Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
197 episodes
2 days ago
Jonathan Downham is an Advanced Critical Care Practitioner, in the UK and Bryan Boling is a Critical Care Nurse Practitioner in the US. both of whom have a desire to share with like-minded people. Discover new resources in the physical and virtual worlds to help improve your practice, from websites with direct links to critical care and intensive care to those websites which make your life as an internet learner easier. Social media as a powerful learning and networking tool, using Twitter, YouTube and Linkedin to their maximum potential. Current research and the discussions about that research happening amongst practitioners on the internet and how that research can be implemented. News from current conferences and interviews with others practising in critical care. A site for a variety of people from those working in the critical care field to paramedics and physiotherapists, to practitioners working in specialties other than critical care.
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Jonathan Downham is an Advanced Critical Care Practitioner, in the UK and Bryan Boling is a Critical Care Nurse Practitioner in the US. both of whom have a desire to share with like-minded people. Discover new resources in the physical and virtual worlds to help improve your practice, from websites with direct links to critical care and intensive care to those websites which make your life as an internet learner easier. Social media as a powerful learning and networking tool, using Twitter, YouTube and Linkedin to their maximum potential. Current research and the discussions about that research happening amongst practitioners on the internet and how that research can be implemented. News from current conferences and interviews with others practising in critical care. A site for a variety of people from those working in the critical care field to paramedics and physiotherapists, to practitioners working in specialties other than critical care.
SummaryFor much of critical care history, immobility was the norm: patients were sedated, kept still, and “protected.” But decades of research have revealed the hidden costs — profound muscle wasting, delirium, and long-term disability.Jonathan explores how our understanding of mobilisation in ICU has evolved — from the recognition of harm caused by bedrest, to the […]
Sedation practices in the ICU have evolved dramatically over the past decade — but are we truly following the evidence?In this episode of The Critical Care Practitioner Podcast, Jonathan takes you through the key milestones in sedation guidance, the persistent gap between recommendations and real-world practice, and the emerging shift toward human-centered, wakeful care.What You’ll […]
OverviewIn this episode we explore the three main sedatives used in critical care and how to choose the right agent for the right patient.HighlightsBenzodiazepines: once the workhorse of ICU sedation, but now linked to more delirium and longer ventilation. Still useful in alcohol withdrawal and seizures.Propofol: rapid on/off, easy to titrate, helpful for daily sedation […]
In this episode, I explore the origins and evolution of the daily sedation hold — also known as the spontaneous awakening trial (SAT) — one of the most influential shifts in ICU sedation practice.I unpack the key trials that demonstrated SATs could safely reduce ventilation time and ICU stay, and examines how these findings became standard care. But it's […]
In this episode, I explore how sedation practices in critical care have evolved over time — from the routine use of deep, continuous sedation to the early evidence that challenged it. You'll hear about pivotal studies that revealed the risks of over-sedation, the emergence of structured sedation protocols, and the beginnings of a culture shift […]
This is a conversation I had with Francesca Trotta, a nurse from Rome who is at the last stages in her PhD. This was at the BACCN conference in Aberdeen in 2024.
This is a chat I had with David Wightwick who is the CEO of UK Med a humanitarian medical aid charity. This happened at the BACCN 2024 conference in Aberdeen.
This is a conversation I had with professor Tim Buchman who is Professor of Surgery and founding director at the Emory Centre for Critical Care in the US. We discuss the advent of Advanced Practice in the US and how it will inform the same developments in the UK
AI is here! How will it effect us and how can we use it to make learning fun with AI, or not use it to help with our work? Aarti gives some easy to understand explanations of the key concepts.
This is a chat with Rowan Grieves, who works in Belfast, about her journey to become an ACCP and the hurdles she had to overcome when starting this new role.
This was originally a Facebook livestream with an ex patient- Carol Billian, Christine representing ICU Steps, a group helping support ICU survivors and Peter Nydahl from Germany who also aims to support the same group.
This is a chat I had with Dr Daniel Watkin about his QI project to assess compliance with the guidelines and how they went about improving it. You can find the paper here- 'Beyond Audit: Embracing QI methodology to drive improvements in lung-protective ventilation'
This is a chat with Tamas Szakmany about the paper 'Impact of early tracheostomy versus late or no tracheostomy in nonneurologically injured adult patients: a systematic review and meta analysis' and his editorial 'When more could mean less intervention: the tale of tracheostomy timing in critical illness'
This is a chat with Professor John Laffey about the WEAN_SAFE study. Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
A discussion with Michelle about the recent paper she played a part in discussing the conversation s we have, or don't about Do No Resuscitate orders. The experiences of adult patients, families, and healthcare professionals of CPR decision-making conversations in the United Kingdom: A qualitative systematic review.
Brigitta and colleagues have just published 'The rate and assessment of muscle wasting during critical illness: a systematic review and meta-analysis.' Some important and interesting discussion points.
Great discussion with Dr Emma Ridley a dietitian from Australia about how they planned to look after the nutritional requirements of COVID patients. A lot of pointers about how we care for their needs when they haven't got COVID too.
Vikki has been a clinical lead for Organ Donation in the past so I spent some time picking her brains about the role of the Organ Donation team and how that affects how we look after our patients. Lots of really valuable insights.
Jonathan Downham is an Advanced Critical Care Practitioner, in the UK and Bryan Boling is a Critical Care Nurse Practitioner in the US. both of whom have a desire to share with like-minded people. Discover new resources in the physical and virtual worlds to help improve your practice, from websites with direct links to critical care and intensive care to those websites which make your life as an internet learner easier. Social media as a powerful learning and networking tool, using Twitter, YouTube and Linkedin to their maximum potential. Current research and the discussions about that research happening amongst practitioners on the internet and how that research can be implemented. News from current conferences and interviews with others practising in critical care. A site for a variety of people from those working in the critical care field to paramedics and physiotherapists, to practitioners working in specialties other than critical care.
