. There is mention of an interesting letter one of them sent and a special kind of chocolate cake!

My hope is this will help you as a listener to reflect on and to process your own pandemic experience whilst hearing lessons you might take away to your Intensive Care community.

Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they’ve been “Persevering Through A Pandemic”.

Andrew Davies

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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 featured guests

Dr Matthew Morgan

Matt Morgan on Twitter @dr_mattmorgan

Matt Morgan – Previous episode on Mastering Intensive Care

Dr Hugh Montgomery

Hugh Montgomery on Twitter @hugh_montgomery

Hugh Montgomery – Previous episode on Mastering Intensive Care

Dr Georg Auzinger

Georg Auzinger – Previous episode on Mastering Intensive Care

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Book "In Shock" (by Rana Awdish)

Persevering Through A Pandemic - 2 - It Was Inconceivable Nov 22, 2021

Just like a surf beach shore, waves of COVID-19 keep crashing over the world’s Intensive Care Units. The waves have been unpredictable and pattern less, ravaging the ICUs and the people that work in them, often inconceivably.

In this second episode of the “Persevering Through A Pandemic” series, you’ll hear from Intensive Care professionals about the COVID-19 pandemic which continues to affect ICUs across the globe.

Amongst other topics, US intensivists Drs Rana Awdish & Dr Hayley Gershengorn, and Critical Care nurse Simone Hannah-Clark talk honestly about their worst pandemic days, the feelings of guilt, fear, anxiety and overall depletion, the effects on their family, what they witnessed in their struggling colleagues and how they dealt with the strain. You’ll also hear valuable thoughts on the nursing perspective, the difficult experience of being a patient in a pandemic, and the tension between the support from the community and the flagrant COVID-19 deniers.

There have been many emotional and heart-breaking conversations in ICUs all over the world during this pandemic. And we as their healthcare providers have emotions to express too. My belief is that we need to have conversations as colleagues, and as an Intensive Care community, about what we have been and are continuing to go through.

My hope is that this series will help you as a listener to reflect on and to process your own pandemic experience whilst hearing lessons you might take away to your Intensive Care community.

Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they’ve been “Persevering Through A Pandemic”.

Andrew Davies

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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 featured guests

Dr Rana Awdish

Rana Awdish on Twitter @RanaAwdish

Rana Awdish – Previous episode on Mastering Intensive Care

Dr Hayley Gershengorn

Hayley Gershengorn on Twitter @HBGMD

Hayley Gershengorn – Previous episode on Mastering Intensive Care

CCRN Simone Hannah-Clark

Simone Hannah-Clark on Twitter @kiwi_yankee

Simone Hannah-Clark – Previous episode on Mastering Intensive Care

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Dr Laura Rock – Previous episode on Mastering Intensive Care

Persevering Through A Pandemic - 1 - Sick Of COVID Nov 15, 2021

Are you sick of COVID?

How have you coped in this pandemic?

And what’s it actually felt like to live and work throughout this last two years?

Concerned for the wellbeing of healthcare professionals in the hardest hit ICUs during the COVID-19 pandemic, I interviewed a group of clinicians previously featured on the podcast.

With an emphasis on personal wellbeing, I aimed to uncover their feelings, their struggles, their perspectives and their take-aways from this prolonged global healthcare crisis.

My hope is to help you to reflect on and to process your own pandemic experience and to hear lessons you might take away to your Intensive Care community.

In this first episode of a series focusing on Intensive Care clinician wellbeing during the pandemic, you’ll hear the voices of Dr Laura Rock, Dr Peter Brindley and Dr Wes Ely.

Thank you for listening to these wise and thoughtful Intensive Care clinicians tell you how they’ve been “Persevering Through A Pandemic”.

Andrew Davies

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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 featured guests

Dr Laura Rock

Dr Laura Rock on Twitter @drlaurarock

Dr Peter Brindley

Dr Peter Brindley on Twitter @docpgb

Dr Peter Brindley – Previous episode on Mastering Intensive Care

Dr Wes Ely

Dr Wes Ely on Twitter @WesElyMD

Book "Every Deep-Drawn Breath" (by Wes Ely)

Dr Wes Ely – Previous episode on Mastering Intensive Care

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Dr Emma Ridley at ANZIC RC

Persevering Through A Pandemic - Series Trailer Nov 10, 2021

I’m trying something different on Mastering Intensive Care.

Welcome to a special series named “Persevering Through A Pandemic”.

Aghast at the stories I’d heard from Intensive Care colleagues amid large COVID-19 surges I approached several previous podcast guests in countries that had been harder hit than Australia.

Concerned for their wellbeing I asked if they’d talk to me about what they’d been going through to help me understand how the health professionals in the busiest ICUs had been coping.

They willingly shared their stories and reflections on many aspects of their experience. Their feelings, their struggles, their teammates, their learnings, their take-aways.

The COVID-19 pandemic is far from over. Please listen in over the next 6 weekly episodes as a group of wise and thoughtful Intensive Care clinicians tell you how they have been "Persevering Through A Pandemic".

Andrew Davies

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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.

69 - Emma Ridley - Advocacy, communication and leadership as an ICU dietitian Sep 23, 2021

Mastering Intensive Care is back after a lengthy break with an episode featuring senior ICU dietitian Dr Emma Ridley.

Emma is a Senior Research Fellow and a NHMRC Emerging Leadership Fellow at the Australian and New Zealand Intensive Care Research Centre (ANZIC-RC) at Monash University in Melbourne, where she leads the Nutrition Program.

Emma has 16 years of clinical dietetic experience, including as a senior dietitian in the ICU at The Alfred Hospital in Melbourne, and over 13 years of research experience, including the awarding of her PhD. Her research interests include energy requirements across the hospitalisation period, the clinical application of indirect calorimetry and the effect of optimal nutrition delivery on short and long-term outcomes in ICU patients.

Emma is a long-time colleague of mine, someone I have huge respect for, and a woman that seems to fit a lot into a busy life and career. I was keen to talk to Emma for the podcast so I could ask about topics such as how she sees dietitians best fitting into the ICU team, what her thoughts are on communication between different ICU staff roles and what is required for a dietitian to be a valuable advocate for ICU patient nutrition. Emma also has some important insights from the difficult experience of having her recently newborn son admitted to the NICU.

This episode is not just for dietitians. Emma is such a wise and thoughtful healthcare leader that there are pertinent perspectives in this conversation that will help doctors, nurses and practitioners in any Intensive Care role. The list of topics Emma discussed include:

How she became a dietitian in Intensive Care
Her reflections on the pace of an ICU
The importance of dietitians and doctors understanding each others “language”
How she feels dietitians best fit into the ICU team
Advocating for ICU patient nutrition at the bedside
The importance of dietitians being present at the ICU ward round
Working with the different members of the ICU team
Optimal communication between colleagues
The importance of getting to know your colleagues
Talking to patients and their families
Why she was fascinated by research and how this has helped her clinical practice
Why she feels research allows her to have a greater impact
The benefits of embedding nutrition research in an ICU
Her interest in nutrition at the time when ICU patients are transitioning out of the ICU
The differences between leadership, mentorship and sponsorship
The effects of the pandemic on her role
Her work to assist nutrition for critically ill patients with COVID
Managing personal safety and wellbeing during the pandemic
The experience of her newborn son being admitted to the NICU
Fitting everything in to a busy life
The value of work flexibility and how this affects her clinical work capacity
Her closing advice to less experienced ICU practitioners

Thanks for listening to my conversation with Emma Ridley.

Andrew Davies

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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 work, with a focus on compassion, collaboration and personal wellbeing.

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Links related to Emma Ridley

Emma Ridley on Twitter @ICUnutrition

ANZIC Research Centre

Links to other resources (in order of mentioning)

Mastering Intensive Care podcast - Episode 5 with Jamie Cooper

Guideline for Nutritional Management of COVID patients

Media and Medicine Program at Harvard Medical School

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Audio of talk by David Tuxen on the history of the Alfred ICU

68 - David Tuxen - Making life and work fun (including ward rounds) Apr 16, 2021

This episode features Professor David Tuxen, a pioneer of Intensive Care in Australia, who recently retired after 38 years at the Alfred Hospital in Melbourne. David trained in both respiratory and intensive care medicine, and became the Alfred’s ICU Director at a young age. He led the development of one of Australia’s first mega-ICUs before standing down after over 20 years as Director to re-energise his passion for teaching and research.

David is a Professor at Monash University, still works as an intensivist at Albury Hospital and previously served in leadership roles including President of ANZICS and Chairman of the Australian and New Zealand Intensive Care Foundation. He is globally renowned for his teaching and research on many aspects of mechanical ventilation.

David was my first ICU Director, and he rapidly became, and remains, a wise, enthusiastic and long-standing mentor to me. I have particularly admired his excellent clinical skills and specifically his attention to detail so I am thrilled he agreed to appear on the podcast.

Given many people in Australia and New Zealand know David by his nickname “Tux” it shouldn’t surprise you to know that David likes to have fun and bring humour to most occasions. In this episode, David’s principle message is not to be serious at all times during a day at work, and to keep up an active social life, including with colleagues, in the periods between work.

David delivers a lot of other great advice in this episode, as he talks about topics including:

Becoming an ICU Director at a young age
The changes he’s witnessed over his career
Which patients we sometimes over-treat in our ICUs
Resolving differing opinions about patient prognoses
The value of thorough physical examination in ICU
Building rapport with families, especially for end of life conversations
His experience in being filmed for a reality TV series
Communicating with patient’s families
Ward round teaching
Tips for presenting a good talk
The differences between working in a tertiary and a regional centre ICU
What he thinks best maintains his wellbeing
The toll of work on his family life

Tux has led a high-achieving, well-respected and clinically-orientated career. It’s a great privilege to have him on the podcast. I hope you will enjoy listening to David Tuxen.

Andrew Davies

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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.

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Links related to this episode

David Tuxen on Twitter @TuxenDavid

Australian and New Zealand Intensive Care Society (ANZICS)

Australian and New Zealand Intensive Care Foundation

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Twitter prose posted by Rupert Pearse

67 - Rupert Pearse - Responding to the stress and the strain of COVID-19 in the UK Mar 09, 2021

In this episode the focus is on our Intensive Care friends in the UK and what they are going through right now with COVID-19.

My guest is Rupert Pearse, a Professor and Consultant in Intensive Care Medicine at Barts Health NHS Trust and Queen Mary University of London. He works at the Royal London Hospital, which was at the epicentre of the first wave and now the second COVID wave in East London. Rupert's recent work on Twitter through public health messaging has been outstanding and you can follow him @Rupert_Pearse.

Despite being terribly busy in London, Rupert willingly gave his time to talk about:

How the cases of COVID-19 are tracking right now
How the logistical challenge is being gradually replaced by important reflection
What the Royal London Hospital ICU did to deal with the surge
The ongoing research they’ve been doing during the pandemic
Why the Nightingale hospitals of the first wave seemed to struggle
The stress and strain associated with diluting the nurse to patient ratio
The difficulty with blending leadership structures during an intense period
How they have maintained their ICU culture
The struggle of his colleagues caring for themselves as healthcare professionals
His advice to less affected areas of the world
Why he changed his approach to delivering public health messages for the second wave
The principles he follows when speaking to the media
How he describes this period of his career.

I hope you will find value from listening to Rupert Pearse.

Andrew Davies

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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.

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Links related to Rupert Pearse

Rupert Pearse

Rupert Pearse on Twitter @rupert_pearse

Royal London Hospital

Links to other resources (in order of mentioning)

Recovery trial

REMAP-CAP trial

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

66 - Todd Rice - Learning and teaching how to “not just do something, stand there” Feb 22, 2021

This wide-ranging episode, covering many angles of how we should consider doing less interventions to our patients and more transparent communication to their families, features US intensivist Todd Rice.

Dr Todd Rice, is an Associate Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University Medical Center (VUMC) in Nashville, Tennessee. Todd is a clinical intensivist, the Director of the Medical ICU (MICU) and the Medical ECMO Program, and leads VUMC’s MICU strategy for the care of COVID-19 patients.

In addition, Todd leads a substantial research program as a clinician scientist, and is co-chair of the Learning Healthcare System at Vanderbilt where the motto is "Learn What We Do and Do What We Learn." Professionally, he is proud of the evidence he has generated to improve the care of critically ill patients and the mentorship he has provided to other physician scientists. He loves ice hockey (watching, not playing) and is completely into enjoying life with his two sons.

Todd graduated from the University of Notre Dame and completed Internal Medicine residency at Indiana University School of Medicine. He completed Pulmonary and Critical Care Medicine fellowship training at Vanderbilt University where he obtained a Master’s of Science in Clinical Investigation.

Other roles Todd serves in include:

President of the American Society of Parenteral and Enteral Nutrition
Vice President for Clinical Trial Innovation and Operations in the Vanderbilt Institute for Clinical and Translational Research (VICTR)
Critical care principal investigator for the Prevention and Early Treatment of Acute Lung injury (PETAL) clinical center at VUMC
Medical Director of VUMC’s Human Research Protections Program

Todd and I recorded this conversation in March 2020, just before the COVID-19 impacted fully in our respective countries. I didn’t feel I should put this episode out during the crisis of 2020 so I held it back until now. I also asked Todd if I could interview him a second time now (in February 2021) to freshen up the interview with some perspectives on how COVID-19 has affected he and his colleagues in Nashville.

I hope you will gain immense value from what Todd speaks about on this episode, including:

Why he’s considered an ICU junkie and how he’s changed over the years
The principle of “Don’t just do something, stand there”
Understanding the confidence/competence balance
His 4 box method of understanding a critically ill patient’s situation
The concept of the second victim with mistakes
How transparency to families builds substantial trust
Why he praises nurses in front of patient’s families
The structure of the ward round at his ICU
The importance of empowering nurses to ask questions
His note-writing practice, and it’s benefits and risks
His practice to look after himself during periods of clinical service
The benefit of a mix of clinical and research work
The importance of pragmatic trials studying things we are already doing
His institution’s Learning Healthcare System and how it is used
Some overall career tips
How COVID-19 has affected his ICU
How the ICU team is taking care of each other
His ICUs struggle with harsh visitor restrictions and how they relaxed these safely

Please enjoy listening to Todd Rice.

Andrew Davies

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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.

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Links related to Todd Rice

Todd Rice

Todd Rice on Twitter @toddrice_icu

Links to other resources (in order of mentioning)

ARDSnet low tidal volume strategy study

EDEN study

TARGET study

PERMIT study

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

65 - Five valuable lessons COVID-19 taught Intensive Care in 2020 Feb 03, 2021

This first podcast episode of 2021 is my attempt to put into perspective at least some of what has happened over the whirlwind of the last 12 months.

We can’t control what happens to us, yet we can control our actions in response to our circumstances and we can learn from our experience.

I feel like the whole experience of COVID has delivered a few important lessons for us as an Intensive Care community, so in this episode you’ll hear 5 valuable lessons I have been reflecting on.

In line with the theme of the podcast, I’ll concentrate on what Intensive Care has learnt, rather than humanity in general. And although 2020 involved much discussion about various drugs, ventilator settings and other interventions, my curiosity is the human side of things. I’ll therefore concentrate on how the novel coronavirus has affected us - as individual healthcare practitioners, as distinct ICUs, and as a greater intensive care community.

I am aware many of you are still struggling with overwhelming situations where you work and I understand there is still much more pandemic in front of us all. In the meantime, I hope you will take some solace from listening as I take you through the biggest lessons I feel COVID-19 has taught us in Intensive Care. None are unique to my thinking. None are rocket science. They are simply worth speaking about if only so you might reflect on what I’ve noticed from my own 2020 professional experience as we move into the next part of this pandemic and eventually beyond it.

I hope you’ll listen to the podcast to hear the 5 lessons in full. They relate to:

The human resources our ICUs contain
The general community’s perception of Intensive Care
The downside of harsh visitor restrictions
Healthcare worker safety, and
The future of Intensive Care education

You have likely reflected on other lessons. Please let me hear them. I’d also love to receive any feedback or comments you have. If you use Twitter, include my handle @andrewdavies66 and/or #masteringintensivecare. Or simply email me at andrew@masteringintensivecare.com.

I invite you to listen to the 5 valuable lessons COVID-19 taught Intensive Care in 2020.

Andrew Davies

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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 Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 60 with Simone Hannah-Clark

Mastering Intensive Care podcast - Episode 64 with Roger Harris & Oli Flower

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Intensive Care Unit at Royal North Shore Hospital

64 - Roger Harris & Oliver Flower - The innovative educationalists behind SMACC and CODA Dec 16, 2020

Two inspiring and innovative educationalists, Dr Roger Harris and Dr Oliver Flower, are featured in this episode.

Both of these Sydney intensivists are the force behind the recently created educational initiative named Coda, having previously been two members of the successful triumvirate who set up SMACC (Social Media and Critical Care).

To my mind Oliver (or Oli) and Roger have led an educational revolution by utilising speakers with high level presentation skills and encouraging community engagement, through a blend of real life events, internet technology and social media, to bring us the type of innovative and entertaining educational platform we haven’t previously seen in intensive or critical care.

Dr Roger Harris is a senior staff specialist in the ICU at the Royal North Shore hospital and the Sydney Adventist hospital. He is dual qualified in Emergency Medicine and Intensive Care. He is passionate about education, his five children and especially his wife Georgie. He’s on Twitter @RogerRdharris where his bio states he is “privileged to care for the critically ill.”

Dr Oli Flower is also an intensivist at the Royal North Shore Hospital in Sydney. He’s steered the creative side of SMACC & Coda, from the graphic design elements to the style, marketing, website and social platform strategies. He has an interest in neurocritical care and is on Twitter @oliflower where his bio states he is a “believer in the power of the big medical community”.

We recorded this in February 2020; just before the COVID-19 pandemic scuppered Oli and Roger’s plans to release nearly 4000 tickets to the inaugural large-scale Coda event. Coda is aimed to be more like a festival than a conference and is not only for critical care practitioners but for a wider healthcare audience. The overall goal of Coda is to cover vital broader healthcare subject themes and to assist the assembled community to take meaningful actions as a result of what is discussed, the climate emergency being one of the first of these.

When Coda was one of the earlier healthcare conferences to be postponed in the pandemic, I also held this podcast back until there could be firmer plans about any live Coda events.

A meeting named Coda Zero Live has now been announced for 16-18 February 2021. This is an event in Sydney with both a live and a virtual audience. It now seemed appropriate to release this episode to help you know about Coda and to encourage you to attend or tune in to Coda Zero Live.

This interview is well worth listening to as, despite no mention of COVID-19, you’ll hear:

The career backgrounds of Oli and Roger
Roger's humility in training in a second speciality in the same hospital
Both of their views on the mature culture and flattened hierarchy in their ICU at Royal North Shore Hospital
Perspectives on gender equity as well as diversity and inclusion in an Intensive Care department
The story behind the educational initiatives of SMACC and Coda
The marginalisation of non-technical topics they noticed in most scientific meetings
The growing appetite they were observing for these same topics
The value of delegate feedback in directing educational initiatives
How SMACC developed such an engaged community
The vision for Coda including its initial themes of education, ethics, earth and cure
The plans for tackling the climate emergency as a healthcare practitioner community
Discussion about how a plant-rich diet is beneficial for both environmental and personal health
What Oli and Roger have learnt from all these educational pursuits to help them at the bedside
How they both stay balanced
Some tips for less experienced clinicians

Please enjoy listening to Roger Harris & Oli Flower.

Andrew Davies

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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.

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Links related to Roger Harris and Oli Flower

Roger Harris

Roger Harris on Twitter @RogerRdharris

Oli Flower

Oli Flower on Twitter @OliFlower

Coda

Coda on Twitter

Coda Zero Live Event - 16-18 February 2021

Intensive Care Network

Intensive Care Network podcasts

Links to other resources (in order of mentioning)

Staff at Royal North Shore Hospital ICU

Australasian Trauma Society

Australasian College of Emergency Medicine

College of Intensive Care Medicine

SMACC Berlin Final Day Program

Martin Bromiley

Life In The Fast Lane Blog

Intensive Care Network

SMACC Conference History

ANZICS

SCCM

Rob MacSweeney

Critical Care Reviews Conference

Jesse Spurr

Mary Freer

New England Journal of Medicine

John Hinds

Coda Zero Episode 1: Cure - Pandemic Sepsis

Coda Zero Episode 2: Ethics - Gender Video

Coda Zero Episode 3: Educate - Communicating in the era of big data, AI and the “infodemic”

Coda Zero Episode 4: Earth - A safe and healthy pandemic recovery

Coda Zero Live Event - 16-18 February 2021

Safe Airway Society

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 21 with Martin Bromiley

Mastering Intensive Care podcast - Episode 28 with Simon Finfer

Mastering Intensive Care podcast - Episode 45 with Scott Weingart

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Naomi Pratt at Peninsula Health

63 - Naomi Pratt - A nurse practitioner’s personal and debilitating experience of long COVID Dec 04, 2020

The guest on this episode is Nurse Practitioner Naomi Pratt who describes the lingering and harrowing effects of long COVID.

Naomi is a Nurse Practitioner who jointly manages and leads the Critical Care Liaison Nurse service at Peninsula Health. In this role she provides clinical leadership and the Intensive Care response to Medical Emergency Team calls. She has completed post graduate qualifications in Intensive Care and has over 20 years of ICU experience. She completed her Masters in Nursing (Nurse Practitioner) at LaTrobe University and has been an endorsed Nurse Practitioner since 2015.

Naomi has a keen interest in providing critical care outreach and supporting clinicians caring for deteriorating patients in ward areas outside of ICU. She is a clinical mentor for advanced practice nurses at Peninsula Health and has undertaken research to understand the factors associated with the care of deteriorating patients. This has resulted in several conference presentations and journal publications.

Naomi tries to balance the challenge of work and enjoying time with her family and friends. She is lucky to live on the Mornington Peninsula, outside of Melbourne, where she shares the environment with many local animals including the visiting koalas, birdlife and pobblebonk frogs.

Naomi and I work at the same hospital and I started wondering if something was wrong when I hadn’t seen her for over a month during the first wave of the COVID-19 pandemic. Sure enough, Naomi was at home and was unwell with COVID-19.

Naomi has experienced a diverse range of significant symptoms over many months, some of which have lingered. She has resumed working with lighter duties than her usual busy role, yet experiences “up and down” periods with a decent level of fatigue. Naomi remains below her normal full health and seems to now have the condition which has become known as long COVID.

Naomi is a true expert at keeping sick hospitalised patients out of ICU and, whilst performing that role, appears to have developed COVID-19 from exposure to a patient. I therefore asked her if we could record a conversation about her 2020 experience so it might help others.

In this episode, Naomi talks about:

Her career background to becoming a Critical Care Liaison Nurse
The role she plays in the Liaison Nurse service at Frankston Hospital
How she juggles the many different requirements of this position
The night shift she was exposed to COVID-19 by helping to intubate a patient
The PPE policy at that early period of the pandemic
Developing the symptoms of, and being diagnosed with, COVID-19
Why she felt she shouldn’t share this information with other people early in her illness
Her personal health experience of COVID-19
Quarantining in her home with her family
The severe chest pains she later endured
The many additional symptoms she developed as it turned into long COVID
How she is feeling now, many months later, in her recovery
Some thoughts about keeping healthcare workers safe from COVID-19

Naomi is courageous to tell her personal health story on a podcast. I really hope you find this valuable to listen to.

Andrew Davies

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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.

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Links related to Naomi Pratt

Naomi Pratt on Twitter: @gnome3927

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Steve Philpot at Cabrini Health Intensive Care Unit

62 - Steve Philpot - Communication, tribalism, shared decision making and the value of knowing you already know enough Nov 09, 2020

This episode is a departure from recent conversations about COVID-19 material to cover some very important topics on the human side of what we do in the ICU. My hope is you will glean valuable insights from an intensivist I admire greatly as both an expert practitioner and an esteemed educator of high-level intensive care communication - amongst other things, of course.

Dr Steve Philpot is an Intensive Care Specialist at Cabrini Hospital in Melbourne with a special interest in end of life care, organ and tissue donation, communication skills training and empathy in the workplace. He is the National Lead Trainer for the DonateLife Family Donation Conversation Workshops, the Convenor of the College of Intensive Care Medicine communication training program, convenor of the Cabrini Health “Shared Decision Making” and “Advance Care Planning Conversations” workshops and chair of the Cabrini Health End of Life Care Committee.

Steve is an Adjunct Senior Lecturer at Monash University and is involved in undergraduate communication training. He is currently completing a Masters of Health and Medical Law at Melbourne University. His other interests include playing guitar, singing, walking his dogs, the Fremantle Football Club (in the Australian Football League), and writing.

Steve was once an advanced trainee where I worked as a consultant, and always displayed wisdom beyond his experience, something that comes through in this conversation, even if he is highly experienced now. We recorded this conversation before SARS-COV2 had been described, so there is no discussion of the COVID-19 pandemic, but I guess that makes it a favourable choice to listen to for many of you right now.

In this conversation, Steve talks on topics including:

The importance of being calm and collaborative
His realisation that knowledge is not the most important thing we need
The usefulness in giving positive feedback, and being helpful, kind and humble
How tribalism damages workplace culture, and how we can deal with this
The ways he builds relationships with other team members
3 vital points about, and his number 1 tip for communication
The usefulness of having an evolving phrase library
Shared decision making, including asking vital questions to learn what a patient really wants
His outside work interests, and what his self-care practice is
Thoughts on making a transition from a mega ICU to a smaller ICU, and
The value of knowing you already know enough

Steve uses story-telling very powerfully in this episode. Please enjoy listening to Dr Steve Philpot.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you to bring your best self to the Intensive Care bedside, through conversations about the human side of what we do, so you can be the most kind, compassionate and effective healthcare practitioner you can be.

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Links related to Steve Philpot

Steve Philpot on LinkedIn

Donate Life Family Donation Conversation Workshops (Steve is National Lead Trainer)

Article by Steve Philpot on Shared Decision Making

Links to other resources (in order of mentioning)

Study on Tribalism

CICM Communication Course

Article by Steve Philpot on Shared Decision Making

Podcast “Dolly Parton’s America”

Podcast “13 Minutes To The Moon”

Podcast “This American Life”

Podcast “Hamish & Andy”

Author Jane Harper

Book “Sapiens” (by Yuval Noah Harari)

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Steve McGloughlin - Preparing for the COVID-19 pandemic (MIC #59)

61 - A tribute to the global Intensive Care community for your COVID-19 efforts Oct 30, 2020

2020 has been a roller coaster year and I wish to acknowledge my friends of the Intensive Care world for your outstanding and awe-inspiring efforts as clinicians, researchers, educators, digital content creators, and mostly as human beings, compassionately caring for others in a truly unprecedented global crisis.

COVID-19 is far from over yet. Massive numbers of cases are still being reported each day and many countries are re-instituting public health-focused social and business restrictions. So whilst the pandemic continues, unabated, it feels like the right time to reinvigorate the Mastering Intensive Care podcast, after a 6 month break, with an episode where I express my gratitude to each of you individually, thanking you for what you have done so far, and for what you will likely need to continue to do.

This isn’t a thank you to one discipline of people who work in the ICU. It’s to every single person, in every role, who has supported either the people admitted to or those who work in any ICU in the world.

We need to look after each other as the pandemic is not going away. The promise of a vaccine is really only that. And many of you have done it tough either through the gruelling and onerous work or through the exhausting fatigue, whether that be physical, mental or emotional, you’ve suffered.

There have been many patients with COVID-19 admitted to ICUs, there have been many deaths, and sadly there have been many healthcare worker deaths, including Intensive Care professionals. My heart goes out to those who have died, their families and especially you as their colleagues. It has been one of the hardest things you have all had to deal with.

The emotional turmoil, let alone the physical toil, many of you have been under has been extreme. And all I can hope for is that things settle down very soon.

Thank you and well done. You are true heroes.

Please listen to my tribute to the awesome and astonishing Intensive Care community of the world.

Andrew Davies

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About the Mastering Intensive Care podcast: The show focuses on the human aspects of what happens at the Intensive Care Unit bedside. The aim is to inspire and support you to bring your best self to work as well as to be the most kind, compassionate and effective Intensive Care professional you can.

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Links to recent COVID-19 podcasts on Mastering Intensive Care

Firsthand COVID-19 patient experience from New York ICU nurse Simone Hannah-Clark (MIC #60)

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Simone Hannah-Clark on Twitter

60 - Simone Hannah-Clark - Firsthand COVID-19 clinical experience from a New York ICU nurse Apr 20, 2020

In many parts of the world the COVID-19 pandemic is overburdening Intensive Care Units with huge numbers of critically unwell patients, many of whom are dying. Whilst China, Italy, Spain, France, Germany and the UK have been crisis-ridden over the last few months, one of the most inundated parts of the world right now is the USA and especially the state of New York. In this episode you will hear the firsthand experience of a New York City ICU nurse where things are extremely intense and overwhelming.

Simone Hannah-Clark is a critical care nurse in the Medical ICU at the Mount Sinai hospital in Manhattan. Originally a New Zealander, she worked in both New Zealand and Australia before moving to the USA 15 years ago. Simone recently penned an engrossing New York Times opinion piece entitled “An ICU Nurse’s Coronavirus Diary”. In this podcast she delves deeper into her recent reality as a nurse caring for ICU patients with COVID-19. She recounts stories of the hard work, the sense of duty, the intricacies of personal protective equipment, the inspiring camaraderie, her revived passion for her job, and above all the heartbreaking emotion of dying patients with absent relatives.

Nurses around the globe are doing extremely arduous jobs and risking their own health as they care for thousands of seriously ill people with COVID-19. They are the true linchpins of the ICU. As you’ll glean in this episode, Simone is a perfect example of the compassion, professionalism and humanity that is so essential in the world right now.

Thanks for listening to this conversation with Simone Hannah-Clark.

Andrew Davies

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About the Mastering Intensive Care podcast: The show aims to focus on the human aspects of what happens at the Intensive Care Unit bedside. Conversations with thought-provoking guests should hopefully help you to bring your best self to work as an intensive care clinician.

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Links related to Simone Hannah-Clark

Opinion piece in New York Times “An ICU Nurse’s Coronavirus Diary” (by Simone Hannah-Clark)

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

A/Prof Steve McGloughlin on LinkedIn

59 - Steve McGloughlin - Preparing for the COVID-19 pandemic Mar 19, 2020

In the midst of the global COVID-19 pandemic, this episode focuses on the pandemic planning all ICUs should be doing - if they haven’t already been overwhelmed.

This week a Working Group of 30 colleagues released the Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines. This episode features the Chair of that Working Group, A/Prof Steve McGloughlin. Steve is an intensivist, an infectious diseases physician, and the Director of the ICU at the Alfred Hospital in Melbourne, one of the largest Australian ICUs.

In this conversation, Steve talks about:

How he is “hoping for the best and preparing for the worst”
His confidence in the Australian Intensive Care system
How and why the ANZICS COVID-19 Guidelines were developed
Measures for increasing ICU capacity
His belief that intensive care can be offered to all who might benefit in the pandemic
The need to communicate more in a crisis to ease anxiety
The value of asking “Are you confident we know what we are doing as a team”?
PPE being safe as long as the equipment is used properly
His ICU developing the role of a PPE monitor
The hierarchy for negative pressure room use
Splitting teams into 3 so workers are either on, on call, or totally off
What the guidelines recommend about high flow nasal oxygen, non-invasive ventilation & ECMO
The lack of evidence for medications and COVID-19
Looking after our teams by ensuring a degree of confidence
How he will deal with the social isolation
The ways we might obtain additional intensive care trained healthcare workers
His thoughts on older health care workers and their risks

If you are in a place where the number of COVID-19 patients are ramping up, I really think this is a must listen episode.

We are all in this together.

Andrew Davies

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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.

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Links related to Steve McGloughlin

A/Prof Steve McGloughlin

Alfred Intensive Care Unit

Links to resources (in order of mentioning)

WHO situation reports on COVID-19

ANZICS COVID-19 guidelines (Version 1)

ANZICS

JAMA Network Video “Coronavirus in Italy - Reports From The Front Lines”

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Mastering Intensive Care podcast - Episode 58 on "COVID-19 - We are all in this together"

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

WHO situation reports on COVID-19

58 - We are all in COVID-19 together Mar 15, 2020

Our need to bring our best selves to work has become more important in the face of this COVID-19 pandemic sweeping the globe.

Many intensive care clinicians are presently overwhelmed by escalating numbers of critically ill COVID-19 patients whilst many others are carefully preparing for seemingly inevitable local outbreaks.

There is an eerie feeling where I live and work in Melbourne especially with the online reports and accounts from our heroic colleagues in harder hit places like China, Italy and even parts of the USA.

My wife, Claire Davies, and I thought it would be useful to record a conversation about what’s going through our minds, right now in mid-March 2020, as public health officials and healthcare organisations around the world are either managing or preparing for the onslaught of individuals infected with the virus whilst also enacting public health measures such as social distancing and airline travel restrictions.

Claire, who was a previous interview guest on episode 29, spent almost 2 decades as an intensive care nurse before retraining in pastoral care and now works in that role at Epworth Hospital in Melbourne.

Claire and I fully recognise that colleagues in some parts of the world have significantly more experience with the novel Corona virus than we do but if, like us, you are thinking a lot about this pandemic and fearful of what is about to happen I hope you find some value in this conversation between Claire and I.

In it we talk about:

Our gratitude for those clinicians working in the overwhelmed areas
Claire’s hope they know they are not alone
Claire’s own current fears and how this has manifest
Balancing the need to manage our fears whilst doing our crucial jobs
Claire’s perspective on how we bring our whole selves to work
The likely moral distress of making “war time-like” decisions about rationing ventilators
The unknowns of providing pastoral/spiritual care in this situation
Useful ways to help look after ourselves during the outbreak
Recognising that if we don’t transform our personal trauma, we transfer it
Trying to eat well, drink less alcohol, sleep well and to get in some exercise
Trying to have deep compassion for people making the big decisions
The opportunity this pandemic provides to bring us closer together as an intensive care community
Being grateful and caring for each other in these times

We are definitely all in this COVID-19 thing together.

Andrew Davies

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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.

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Links to resources (in order of mentioning)

Robcast Podcast episode “I am calling you to talk about the Coronavirus” (by Rob Bell)

Book “The Body Keeps The Score” (by Bessel van der Kolk)

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 29 with Claire Davies

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Dr Georg Auzinger at Kings College

57 - Georg Auzinger - Remembering to keep the patient at the centre of what we do Mar 01, 2020

Those of you who are consultant intensivists or attendings hopefully remember most of your trainees - especially the ones you met when you were a brand new intensivist.

In this episode I speak with Dr Georg Auzinger who in 1997 moved from Austria to Australia to train in intensive care at the same ICU I was beginning my first job as a specialist intensivist. I have fond memories of working with Georg, have enjoyed the friendship we have developed and have been thrilled to see from afar how well his career has progressed.

Nowadays Georg has a senior position in the United Kingdom intensive care field where he is Consultant Honorary Senior Lecturer in Intensive Care Medicine, Lead Clinician at the Liver Intensive Care Unit and Director of the Veno Arterial ECMO service at King’s College Hospital NHS Foundation Trust in London. He is PTEeXAM board certified for perioperative transoesophageal echocardiography and also leads on critical care echocardiography training.

Georg has played a substantial role in the outstanding international reputation the Liver Intensive Care Unit at King’s has maintained over the last decade. He is member and associate fellow of the UK Intensive Care Society, as well as member of the European Society of Intensive Care Medicine, the Society of Critical Care Medicine, the Austrian Society of Internal Medicine and the International Liver Transplantation Society.

In this conversation, Georg and I do some reminiscing, as we talk about:

His transition from doing general medicine in Austria to intensive care in Australia
How he found his way to Kings College Hospital in London
The changes in the last 2 decades in the types of patients being admitted to ICU
The current resource constraints in the UK
Working in the Clinical Director role in a busy institution
How beneficial colleague performance reviews can be for both parties
Relationship building between nurses and doctors
Communicating with colleagues
The importance of keeping the patient at the centre of what we do
The difficulties he recognises in balancing his work and life

Please enjoy listening to Dr Georg Auzinger.

Andrew Davies

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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.

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Links related to Georg Auzinger

Kings College Hospital Liver ICU

Links to other resources (in order of mentioning)

Prof Julia Wendon

Cleveland Clinic London

Mastering Intensive Care podcast - Episode 3 with Rinaldo Bellomo

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 12 with Julia Wendon

Mastering Intensive Care podcast - Episode 55 with Mervyn Singer

Mastering Intensive Care podcast - Episode 56 - What’s in the Journals to help you care

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

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New England Journal of Medicine

56 - What’s in the February 2020 Journals to help you care Feb 24, 2020

In this episode I talk about what’s been recently published in the medical literature to help you master intensive care from a humanity point of view.

In a departure from the usual interview episode, and as a trial, I searched the December 2019 issues of 8 well-respected journals and found a large number of articles focused on non-technical aspects of intensive care. Not the drugs, devices, procedures or interventions, but the person-based and human-focused topics I like to concentrate this podcast on.

As I’ve transitioned in my own career from being a researcher of interventions to a producer of a podcast focused on being the best all-round intensive care-givers we can be, I’ve realised there is a growing literature on non-technical topics, some of which I’m not well enough aware of on a day to day basis.

So in this episode I found numerous articles from December 2019 which I believe can help you and your colleagues humanise the intensive care you give at the bedside. Some are research studies, some are reviews, and others are stories, essays, poems, or simply writings.

I focus in some detail on 3 specific journal articles on the topics of (1) family engagement, (2) family support and (3) early palliative care consultation. I then refer you briefly to 10 other articles so you can read these in full if you are interested. There are links to all of these articles below.

I really hope you enjoy and value this episode. I learnt a lot from reading these articles myself. Please send any feedback, questions or comments to andrew@masteringintensivecare.com.

Andrew Davies

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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.

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Links to 3 Journal articles reviewed in detail

Kleinpell R, Zimmerman J, Vermoch KL, et al. Promoting Family Engagement in the ICU: Experience From a National Collaborative of 63 ICUs. Crit Care Med. 2019;47(12):1692–1698. doi:10.1097/CCM.0000000000004009 PubMed link Associated editorial

Lee HW, Park Y, Jang EJ, Lee YJ. Intensive care unit length of stay is reduced by protocolized family support intervention: a systematic review and meta-analysis [published correction appears in Intensive Care Med. 2019 Oct 8;:]. Intensive Care Med. 2019;45(8):1072–1081. doi:10.1007/s00134-019-05681-3 PubMed link

Ma J, Chi S, Buettner B, et al. Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial. Crit Care Med. 2019;47(12):1707–1715. doi:10.1097/CCM.0000000000004016 PubMed link

Links to 10 Journal articles mentioned briefly

Barreto BB, Luz M, Rios MNO, Lopes AA, Gusmao-Flores D. The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and meta-analysis. Crit Care. 2019; 23(1):411. Published 2019 Dec 16. doi:10.1186/s13054-019-2678-0 PubMed link

Ramchand P. The gift. Lancet. 2020; 394(10216):2283–2284. doi:10.1016/S0140-6736(19)32961-7 PubMed link

Harrington JL. The Case for Waking. JAMA. 2019; 322(22):2251. doi:10.1001/jama.2019.17962 PubMed link

Maskell G. True candour. BMJ. 2019; 367:l6754. Published 2019 Dec 3. doi:10.1136/bmj.l6754 PubMed link

Rimmer A. Bring me joy. BMJ. 2019; 367:l6745. Published 2019 Dec 16. doi:10.1136/bmj.l6745 PubMed link

Klaber RE, Bailey S. Kindness: an underrated currency. BMJ. 2019; 367:l6099. Published 2019 Dec 16. doi:10.1136/bmj.l6099 PubMed link

Morgan M. Matt Morgan: Cold food on hot desks. BMJ. 2019; 367:l6829. Published 2019 Dec 10. doi:10.1136/bmj.l6829 PubMed link

Rimmer A. Suicide in anaesthetists: five minutes with . . . Samantha Shinde. BMJ. 2019;367:l6781. Published 2019 Dec 2. doi:10.1136/bmj.l6781 PubMed link

Auriemma CL, Van den Berghe G, Halpern SD. Less is more in critical care is supported by evidence-based medicine. Intensive Care Med. 2019;45(12):1806–1809. doi:10.1007/s00134-019-05771-2 PubMed link

Auñón-Chancellor S. Earthling. Ann Intern Med. 2019; 171(12):937–938. doi:10.7326/M19-2759 PubMed link

Links to 8 Journals searched

JAMA: Journal of the American Medical Association

BMJ: British Medical Journal

The Lancet

Annals of Internal Medicine

Critical Care Medicine

ICM Journal: Intensive Care Medicine

American Journal of Respiratory and Critical Care Medicine

Critical Care

Links to other resources mentioned

Mastering Intensive Care podcast - Episode 3 with Rinaldo Bellomo

Critical Care Reviews

Link to sign up to Critical Care Reviews newsletter

PRISMA statement

Mastering Intensive Care podcast - Episode 32 with Kate Harding

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 50 with Andrew Davies

Mastering Intensive Care podcast - Episode 51 - A Recap of 2019

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

David Bennett's Obituary (co-authored by Mervyn Singer)

55 - Mervyn Singer - Career enjoyment, curiosity and a “can-do” attitude Feb 16, 2020

Anyone who has heard UK intensivist Prof Mervyn Singer speak at an Intensive Care conference will no doubt enjoy listening to him speak on this episode of Mastering Intensive Care.

Mervyn Singer is Professor of Intensive Care Medicine at University College London in the UK. He was born, bred, trained, and now works in London as an intensivist and a researcher whose career spans from basic mechanistic work through to translational investigations and multi-centre trials. He co-chaired the ‘Sepsis-3’ international definitions task force, is Editor-in-Chief of Intensive Care Medicine Experimental and Treasurer of the International Sepsis Forum. Mervyn has published widely in a variety of journals and has authored or co-edited several textbooks including the Oxford Textbook of Critical Care. He was the first UK intensivist to be awarded Senior Investigator status by the UK National Institute for Health Research, and to be invited to give plenary lectures at the European and US Intensive Care Congresses.

In this conversation Mervyn is full of his usual enthusiasm as we covered many important topics including:

How he became an intensivist
What he’s observed about the physiological basis of intensive care
The clinical ward round process he follows
The scheme in his ICU to allow patients to die at home
How he leads an end of life conversation
The benefits to having an ICU-based psychologist
How institutions might better care for their junior staff
How much he enjoys his career
His "can do" attitude
How his passion for sport has helped him
His regular sleep pattern
The value he receives from doing body stretching
His use of email and social media
Mentoring younger trainees
Which of his research makes him most proud
His tips for giving a good lecture
Some excellent advice to conclude our conversation

I invite you to listen in to my conversation with Mervyn Singer.

Andrew Davies

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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.

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Links related to Mervyn Singer

Prof Mervyn Singer

Mervyn Singer brief CV

Links to other resources (in order of mentioning)

Edith Piaf

The Cricket “Ashes”

Mastering Intensive Care podcast - Episode 51 - A Recap of 2019

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 52 with Martin Bromiley

Mastering Intensive Care podcast - Episode 53 with Paul Wischmeyer

Mastering Intensive Care podcast - Episode 54 with Deborah Cook

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Article about Deborah Cook

54 - Research success, end of life care, & clinical leadership pearls (Replay episode with Deborah Cook) Feb 09, 2020

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Deborah Cook (broadcast originally as episode 46).

Deborah is an intensivist at St. Joseph’s Healthcare in Hamilton and Distinguished Professor of Medicine, Clinical Epidemiology & Biostatistics, and Academic Chair of Critical Care at McMaster University. Deborah has received numerous awards for her practice, teaching, mentoring and research, including an Officer of the Order of Canada. She is one of the evidence-based medicine pioneers, and has cultivated and led countless large international investigator-initiated intensive care research studies, mostly with the Canadian Critical Care Trials Group, which she was a Founder of, and which now awards the Deborah J. Cook Mentoring Award to recognise the huge number of people she has mentored around the planet.

In this replayed interview from 2019, Deborah talks about the rekindling of her early career desire to study and practice better end of life care to improve the quality of the dying experience for patients and their families, with the Three Wishes project. She also gives her wise and experienced thoughts on the keys to success in research, ward rounds, family involvement in the ICU, her expectations as an ICU consultant, communication, note-writing, her own self-care and love for family, and some valuable closing career tips.

I invite you to listen to this replay episode with Deborah Cook.

Andrew Davies

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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.

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Links related to Deborah Cook

Prof Deborah Cook

Article 2 about Deborah Cook

Video of Deborah Cook

Links to other resources (in order of mentioning)

Canadian Critical Care Trials Group

The 3 Wishes Project

Publication from 3 Wishes Project

Other publications from 3 Wishes Project

David Sackett

Book “Essentialism - The Disciplined Pursuit of Less” (by Greg McKeown)

Mastering Intensive Care podcast - Episode 46 with Deborah Cook

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 50 with Andrew Davies

Mastering Intensive Care podcast - Episode 51 - A Recap of 2019

Mastering Intensive Care podcast - Episode 52 with Martin Bromiley

Mastering Intensive Care podcast - Episode 53 with Paul Wischmeyer

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Paul Wischmeyer at Duke University

53 - A passion to help patients fuelled by his own inpatient experience (Replay episode with Paul Wischmeyer) Jan 26, 2020

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Paul Wischmeyer (broadcast originally as episode 35).

Paul is a Professor of Anesthesiology and Surgery, the Director of Perioperative Research at the Duke Clinical Research Institute and the Co-Director of the Nutrition Support Service at Duke University Hospital in the United States. Paul works mainly as a perioperative, critical care, and nutrition physician focused on enhancing preparation and recovery from surgery and critical care. His academic career has led to large numbers of publications, grants and invited presentations. And what’s unique about Paul is that his passion for helping patients stems from his own personal experience as a patient.

In this replayed interview from 2018, Paul describes how he ended up as a physician, after having disturbing and traumatic patient experiences (including procedures, medications and suboptimal communication) and how this has helped him to be a better doctor and an example and teacher to others. He also discusses topics including ward rounds, cooperating with a palliative care team, caring for ourselves, the importance of nutrition and exercise, good onstage presentation techniques, and some valuable closing tips for all of us.

I invite you to listen to this replay episode with Paul Wischmeyer.

Andrew Davies

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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.

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Links related to Paul Wischmeyer

Paul Wischmeyer website

Paul Wischmeyer at Duke Health

Paul Wischmeyer on Twitter: @Paul_Wischmeyer

Paul Wischmeyer on LinkedIn

Links to other resources (in order of mentioning)

2019/2020 Australian Bush Fires

American Delirium Society

Prof Wes Ely

SCCM ICU liberation initiative

Book “Presentation Zen Design” (by Garr Reynolds)

Prof Jean-Louis Vincent

Prof Mervyn Singer

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 31 with Jean-Louis Vincent

Mastering Intensive Care podcast - Episode 33 with Wes Ely

Mastering Intensive Care podcast - Episode 35 with Paul Wischmeyer

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Mastering Intensive Care podcast - Episode 52 with Martin Bromiley

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Martin Bromiley on LinkedIn

52 - Safer healthcare through human factors (Replay episode with Martin Bromiley) Jan 19, 2020

In this episode of the Mastering Intensive Care podcast we replay a previous episode which featured Martin Bromiley (broadcast originally as episode 21).

Martin is an airline captain, whose wife Elaine Bromiley sadly died in tragic circumstances, the story of which he describes here and is also documented in the video “Just a routine operation”. Martin used his experience in human factors to found and now lead the Clinical Human Factors Group, the charity working to make healthcare safer, by combining the efforts of academics, clinicians, leaders and policy makers. His work is widely recognised and his many awards include an Order of the British Empire (OBE), the Royal College of Anaesthetists Medal and Fellowship of the Royal College of Surgeons of Edinburgh.

In this replayed interview from 2017, Martin tells Elaine’s sorry story, describes how he dealt with it, and the support he received, before going on describe his work and the founding of the Clinical Human Factors Group, what he thinks is required to improve safety in healthcare, what healthcare can and cannot learn from aviation, the importance of honesty about errors, the 3 key lessons in human factors for clinicians, how he uses mental rehearsal in his role as an airline pilot, and a final important tip about listening.

I invite you to listen to this replay episode with Martin Bromiley.

Andrew Davies

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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.

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Links related to Martin Bromiley

Martin Bromiley

Martin Bromiley on Twitter: @MartinBromiley

Clinical Human Factors Group

Donations to Clinical Human Factors Group

Video “Just a routine operation”

Video “How to Fail…Part Two” (a talk by Martin Bromiley at DasSMACC conference)

Video “Martin Bromiley, a Patient’s Perspective” (talk by Martin Bromiley at Patient Safety Movement)

Anonymous version of an Independent Report on the death of Elaine Bromiley

Article “The husbands story: from tragedy to learning and action” (authored by Martin Bromiley)

Article "Clinical Human Factors" (co-authored by Martin Bromiley)

Article 1 on Martin Bromiley

Article 2 on Martin Bromiley

Article 3 on Martin Bromiley

Article “Lessons from the Bromiley Case” (by Mike Cadogan on Life In The Fast Lane)

Links to other resources (in order of mentioning)

Book “Black Box Thinking” (by Matthew Syed)

TED

Paper on the Safety 1 and Safety 2 model

Second paper on the Safety 1 and Safety 2 model

Third article on the Safety 1 and Safety 2 model

Jim Harlow on Twitter

Links related to Mastering Intensive Care podcast

Mastering Intensive Care podcast - Episode 21 with Martin Bromiley

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Mastering Intensive Care podcast - Episode 41 with Rana Awdish

51 - A Recap of Mastering Intensive Care in 2019 Jan 12, 2020

Happy New Year. Thanks for listening to Mastering Intensive Care in 2019.

If you reflect on and put into action many of the perspectives shared on this podcast, and if your colleagues do too, I truly believe your ICUs should improve in the care you deliver. That’s not to say you don’t do well already. It’s rather to suggest that the topics we cover on this podcast are not covered well in textbooks and journals, and are often better relayed through the stories and experience of the real people I talk to with the “fly on the wall” intimacy that audio podcasts allow.

In this 2019 recap episode you will either hear some of the interview guests you may have missed, or you will re-listen to some of the topics & people I selected, so as to showcase several of the themes this show focuses on. For the third year in a row I have simply been astounded by just how much I personally have valued and learned from the perspectives, stories and wisdom of the people I’ve interviews on the show in the last 12 months. This is my thank you to each of those guests (even if they haven’t been highlighted today). It’s also my thank you to you, whether you are a first-time or long-time listener, and a special thank you to all who have helped me by sharing the show with others.

I couldn’t include all 2019 guests so I picked the excerpts I enjoyed rehearing. I am sorry if I left out someone you might have included. If you did miss some of the episodes, here is your chance to catch up. If you are a new listener, this series of audio snippets is what I feel best characterises the show.

The 6 extracts are from interviews with Rana Awdish, Matt Morgan, Jo Stewart, Laura Rock, Paul Young & Ed Litton.

I hope you do enjoy what I see to be as a virtual cramming of the 2019 Mastering Intensive Care curriculum, packaged up into just over an hour of listening, that should really help you to bring your best self to work in 2020.

Thanks for listening.

Andrew Davies

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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.

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Links to the 6 interviews excerpted (in order of playing)

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Mastering Intensive Care podcast - Episode 43 with Jo Stewart

Mastering Intensive Care podcast - Episode 48 with Laura Rock

Mastering Intensive Care podcast - Episode 42 with Paul Young

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Links to resources (in order of mentioning)

See above links for more information about individual guests and the resources discussed in each excerpt

Rich Roll Podcast - Episode 488 (Best of 2019 Part 1)

Rich Roll Podcast

Mastering Intensive Care podcast - Episode 15 with Peter Brindley

New Normal Project podcast - New Normal in Action episode (October 2019)

New Normal Project podcast - New Normal in Action episode (November 2019)

New Normal Project podcast - New Normal in Action episode (December 2019)

Mastering Intensive Care podcast - Episode 45 with Scott Weingart

EMCrit podcast - Episode 252

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Mastering Intensive Care podcast - Episode 50 with Andrew Davies

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Andrew Davies at Peninsula Health

50 - Everybody has a story to tell on Mastering Intensive Care Dec 18, 2019

To celebrate the 50 episode milestone, podcast host and intensivist Andrew Davies (yes that’s me) is in the spotlight.

Having started the show to learn perspectives that could help me, as well as you, to be better and more human healthcare professionals, I’ve published 49 episodes with some amazing guests. Based on many of you asking for this, I finally plucked up the courage and switched the microphones so I’m the one being interviewed.

I also had the very difficult task of picking an interviewer and eventually chose my good friend, Neil Orford, who was one of the early, and very popular, guests on the show. He got the gig because he and I usually have outstanding conversations based mostly around Neil's curiosity and his interest in things that aren’t the “bread and butter” topics of Intensive Care.

If you want to know more about Neil, listen to episode 4. If you want to know more about me, listen in here.

Neil asks me about all sorts of topics including:

What’s changed as I’ve done the previous 49 episodes
The common themes I’ve identified on the show
How I incorporate kindness, compassion and a team approach to my work
Some reflections on ward rounds I lead
Showing respect to the ICU team
My thoughts on listening
Transitioning from a tertiary ICU to a smaller ICU
Why I pivoted from an academic career to a focus on podcasting and wellness
My advice about wellness for Intensive Care practitioners
What I think are the key planks for my health and wellbeing
Some thoughts on moderation and tolerance
Whether I still enjoy being an intensivist
What my life might look like in 5 years
And my thoughts on the future of Intensive Care

I hope you enjoy our conversation.

Andrew Davies

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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.

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Links related to Andrew Davies

Andrew Davies profile at World Congress of Intensive Care

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Neil Orford at Barwon Health

Links related to Neil Orford

Neil Orford profile at World Congress of Intensive Care

Neil Orford at Deakin University

Neil Orford on Twitter

Neil Orford on LinkedIn

Links to resources (in order of mentioning)

Mastering Intensive Care podcast - Episode 4 with Neil Orford

Mastering Intensive Care podcast - Episode 29 with Claire Davies

Mastering Intensive Care podcast - Episode 2 with John Botha

Mastering Intensive Care podcast - Episode 49 with Hugh Montgomery

Prof Hugh Montgomery

Mastering Intensive Care podcast - Episode 9 with John Myburgh

Prof John Myburgh

Mastering Intensive Care podcast - Episode 3 with Rinaldo Bellomo

Prof Rinaldo Bellomo

Book “Thrive” (by Ariana Huffington)

Ariana Huffington

Other interviews of and presentations by Andrew Davies

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Hugh Montgomery at Whittington Hospital

49 - Hugh Montgomery - We’ve got to act right now Nov 17, 2019

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

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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.

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Links related to Hugh Montgomery

Hugh Montgomery at UCL

Hugh Montgomery at ISEH

Hugh Montgomery profile

Hugh Montgomery on Twitter

PubMed search for 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 & Run” (by Scott Jurek)

Nature paper on microbiome and elite athletes

Carbon Footprint Calculator

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 - 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

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

Laura Rock at Beth Israel Deaconess Medical Center

48 - Laura Rock - Teaching and learning about communication Oct 24, 2019

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

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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.

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Links to people, organisations and other resources mentioned:

Laura Rock on Twitter

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

Mastering Intensive Care podcast - Episode 47 with Matt Morgan

Melbourne marathon

Melbourne Cricket Ground

Book “Critical” (by Matt Morgan)

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

47 - Matt Morgan - Mixing science, history, emotion and humanity in telling Critical stories Sep 23, 2019

Have you visited any of your past patients or their families in their homes?

Would this be difficult?

What might you learn?

Medicine is mostly a series of stories of people’s lives. This is a privilege we often overlook. In Intensive Care we usually only have a glimpse into each life, an almost unrecognisable flash of physical suffering, medical procedure, bedside vigil and hopefully recovery, but sadly we often miss the end of the story. What happened to that person? Did they recover? Did they regain their previous life? What do they remember?

Dr Matt Morgan, a Welsh Intensivist, didn’t enjoy missing the end of these stories, and he wasn’t sure that laypeople really understood what we do in the ICU. So he took it upon himself to visit some of the patients or their families who he had helped care for in the Intensive Care Unit. And what he learned helped him write his recently published book “Critical - science and stories from the brink of life”.

Matt is a Consultant in Intensive Care Medicine at the University Hospital of Wales, and an Honorary Senior Research Fellow at Cardiff University in the UK. After completing medical school in Cardiff, where he still lives and works, Matt studied ethics at Bristol University, served as a junior doctor in the RAF, and subsequently chose the path of intensive care medicine, training in the UK and Australia, and completing a PhD. Matt is passionate about public engagement and has contributed to multiple scientific articles.

The book “Critical” takes readers on a tour around the intensive care unit, meeting some of his most interesting and memorable cases. These stories include a pregnant woman who survived for weeks without a heart beat, the son of a police officer who was critically injured in a drug lab explosion, a judge who returns to the court room where he needed CPR, and an 18-year-old student who sadly died from sepsis after a trip to Africa. Throughout the book, Matt also highlights public health messages like the importance of bystander CPR, the harms of alcohol, the benefits of organ donation and how medicine is currently battling what should be done with what can be done.

In this podcast conversation you’ll hear Matt speak about his new book, and also about:

How he has tried to mix science, history, emotions and humans together in his writing
How hard it was to visit some of the patients and their families he wrote about in his book
The value of doing this “deep follow up”
The story of Vivi, who is understood to be the world’s first ever Intensive Care patient
How we can increase our use of narrative medicine including in medical note writing
The changes he’s made to the process of his ward round
Some of his thoughts on burnout and how he deals with the demands of work
The importance he places on sleep
His views on mindfulness
What he says and does in a family meeting
The question he thinks is crucial in a family meeting
How he involves trainees in these meetings
Some advice for difficult conversations
The value of reading outside of intensive care and outside of medicine
His obsession with animal physiology
His thoughts on changes we need to make in intensive care

Matt is an excellent writer with a gift for describing disease and concepts very simply. He speaks articulately too. Please enjoy listening to Matt Morgan.

Andrew Davies

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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.

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Links to people, organisations and other resources mentioned:

Dr Matt Morgan website

Matt Morgan on twitter

Blog piece “The ward round is broken” (by Matt Morgan)

Blog piece “Burnout in healthcare workers - are we surprised” (by Peter Brindley and Matt Morgan)

Other BMJ blog pieces by Matt Morgan

Other blogs by Matt Morgan

If this then that (IFTTT)

Book “Why we Sleep” (by Matt Walker)

Mastering Intensive Care podcast - Episode 40 with Ed Litton

Mastering Intensive Care podcast - Episode 41 with Rana Awdish

Mastering Intensive Care podcast - Episode 46 with Deborah Cook

2019 World Congress of Intensive Care Medicine

New Normal Project podcast - Episode 56 with Brad Dalrymple

Deborah Cook (McMaster University)

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

46 - Deborah Cook - The compassionate and world-leading Canadian granting wishes at end of life Aug 29, 2019

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

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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:

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

Book "Essentialism – The Disciplined Pursuit of Less" (by Greg McKeown)

David Sackett

Mastering Intensive Care podcast - Episode 45 with Scott Weingart

EMCrit podcast

2019 World Congress of Intensive Care Medicine

Plantfit Summit

Essay: The Thousand True Fans (by Kevin Kelly)

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

45 - Scott Weingart - Useful mental strategies of a thoughtful ED intensivist and hugely influential podcaster Jul 22, 2019

Today’s guest is Scott Weingart, the pioneer podcaster in the intensive care field through his EMCrit podcast.

Scott is an ED Intensivist from New York, where he is Chief of the Division of Emergency Critical Care at Stony Brook Hospital and a Professor of Emergency Medicine at Stony Brook Medicine. Scott has devoted his career to bringing "Upstairs Care, Downstairs" (ie. bringing ICU care down to the ED - where it needs to be). He loves his job taking care of the sickest patients, innovating new ways to do it better, and then teaching these concepts to his residents. Of course, none of that is nearly as much fun as playing with his son, Mace.

Scott is best known for talking to himself about Resuscitation and Critical Care on the EMCrit podcast, which has been downloaded over 20 million times. EMCrit is also a hugely valuable blog and educational resource.

In this conversation Scott talks about:

How he trained to be where he is now as an ED intensivist
What inspired his mission to improve critical care prior to ICU admission
How he got into podcasting
The benefit of putting his views out into the online community
How podcasting and new media can allow the “small to be seen”
The automatic peer review built in to his podcasting
The value he’s had from SMACC conferences and the FOAM movement
His obsession to improve
What a day in his life is like
How his martial arts experience spurned his meditation practice
What his minimal effective dose of meditation is
His thoughts and use of negative visualisation and mental rehearsal
The value of errors in improving ourselves
The need to be care- rather than people-orientated in resuscitation
How his communication is changing over time
The use of dramatic pauses to spur knowledge translation and learning
His advice on reading
And some of his favourite books and podcasts

Scott is a deep-thinking man, very focused on understanding and practicing well considered and patient-oriented care particularly at the resuscitation end of intensive or critical care medicine, and is very good with spoken language.

Please enjoy listening to Scott Weingart.

Andrew Davies

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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:

Scott Weingart

Scott Weingart on Twitter: @emcrit

EMCrit podcast & website

Liz Crowe

Seth Godin

Talk by Scott Weingart “The Path to Insanity”

Talk by Scott Weingart “Kettlebells for the Brain”

Mastering Intensive Care podcast - Episode 21 with Martin Bromiley

Book “House of God” (by Samuel Shem)

Cliff Reid

Chris Hicks

Sara Gray

Mastering Intensive Care podcast – Episode 13 with Sara Gray

Book “A Confederacy of Dunces” (by John Kennedy Toole)

Book “Catch 22” (by Joseph Heller)

99% Invisible podcast

Radiolab podcast

The Flop House podcast

Mastering Intensive Care podcast – episode 44 with Geoff Toogood

Crazy Socks 4 Docs

Crazy Socks For Docs website

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

44 - Geoff Toogood - From severe depression to mental health advocacy through #CrazySocks4Docs May 24, 2019

To help raise awareness about #CrazySocks4Docs this episode’s guest is Dr Geoff Toogood.

Geoff is a Cardiologist at Peninsula Health and in Private Practice in Melbourne, Australia. He is also a Board Member of South West Health Care, Ambassador for Beyond Blue and Ambassador for Masters Swimming Victoria. He is both a pool and open water swimmer, having competed at National and International level, using swimming for his mental wellbeing. Geoff has completed a relay across the English Channel, swum solo in the Rottnest Island swim and many other open water and pool swims.

Despite having a cardiologist on the show, this is mostly a talk about mental health, rather than cardiology. Geoff has had his share of mental health struggles, having had a period of anxiety early in his career and then more recently severe depression leading to suicidal ideation.

But most importantly, Geoff has used his story, told humbly and vulnerably, to create awareness about Doctors mental health and to break the stigma, through the CrazySocks4Docs movement, which you’ll hear about today.

All healthcare workers are at risk of mental health issues. They are more common than we realise. Mental health disorders can lead to burnout, divorce and suicide. We must talk more about this issue; so we can understand this, do things to help reduce the risk, and to help each other when we identify mental ill health in our colleagues.

If we talk about this as an industry, we will hopefully all be better off. We, ourselves. Our colleagues. And more importantly, our patients.

The conversation on this podcast covers:

Why Geoff got into medicine and then into cardiology
How cardiology has changed over his career
His mental health journey starting with anxiety as a younger doctor
How this progressed to depression and then suicidal ideation
Some of the symptoms he felt, and the ways he supported himself
His need to take leave from work and what that meant
The problems of needing to see mental health professionals
Dealing with telling his colleagues at work
The contribution of a medical work schedule and other life stressors
His current wellbeing strategies including sleep and swimming
His impressive swimming career and how this acts as mindfulness
How helpful it’s been to him to tell his story
Thoughts on resilience and the stigma of mental ill health
How the Crazy Socks For Docs movement began
About the 2019 #CrazySocks4Docs day on June 7th
The #CrazySocks4Docs Panel Discussion being held on May 31st 2019
How his mental health is now
The value of mindfulness and yoga as wellbeing tools

Hearing about Geoff’s struggles, how he has dealt with them, and his ongoing advocacy, is more than helpful. It’s powerful.

Please enjoy listening to Geoff Toogood.

Andrew Davies

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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:

Geoff Toogood on Twitter: @gdtoogood

Crazy Socks For Docs on Twitter: @crazysocks4docs

Crazy Socks For Docs on Instagram: @crazysocks4docs

Crazy Socks For Docs on Facebook

Geoff Toogood on LinkedIn

Peninsula Health

South West Health Care

Masters Swimming Victoria

Prof Michael Myers on Twitter: @downstatedoctor

Dr Kate Harding on Twitter: @katejh1970

Dr Yumiko (Miko) Kadota on Twitter: @mindbodymiko

Article 1 written by Geoff Toogood

Article 2 written by Geoff Toogood

Articles 3 & 4 written by Geoff Toogood

Article 1 written about Geoff Toogood

Article 2 written about Geoff Toogood

Article 3 written about Geoff Toogood

Article 4 written about Geoff Toogood

Article 5 written about Geoff Toogood

Article 6 written about Geoff Toogood

Article 7 written about Geoff Toogood

Article 8 written about Geoff Toogood

Video of talk by Geoff Toogood

Video of TV show featuring Geoff Toogood

New Normal Project podcast - Episode 53 with John Orchard

Mastering Intensive Care podcast - Episode 32 with Kate Harding

Mastering Intensive Care podcast - Episode 43 with Jo Stewart

Frankston Hospital ICU website

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

43 - Jo Stewart - Educating, leading, retaining and supporting Intensive Care nurses May 12, 2019

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

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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.

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Links to people, organisations and other resources mentioned:

Jo Stewart on Twitter: @JoStu82

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

Tribute to Peter Hicks written by David Pilcher

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

42 - Paul Young - Moving on as an ICU family after the death of a respected leader Apr 26, 2019

What it is like when a much loved and respected leader in your Intensive Care suddenly dies?

And do you view the people you work with in your ICU as an extended family?

Paul Young, an Intensivist from New Zealand, discusses his perspectives on these questions, amongst many other valuable insights, in this important and moving interview.

Paul Young is an intensive care specialist at Wellington Hospital in New Zealand where he is the co-clinical leader at Wellington ICU. He is also medical director of Wakefield Hospital ICU, Deputy Director at the Medical Research Institute of New Zealand, and holds a Clinical Practitioner Research Fellowship from the Health Research Council of New Zealand. Paul's predominant non-clinical interest is in ICU research. Since starting work as an intensive care specialist in 2010 he has published more than 120 papers in peer-reviewed journals including five papers in the New England Journal of Medicine, two in JAMA, and one in the Lancet. His involvement in clinical research has been instrumental in the development of his belief that intensive care is fundamentally about keeping people alive for long enough for them to recover whilst meddling as little as possible. In his leadership roles he encourages people to find joy in their work and to be nice to each other yet he constantly battles with his own tendency towards sarcasm.

In late 2018, Dr Peter Hicks, the Clinical Lead at Wellington Hospital died suddenly. Peter was an excellent intensivist, a wonderful leader, and a friend to many in the Australian and New Zealand ICU community. His death is sad for all who knew him and most notably his family and colleagues. Paul speaks in this interview about the legacy Peter left behind, how Peter particularly guided Paul in his career and how the Wellington ICU is moving on after Peter’s untimely death.

In this conversation, Paul also discusses:

Why he became an intensivist
The cultural differences between Australia and New Zealand
Telling the truth about his thoughts on the patient’s likely outcome
Worrying - and when it's useful and not useful
The specifics of his ward round
What it’s like to have consultants changing daily in his ICU
The start to his research career
Some insights on designing clinical trials to answer important questions
Why “negative studies” are so important to advance clinical practice (using the TARGET study as an example)
How he keeps up with the literature including with Twitter
His efforts to be more kind and to get on with people
The effects of running on his general wellbeing
A challenge for other units to try a “day about” clinical roster

Paul is clever, incisive, and is delightfully able to simplify many concepts about intensive care practice and research.

Please enjoy listening to Dr Paul Young.

Andrew Davies

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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.

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Links to people, organisations and other resources mentioned:

Paul Young on Twitter: @dogICUma

Wellington ICU website

ANZICS CTG (Australian and New Zealand Intensive Care Society Clinical Trials Group)

Rinaldo Bellomo

Critical Care Reviews

Rob MacSweeney

Wellington ICU Journal Club on Twitter: @WellingtonICU

TARGET study

Tweetorial on the TARGET study by Paul Young

Rana Awdish on Twitter: @RanaAwdish

Book "In Shock" (by Rana Awdish)

Mastering Intensive Care podcast: Episode 3 with Rinaldo Bellomo

Mastering Intensive Care podcast: Episode 19 with Alex Psirides

Mastering Intensive Care podcast: Episode 20 with Jack Iwashyna

Mastering Intensive Care podcast: Episode 23 - The Best of 2017 (Part 1)

Mastering Intensive Care podcast: Episode 24 - The Best of 2017 (Part 2)

Mastering Intensive Care podcast: Episode 39 - The Best of 2018

Mastering Intensive Care podcast – episode 41 with Rana Awdish

Book "In Shock" (by Rana Awdish)

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies: andrew@masteringintensivecare.com

41 - Rana Awdish - From In Shock to true connection with our patients Apr 03, 2019

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

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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

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

Article about Ed Litton’s bike ride across Australia

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

40 - Ed Litton - Exercise, adventure and excellent clinical care Mar 04, 2019

This week’s guest, Australian intensivist Dr Ed Litton, truly amazes and inspires me. Despite having a full-time clinical and research career, and a young family, Ed pursues his passion for adventure mostly through ultra-endurance exercise.

Many intensivists run, swim, cycle or do other sorts of vigorous exercise in their spare time. Some even run marathons, swim regularly with a squad or cycle long distances to and from work. Some do all 3 by competing in triathlon events. Yet not too many intensivists take on ironman triathlons like Ed does. And how many cycle across Australia from Sydney to Perth as he did a couple of years ago?

Ed uses adventure and exercise to keep refreshed for his busy medical career. So to me this podcast conversation is a real treat. Hearing about this massive cross-continent bike ride, the recent family cycling trip across the New Zealand Alps he and his wife did with their 2 young children, and his love for other physical pursuits like surfing and climbing, is both educational and inspiring.

Ed Litton is a Staff Specialist in Intensive Care Medicine and Director of ICU Research at Fiona Stanley Hospital in Perth, Australia, and a Clinical Research Fellow in the ICU at St John of God Hospital in Subiaco. He is the recipient of a National Health and Medical Research Council Early Career Fellowship and is a Clinical Senior Lecturer at the University of Western Australia. Ed is a member of the executive committee of the Australia and New Zealand Intensive Care Society Centre for Outcomes Research Evaluation where he is clinical director of the Critical Care Resources Registry. He’s received over $6M in research support and published over 60 manuscripts in the peer reviewed literature.

I have admired Ed and his thoughtful approach to intensive care and to life for several years now. Apart from his approach to adventure and exercise he has many valuable perspectives on his bedside approach including:

What fascinates him about Intensive Care
Some of the things he learnt from his key mentors
The importance of reassurance for patients
Mixing patient-centred and digital information
The 2 phase ward round at his ICU
The internal pressure he felt as a new consultant to make fast decisions
Creating the right atmosphere in communicating with colleagues
His tendency to ruminate about his patients
Fatigue during ward rounds
His thoughts on sleep
How he uses meditation
The value of reading books
The difficulty in trying to be a jack of all trades in our careers.

Ed is caring, mature and very patient-focused. He’s also a super fit athlete. Please enjoy listening to the podcast.

Andrew Davies

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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 hear perspectives to help you improve as a healthcare professional and as a human being with the aim of helping your patients receive the best possible care.

--------------------

Links to people, organisations and other resources mentioned:

Ed Litton on Twitter: @ed_litton

New Normal Project podcast - episode 48 with Caldwell Esselstyn

New Normal Project podcast - episode 49 with Scott Stoll

Book "In Shock" (by Rana Awdish)

New Normal Project podcast – Episode 46 with Andy Ramage

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies

39 - The Best of Mastering Intensive Care in 2018 Jan 20, 2019

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

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People, organisations and resources mentioned in the episode:

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

https://www.doctorportal.com.au/mjainsight/2018/18/doctors-wellbeing-learning-from-richards-death/

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66

Email Andrew Davies: andrew@masteringintensivecare.com

38 - June Goh - Leading by creating a family-like department culture (SG-ANZICS special episode) Dec 23, 2018

How well do you know your colleagues?

How much do you socialise with them?

Do you have an annual retreat for your colleagues and their families?

After you listen to this episode you may reflect on these questions. To give your patients the very best care possible it seems obvious that your team needs to know each other, understand the strengths and weaknesses of each other, and combine and communicate well in the clinical environment.

So how much time does your department devote to fostering a department culture that feels like a family? Including getting to know each team member’s actual family. How much do you do? My Intensive Care department does this pretty well but we could always do better. And we haven’t done a retreat in my time working there.

In the final episode of 2018, you’ll listen to Dr June Goh who is all about fostering such a family environment. She came up with the idea of taking her colleagues and their families on an annual weekend retreat over a decade ago. And she organises regular resident and medical officer engagement sessions with fun activities. All of which I suspect brings them tighter together as a more harmonious team, thereby helping their patients.

June is a Senior Consultant in Singapore General Hospital and the Director of Neuroanaesthesia and Neurocritical Care. She is very involved in teaching both medical students and post graduate doctors as member of the Core Faculty Anaesthesia Residency Programme, Chair of the Residency Welfare Committee, Adjunct Assistant Professor Duke-NUS Graduate Medical School and Clinical Lecturer in the Yong Loo Lin Medical School. She chairs the Singapore General Hospital transplant oversight committee. June also currently serves on the Yong Siew Toh Conservatory of Music Board, Dover Park Hospice Governing Council and co-chairs the fundraising committee. She has been an active member and past president of the Association of Women Doctors Singapore (AWDS) helping out with the various activities organised by AWDS. June is currently President of the Singapore Council of Women’s Organisations and is passionate about women's family and health issues.

This episode was recorded in May 2018 as a live interview in front of a conference audience at the 5th SG-ANZICS Asia Pacific Intensive Care Forum. Thanks to that meeting's Organising Committee, representing Singapore’s Society of Intensive Care Medicine (SICM), Singapore, and the Australian and New Zealand Intensive Care Society (ANZICS), I was invited to conduct several live interviews for this podcast. Many thanks to Tan Hon Liang and David Ku for this opportunity.

In this conversation June also spoke on topics such as:

Her early career
Her perspective on Singaporean gender equality
How she mixed bringing up her children with being a busy doctor
Building trust and rapport to strengthen communication with patient’s families
Her perspective on some of the innovations in medical education
Coping with work stresses to stay balanced
Managing our device usage in the smartphone era
Identifying and mentoring successors to our institutional roles
Her thoughts on lifestyle factors such as yoga, exercise and sleep
Her enjoyment of fashion

The Mastering Intensive Care podcast is aimed to inspire and empower you, as an intensive care clinician, to bring your best self to the intensive care unit, through conversations with thought-provoking guests. My hope is that by listening to the show you’ll hear at least one thing to help you improve, as either a healthcare professional or as a person, with the ultimate aim of helping your patients.

Please help me to spread the message by simply telling one of 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.

This is an enjoyable, thought-provoking and wide-ranging discussion with a woman doctor who is advancing the cause of women in and out of medicine whilst also compassionately caring for her patients and her team

Thanks for listening.

Andrew Davies

--------------------

People, organisations and resources mentioned in the episode:

June Goh at Singapore Council of Women’s Organisations: http://www.scwo.org.sg/about-us/who-we-are/dr-june-goh/

June Goh at Association of Women Doctors (Singapore): http://www.awds.org.sg/dr-june-goh/

SG-ANZICS Asia Pacific Forum: http://sg-anzics.com/

Human Organ Transplant Act (Singapore): https://www.gov.sg/factually/content/what-is-hota-all-about

Article by June Goh on Gender Equality: https://www.channelnewsasia.com/news/singapore/commentary-on-gender-equality-and-whether-women-can-have-it-all-9114542

June Goh featured in Bazaar Magazine: https://www.harpersbazaar.com.sg/exclusives/bazaar-magazine/bazaar-stylish-women-2017-june-goh-rin/

June Goh featured in The Peak Magazine: https://thepeakmagazine.com.sg/interviews/june-goh-doctor-teacher-family-woman-fashionista/

New Normal Project podcast: http://newnormalproject.libsyn.com/

New Normal Project podcast - Episode 45 with Neal Barnard: http://newnormalproject.libsyn.com/episode-45-neal-barnard-how-to-start-plant-based-eating-and-which-health-benefits-you-might-expect

New Normal Project podcast - Episode 46 with Andy Ramage: http://newnormalproject.libsyn.com/episode-46-andy-ramage-using-an-alcohol-free-challenge-to-reframe-your-relationship-with-alcohol

Mastering Intensive Care podcast - Episode 37 with Michael O’Leary: http://masteringintensivecare.libsyn.com/episode-37-michael-oleary-dealing-with-the-frustrations-of-the-changing-icu-landscape-sg-anzics-special-episode

Book: “In Shock” (by Dr Rana Awdish) https://www.ranaawdishmd.com/book

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

37 - Michael O’Leary - Dealing with the frustrations of the changing ICU landscape (SG-ANZICS special episode) Dec 06, 2018

Our ICUs might be growing larger in size but there seem to be the same number of very sick patients to care for overall. All of which means we seem to be admitting a greater proportion of less unwell patients to our ICUs, especially in the larger tertiary ICUs. Given we also suffer from “bed block”, where there are no available beds in the hospital to transfer patients to, when they are no longer critically ill, our ICUs can become holding bays for effectively "ward-level" patients. This may be great for the patients but it means longer ward rounds, and a level of frustration for intensive care teams, who may feel like they are not making a significant enough difference for these less sick patients.

When A/Prof Michael O’Leary started out in Intensive Care nearly 30 years ago, he remembers being enthusiastic and busy, performing many interventions on mostly sick patients. Having now moved across the world and gained a few decades of experience, he has a great perspective on some of the challenges our larger ICUs face.

Michael is former President of the Australian & New Zealand Intensive Care Society and a Senior Specialist in Intensive Care in Sydney, working at Royal Prince Alfred Hospital and St George Private Hospital. He is Clinical Associate Professor at Sydney Medical School, The University of Sydney, and Co-State Medical Director of the New South Wales Organ and Tissue Donation Service. Michael trained in anaesthesia in the United Kingdom and holds a Fellowship of the Royal College of Anaesthetists (FRCA). His intensive care training commenced in the UK in Cambridge and continued in Sydney where he achieved Fellowship of the College of Intensive Care Medicine of Australia and New Zealand (FCICM). Michael was a Research Fellow at St Bartholomew’s Hospital, London, UK where he completed his MD degree with studies into the metabolic response to sepsis and use of glutamine and growth hormone in the amelioration of catabolism. In recent years his main interests have been in end-of-life care and organ donation in the ICU.

This episode was conducted in May 2018 as a live interview in front of a conference audience at the 5th SG-ANZICS Asia Pacific Intensive Care Forum. Thanks to that meeting's Organising Committee, representing Singapore’s Society of Intensive Care Medicine (SICM), Singapore, and the Australian and New Zealand Intensive Care Society (ANZICS), I was invited to conduct several such live interviews for this podcast. Many thanks to Tan Hon Liang and David Ku for this opportunity.

Apart from his observations about the growth and change in Intensive Care over the last few decades, Michael and I talked about:

How the SG-ANZICS meeting came to be
His career history
Being a part-time intensivist
Playing the role of Co-State Medical Director of an organ donation service
The characteristics of good intensivists
Being President of ANZICS and the importance of being involved with professional societies
Some perspectives on good communication and clinical care.

The Mastering Intensive Care podcast is aimed to inspire and empower intensive care clinicians to bring their best selves to the intensive care unit through conversations with thought-provoking guests. I genuinely believe we can help each other to improve, as both professionals and as people, so as to give the absolute best possible care to 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. 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

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Show notes (people, organisations, resources and links mentioned in the episode):

Michael O’Leary on LinkedIn: https://www.linkedin.com/in/michael-o-leary-a1222b11/?originalSubdomain=au

SG-ANZICS Asia Pacific Forum: http://sg-anzics.com/

Episode 36 with Hayley Gershengorn: http://masteringintensivecare.libsyn.com/episode-36-hayley-gershengorn-allocating-icu-resources-to-optimise-patient-outcomes-and-job-satisfaction

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

New Normal Project podcast: http://newnormalproject.libsyn.com/

Twitter handle for Andrew Davies: @andrewdavies66

Instagram handle for Andrew Davies: @andrewdavies66

Email Andrew Davies: andrew@masteringintensivecare.com

36 - Hayley Gershengorn – Allocating ICU resources to optimise patient outcomes and job satisfaction Nov 08, 2018

What number of patients should an intensivist simultaneously care for to optimise outcomes?

Is a system with different day and night intensivists best for all?

These are two of the questions discussed during the latest episode of Mastering Intensive Care in which Hayley Gershengorn shares her research and personal thoughts about resourcing our Intensive Care Units.

There is no easy answer to matching supply and demand in our workforces, not least because it is very different between the different health professionals that work in the ICU. The current resources available and the average daily demands seem to be the key decision-making drivers in many institutions and we probably have a lot to learn from analysing big data in this area. Doctors could learn a lot from how nurses staff themselves, and likely vice versa.

It is also vital that we find ways to delicately balance the needs of clinician wellness and job satisfaction with the obvious requirement for optimal patient outcomes. Turning up the screws on our staff by working them more often, in longer stretches and with an increasing number and acuity of patients, will inevitably increase burnout rates and lead to suboptimal patient outcomes. The more we can talk about this, and study it, as Hayley is doing, the better.

Hayley is an Associate Professor of Pulmonary and Critical Care Medicine at the University of Miami, Miller School of Medicine. She received her medical degree from Harvard Medical School and completed a residency in Internal Medicine at New York Presbyterian Hospital-Cornell and a fellowship in Pulmonary and Critical Care Medicine at New York Presbyterian Hospital-Columbia. Hayley’s research program focuses on the allocation of ICU resources and the impact such allocation has on the outcomes of critically ill patients. In particular, she is interested in understanding how (1) ICU staffing and (2) practices which may be tied to staffing, affect patient outcomes.

In addition to ICU resourcing Hayley talked about:

Her medical training background
Her initial study of mathematics
A “gap” year she took as a management consultant
What gives her the most enjoyment in intensive care
Her thoughts on her own institution’s staffing model
Why some people choose to be full-time nocturnal intensivists
The concept of strain - on ICUs and on intensivists
How we might better understand staff well-being
The benefits to her of switching between clinical duties and research
The advice her parents gave about achieving balance
Her own lifestyle including exercise, movies, outdoor activities and sleep
Bringing her best self to work often involves asking for help
The benefits of having trainees always watching her
Using group messaging service chats to attend to emotional needs
The struggles of finding people to trust when moving institutions
Thoughts on mentoring and coaching in intensive care medicine
Her focus on human connection in communication
Being open with families by answering personal questions
Crediting her psychologist mother for helping her communicate

The Mastering Intensive Care podcast is aimed to inspire and empower intensive care clinicians to bring their best self to the intensive care unit through conversations with such thought-provoking guests as Hayley Gershengorn. I genuinely believe we can help each other to improve, as both professionals and as people, so as to give the absolute best possible care to 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. 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

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Show notes (people, organisations, resources and links mentioned in the episode):

Hayley Gershengorn profile: https://doctors.umiamihealth.org/provider/Hayley+Beth+Gershengorn/525503

Twitter handle for Hayley Gershengorn: @HBGMD

UK-based study conducted by Hayley and colleagues: https://www.ncbi.nlm.nih.gov/pubmed/28118657

Episode 35 with Paul Wischmeyer: http://masteringintensivecare.libsyn.com/episode-35-paul-wischmeyer-never-underestimate-the-simple-things-we-do-to-our-patients

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

New Normal Project podcast: http://newnormalproject.libsyn.com/

Twitter handle for Andrew Davies: @andrewdavies66

Instagram handle for Andrew Davies: @andrewdavies66

Email Andrew Davies: andrew@masteringintensivecare.com

35 - Paul Wischmeyer - Never underestimate the simple things we do to our patients Sep 28, 2018

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&type=Intr&cntry=AU&city=Adelaide&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

34 - Marianne Chapman – Keeping your focus of expertise purposefully narrow Sep 12, 2018

Do you have too many career interests outside of your basic clinical practice?

Are your daily focus areas as few as three? Family, clinical and perhaps one other thing?

In this episode Australian intensivist, Marianne Chapman, speaks about how she keeps her life under control by focussing on her big three - family, clinical and research. This allows her to manage the stresses of an intensive care career. She sometimes has to say no very deliberately, and although she finds this hard, it helps her manage the workload. She notices that some of her colleagues seem to want to be experts in several areas, and whilst this may be important at the beginning of our careers, this can be a recipe for disaster for some of us over the longer term.

Marianne is a Senior Staff Specialist in Intensive Care Medicine at the Royal Adelaide Hospital and a Clinical Professor of Acute Care Medicine in the School of Medicine at the University of Adelaide, both in Adelaide, Australia. Her clinical research interests include gastrointestinal dysfunction underlying problems with the administration of enteral nutrition and the clinical effects of nutrition in the critically ill. Marianne is an eminent international researcher in this field and has published extensively on these topics.

Marianne and I recorded our conversation a little while ago and it’s great to be able to air it now. In the interview, Marianne spoke about:

How she sees every clinical encounter as a teaching experience, and how she learns a lot from her senior trainees
The feeling of being drained and tired from a busy day teaching at work
How caring for the patient and their outcome, whilst improving our knowledge base, helps us become the best we can be
What it is like to have moved into a new building at her hospital
The benefits of doing multi-disciplinary and collaborative Grand Rounds
What role she takes in urgent clinical encounters
How deaths in her own family have made her realise that how we approach families can significantly influence grief
How huge cost savings may eventuate if intensivists are well-trained in communication with families
What words and phrases she uses in communication encounters
The pros and cons of 7 day stretches for ICU consultants
Why research helps her feel like she is doing better care for patients
The difficulties of a research career – which brings a different form of stress to clinical work
How she manages stress by remembering that family comes first
The value she sees from physical exercise
The difficulty associated with looking after colleagues we are worried about
How she has balanced family and work over her career
Her thoughts on the issues of gender in intensive care
How she might manage the transition towards retirement
Her concerns about some clinicians having a need to always do something – and that maybe less is better
Becoming involved with clinical trials groups is a great way to start a research career

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 Marianne Chapman. 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. 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.

Marianne is an erudite, thoughtful, patient and humble intensivist with an excellent approach to not becoming overloaded. Please enjoy listening to the podcast.

Andrew Davies

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Show notes (people, organisations, resources and links mentioned in the episode):

ANZICS Clinical Trials Group: https://www.anzics.com.au/about-the-ctg/

TARGET study: https://clinicaltrials.gov/ct2/show/NCT02306746?term=TARGET+nutrition&type=Intr&cntry=AU&city=Adelaide&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

33 - Wes Ely - Finding out what matters to our patients Aug 23, 2018

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

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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

32 - Kate Harding - Losing Richard - What can we learn from her intensivist husband’s shocking death? Jun 27, 2018

What is it like to witness an intensivist struggle?

And what can we learn from the shocking death of an intensivist?

This special Mastering Intensive Care episode is on a difficult and important topic. Rather than focusing on bringing our best selves to work, the focus of this episode is the ultimate tragedy of our profession, doctor suicide.

I warn you that this is a sad and confronting story about the troubling situation intensivist Richard Harding went through, including dealing with a mental health condition as well as a medical complaint made against him, before ultimately taking his own life 8 months ago in New Zealand.

Richard’s death is still under investigation by the New Zealand Coroner and the findings as to the final cause and circumstances of his death have not been released. In this podcast, his wife, Kate Harding, describes her observations and perspectives on what happened to Richard.

I didn’t know Richard. I only came to know of his death when Kate wrote a blog piece in the British Medical Journal. It was sad and it was moving. When she published another article in the Guardian two months later, I figured that whilst Kate was grieving as she dealt with the aftermath of a serious life crisis, she wanted to tell her story to help others.

Kate grew up in Brussels, went to medical school in Glasgow, and has worked all over the UK as well as in Australia and in New Zealand. She is primarily a hospice doctor, but also works part-time as a GP. Kate also enjoys writing and her engrossing articles are linked below.

Richard and Kate emigrated to New Zealand with their teenage children in 2016 but after his untimely death in October 2017, Kate and her children have returned to the UK. She has a strong interest in mental health, as well as in doctors’ wellbeing, with a particular focus on the General Medical Council complaints procedure. Kate tells us that Richard’s depression and subsequent death were in large part triggered by the stress of going through his first ever GMC complaint, despite being completely exonerated from any wrongdoing.

Kate and her children are adjusting to their new life back in Britain, while missing Richard desperately, as well as their community in Whangarei, NZ. Kate has started running, tries to attend her Buddhist group every week, drinks far too much coffee, and lavishes unhealthy amounts of love on her long-suffering cavalier, Mo. Mainly, though, she worries about her children. Work helps to ground her, as does the mountain of financial, legal and general paperwork that now rules her life.

The main purpose of this interview is to help Kate in advancing the conversation about suicide, about mental health, about dealing with medical complaints and to discuss the simple fact that our jobs and lives as intensive care professionals are arduous. When our colleagues die in these circumstances we must reflect on what this means for us as a specialty. We need to reduce the stresses and pressures we all feel in our work and our lives and we need to ask each other if we are OK.

Please help me to spread the message by simply emailing your colleagues, or posting on social media. You can leave a question or comment on the Facebook “mastering intensive care” page, on the Life In The Fast Lane episode page, on twitter using #masteringintensivecare and @andrewdavies66, or by sending me an email at andrew@masteringintensivecare.com.

On this topic there are no easy solutions. Doctors have a significantly higher suicide rate than the general population. Whilst all situations are unique and individual, there seems so much we can learn to prevent our colleagues and our friends from going through what Kate is. It is a privilege to bring you my conversation with Dr Kate Harding.

Andrew Davies

If you feel you need help, please call your national 24 hour hour crisis counseling service. In Australia go to www.lifeline.org.au or www. beyondblue.org.au.

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Show notes (people, organisations, resources or links mentioned in the episode):

Lifeline: www.lifeline.org.au

Beyond Blue: www.beyondblue.org.au

Blog piece in British Medical Journal written by Kate Harding: https://blogs.bmj.com/bmj/2017/12/14/kate-harding-i-have-lost-my-husband-could-not-be-more-accurate-it-feels-like-a-carelessness/

Article in The Guardian written by Kate Harding: https://www.theguardian.com/lifeandstyle/2018/feb/24/went-walk-returned-husband-suicide-depression

General Medical Council: https://www.gmc-uk.org/

Kate Harding on Twitter: @KateJH1970

Other articles written by Dr Kate Harding:

http://www.pulsetoday.co.uk/views/blogs/adjusting-to-widowhood-and-gp-life-back-in-the-uk/20036549.article

http://www.pulsetoday.co.uk/views/blogs/dr-kate-harding/finding-solace-in-ae/20036708.article

http://www.pulsetoday.co.uk/views/blogs/dr-kate-harding/an-exercise-in-patience/20036872.article

Book “Why We Sleep: The New Science of Sleep and Dreams” (Matthew Walker): https://www.amazon.com.au/Why-We-Sleep-Science-Dreams/dp/0241269067

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

31 - Jean-Louis Vincent - The Intensive Care ward round should not be boring Jun 12, 2018

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 & 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

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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

30 - Francesca Rubulotta - Clinical simplicity, passionate leadership and educational innovation May 29, 2018

In this week’s episode you’ll hear an invigorating conversation with Francesca Rubulotta. This power-packed, enthusiastic, passionate, water polo-playing, Italian doctor, now living and working in London, UK, is seriously ambitious to help patients other than those in her ICU, mostly by advancing education using technological innovation.

Francesca is a Consultant and Honorary Senior Clinical Lecturer in Anaesthesia and Intensive Care Medicine at Imperial College Medical School. She studied medicine and anaesthesia in Italy and intensive care in Belgium, but also worked in the USA and the Netherlands on a journey that arrived in London 10 years ago. Francesca has been the Chair of the past division of professional development of the European Society of Intensive Care Medicine (ESICM) and is currently the Chair of the ESICM’s CoBaTrICE project. She leads and has led many other committees and organisations, and is presently the first ever female Presidential candidate in the ESICM general election (with the ballot open until June 11).

Francesca has diverse clinical interests including end of life care, ethical aspects of intensive care, rapid response systems, and clinical research. She speaks 5 European languages, travels and speaks around the globe and has won masters world championships as a waterpolo player.

In this conversation, Francesca demonstrates a deep understanding of, a strong passion for and substantial experience in running educational programs and courses in an innovative way using digital technology. She also tells of her desire to maximize the reach of education to less-developed areas of the world and her hope for more balance between the genders in intensive care. We also cover:

The story of her multinational career so far
How she obtained her current job in the United Kingdom
How her intensive care career began by translating her intensivist father’s slides into English as a high school student
How both she and her sister are now intensivists
The benefits of training under some of the superstars of intensive care
Her observation that the best intensivists keep it simple
A story about how her change in demeanour helped her team understand how a clinical situation had turned serious
The importance of empowering junior staff to make decisions
Her fundamental desire to have daily physical contact with each patient
How she took an ex-long-term ICU patient to the pub
Raised expectations that educators should now deliver TED-like talks
The honour of standing as an election candidate to be ESICM President
The possibility of a global intensive care society one day
Her passion for waterpolo and the vital importance of following our passions outside of medicine
How yoga helps her look after her mind
Learning from the mistakes she has made along the way
And some thoughts about gender inequality in intensive care.

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.

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):

Link to Francesca Rubulotta’s ESICM President campaign: https://mailchi.mp/b3364cf0ed73/francesca-rubulotta-esicm?utm_source=mailchimp&utm_campaign=030026c6e1f0&utm_medium=page

Francesca Rubulotta’s logo, suggesting representation (globe), education (eye) and innovation (light):

Twitter handle for Francesca Rubulotta: @frubulotta

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

Email Andrew Davies: andrew@masteringintensivecare.com

29 - Claire Davies - Listen to our intensive care nurses May 10, 2018

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

28 - Simon Finfer - Querying clinical decisions and maintaining humanity in an intimidating environment Apr 06, 2018

Does each bedside decision you make actually help your patient to feel, function or survive?

Have you considered how frightening and intimidating the Intensive Care Unit environment is to your patients and their families?

Do you feel empowered by the people you work with and the culture in your ICU?

Simon Finfer loves telling a tale. In this episode you’ll hear the story of the serendipitous and multi-national route Simon took to end up working for 25 years in one of Australia’s premiere Intensive Care Units. An Intensive Care Department where his colleagues and the culture they developed has fostered him to become one of Australia’s prominent intensive care researchers. You’ll also hear how he teaches his junior colleagues to question everything they do at the bedside to ensure their decisions truly help the patient.

Simon is a Professorial Fellow in the Critical Care and Trauma Division at The George Institute for Global Health, a Senior Intensivist at Royal North Shore Hospital and Director of Intensive Care at the Sydney Adventist Hospital in Sydney, Australia. He is an Adjunct Professor at the University of New South Wales, a Clinical Professor at the University of Sydney and is a past-Chair of the Australian and New Zealand Intensive Care Society (ANZICS) Clinical Trials Group. Simon is a world leader in Sepsis and is an international expert in the design and conduct of large scale randomised controlled trials in Intensive Care.

Simon has collaborated with me (and many others) through the ANZICS Clinical Trials Group, so we caught up at the Group’s recent 20th Annual Meeting on Clinical Trials in Intensive Care at Noosa Heads in Queensland. We had a fascinating conversation in which Simon talked about:

His early career in London where he was simply working too hard
The circuitous route he took to Royal North Shore Hospital in Sydney
The magnificent people-oriented culture inspired by Malcolm Fisher
His early collaboration with the George Institute for Global Health
How showing you care is what matters most in an end of life discussion
His thoughts on having family at the bedside for ward rounds
How the golf course is the only place he doesn’t think about patients
How moving to a property with animals has brought relaxation and peace
The rekindling of his passion for motorbike riding
Why he got a Twitter account and how social media is both a force for good and an echo chamber
How it’s almost “too easy” to write a paper in modern times
The unlikelihood of a magic bullet arriving anytime soon
His advice to look after our selves, to embrace uncertainty and to maintain our humanity

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 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)

5th SG-ANZICS Asia Pacific Intensive Care Forum: www.sg-anzics.com

ANZICS Clinical Trials Group: http://www.anzicsctg.org/

More information about Simon Finfer: https://www.georgeinstitute.org/people/simon-finfer

Twitter handle for Simon Finfer: @icuresearch

SAFE study: https://www.ncbi.nlm.nih.gov/pubmed/15163774

NICE-SUGAR study: https://www.ncbi.nlm.nih.gov/pubmed/19318384

SMACC: https://www.smacc.net.au/

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

27 - John Santamaria - Genuine care for patients both during and after the ICU stay Mar 08, 2018

How well do you understand what happens to your patients after they leave the ICU?

Do you find out how they go and feed this back to your ICU team?

Most of you give excellent care to your patients whilst they are in the intensive care unit. No doubt this will be compassionate, appropriate, diligent, information-driven, holistic, team-based and communicative care.

But when they leave the ICU, do you know what happens to them? Do you know if they actually leave the hospital? Do you know how they sleep, how long they remain confused for? What their final diagnosis on hospital discharge was?

This is what A/Prof John Santamaria genuinely cares about. This is what he endeavours to find out. He is curious. John wants to know these things so he can better inform his patients before they leave the ICU and so he can keep his team up to date with what happened. Of course much of it is straightforward. The lady with pneumonia gradually got better and went home. The old man who had the laparotomy remained confused for 10 days, and then gradually became well enough to go off to rehabilitation. But sometimes there are surprises. The woman you thought had a simple urinary tract infection actually developed a secondary pneumonia in the ward and died after the treating team deemed another round of ICU to be inappropriate. The man with the acute pulmonary oedema who rapidly responded to CPAP but then developed a pulmonary embolism out on the ward.

I know I could do better at understanding these things. It’s not that I’m not curious, it’s more that I get busy with the new patients, or the other jobs I have. Or recording the next podcast! I think after listening to this episode of Mastering Intensive Care with John Santamaria, you might think a bit about following up your ex-ICU patients more carefully.

John is Director of Intensive Care at St Vincent’s Hospital in Melbourne, Australia. He trained both at St Vincent’s and Royal Melbourne Hospitals, in respiratory and intensive care medicine. After completing a doctorate of medicine on the control of breathing and postdoctoral studies in Vancouver, Canada, he returned to St Vincent’s in 1985. John has been a past chair of the Victorian branch of ANZICS and President of ANZICS. He currently chairs the Victorian Intensive Care Data Review Committee. His interests include mechanical ventilation, performance monitoring, clinical outcomes and clinical informatics.

John is the current longest-serving Director of Intensive Care in Melbourne and anyone who works at St Vincent’s speaks so highly of his clinical care and his departmental leadership. He willingly let me interview him and we talked about a range of topics including:

How he came to intensive care from respiratory medicine
His appointment as ICU director at age 28
How some of his early career mentors influenced him
The importance of close examination of patients
How he balances teaching and clinical work on a ward round
His perspectives on an electronic medical record and how the data from it can improve the quality of practice
The need for intensivists to be open to suggestions from other team members
The regular offer he makes to his nurses to call him when he is on call
His take on end of life care and the family conversations involved
How he collects data on his ICU’s patients on a daily basis (now over 30,000 patients)
The use of technology like list managers, automatic reminders and SMS notifications of abnormal results
His love of exercise, particularly early in the morning
John’s advice on how to have a medical literature reading program
Some thoughts about sleep, sleep deprivation and alerting medications
And a few regrets he has...

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 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)

MANIC Course: https://www.baxterprofessional.com.au/manic/

Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com/

Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care/

26 - Peter Kruger - Does anecdotal experience help you provide better intensive care? Feb 22, 2018

How do you balance the use of your clinical experience with the literature-based evidence?

Are you a good enough listener?

Is the clinical handover in your ICU the best it could be?

I’ve been reflecting on these questions since I talked to A/Prof Peter Kruger for this week’s Mastering Intensive Care podcast.

Peter is Deputy Director of Intensive Care at the Princess Alexandra Hospital in Brisbane, Australia and an Associate Professor at both the University of Queensland and Monash University in Melbourne. He holds specialist qualifications in both Anaesthesia and Intensive Care and has experience in both laboratory and clinical research. He is the immediate past chair and a senior examiner for the first part examination of the College of Intensive Care Medicine of Australia and New Zealand and a primary examiner for the Australian and New Zealand College of Anaesthetists. He is a board member of the College of Intensive Care Medicine and of The Intensive Care Foundation. In addition to his clinical and teaching roles his active research interests include clinical trial design, utilising clinical information systems to facilitate research, weaning patients from mechanical ventilation and the management of severe sepsis.

Peter is one of those doctors who mixes research, teaching and clinical care really well. So he is perfectly placed to speak on a bunch of topics in this episode, like:

How the people and the variety keeps him coming back to work in the ICU
Why he enjoys working in a “strong” ICU and what that means
Some of the habits he noticed in his mentors
The importance of not being in a rush when on clinical duties
The varying style of his clinical ward rounds
The value of making brief contact with families during bedside handovers
What he talked about when he recently gave a presentation entitled “Does what I think I know matter anymore?”
How anecdotal experience does impact on our clinical practice
Following up those who survive as patients in the ICU (and their families too) can help prevent a series of future problems
The value of eye contact, listening, deliberate use of words and pauses in good communication
Peter’s change in thinking about shift handover after reading a paper 10 years ago
How talking to families is the highlight of his job
The value he sees in sailing yachts to help mind, body and soul
His thoughts on aging and working as an intensivist
Some vital tips for the less experienced

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)

MANIC Course: https://www.baxterprofessional.com.au/manic/

Princess Alexandra Hospital: https://metrosouth.health.qld.gov.au/princess-alexandra-hospital

University of Queensland: https://www.uq.edu.au/

Monash University: https://www.monash.edu/

CICM: https://www.cicm.org.au/

ANZCA: http://www.anzca.edu.au/

Intensive Care Foundation: http://www.intensivecarefoundation.org.au/

ANZICS CTG: http://www.anzics.com.au/Pages/CTG/CTG-home.aspx

ANZICS/ACCCN annual conference: http://intensivecareasm2017.com.au/

Journal article on “Patient Care, Square-Rigger Sailing, and Safety": https://www.ncbi.nlm.nih.gov/pubmed/18840843

Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com/

Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care/

25 - Sarah Yong - Making an excellent start to an intensive care career Feb 01, 2018

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/

24 - The Best of Mastering Intensive Care in 2017 (Part 2) Jan 17, 2018

A year ago there was no such thing as the Mastering Intensive Care podcast. Now there are 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.

Here are the final five of the best 2017 guests, to follow on from the first five in the last 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

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Resources from people, organisations and things mentioned in this episode:

MIC Episode 9 with John Myburgh: http://masteringintensivecare.libsyn.com/episode-9-john-myburgh-the-importance-of-the-intensive-care-clinical-ward-round

MIC Episode 12 with Julia Wendon: http://masteringintensivecare.libsyn.com/episode-12-julia-wendon-making-the-patient-the-centre-of-everything

MIC Episode 20 with Jack Iwashyna: http://masteringintensivecare.libsyn.com/episode-20-jack-iwashyna-icu-adventure-camp-time-limited-life-support-trials-and-regular-talks-with-families-dassmacc-special-episode

MIC Episode 10 with Imogen Mitchell: http://masteringintensivecare.libsyn.com/episode-10-imogen-mitchell-an-intensivist-and-dean-of-medicine-focused-on-communication-and-clinical-decision-making

MIC Episode 2 with John Botha: http://masteringintensivecare.libsyn.com/episode-2-john-botha-exemplary-leadership-in-the-icu

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

23 - The Best of Mastering Intensive Care in 2017 (Part 1) Jan 03, 2018

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

22 - Felicity Hawker - A true female pioneer of Intensive Care Dec 13, 2017

This week’s Mastering Intensive Care podcast features Dr Felicity Hawker who is one of the true female pioneers of Intensive Care in Australia and New Zealand.

I had the privilege of working with Felicity for over a decade from when I began as a brand new intensive care consultant over 20 years ago and I came to admire her greatly. Mainly because I witnessed first hand someone who was a master clinician – astute, careful, diligent, systematic, thoughtful, compassionate and knowledgeable. Felicity always handed over the patients in a considered and packaged patient-focused manner. She was a pleasure to work with and I learnt so much from such a high quality role model.

Felicity grew up and went to medical school in the Australian state of Tasmania, before completing specialist training in Melbourne, Glasgow and Sydney. She became the Co-director of the ICU at Royal Prince Alfred Hospital in 1985 before moving to Melbourne to be the Director of the Cabrini Hospital ICU from 1995 until 2008, during which time she also worked as a part time intensive care specialist at the Alfred Hospital. She continues to work at Cabrini as the Chair of the Deteriorating Patient Committee.

None of this spells out well enough that in the late 1970s and early 1980s, when Felicity was doing her specialist training, intensive care was an almost totally male-dominated specialty (certainly in Australia and New Zealand). Many more women have joined her and us over the years but surely the path she forged can’t have been easy. Nevertheless, Felicity has published extensively, written a book on the liver in critical illness, spoken at many scientific meetings and been highly respected in our community.

Felicity’s other major contribution has been her committee work at every level of education and training in the various Australian and New Zealand intensive care training institutions since the early 1990s. With other colleagues she was instrumental in bringing together the anaesthetic and the physician training programs through several iterations to ultimately become what is now a stand-alone College of Intensive Care Medicine (CICM), and where she is now the Director of Professional Affairs. Felicity was the inaugural Dean of the then Joint Faculty of Intensive Care Medicine (JFICM) from 2000-2002 and was awarded the JFICM medal in 2009. Since 2005 she has been honoured with the annual presentation of the prestigious Felicity Hawker Medal to the best research presentation by a trainee at the Annual Scientific Meeting of the CICM.

I am extremely grateful to have had the opportunity to talk with Felicity, as in my eyes she has been a brilliant clinician at the bedside, a female pioneer in our specialty and a person who has strived to ensure proficient, knowledgeable and professional intensive care specialists are developed over the course of specialty training in Australia and New Zealand. In the episode we talk about many things, including:

The early course of her career and what attracted her to intensive care
The enjoyable relationships she has made with intensive care trainees
The importance of diagnosis and the need to remain curious and sceptical
Her time spent training in Glasgow as a Shock Team registrar
The influence of a dynamic female consultant during her own training
How attitudes and outcomes have changed since when she was one of 2 consultants at what is now one of the biggest ICUs in Sydney
The characteristics she thinks good intensivists require
Communicating with colleagues and patient’s families
Her highly valuable published survey of the issues female intensivists face
How research has changed since her early career
Her views on winding down an active intensive care career
Her earlier successful horse riding career
Her current role as a doctor at professional horse racing meetings
How she has dealt with the stress of an intensive care career
Her observation that many intensivists want to be educationalists
Her enjoyment of family, cryptic crosswords, reading and travel
And some valuable advice to 35 year old intensive care doctors

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, our fellow healthcare professionals and indeed ourselves so that we can achieve the most satisfactory outcomes for all. Please help me to spread the word 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. Please do the very best you can for your patients.

Andrew Davies

Show notes (people, organisations, resources or links mentioned in the episode)

CICM: https://www.cicm.org.au/

CICM honours: https://www.cicm.org.au/About/Honours-Awards

Felicity Hawker medal: https://www.cicm.org.au/Trainees/Assessments-and-Examinations/Formal-Projects#FelicityHawkerMedal

Published paper on survey of female specialists in intensive care medicine: https://www.ncbi.nlm.nih.gov/pubmed/27242111

Felicity Hawker on LinkedIn: https://www.linkedin.com/in/felicity-hawker-728a3025/

Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com/

Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care/

21 - Martin Bromiley - Turning tragedy into safer healthcare with attention to human factors (DasSMACC special episode) Dec 01, 2017

Are we truly making healthcare safer?

Do we adequately understand human factors in how we work in hospitals?

How would you respond if your partner died from a “routine operation”?

These are just 3 of the questions you are likely to ponder as you listen to this interview with Martin Bromiley OBE from the United Kingdom on the Mastering Intensive Care podcast.

Whilst many people that we care for in our Intensive Care Units receive excellent care, sadly there are some who end up in our ICUs after something goes unexpectedly wrong during a routine operation. Tragically some of these people die. Not due to anything they did, but from medical error.

In the final DasSMACC special episode, I speak to Martin Bromiley, who became a widower when his wife, Elaine, died in such circumstances 12 years ago. In what has been described as “the direct result of human factors and failings in non-technical skills, created by systemic failings in the healthcare system”. Martin didn’t blame, shame or complain. He did his best to move forward by researching the culture in healthcare around safety and human factors. And he recognised that although there were pockets of excellence the UK’s National Health Service was culturally a long way behind most other high risk industries. As a result of his experiences Martin supported the making of a DVD entitled “Just a routine operation” which explored the lessons of his late wife’s death, as well as a BBC Horizon programme about human factors called "How to avoid mistakes in surgery".

Professionally Martin works in aviation where he is a pilot for a major UK airline and where he has a background specialising in human factors. Therefore, Martin founded the Clinical Human Factors Group, a non profit-making charitable trust which aims to advise and promote best practice around human factors. Since then the Group has promoted human factors at the highest levels in healthcare, making a significant contribution to current thinking. More significantly though, the terms human factors and system safety are becoming much more commonly understood in healthcare, much of which is due to Martin’s efforts and leadership. His work has been recognised through awards from the Royal College of Anaesthetists, the Difficult Airway Society, and the patient support group “Action Against Medical Accidents”. In the 2016 New Year Honours list Martin was awarded an OBE for his work to further patient safety.

Martin was a speaker at the DasSMACC conference in Berlin back in June, and after delivering an enthralling talk entitled “How To Fail”, we went to a quiet room to record an interview. We had an important conversation and touched on:

The tragic case of Elaine and her death after a routine operation
How Martin dealt with it
What support Martin received in and out of the hospital
What Martin has been doing to try to improve safety in healthcare
What healthcare can and cannot learn from the aviation industry
His 3 key messages about human factors
How he uses mental rehearsal to be the best airline pilot he can be

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, 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.

Please also consider making a donation to the Clinical Human Factors Group here.

Thanks for listening. Please do the very best you can for your patients.

Andrew Davies

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Links related to Martin Bromiley

Martin Bromiley

Martin Bromiley on Twitter: @MartinBromiley

Martin Bromiley on LinkedIn

Clinical Human Factors Group

Donations to Clinical Human Factors Group

Video “Just a routine operation”

Video “How to Fail…Part Two” (a talk by Martin Bromiley at DasSMACC conference)

Video “Martin Bromiley, a Patient’s Perspective” (talk by Martin Bromiley at Patient Safety Movement)

Anonymous version of an Independent Report on the death of Elaine Bromiley

Article “The husbands story: from tragedy to learning and action” (authored by Martin Bromiley)

Article "Clinical Human Factors" (co-authored by Martin Bromiley)

Article 1 on Martin Bromiley

Article 2 on Martin Bromiley

Article 3 on Martin Bromiley

Article “Lessons from the Bromiley Case” (by Mike Cadogan on Life In The Fast Lane)

Links to other resources (in order of mentioning)

Book “Black Box Thinking” (by Matthew Syed)

TED

Paper on the Safety 1 and Safety 2 model

Second paper on the Safety 1 and Safety 2 model

Third article on the Safety 1 and Safety 2 model

Jim Harlow on Twitter

Links related to Mastering Intensive Care podcast

Andrew Davies on Twitter: @andrewdavies66

Andrew Davies on Instagram: @andrewdavies66