A Career in Intensive Care.ppt

1、A Career in Intensive Care,Why Choose Intensive Care Medicine?,Relatively new, exciting and growing speciality Be part of a dedicated team of highly trained professionals, looking after the sickest patients in the hospital Look after a wealth of patients with a variety of pathologies be a true gener

2、alist! Acquire a wealth of specialist skills including airway management, bronchoscopy, echocardiography, ultrasound, communication and clinical leadership,History of Intensive Care Medicine,1854: During the Crimean War Florence Nightingale pioneered a concept of separating injured soldiers dependin

3、g on the severity of their illness,The sickest soldiers were monitored more often by more nursing staff,History of Intensive Care Medicine,In 1952 Bjorn Ibsen, a Danish anaesthetist was involved in a Polio epidemic of 2722 cases in 6 months Supply of the traditional iron lung ventilators became over

4、whelmed,Ibsen used positive pressure ventilation after intubating patients and enlisting a rota of 200 medical students to manually ventilate them,Mortality fell from around 90% to 25% Patients were nursed in 3 specialist areas of 35 beds Ibsen is considered by many as one of the founding fathers of

5、 Intensive Care,Intensive Care in the UK,Make up 1-2% of hospital beds in UK, but are in increasing demand 3,685 beds across 161 NHS trusts,Care for surgical, medical & paediatric patients as well as those with specialist needs e.g. cardiothoracic, neurosurgical, liver, burns & spinal injuries,Train

6、ing in Intensive Care,Currently trainees originate from a parent speciality: Anaesthesia Emergency Medicine Acute Medicine Surgery,Those interested and committed to intensive care apply to Dual-CCT programme comprising 2 steps: Step 1: At least 6 months Anaesthesia, 6 months Acute medicine & 9 month

7、s ICM Step 2: 1 year ICM with option to pursue specialist interest All placements arranged during your parent speciality training Does not usually add extra time to training,News Flash: Single speciality training in ICM with entry at ST1 is coming soon,Life as an Intensivist,Activities include: Dail

8、y assessment of patients on the unit Team ward rounds to discuss and plan patient management Seeing referrals from other specialities Transferring patients around hospital or to other ICUs Practical procedures including: Intubation, tracheostomy & bronchoscopy Insertion of lines Echo & ultrasound Te

9、aching trainees, students, nurses and many others Northwest Regional network of ICUs offering regular meetings, study days and social events,“Variety is the spice of life”Quote: A very wise man!,What you need to be an intensivist,Enthusiasm & compassion for treating the critically ill Good team player with leadership qualities Excellent communication skills Ability to think and perform under pressure Willing and happy to wear scrubs every da