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The residents have taken over! In the first of a number of episodes created by resident doctors aimed at people working on the critical care unit for the first time Andrew Davidson and Joshua Chambers discuss arterial lines - what they're for, how to use them, and what pitfalls to be aware of. The main reference for the episode is Deranged Physiology: https://derangedphysiology.com/main/cicm-primary-exam/cardiovascular-system/Chapter-753/indications-and-contraindications-arterial-line-insertion

Recorded at the ICS State of the Art 2025 meeting in Birmingham, Jonny sits down with two of the UK's leading voices in deceased organ donation: Professor Dan Harvey and Dr Ben Ivory. This is the conversation every intensivist has to get right, and the one most of us still feel underprepared for. Dan and Ben walk through how we counsel families at the end of life, how we keep the donation conversation compassionate rather than confrontational, and how we handle the controversies that still sit just under the surface of UK practice. They talk about what good documentation actually looks like when the notes are later read by a family, a coroner or a complaint investigator; who to pull into the room early; SNODs, CLODs, chaplaincy, senior colleagues and how that support changes both the quality of the conversation and the risk of things going wrong afterwards. Practical, honest and grounded in the realities of the UK pathway - essential listening for us all!

Jonny Wilkinson talks with Prof. Hugh Montgomery and Kate Tantam, about the challenges and opportunities in NHS infrastructure, climate change, green spaces in hospitals, and sustainable practices to improve healthcare environments and patient outcomes.

Step into the high-stakes world of cardiogenic shock in this powerful episode recorded on Day 1 of the ICS State of the Art 2025 meeting in Birmingham. In the session "From Shock to Survival: Innovations and Advances in Cardiogenic Shock Treatment", Jonny sits down with three outstanding guests: Professor Susanna Price, consultant cardiologist and intensivist at Royal Brompton Hospital and a leading expert in cardiogenic shock; Dr Nicholas Barrett from Guy's and St Thomas' Hospital, who brought deep expertise in advanced cardiac support and critical care; and the truly inspirational Lizzi Jordan MBE, Paralympic gold medal cyclist and remarkable survivor of life-threatening sepsis and cardiogenic shock. Susanna and Nicholas shared cutting-edge clinical insights on recognition, haemodynamics, mechanical support, and the latest innovations in treatment, while Lizzi delivered a raw, moving account of multiple organ failure, induced coma, and her incredible fight back to elite sporting success despite losing her sight. This conversation perfectly blends world-class medical expertise with an extraordinary patient perspective — emotional, practical, hopeful, and deeply human - an unmissable session from SOA25.

Get ready for a high-octane deep dive into the world of venous congestion and POCUS in this dynamic episode from the ICS State of the Art 2025 meeting in Birmingham. Jonny was joined by the brilliant trio of Dr Ross Prager, Dr Sekina Bakare, and Dr Segun Olusanya for a candid and entertaining discussion on mastering ultrasound in critical care. We explore how deep you really need to go to achieve accreditation, why POCUS training can feel like stepping into a Mixed Martial Arts ring, and the practical realities of integrating these skills into daily practice. Ross breaks down the crucial role of the liver and right heart in venous congestion assessment, while Sekina shares insightful reflections on the transition from resident to consultant. Packed with practical wisdom, training pathway realities, and plenty of relatable moments, this conversation is essential listening for anyone looking to level up their bedside ultrasound game.

Ever wondered what it really takes to pull off the UK's biggest critical care conference? In this behind-the-scenes episode, I sit down with the legend himself — Dr Parjam (PJ) Zolfaghari, past Programme Director of the ICS State of the Art 2025 meeting in Birmingham. From sleepless nights and last-minute speaker dropouts to epic programme clashes, heated controversies, and the sheer chaos of herding hundreds of intensivists into one unforgettable event, PJ spills all the gory (and hilarious) details. We dive into the triumphs, the near-disasters, and the sheer madness of creating a meeting that's still delivering incredible podcast content months later! If you've ever organised anything big — or just love a good war story from the trenches of medical conference planning — this one is packed with laughs, lessons, and proper insight. Pure gold for anyone curious about what goes on behind the curtain of #SOA25.

Dive into the world of cutting-edge critical care with this high-energy episode recorded live at the ICS State of the Art meeting in Birmingham last year! Jonny Wilkinson was joined by the brilliant ORACLE team—Dr Manoj Wickramsinghe, Dr Max Ridley, and Dr James Morgan—for a dynamic conversation on revolutionising the management of the critically ill through multi-modal imaging. The group is dedicated to free, clear, and highly interactive online learning, and they're on a mission to empower the intensive care community with this invaluable skillset. Together we explored how to seamlessly integrate bedside echocardiography, CT, and beyond into real-time decision-making. If you want to sharpen your imaging game, boost your confidence at the bedside, and deliver better care to your sickest patients, this episode is an absolute must-listen.

Jonny talks to Dr Justin Kirk-Bayley, Dr Ross Prager, and Dr Ashley Miller all about the myths behind IV fluid resuscitation, what cardiac output really is and where we go so wrong! This episode delves into some advanced physiology and how we can apply it to resuscitating our septic patients.

Meningitis has been in the news in recent weeks with an unprecedented cluster of infections and, sadly, several deaths have taken place in the Kent area. In this timely podcast episode, Dr Jonny Wilkinson is joined by Intensivists Dr Martin Beed, Dr Peter Brindley (authors of the new primer on infectious meningitis and encephalitis in the Journal of the Intensive Care Society), and Dr Andrew Conway-Morris. They explore the UK government's targeted Men-B vaccination programme for university students and affected schools, the critical importance of early clinical suspicion and prompt antibiotic administration, transmission risks in nightclubs and social settings (including behaviours like vaping), and lessons from past UK and global outbreaks. Packed with actionable clinical guidance and real-world takeaways, this episode is essential listening for healthcare professionals, students, parents, and anyone wanting to understand how to spot, treat, and prevent this devastating disease.

This powerful podcast episode covers an in-depth discussion about the Rockwood Clinical Frailty Scale and its use in intensive care settings, featuring Professor Ken Rockwood, the creator of the scale, along with Professor Zudin Puthucheary and Professor Nazir Lone. The conversation explores the origins of the scale, developed not as a screening tool, but as a way to summarise comprehensive geriatric assessments with our speakers delving into how the scale became particularly prominent during the COVID-19 pandemic for ICU admission decisions. Reflecting on the complex decisions clinicians face when treating frail patients in intensive care, our guests challenges listeners to go beyond the scale and calls for careful judgment, empathy, and a deeper understanding of what meaningful care truly looks like.

In this lively episode recorded at SOA25, Jonny sits down with Prof Matt Morgan and Dr Hannah Matson for a hilarious and insightful chat about what animals can teach us about human critical care! Matt is a renowned intensive care consultant, honorary professor, and author of One Medicine: How Understanding Animals Can Save Our Lives, shares how lessons from the animal kingdom—from giraffe physiology aiding asthma treatment to whale heart insights improving cardiac care—can transform human ICU practice. Hannah is a veterinary intensivist and staff clinician in Emergency and Critical Care at the Royal Veterinary College's Queen Mother Hospital for Animals, who brought a wealth of practical wisdom on animal critical care and eye-opening parallels to human medicine. If you're ready for serious insights delivered with serious laughs, this one's not to be missed!

In the latest episode, Jonny Wilkinson talks to some leading voices in critical care research. He sits down with Prof Dan Martin, Prof Luigi Camporota and Prof Louise Rose, diving into the realities of running large-scale trials like UK ROX, navigating barriers to research in the UK, and strategies for making critical care research more accessible and engaging. Hear what it's really like to run the gauntlet of outcome uncertainty and battling with A.I with a candid look at the state of research trials today and an exploration on the future of intensive care research.

Get an exclusive insider's look at the Intensive Care Society's highly anticipated State of the Art Congress 2026 (#SOA26), taking place 30 June – 2 July at the Birmingham ICC.   Jonny sits down with programme director and Consultant Physiotherapist in Critical Care Ema Swingwood, who shares key details on the cutting-edge programme and what delegates can expect from this landmark event focused on the future of intensive care. Joining her is Dr Alicia Waite, senior trainee, founder of the TRICC network, and now leading on abstracts for SOA26.  Together, they dive deep into the abstract submission process (with the deadline fast approaching!), tips for getting your work accepted, highlights of the congress, and plenty more insights to inspire the critical care community. Plus, keep an ear out for a possible superstar guest appearance that might just steal the show!  Don't miss this essential preview; whether you're planning to submit, attend, or simply stay ahead of the curve in ICU innovation.

In the latest episode of ICSCast, host Jonny Wilkinson sits down with three leading palliative care specialists, Dr Steph Meddick-Dyson, Dr Sarah Grove, and Dr Katarina Rusinova, to delve into the critical intersection of palliative care and intensive care. This insightful discussion builds on their thought-provoking session "Outside the Box with Palliative Care Medicine" at the Intensive Care Society's State of the Art meeting in Birmingham in 2025. The conversation highlights why care of the dying is so pivotal to the daily work of intensive care specialists, arguing that parallel palliative involvement should become far more routine and that all critical care clinicians should embrace core palliative principles as an integral part of their practice. Drawing on their expertise, the guests explore compassionate approaches to death in the ICU, effective strategies for discussing prognosis and goals of care, sensitive counseling of relatives, patients, and loved ones, and practical ways to integrate symptom management, emotional support, and ethical decision-making amid high-stakes critical illness.   This episode offers valuable reflections for intensivists, trainees, and the wider multidisciplinary team on enhancing end-of-life care without compromising the drive for recovery.

We dive deep into the UK's sharpest early H3N2 flu wave in years, with host Dr Jonny Wilkinson, and an outstanding expert panel:   •  Prof Shondipon Laha (Consultant in Critical Care & Anaesthesia, Lancashire Teaching Hospitals and President of the Intensive Care Society) •  Prof Anthony Gordon (Imperial College London - Professor of Anaesthesia & Critical Care, NIHR Research Professor and Consultant Intensivist) •  Dr Brijesh Patel (Imperial College & Royal Brompton - Reader in Cardiothoracic Intensive Care, Consultant Intensivist and national ECMO lead) •  Prof Anthony Conway-Morris (University of Cambridge & Addenbrooke's - MRC Clinician Scientist and Honorary Consultant specialising in critical care immunology) •  Mark Borthwick (Oxford University Hospitals - Consultant Pharmacist for Critical Care and past chair of the UKCPA Critical Care Group) From frontline pressures and ECMO preparedness to antivirals and public health messaging - essential listening for anyone in critical care this winter.