ICUHousekeeping-UCL.pptVIP

Good morning. Thanks Dave. So you have had 3 consultants give you some pretty sharp lectures on the principal organ failures You’ve had Mervyn Singer, Professor of ICU, give you a fantastic lecture on some topical major themes Now you have ICU housekeeping. You must be pretty excited. Why have we put this lecture in here? * *** The aim of this course is to make sure this doesn’t happen to you. * The reason that this is a problem is that An unfamiliar working environment A set of patients and pathologies you are not used to -Information overload In the next 30 minutes I want to give you a way of dealing with this. A traditional medical school clerking is not going to be much use. You’re patients won’t be talking much. And Multiorgan failure is a not easy to clerk. Secondly, gadget overload Now this would be OK if the small things didn’t matter * So here is a list of what you might consider some fairly mundane ICU issues. Most of them so mundane that they will not be discussed on the consultant ward round. * All of these small things need SOMEONE to pay attention to. I think as the junior on the ICU that THIS IS YOUR ROLE So most of the things on this list have pretty respectable NNTs for major outcomes These things need someone (YOU) to look after them * I know there are a few surgical trainees in the audience. FYI this is a handover sheet – or the bit of paper that causes your medical colleagues to breakdown if they lose it This is our suggestion for how you might want to try and deal with the daily work on the unit I know you can’t read it. Don’t worry … we are going to go through this And there is a copy in your candidate packs * So starting at the top left hand corner. This sheet has a row of headings across the top, and space for six patients down the side. What I am going to do is switch you from HPC/PC/Diagnosis to thinking about organ systems and how to deal with them. But before I do that I want to put in a disclaimer Now the first page in the