Intensive care medicine in 2050: nanotechnology. Emerging technologies and approaches and their impact on critical care

Ignacio Martin-Loeches; Robert Forster; Adriele Prina-Mello

doi:10.1007/s00134-017-5002-y

Challenging Concepts in Paediatric Critical Care

10.1093/med/9780198794592.001.0001 ◽

2020 ◽

Keyword(s):

Critical Care ◽

Intensive Care ◽

Intensive Care Medicine ◽

Evidence Base ◽

Paediatric Intensive Care ◽

Circulatory Support ◽

Cell Transplant ◽

Patient Journey ◽

Expert Commentary ◽

Paediatric Critical Care

This textbook, ‘Challenging concepts in paediatric critical care’, has been designed to cater to the needs of paediatric intensivists, current trainees and those intending to train in the future. Similar to its predecessors in this ‘Challenging concepts’ series, this book aims to educate clinicians by describing clinical situations that are both common, such as bronchiolitis, sepsis etc., and complex, such as mechanical circulatory support, stem cell transplant etc., in paediatric intensive care medicine. The textbook contains 18 chapters based on challenging scenarios involving variety of diseases and organ dysfunctions. Each chapter contains several “Learning Points”, “Clinical Tips” and “Evidence Base” boxes embedded in the text with the aim to promote memory and stimulate learning. These run alongside an “Expert Commentary” written by an international group of experts in the field, to give practical advice of how they approach these difficult situations. Many chapters include results and imaging to enhance the fidelity and narrative style of text, that encourage the reader to understand the patient journey and feel part of the decision making process. The clinical topics in this book are aligned to match the Royal College of Paediatrics and Child Health’s paediatric intensive care medicine curriculum in the UK, as well as the curriculum of Paediatric Basic assessment and support in intensive care (BASIC) course and the various domains of Paediatric/neonatal European Diploma in Intensive Care (PEDIC) curriculum.

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Law and ethics in intensive care

10.1093/med/9780198817161.001.0001 ◽

2020 ◽

Keyword(s):

Critical Care ◽

Intensive Care ◽

Intensive Care Medicine ◽

Ethical Issues ◽

Daily Basis ◽

Scarce Resources ◽

Ethical Concerns ◽

Law And Ethics ◽

Invasive Management ◽

Legal And Ethical Issues

The practice of intensive care medicine raises multiple legal and ethical issues on a daily basis, making it increasingly difficult to know whom to admit and when, at what stage invasive management should be withdrawn, and who, importantly, should decide? These profound dilemmas, already complicated in a setting of scarce resources, mandate an understanding of law and ethics for those working in intensive care medicine. Clinically focused, the book explains the relevance of landmark rulings to aid the day-to-day decision making of critical care professionals. A spectrum of ethical and legal controversies in critical care are addressed to demonstrate how law and ethics affect the care available to patients, and how patients’ responses to advances in treatment in turn influence legal and ethical concerns. Discussion of conflict resolution advises on the options that are open to doctors when agreement on treatment decisions or withdrawal cannot be reached. The literature and variations surrounding ‘Do not attempt resuscitation’ (DNAR) decisions are outlined. This edition also provides an up-to-date analysis of issues such as futility and deprivation of liberty.

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Professional Quality of Life in intensive care medicine: The 2018 Faculty of Intensive Care Medicine Workforce survey

Journal of the Intensive Care Society ◽

10.1177/1751143719877102 ◽

2019 ◽

Vol 21 (4) ◽

pp. 299-304

Author(s):

Julie Highfield ◽

Jack Parry-Jones

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Critical Care ◽

Intensive Care ◽

Intensive Care Medicine ◽

Critical Care Medicine ◽

Professional Quality Of Life ◽

Survey Tool ◽

Professional Quality

Background Critical care is widely perceived, both within and outside of the speciality, as unremitting and emotionally burdensome. There is a perception of a higher risk to medical staff of burnout than other specialities. Critical care also has considerable emotional and professional rewards. We sought to examine this balance between emotional reward and stress in UK critical care consultants registered with the Faculty of Intensive Care Medicine. Method We conducted a Wellbeing survey of the Faculty of Intensive Care Medicine consultant membership utilising the Professional Quality of Life (Pro-QOL) survey tool. The survey was conducted as part of the Annual Workforce Census. Results In sum, 799 members completed the Pro-QOL survey, making this one of the largest surveys of physician wellbeing in critical care medicine. Data were analysed in accordance with the Pro-QOL manual. Conclusions The results demonstrate moderate risk for burnout and secondary traumatic stress, but this is balanced by moderate compassion satisfaction. No association was demonstrated between age, sex, or size of critical care unit worked in. Further follow-up of this consultant group is warranted to better understand risk factors for burnout and for future mitigation of these risk factors whilst also enhancing the positive aspects of working as a consultant in critical care medicine.

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Advanced Critical Care Practitioners – Practical experience of implementing the Advanced Critical Care Practitioner Faculty of Intensive Care Medicine Curriculum in a London Critical Care Unit

Journal of the Intensive Care Society ◽

10.1177/1751143717740019 ◽

2017 ◽

Vol 19 (2) ◽

pp. 147-154 ◽

Cited By ~ 3

Author(s):

Geraldine Lee ◽

Jo-Anne Gilroy ◽

Alistair Ritchie ◽

Vimal Grover ◽

Keetje Gull ◽

...

Keyword(s):

Critical Care ◽

Intensive Care ◽

Intensive Care Medicine ◽

Practical Experience ◽

Advanced Practice ◽

Clinical Role ◽

Shortage Of Doctors ◽

Practitioner Faculty ◽

And Training

With a chronic shortage of doctors in intensive care, alternative roles are being explored. One of these is the role of the Advanced Critical Care Practitioner. The Advanced Critical Care Practitioner Curriculum was developed by the Faculty of Intensive Care Medicine and is used to provide a structured programme of training. The Advanced Critical Care Practitioner programme consists of an academic and clinical component. This article outlines a practical approach of how the programme was developed and is currently being delivered at a single institution. This new advanced practice role offers opportunities to fill gaps in the medical workforce, improve continuity of patient care, provide mentoring and training for less experienced staff as well as offering a rewarding clinical role.

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