At the PCCS2023 conference in Edinburgh, we were lucky enough to meet David Cooper from Cincinnati Children’s Hospital. He gave a great talk on high reliability teams, and afterwards we chatted to him about his programme. We discuss hierarchies: when are hierarchies good, and when are they bad? Is democracy Read more…
One of the most entertaining talks at the 2023 Paediatric Critical Care Society Conference was by Roddy O’Kane, consultant neurosurgeon in Glasgow, on the management of ICP. On the theme of the conference, he was very clear: proper management of ICP depends on excellent team work, and listening to all Read more…
At the 2023 PCCS conference in Edinburgh we chatted to Marie Spiers, Emergency Department consultant in Glasgow, about paediatric traumatic cardiac arrest. How does traumatic cardiac arrest differ to medical cardiac arrest? Is the treatment different? What should we be focusing on? What is the point in chest compressions, and Read more…
Every day we go round the patients, making clear, robust plans so that the day works like clockwork. However, do you know how much of this information sticks with the team? It’s a shockingly low percentage (even JUST AFTER the plan has been made). Listen to Lindsey who spoke at Read more…
In conjunction with the 2023 Paediatric Critical Care Society Conference in Edinburgh, we have interviewed Cathy MacDonald, one of the keynote speakers. Cathy has had a long career as a police hostage and crisis negotiator. What can she teach us about crisis negotiation? What are the parallels between her world Read more…
This year’s Paediatric Critical Care Society conference in Edinburgh is a sell-out blockbuster. We spoke to Chris Kidson, part of the organising committee, to go over some of the highlights. These range from a hostage negotiator, talks about nutrition, debates on APRV, transfers to Norway, Scottish country dancing, and an Read more…
In this episode of PicPod we speak to David Inwald, the Chief Investigator of the Pressure Study. This landmark study is looking in to blood pressure targets, randomising critically ill children to normal care, or the 5th centile population blood pressure norm. We discuss the study, its rationale, and what Read more…
How many times have we discussed fluid balance on a ward round? What is our fluid goal? And why? Offloading fluid is a “good thing”, but why? And when? What does the evidence say: what balance should we be aiming at, and when? Does the evidence actually give a message Read more…
Liz Whittaker, consultant in Infectious diseases at St Mary’s Hospital in London, talks to us about Group A Strep in children. Over the past month or so the UK has had a huge surge in invasive Group A Streptococcal infection in children. Trainees up and down the country have rapidly Read more…
We all “know” of the clear respiratory support escalator: air, oxygen, CPAP, BiPAP, Invasive ventilation. But where does High Flow fit in? What parameters should we use to determine when and how to use it? Ram from Imperial/St Mary’s in London led the two-armed First ABC trial, the largest and Read more…