Ä¢¹½tvÊÓƵ

Ä¢¹½tvÊÓƵ is a large multi site trust with critical care beds at both Ä¢¹½tvÊÓƵ General Infirmary and St James University Hospital.

Research, Innovation and Quality

Research Team

• Director – Dr Simon Whiteley
• Research Sister & Coordinator – Sn Sr Elizabeth Wilby
• CTA – Abigail Speight

St James’s Hospital Current Trials                     

• UKROX -Evaluating the clinical and cost-effectiveness of a conservative approach to oxygen therapy for invasively ventilated adults in intensive care.
• Adapt-Sepsis- Biomarker-guided duration for sepsis
• Remap-Cap ( Covid & Non Covid)– Randomized, Embedded, Multifactorial Adaptive Platform trial for Community-Acquired Pneumonia
• Genomiccs-Genetics of mortality in Critical Care Genetics
• Signet– Statins for improving Organ outcome & Transplantation
• A2B– Alpha 2 agonists for sedation to produce better outcomes from critical illness.
• Astop- Antifungal stewardship opportunities with rapid tests for fungal infection in critically ill patients

LGI Current Trials

• BIS-TBI The use of Bispectral Index monitoring to assess depth of sedation in patients with traumatic brain injury
• Signet- Statins for improving Organ outcome & Transplantation
• Genomiccs– Genetics of mortality in Critical Care Genetics
• Tight K+- Prevention of dysthymias on the cardiac ICU- does maintenance of high normal serum levels matter?

We are also running a number of in house research and quality improvement programs including:

• Protocolised sedation management
• Code Red Investigations of incidents
• Intentional Rounding
• Safety Huddles
• CRRT improvement program
• Delerium identification and management
• Sepsis recognition and timely blood cultures

There are opportunities to become involved in these projects whilst working with us as a trainee, trust grade doctor or advanced nurse practitioner.

We have developed a range of educational material for the use of citrate RRT and are actively involved in research in this area.

Organ Donation

We have a well-developed team leading our Organ Donation service.  have raised the profile of the Organ Donor Register. For more information please contact Dr Simon Flood or Dr Mike Adlam.

Students

Medical

The trust is attached to Ä¢¹½tvÊÓƵ Medical School and we frequently have medical students with us for their placements in critical care. There is opportunity to review patients and present cases as well as shadowing the team both within ICU and around the hospital during Outreach. For students who are considering a career in critical care we are happy to discuss SSP or elective opportunities.

Nursing

We have regular study placements from the local universities and have a support package in place for them. Feedback from previous students has been excellent.

Clinical Fellowships

We offer Clinical Fellowships to junior doctors wanting to gain experience on ICU, post F2 onwards can apply. We provide structured training, protected time for individual projects and support in applying for Anaesthesia and ICM training posts.

Recent fellows have developed echo skills, set up and run ICM sim training, undertaken a number of QI projects, submitted posters to international meetings and gained medical education qualifications.

Contact Dr Matt Powell if interested.

Educational and acclimatisation support

We appreciate that working in a new environment and new country is a significant challenge even when you have years of experience in medicine. The following links and book suggestions are designed to help.

 – this includes a number of links to excellent FOAM resources.

Education and FOAM

We aim to deliver regular, high quality, teaching both at the bedside and in seminar format. There is also regional FFICM teaching and connection with the local faculty approved FFICM Course.

There are a number of members of the team who are FICE mentors and we are hoping to develop a CUSIC mentor group also.

The local FICM tutors are Dr Lorna Eyre (SJUH) and Dr John Oram (LGI).

³§±ð±ðÌý for our regional trainee site.

We have an enthusiastic nurse education team with developmental packages provided for all grades of staff with supporting study days.

New starters have a comprehensive package of study days supporting the STEPS programme. This includes days dedicated to Cardiovascular, Respiratory, Neuro, IV’s, Gastro/Hepatology, AKI, RRT and Safety & Communication with supporting workbooks.

Sepsis

Lead Clinician for Sepsis – James Beck

Sepsis Nurse – Lorna Attenborough

Sepsis remains a major cause of serious illness. Ä¢¹½tvÊÓƵ Teaching Hospitals is committed to delivering high quality sepsis care.

There is ongoing Quality Improvement work via the Sepsis Faculty. Medical and AHP staff who are interested in being involved should make contact with either the LC or the Sepsis nurse.

Medical Education

Patient info

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ICNARC

We take part in the ICNRC data collection program.