Happy Christmas all! A usurper takes the reins in this episode which allows Jonathan to talk about himself. Hope thats not too narcissistic! 

Some old guests make an appearance as well. Hope you enjoy it and Have a great Christmas.

Garry Swann returns to talk about the propsed imminent changes that will mean more practitioners across specialties making a difference to patient flow.

Garry first spoke to us in episode 015 and this is a continuation of that chat with some very important updates.

In an attempt to further my understanding of some of the methods used in research Gavin Denton (@dentongavin) and I had a discussion about the SepsisPAM trial below. This is a new approach on the podcast and one which I hope people will find useful. We go through the article using a systematic approach, and you can find the links to the CASP tool we use here. We also refer to CEBM.net here. We also try to stop to discuss any terminology which we were not too familiar with or needs clarification to help others understand it.

We would be really grateful for any feedback to let us know what you think.

Could we do it differently? A different format? Let me know via the speak pipe link to the side of this page.

High versus Low Blood-Pressure Target in Patients with Septic Shock

Pierre Asfar, M.D., Ph.D., Ferhat Meziani, M.D., Ph.D., Jean-François Hamel, M.D., Fabien Grelon, M.D., Bruno Megarbane, M.D., Ph.D., Nadia Anguel, M.D., Jean-Paul Mira, M.D., Ph.D., Pierre-François Dequin, M.D., Ph.D., Soizic Gergaud, M.D., Nicolas Weiss, M.D., Ph.D., François Legay, M.D.,

N Engl J Med 2014; 370:1583-1593April 24, 2014DOI: 10.1056/NEJMoa1312173

In this podcast episode I was lucky enough to have a discussion with Ollie Poole who is a respiratory therapist in Canada. 

I came across Ollies' YouTube site Respiratory Review and was very impressed with his series on mechanical ventilation helping to explain some of the terminology and reasoning behind how we ventilate patients. He breaks down the issues in a logical, well ordered format....so go and listen to them.

Our plan is to have a series of chats about mechanical ventilation based around his YouTube v ideos, so watch this space!

SMACC US programme is now out and it looks fabulous! A great variety of subjects over 3 days. I think the biggest problem will be deciding which lectures to go to. I am hoping to have a chat with Oli Flower in the future to discuss some of their plans.

The History Taking and Clinical Examination course I ran in Walsall went very well in September, and we have now booked another one 23-25th Febraury 2015. If you want to come along and join us then please do.

If you found this teaching about mechanical ventilation useful then let me know? Should we do more or less of this kind of thing. I want to be able to provide useful things to my audience so would be grateful for the feedback.

Simon Cooper is an Associate Professor at Monash University in Australia and developed the First2Act website which looks at the management of the deteriorating patient using multi media teaching tools.

I have been an advocate of using YouTube for many years now and one of the YouTube resources I have used for a while now is that created by Dr Eric Strong. I love his style and he teaches a lot of subjects which I encounter in critical and emergency care.

People often ask me which book they should read around various subjects and instead of pointing them to books I direct them to YouTube. If you find the right teacher, the visual element and voice over provided by YouTube I believe is a much better way to learn.

There are many more YouTube learning resources:

Andrew Wolf is an Assistant Professor & the Coordinator for Online Education at the University of Rochester School of Nursing. In addition to teaching physiology and pathophysiology, Andrew works as an acute care nurse practitioner for a general surgery service. His past clinical experience includes thoracic surgery, surgical intensive care, and oncology.

Armando Hasudungan  "I am not a doctor or professor, I am a student. I make these videos cause I enjoy art and science. Im not saying im 100% correct in all my videos. But I do try to obtain the information from credible sources."

Bozeman Science "Paul Andersen teaches science at Bozeman High School in Bozeman, MT. He is the 2011 Montana Teacher of the Year."

Handwritten Tutorials is a source of entirely FREE easy-to-understand medical tutorials

Interactive Biology "Many People struggle with Biology. I try to make it EASIER and FUN"

KhanAcademymedicine " Our mission is to provide a world-class education for anyone, anywhere. This channel includes Khan Academy videos on Medicine, presented by Rishi Desai, MD. All Khan Academy content is available for free at www.khanacademy.org."

MedCram "  Medical Topics Explained Clearly by World-Class Instructors. Free medical lectures for health care professionals and students. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, school and board examinations. SPEAKER: Roger Seheult, MD Clinical and Exam Preparation Instructor. Board Certified in Internal Medicine, Pulmonology, Critical Care, and Sleep Medicine.

Respiratory Review "These videos will cover many areas of respiratory care including: Gas Exchange at the Alveoli, Principles of Mechanical Ventilation, ABG interpretation, Pulmonary Function Testing and hopefully many more. I am a Registered Respiratory Therapist (RRT) working in Halifax NS, Canada. I'm also part of a critical care research team in Halifax, and have published my own papers as well." 

Terry Shaneyfelt 

"These are my videos about

1) Evidence based medicine

2) Perioperative evaluation and management

3) Teaching"

I hope you love these YouTube videos as much as I do. if you know any others then get in touch and let me know.....

This is a discussion with Garry Swann. Garry is the Consultant nurse lead in the Emergency Department at the Heart of England NHS Trust and is one of the main driving forces behind the development of the Advanced Clinical Practitioner roles at this trust. 

I made contact with Dr Segun Olunsanya via Twitter to discuss some of the issues around the fluid management of the sick patient. He in turn persuaded a couple of others involved in ITU. This has led to this fascinating discussion around this issue and it is one of the podcasts I am most pleased with.

A chat with Dr Louise Rose about her work in a weaning centre for the long term ventialted patient.

ICU-Acquired Weakness and recovery from Critical Illness. N Engl J Med 370;17 nejm.org april 24, 2014

An interview with Dr John Kress, an ITU physician from the University of Chicago. Dr Kress is a highly respected and well published doctor with an interest in ICU acquired weakness, one of his more well known papers being " Daily Interruption of Sedative Infusions in Critically Ill Patients Undergoing Mechanical Ventilation" which discussed the use of sedation breaks in the critically ill patients in intensive care.

Dr Kress very kindly agreed to help me understand some of the principles involved in this paper.

Another busy time in the world of the Critical Care Practitioner! This episode focuses on a discussion I had with Kaye Rolls (@Kaye_rolls) Clinical Nurse Consultant at the Intensive Care Coordination & Monitoring Unit (ICCMU).

She and I had a Twitter discussion around a couple of articles she had read about the use of social media by health care professions.

The first was "Social media: the way forward or a waste of time for physicians?" J R Coll Physicians Edinb 2013; 43:318–22. This is an article in two parts giving opposite sides of the argument. Both Kaye and I certainly disagree with one of them!

The second article was "Twelve tips for using social media as a medical educator" Medical Educator 2014; 36: 284–290 which offers a number of hints for making the most of this valuable resource.

The recent Celebration Day Jam
by many involved in the NHS Change Day was a webinar led by Helen Bevan, a lady I am hoping to speak to in the near future. This was a fabulous day and very interesting...its the way of the future!

Should we still be doing cricoid pressure? There are some very strong opinions out there. Minh Le Cong was kind enough to join me to discuss this important issue and we sort of arrived at a conclusion!

I get a chance to speak to some of those who were at SMACC Gold and also to Chris Nickson one of the organisers.

Claire Flatt is a staff nurse at the Heart of England NHS Trust. Sge shares her passion for nursing and describes her role as a Caremaker and an RCN Committee member

Bethan Bishop is Head of Innovation and Industry Engagement at the Heart of England NHS Trust in Birmingham. In this podcast she discusses how this role came about, having come from a background in the Pharmaceutical industry.

She works as part of the MIDRU team which aims to help in the innovation process. She is also involved with the Birmingham Science City initiative which is a partnership of public, private and HE sectors that aims to develop, use and promote science, technology to stimulate innovation to improve economic prosperity and quality of life.

There is a mention of the document "Innovation Health and Wealth" an important government paper and of the Academic Health Science Networks.

Bethan is obviously very passionate about her role in her Trust and working in partnership with others both within and outside the NHS will help make a difference to the ways we work.

Chat with David Barton Head of Department of Nursing at Swansea University. Discussion around the development and the roles of the Advanced Practitioners and his role in strategic planning of the future for the roles.

In this episode Critical care Practitioner chats with Ken Spearpoint, Consultant Nurse in Critical care and lead in a Masters degree in Medical Simulation. We also go onto to talk about the whys and wherefores of medical simulation.

In this episode I discuss all the other medical podcasts I listen to such as EmCrit, Parma and EmBase to name a few. Clips are provided of each one to give the listener a brief taster and clickable links can be found in the show notes for the episode.