VANISH Trial – Gordon


Integrating MET teams and palliative care – Nelson


Come on baby light my fire! Who will inspire you? – Forrest


Mark lights up the conference with his talk on how to talk!

Encephalitis: what the general intensivist needs to know – Davis

naumann (1)


Refractory status, autoimmune encephalopathy and long term outcomes – Hirsch

naumann (1)

Equity in maternity critical care: the obstetric perspective – McAuliffe

naumann (2)

The Cauldron: A brave new world: age isn’t just a number – Cattlin

naumann (5)

The Cauldron: The doctor won’t see you now! Why ICU could do without sending families out of the room during ward rounds – Lambden

naumann (5)

The Cauldron: Useless monitors and data overload: cardiac output monitors – Wood

naumann (5)

Pro-Con: ECMO; you’re doing it wrong – Gattinoni vs Fan


The New Sepsis Definition – Shankar-Hari


The EUROTHERM trial – Andrews


Mechanisms of ARDS – Summers



Who to admit to ICU – Bassford



The DESIST Trial – Walsh




Managing severe hypoxia: Intravenous oxygen microparticles – a lifeboat? – Kheir


The management of anaemia in patients discharged from critical care – Lee

Planning for future highly contagious disease in a British ICU – Martin

The British military experience in Sierra Leone – Johnston

The UK landscape: epidemiology and research – Szakmany

Why some patients and not others? Learning from transcriptomics – Dos Santos

Chronic illness: prevalent and under-recognised – Angus

Thrombocytopenia in critical illness – Thachill

The slides are not available for this talk

The complex surgical abdomen in ICU: when do you re-open? – Warusavitarne

Pro-Con: ARDS definition is killing advances in the field – Mac Sweeney vs Fan


Pro-Con: Stretching the lung is not harmful (VILI doesn’t exist) – Gattinoni vs Mac Sweeney


Managing coagulation abnormalities in critical care – Thachil


Slides are not available for this talk

Pro-Con: In situ sim is the answer – Forrest


What have we learned from human factors research? – Brett


ECCOR2 / Rest – McNamee





Chronic Critical Illness: worse than malignancy? – Nelson

Lung ultrasound: the key to rapid diagnosis – Lichtenstein


Debate topics are assigned, and may not be the speaker’s own views


Lung ultrasound: why not just get a chest x-ray? – Miller


Debate topics are assigned, and may not be the speaker’s own views

Echo-directed therapy saves lives on ICU – Vieillard-Baron


Debate topics are assigned, and may not be the speaker’s own views



Cardiac Ultrasound Intensivist-delivered echo: dangerous in the wrong hands? – Price


Debate topics are assigned, and may not be the speaker’s own views

Fever in patients with sepsis: is it cool to be hot or is it hot to be cool – Bellomo


Translational research – where are we heading? – Dos Santos


The Basic Science – What do we know? – Patel


Brij Patel talks basic science in muscle wasting



Scientific background: the known unknowns? – Puthucheary


The Injured Kidney: Does it kill you? – Bellomo

aki does it kill you

Rinaldo Bellomo expands on the mortality associated with acute kidney injury

GDF-15, the MiR-542 cluster and miR-422a are associated with muscle wasting in intensive care unit acquired paresis – Paul


Molecular memories and epigenetic imprints of critical illness – Biddie


Metabolic signatures of pneumonia in critical care – Antcliffe


The stress response to critical illness: beta-blockers to the rescue? Khaliq


Brain tumours and the general ICU: who should we admit and what are the outcomes? – Jenkinson

naumann (1)

South Yorkshire Airway Assistant Course (SYAAC): can a dedicated regional course for nursing staff improve airway safety on the intensive care unit? – Stewart

Clinical audit of the transition from the intensive care unit to palliative care on the ward – Hayhoe

Focused echocardiography in intensive care – a completed audit cycle implementing a standardised reporting tool – Strachan

Is ECMO the Answer? A North American Perspective – Fan

Is ECMO the AnswerEddy fan on ECMO for severe hypoxia

Critical Care In The Field – Johnston

critical care in the field

The Injured Kidney: Can you treat it? – Pickkers


AKI: the long-term effects – Prowle


What are the long term effects of AKI on ICU? John Prowle talks through what we know about what happens

Protected: Paradigms, Dogmas and Evidence in Critical Care – Bellomo

This content is password protected. To view it please enter your password below:

State of the Art: Full Programme

SOA banner

Dear colleague

The full final programme for State of the Art 2015 is here – you will not have seen this version before, so please take a look: it’s very pretty, and has some extra details.  If you’re sold on it, registration is here.  We’ve frozen rates until Dec 4th, or you can pay on the day. 

Whether you’re coming or not, please take a look and send us your wishlist for SOA 2016 and 2017 (we’ve already started planning):  it’s your conference, above all.  You can email thoughts to, or my personal email and Twitter handle are below.

A few (nearly) final points, as we start packing up in preparation and bringing the bunting down from the attic:

  • Remember the conference is meant to give you the best possible access to the speakers.  You can take part in the debate, tweet or email them, or just walk up to them in the intervals – all the Faculty have been asked to make themselves available to delegates if approached.  Bring your burning questions 
  • We’ve added some interval pop-up sessions on a soapbox in the exhibit halls, for added interest.  There is one on the lung (including the PHARLAP study, for those interested), one on global healthcare, and on Tuesday the end of life / ICU decision-making session will break out into a podium discussion in the main hall.  Keep an eye out for them, and join in.  And we have spare stage space, so if you fancy taking on a speaker of your choice, make us a pitch and we’ll mic you up.
  • For our opening plenary Sepsis Panel, you can email or Tweet your questions in advance, to the massed minds of Derek Angus, Rinaldo Bellomo, Ron Daniels, Claudia Dos Santos, Peter Pickkers, and Tim Walsh, with Mervyn Singer chairing.  Email to, and Tweet using #asksepsis or directly to moderator Jamie Strachan at @strachanjamie.  You can see and add to what others are asking here: and (no login required to view).  The session will be fully downloadable (audio), so if your question is picked you can send your mother the MP3 and make her proud.
  • The use of mobile devices is encouraged (sound down, please).  Wifi is free and there are 10 superfast hotspots.  Do consider signing up for a Twitter account before or during the meeting: it’s quick and easy, and you will be able to Tweet questions direct from your phone at any time during the sessions.   Every session has an identified Twitter moderator (see the programme) to collect them and liaise with the Chair, and selected questions will be put to the speakers.  You can use it to network and expand your knowledge for CPD, too:  
  • Transport for London are offering free travel on Monday 7th December to anyone who has a Mastercard linked to their Apple Pay.  If you don’t know what this means, it’s probably not for you.
  • When you arrive, remember to stay on the DLR to Prince Regent, otherwise you will have to walk all the way from the wrong end of ExCeL, which is about a hundred miles long. 
  • Conferences are meant to be fun, so you will be required to enjoy the evenings.  Clear and firm instructions on how to do this are being drafted as we speak.  Failure is not an option.

Ganesh Suntharalingam


State of the Art: extension to standard registration date

Dear colleague

Registrations for State of the Art 2015 are at a record high, with nearly 800 of you already signed up – this is higher than at this stage in any previous year.  It promises to be a vibrant meeting and we are looking forward to seeing you.

For medical staff of all grades, we appreciate that the proposed second day of industrial action on 8th December may be causing some uncertainty over Trust planning and study leave, not least as it is unclear which way things will go after 1st December. 

For this reason, we have extended the standard registration fee deadline until midnight on Friday 4th December, and will keep the conference fees at current levels until then.  We hope this will avoid any financial penalty if you need to wait before registering.  For simplicity and parity, we will apply the same arrangements for nursing and AHP registrations.  Please note the online booking system will close on Monday 30th November, but you will be able to register at the same delegate rates by telephone (website will be updated with details).

For junior doctors who already have approved leave and are wondering about the BMA view, new FAQs are due out from them soon but our understanding from Mark Porter is that if you have booked external professional or study leave, the BMA supports you attending planned educational events, and would not expect you to participate in industrial action.  You will need to inform your employer as normal.

We have been in contact with our speakers and are planning to run the full programme with minimal substitutions.  We look forward to seeing you at the meeting.

Ganesh Suntharalingam

State of the Art Programme Lead

State of the Art. Industrial action, sepsis, and social media: a heady brew

SOA banner

Dear colleague

With only a couple of weeks to go, a few thoughts in the run-up.

  • Standard registration closes on Monday 23rd, after which the late registration fee kicks in.  I am a habitual offender when it comes to being late for this sort of thing, but I find it makes both your spouse and your accountant very angry when the bank statement comes in.  Register now, and save yourself some earache.
  • Industrial action: the second proposed strike date is on Tuesday Dec 8th, which is the date of most of our oral presentations and many other trainee-focussed sessions.  Mark Porter has confirmed by email to Stephen Brett within the last 24 hours that doctors on study leave are not expected to take part in industrial action (this is distinct from local educational activities within job plans).  The BMA’s 2012 FAQs state “Where industrial action takes place during a member’s study/professional leave, the employer can be expected to treat them as on leave and not participating in the action”.  Mark tells us that updated FAQs will be out shortly, but we do not expect major changes to this element. The ICS response to the strike vote is here
  • The latest version of the programme is on the website (check out the PDF for latest adjustments), and is looking pretty good – if we do say ourselves.  The speakers have been reminded on your behalf to focus on the current and future clinical relevance of their subjects (and to be prepared to disclose their own actual practice, where the data is equivocal).  You will able to quiz them by microphone and Twitter in every session, and to learn from the sessions you miss as well as those you attend through rapid access to slides and audio recordings. 
  • Our opening plenary features our very own ‘Sepsis Six’ of Derek Angus, Rinaldo Bellomo, Ron Daniels, Claudia Dos Santos, Peter Pickkers, and Tim Walsh, chaired by the inimitable Mervyn Singer.  They are there for you to put them on the spot.  Do campaigns, bundles, and Government-mandated guidelines actually work? (one for Ron and Peter).  What about antibiotic resistance?  Is there any point still talking about sepsis, when we can’t seem to get positive trial results, or should we just give up and stick to the basics?  Come along, bring your inner cynic, and ask the sort of questions you can’t send in to a journal. 
  • In a new twist, we’ll also be taking questions for the sepsis panel in advance.  In fact we had the idea long before Jeremy Corbyn and his new-style PMQs (although we did steal it from Question Time).  Tweet us questions now, using #asksepsis as a tag.  You will also be able to email them to  Selected questions will be attributed, if you would like us to (include your name if so).  
  • If medical social media is a closed book to you, another of our plenary sessions will aim to show you what it’s about.  How do you keep on top of the vast array of published information?  Have you wondered how your juniors seem more clued up than you on some topics? Do you know where to go online for headlines, thoughtful interpretation, discussion?  Or is it all a waste of time?  Come and find out, from Anna Batchelor, Jonathan Downham, Mark Forrest, Rob Mac Sweeney, Steve Mathieu, Steve Webb and Adrian Wong.  One of them is FICM Dean, several of them run leading educational websites, and one of them will be in a bow tie.  Come along, and figure out which one is which.

See you there!

Ganesh Suntharalingam

State of the Art Programme Lead



ICS State of the Art CUSIC Course 2015 : Stop poisoning patients with radiation

Adrian Wong

Critical care ultrasound is evolving. Previously the remit of enthusiasts, the use of ultrasound has become an invaluable tool which has the ability to guide clinical management.

The Focused Intensive Care Echocardiography (FICE) accreditation is now an established programme which allows clinicians to attain the skills and competencies required in a critical care setting. The Core Ultrasound Skills in Intensive Care (CUSIC) accreditation is designed to be an extension of this to modules involving lung, abdominal and vascular imaging.

Run by faculty comprising members of the ICS CUSIC Accreditation board, this 2-day course (5th and 6th Dec) maximises hands-on practical experience in small groups and is suitable for colleagues in acute specialties. It will cover all aspects of FICE and CUSIC.

For more information, please see

To register –

 Pre SOA CUSIC poster


Social Media Workshop


Panel: Steve Webb, Rob Mac Sweeney, Mark Forrest, Jonathan Downham, Adrian Wong & Steve Mathieu


Here is the podcast from our social media workshop. We have also included our slides, some notes and links to useful resources. We cover everything from the basics of twitter to RSS feeds, periscope, designing websites and building a log of all your social media activity for appraisals. We hope you enjoy!

Twitter – Webb


Practical guide to signing up

  • Go to and choose ‘sign up’.  Provide your details.  You will need to give either a valid phone number or email, in order to receive a confirmation code.  It is safe to do so.
  • It’s generally fine to give your real name, but you do not have to. The system will suggest a @username (Twitter handle) based on the details you give it; but these tend to be of the generic “@JohnDoe12458” type, and it is better to invent your own.
  • Similarly, you don’t have to fill in your profile or photo right away, but it will help to distinguish you from the mass of other new users if you do.
  • The sign-up process suggests a number of contacts to follow, based on your own contacts plus some sample “popular accounts”: it is OK to bypass this stage, which can clutter your feed.
  • On a phone, Twitter can be accessed by web page or app.  The interface is similar on each.  The official app is convenient, and is worth downloading when prompted.


 Originally published as a blog here – reproduced with thanks to Steve Mathieu and Adrian Wong

“If you want to know how we practised medicine 5 years ago, read a textbook.

If you want to know how we practised medicine 2 years ago, read a journal.

If you want to know how we practise medicine now, go to a (good) conference.

If you want to know how we will practise medicine in the future, listen in the hallways and use FOAM”

From International EM Education Efforts & E-Learning by Joe Lex 2011


The growth of social media for medical CPD has been astronomical over recent years. More and more healthcare professionals are taking to Twitter to share useful papers and educational resources. The emphasis on encouraging Free Open Access Medical Education (FOAM) is embedded throughout these interactions. We have no intention of reinventing the wheel with this one, but have tried to combine the wealth of information already out there with a few of our own experiences. Hopefully this will help newcomers to Twitter, and perhaps persuade those still resisting to come on board.

What is Twitter?

• Online social networking/microblogging platform enabling users to send and read text-based messages (‘tweets’).

• Limited to 140 characters [see highlighted text below to see how long that is!].

• Photos can be tweeted.

• You only read tweets of people you follow.

• Anyone can follow you, although you can block them if you wish.


• Global conversation with like-minded individuals interested in the latest medical practice and literature.

• It’s acceptable just to watch if you prefer.

• Follow conferences even if you are not there.

• Social networking and friendships develop and can be consolidated at conferences, with colleagues across the globe.

What does it mean to follow someone on Twitter?

This means that you’ve chosen to subscribe to their Twitter updates. You can unfollow them at any time. Similarly, anyone is able to follow you. If you decide that you do not wish for them to do this, you can always ‘block’ them. You can easily see who is following you.

Who should I follow?

Have a look at someone you know, who is already using Twitter for medical education purposes, and look at their list of people they are following. You will quickly learn to recognise the Twitter characters who are reliable and useful, and after a period of Twitter interaction, you should start building up your own following.

What’s @ and # all about?

@TwitterID directs your message to that person. You can add other names if you want to send to multiple, but beware the character limit. If ‘@’ appears at the start of the tweet it will go to that person AND anyone who is following both you and them. If ‘@’ appears later in the tweet, it will go to that person and ALL of your followers.

To illustrate this, if you send the following tweet ‘@avkwong this blog is rubbish’ – I will receive this message and anyone that is following both of us. If you send ’This blog is rubbish @avkwong’ or ‘This blog by @avkwong is rubbish’ – I will receive this message and also ALL of your followers – thanks!

A Direct Message (DM) This is a private message and visible only to you.

# (hashtag) is used to mark keywords or topics in a tweet. Anyone can make a hashtag at any time, simply by typing a phrase of the form ‘#topic’ in a tweet (again no spaces). This creates a page specific to that hashtag and whenever someone tweets and includes this hashtag, it will be visible on this page as well as to anyone who follows them.

Many hashtags have already been created, and medical conferences will advertise the ones they are using e.g. #isicem15 (International Symposium on Intensive Care and Emergency Medicine 2015), #ICSSOA2015 (State of the Art Meeting, ICS 2015) and #smaccDUB (Social Media and Critical Care Conference 2016). The days of writing notes at conferences (if you did in the first place) have also gone if the conference is well covered by avid Twitter users. Photos of conference slides, posters and equipment at trade exhibitions can also be tweeted and shared.

What’s Twitter not so good for?

Apart from your social life, it is not a great platform for having extensive discussion and debate. This often is difficult to fit in 140 characters, and results in huge number of tweets about one topic, and the context of these key messages can often be lost in translation.

A word of caution with using Twitter

You should comply with the General Medical Council (UK)’s ‘Good Medical Practice’ ( or equivalent in your country, and it is worth having a look at the brief GMC regulations (


• Register at

• Install the App on your mobile device(s)

• Follow users and hashtags (#)

• No, you DO NOT have to contribute

• It is OK to watch

A few suggestions of who to follow to get you started….

SMACC @smaccteam

Intensive Care Society @icsmeetings

Intensive Care Network @I_C_N

European Society of Intensive Care Medicine @ESICM

The Bottom Line @WICSBottomLine

Critical Care Reviews @CritCareReviews

Scan Crit @scancrit

ICM Case Summaries @icmcasesummaries

Also, take a look at the list of individuals or organisations that someone else is following and pick out your favourites.

BMA guidance 

GMC guidance 

A Beginners Guide to Twitter

How to Create a Twitter List

Website & Newsletters – Mac Sweeney

RSS Feeds – Forrest

Also take a look at Natalie May’s presentation here

Podcasting – Downham

How can I find them?

Perhaps two of the most common ways of coming across podcasts would be via either the native podcast app on the iPhone or iPad, or via iTunes on a computer.

The podcast app is now one of those apps that cannot be deleted from the device, so it should always be possible to find it.

From here it is very easy to search and download the podcast to the device.

On the iPad

On the iPhone

podcast 2

download 2

iTunes can be accessed via the internet and then downloaded to the computer. You can organise your own library of music here as well as search the Apple store for music and podcasts. Most podcasts are accessible this way.

Subscribe to Podcasts in iTunes-

How can you listen to them?

As well as the native podcast app on the iPad or listening directly via a computer you can also use one of the many podcatcher apps for iPhone and Android. These will allow you to find, subscribe, store and play the podcasts on your device. Some of the better ones are:


pocketcasts 2

Android link

Apple link


download (1) 2

Android only

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I listen to most of my podcasts in my car and I have found one of the best ways of doing this is via Bluetooth with the car radio. If you don’t have a car radio with Bluetooth, it is not a very expensive upgrade to get one fitted. (Bluetooth Car Radios) I find this journey time now very valuable.

How can I make a podcast?

If you want to be more ambitious you could go ahead and make a podcast! Is it difficult? No. not really. Does it require a lot of expensive equipment? No, not if you already have a computer and access to the internet.

To record my podcast on my computer a use a free piece of software called Audacity. This does have a slight learning curve, but the basics are quick to learn. You can record into it and then edit your podcast from there, cutting and pasting as you go. There are many YouTube resources to help:

Audacity: Complete Tutorial Guide for Beginners

Audacity: A walk through on the basics of editing audio using Audacity

Audacity Beginner Tutorial

You will need a microphone to plug into your computer. Most are USB microphones so once plugged in will self install. The prices will vary a lot from tens of pounds to hundreds. If you want good sound quality that is affordable then go for one of the Blue range. Some podcasters do not recommend these as the sound is not considered the best it could be, but I think for a low budget these are not a bad alternative.

If you want one of the mics that is recommended by podcasters themselves then you should think about the Samson Q2U. This is a dynamic microphone which will cut out a lot of the background sound making the overall impression sound much more professional.

Daniel J. Lewis does a great review here- Podcast mic comparisons – THE AUDACITY TO PODCAST #119

When you have created your podcast you will need someone to host it- to store the sound files so that they can be linked to. I DO NOT RECOMMEND Soundcloud. They are reported to be struggling financially and I think they will not be with us much longer.

libsyn 3

I do recommend Libsyn. The starting costs are at about £3.50 per month and increase depending on how much you wish to store with them and the level of stats you want.

There is also some extra work to do with iTunes, but again there are many YouTube resources to help you get started:

Learn how to podcast- PodcastAnswerMan

How to Start a Podcast – Pat’s Complete Step-By-Step Podcasting Tutorial

How To Podcast – For Free On iTunes

I hope you will at least give listening to podcasts a go. There is a massive FREE resource out there for you to access. You will find ones you love and ones you don’t. Decide which ones you want and enjoy listening to them!

Recommended Podcasts

Untitled copy

Primarily featuring Dr Scott Weingart, an ED Intensivist from New York, the philosophy is to bring the best evidence-based information from the fields of critical care, resuscitation and trauma and translate it for bedside use in the Emergency Department and the Intensive Care Unit. Scott is very passionate and explains his topic well. He will inspire you to greater things!


This is the podcast of the Society of Critical Care Medicine in the USA. Rated very highly with some very experienced clinicians narrating various subjects.


ICN has its beginnings in the Sydney Intensive Care Network, established in 2008 by Liz Steel (now Hickson) and Hergen Buscher. These bi-monthly meetings were to educate Sydney critical care trainees as well as give them a chance to meet and network, and see how things were done in other hospitals. Oli Flower & Matt Mac Partlin joined the team and started the ICN website with Daniel Steel.

imgres-2This is a podcast run by the University of Maryland Critical Care Fellows, helping them share the education they are receiving. Again, great quality content.


This podcast is by Dr Minh leCong, a doctor with the Royal Flying doctor service in Australia. There is a leaning to pre hospital medicine, but Minh is very well respected in the social media world and a voracious Tweeter


NOT a medical podcast, but if you love a real life murder mystery then I cannot recommend this highly enough. This takes the case of a young American student who was allegedly murdered by her ex boyfriend….or was she? Do yourself a favour and go and listen to this….you will be gripped!

If you ever wanted any hep or advice then please get in touch with me via Twitter @ccpractitioner. I would be glad to help

Periscope – Wong

Periscope vs Blab quick summary of the main features here

Keeping a records for appraisal – Mathieu

There are a number of ways of recording the many hours you spend enjoying the new  #FOAMed knowledge you acquire and share.  With a few simple steps, you can be set up and then have this information readily available for your next appraisal.

Option 1: Storify

To create your story, you can select information from a variety of sources, including: Twitter, Facebook, Flickr, YouTube, Google, RSS. You can enter search terms such as a twitter hashtag for a conference (e.g. #ICSSOA2015) and use multiple filter options to limit the results displayed. Once you’ve collected information that you’re interested in, you can move the bits you want to include in your story by simply dragging from your search result list to your storyboard. To provide context, you can free text on the left margin of the storyboard to provide titles, commentary, or summaries. You can also add links here to associate your text with information from a wider range of sources.

Screen Shot 2015-11-18 at 16.49.31

Storify allows you to automatically share a story to Twitter and/or Facebook and provides an embed code so that you can embed your story on a Web site. You can also share your Storify link with others.

Option 2: Pocket

Pocket allows you save and store SoMe from many different platforms including Twitter, Flipboard and Feedly.

With twitter, it is really simple. Just click the ‘save to pocket’  at the bottom of the tweet. This automatically archives the content and link for that tweet in your pocket application*

*with the latest update on iOS, this has now changed slightly. Details can be found here

Screen Shot 2015-11-14 at 01.07.36

You can store useful web browser links as well by adding a bookmark to your browser


Another feature is the ability to email yourself useful links. You can set this up easily on your pocket account and you then just need to email with the relevant link in the main body of the email. This will then automatically send the link to your pocket list.

Screen Shot 2015-11-18 at 17.06.40

There is an option to purchase Premium package but free works for me! Here is an example of how your information is stored. It can also be presented in a list format which is easier if you wish to scan more material. You can create tags to help you search for articles and links more readily.

Screen Shot 2015-11-14 at 01.19.54

Option 3: IFTTT

IFTTT or “If This Then That” is a web service that aggregates many other web apps into one place and can perform actions given a certain set of criteria. All you need to do is create your recipe and let it store all of your SoMe activity on Twitter and Facebook for you

An example of a recipe I have created is here

Screen Shot 2015-11-14 at 01.26.39

The criteria set states that all my tweets (or RT or reply)  will be saved. I then need to choose where it is saved and there a re a number of options here including dropbox, evernote, googledrive.

Screen Shot 2015-11-14 at 01.43.01

I have chosen to use google drive to record my twitter activity. The recipes are very straightforward to set up but there are also plenty of ready made ones to choose from.

Remember to turn off notifications when you set this up, otherwise you will get a message on your smartphone or iPad every time your recipe is triggered.

When you are ready for your appraisal, just open up the stored file and your #FOAMed document is ready to go! An example is here

Screen Shot 2015-11-14 at 01.40.33

Option 4: Website analytics

If you have a website, then you should make sure that you keep a record of the interest generated from your website and posts. Blogging sites like wordpress come with this already set up.

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Google analytics is very useful if you are not using wordpress or your site does not have built in analytics. You do need to sign up for a google account and then set up google analytics  but these are both free.

What can’t you do?

You won’t be able to keep a time log of your internet activity.  Arguably documenting the amount of time you spend on SoMe is less important than the valuable lessons learnt. We don’t really have an electronic way of recording the amount of time we currently spend reviewing journals so I guess this set up is no different. It does however give you much more comprehensive supporting evidence of what you have been doing to maintain your CPD rather than ‘I have read JICS/EMJ/Anaesthesia etc’

State of the Art – meet colleagues, network, be part of the debate

SOA banner

Dear colleague

State of the Art is nearly here. Take a look at the updated programme on the conference for the latest news on our exciting line-up.

What else is new this year?  We have put more emphasis on networking, interaction and after-hours social options.  We would like State of the Art to be a unique chance to meet and exchange views with your UK colleagues, in a way that is harder to do at the big European meetings. 

Firstly, we want your input in the main sessions, and have taken steps to reduce the barriers to taking part.  We have introduced floor microphones by request, and there will be an online moderator to take Twitter questions (we will show you how to set this up). 

Secondly, many of the sessions will be set up for combined panel debates with all the speakers, to give everyone in the audience time to warm up and take part, (instead of the usual ‘blink and you miss it’ Q&A after each talk) and so that the speakers can exchange and create new ideas with the delegates and each other. 

Thirdly, in the exhibit and poster halls, we have two podium stages for some ‘soapbox’ sessions – a mixture of main speakers, ad hoc debates, and even an ‘open mic’ slot for your own ICM-related topics, when you have something you want to get off your chest.  How convincing can you be in 2 minutes? 

After hours, we now have evening receptions on both Monday and Tuesday (the latter sponsored by Aerogen), and the registration desk will remain open until 7pm on both evenings to give you advice, printed guides, and act as a meeting point for going out for the evening – whether in Docklands or in central London.  A couple of the more gastronomic and fun-loving ICS council & committee members (yes, we have resurrected one or two) are writing a quick guide to recommended dining and entertainment areas – advice definitely to be taken at your own risk. 

Unfortunately we can’t put on a gala dinner without wiping out the ICS education budget for the year, but we will be interested to hear your networking and social ideas for 2016.  These meetings should be as much about getting to know and learning from your colleagues as from the speakers, and we welcome your further suggestions.

See you there!

Ganesh Suntharalingam

State of the Art Programme Lead


CUSIC Pre-Conference Workshop

Saturday & Sunday 5-6th Dec 2015

Venue: Crowne Plaza London Docklands


(20% discount to attend SOA meeting if also register for CUSIC Course)

I just want to attend the CUSIC course….

ONLINE: Online registration for 2 day CUSIC course (5-6th Dec)

PAPER: Pre-SOA CUSIC Course Registration Form

I just want to attend the SOA meeting…

ONLINE: Online registration for SOA (7-9th Dec)

PAPER: SOA15RegistrationFormWordWebv4-3

I want to attend BOTH CUSIC and SOA and claim my 20% DISCOUNT to attend SOA meeting…

PAPER ONLY OPTION: Joint Registration Form- Pre-SOA CUSIC Course & SOA meeting

(apologies, there is currently no online option for joint booking)

Cusic3 copy

Meeting Overview

This two day course designed for trainees and Consultants in Critical Care, Emergency Medicine and Anaesthesia.

Multidisciplinary faculty including CUSIC council members. Interactive tutorials on basic scanning principles. Scanning practice in small groups with experienced mentors.Interactive simulators and problem based video scenarios sessions.

CUSIC course programme

Day 1

0900 – 0915 Introduction to course – Graham Barker/Adrian Wong

0915 – 0945 Introduction to ICU Echo – Graham Barker 

  • Windows and anatomy
  • FICE proforma
  • Live image demo

0945 – 1015 Left heart – Dave Garry

1015 – 1045 Right heart  – James Day 

1045 – 1115 BREAK 

1115 – 1245 Scanning session heart 

1245 – 1330 LUNCH 

1330 – 1400 Volume assessment – Justin Mandeville

1400 – 1430 Pleural and pericardial fluid – Toby Thomas / Jodie Smythe

1430 – 1530 Scanning session heart 2 

1530 – 1545 BREAK 

1545 – 1615 Vascular – line insertion, procedures and DVT  – Adrian Wong 

1615 – 1715 Scanning session procedural (phantoms) 

Day 2

0900 – 0945 Introduction to lung ultrasound – Justin Kirk-Bayley

  • Blu protocol
  • Live image demo

0945 – 1045 Lung pathology/case presentation/Q&A – Ashley Miller/ JKB 

1045 – 1100 BREAK 

1100 – 1230 Scanning session lung 

1230 – 1315 LUNCH 

1315 – 1400 Introduction to abdominal ultrasound  – Julian Thompson

  • eFAST
  • Renal tract
  • Live image demo

1400 – 1515 Scanning session abdo

1515 – 1530 BREAK 

1530 – 1600 Abdo pathology/case presentation (videos) 

1600 – 1630 Putting it all together – CUSIC accreditation  – Pete MacNaughton 

1630 – 1730 Scanning session free-style 


Adrian Wong

Pete MacNaughton

Justin Kirk-Bayley

Ashley Miller

Julian Thompson

Graham Barker

David Garry

James Day

Justin Mandeville

Toby Thomas

Jodie Smythe

Registration closing date

The closing date for paper registration is 17:00 hours Friday 20th November 2015. Delegates wishing to register after the closing date should telephone the Office by 17:00 Friday 27th November 2015 to check availability or they may be turned away on the day. If there are available spaces, late registrants will be subject to a £10.00 surcharge to cover additional administration costs.

For more information contact

Peter Pickkers

Peter PickkersPickkersklein


For two and a half years Professor Peter Pickkers did his Ph.D research at the Department of Internal Medicine at the Radboudumc and the Department of Clinical Pharmacology and Therapeutics at St. Mary’s Hospital in London into the vasodilating effects of diuretics, resulting in a thesis entitled “Vascular effects of diuretics”

In 2001 he became a fellow in intensive care and in 2003 a staff member. In 2006 he became a senior lecturer, in 2009 a Principle Investigator at the UMC St. Radboud, and in 2010 full professor of Experimental Intensive Care Medicine. He was a member of the national SWAB committee on sepsis guidelines, a member of the scientific committee of the Dutch Society of Intensive Care. He is member of the editorial boards of Netherlands Journal of Critical Care, Nederlands Tijdschrift voor Geneeskunde, and Intensive Care Medicine Experimental.

 Research focus

His research focuses on pharmacological modulation of the innate immune response in translational models and patients. This research entails both the modulation of the innate immune response, as well as end-organ dysfunction, with a primary focus on the kidney

Social Media coming to State of the Art. 7-9th December

If you want to know how we practiced medicine 5 years ago, read a textbook.

If you want to know how we practiced medicine 2 years ago, read a journal.

If you want to know how we practice medicine now and in the future, use #FOAMed.      adapted from Joe Lex

The State of the Art Meeting this year is going to be packed with #FOAMed. We will be discussing ‘the good, the bad and the ugly’ of Social Media. We will also be hosting a workshop covering everything from Twitter, Periscope, WordPress, Blab, recording CPD and lots more!

Get ready for daily blogs, interviews with the speakers and lots of open access material.

We look forward to welcoming you in December!

Register now! 

Charlotte Summers

@charlot_summersCharlotte Summers


Charlotte is the University Lecturer in Critical Care Medicine at the University of Cambridge. She initially graduated from the University of Southampton, and later undertook a PhD (University of Cambridge) alongside her Higher Specialist Training in Respiratory (East of England) and Intensive Care Medicine (London). She was appointed at the UK’s first NIHR Clinical Lecturer in Intensive Care Medicine, and later went on to spend two years as Assistant Professor in Pulmonary and Critical Care Medicine at the University of California, San Francisco, funded by a Fulbright Scholarship and a Wellcome Trust Clinician Scientist Fellowship. Charlotte’s research interests are the cellular mechanisms of acute pulmonary inflammation, which she addresses using a range of, experimental, translational and early phase clinical studies.

Daniel Martin

Dan Martin


Dr Daniel Martin a Senior Lecturer at UCL and Honorary Consultant in Perioperative and Critical Care Medicine at the Royal Free Hospital, London. He is also the Director of the UCL Centre for Altitude, Space and Extreme Environment (CASE) Medicine, which is based at the Institute of Sports Exercise and Health. His research interests include human adaptation to hypoxia, the microcirculation, perioperative optimisation of high risk patients, and liver transplantation. He is the intensive care lead for the national High Level Isolation Unit for viral haemorrhagic fevers at the Royal Free hospital and was involved in caring for patients in the recent Ebola outbreak.








Nazir Lone

Nazir Lone @ICULone


Nazir is a Senior Clinical Lecturer in Critical Care, Centre for Population Health Sciences and Department of Anaesthesia, Critical Care and Pain Medicine and Honorary Consultant in Critical Care, Royal Infirmary of Edinburgh. He has extensive research experience in health services  and health care quality improvement for acutely ill patients. He is Deputy Director of Research, Intensive Care Foundation

Edward Baker


blog-edward-baker-portraitEdward was Medical Director and Deputy Chief Executive of Oxford University Hospitals NHS Trust before joining CQC in 2014.

As medical director he led significant operational change and quality improvement at both Guy’s and St Thomas’ NHS Foundation Trust and subsequently Oxford University Hospitals NHS Trust, where he focused on building partnerships between clinical services and the universities in Oxford. In addition, he chaired the team of inspectors for one of CQC’s first inspections under its new acute inspection model, at Croydon Health Services NHS Trust.



Matthew Williams



Matt started as a Consultant in Critical Care and Anaesthesia in 2005. He studied medicine at the University of Bristol. Postgraduate training was completed in the South West region, which included general and neonatal paediatrics, intensive care in Melbourne, Australia, and specialist Anaesthesia and Intensive Care Medicine (ICM) in the Wessex region which included a year at the University of Michigan Hospitals, USA. He maintains a vascular anaesthetic interest. His interests are in medical education, ethics, and patient safety.

He is the Faculty Tutor for ICM training, Wessex Deputy Regional Advisor for ICM training, Trust Clinical Lead for Organ Donation and the Trust’s Lead for Simulation training.


Niamh Feely

@nmfeely Untitled


Niamh is an intensivist and anaesthetist at Heatherwood and Wexham Park Hospitals, Frimley Health Foundation Trust and is the Training Programme Director for Intensive Care Medicine in the Thames Valley region.  She has a keen interest in simulation.


Christopher Bassford


Chris is a respiratory and intensive care consultant physician at University Hospital Coventry. He graduated from Birmingham Medical School in 1999 and gained MRCP in 2003.

His PhD from Warwick University was awarded for an investigation of steroid metabolism within alveolar macrophages in the acute respiratory distress syndrome (ARDS) and the receptor for advanced glycation end products (RAGE) as a marker of lung inflammation in ARDS.

Post doctoral research has been a departure from translational methods into qualitative and mixed methodology research: He is chief investigator on a multi-centre, NIHR funded project investigating how decisions are made whether or not a patient is admitted to the intensive care unit.

Tony Gordon

ACGpic June2013 @agordonICU


Dr Tony Gordon is a clinical senior lecturer / consultant in Critical Care Medicine at Imperial College / Charing Cross Hospital. He trained in anaesthesia and intensive care medicine in the North West Thames region and obtained his MD at St Bartholomew’s. He has also worked at the Royal North Shore Hospital in Sydney, Australia and St Paul’s Hospital, Vancouver, Canada.

Dr Gordon is an NIHR Clinician Scientist and Director of Research for the Intensive Care Foundation. He is the Chief Investigator for two UK multi-centre septic shock trials (VANISH and LeoPARDS) and is part of the UK Critical Care Genomics group. He supervises a number of clinical fellows undertaking PhDs studying the pathophysiology of sepsis.

Susanna Price


Dr Susanna Price is a Consultant Cardiologist and Intensivist at the Royal Brompton Hospital, London, and an Honorary Senior Lecturer at Imperial College, London. Her specialist interests are critical care of the GUCH patient, cardiogenic shock (including extracorporeal support) and echocardiography for transcatheter valve interventions, cardiac surgery and intensive care. She has been a co-author for several guidelines published by the European Society of Cardiology, including most recently Valvular Heart Disease (2012), Noncardiac Surgery (2014), Endocarditis (2015) and Pericardial Disease (2016). She sits on numerous committees, including the European Society of Cardiology (ESC) Congress Programme Committee, Press Committee, Education Committee, and Task Force for Education online. She is a board member of the ESC Acute Cardiovascular Care Association, where she additionally chairs the Education Committee. She is additionally a member of the ALS subcommittee of the Resuscitation Council,


Mark Forrest



Mark is a Consultant in Anaesthetics, Critical & Pre-hospital Care in the North West of England. He is the Founder and Medical Director of the Anaesthesia Trauma & Critical Care (ATACC) Faculty, which was established over 16 years ago and is now fully accredited by the Royal College of Surgeons London and the advanced level ATACC course draws candidates from all over the world, with all income reinvested into developing new educational concepts such as the world’s first 21st century immersive classroom, launched last year.

¦ Read more….¦ Anaesthesia, Trauma and Critical Care (ATACC) ¦

Ron Daniels



Ron is Chief Executive and one of the founders of the UK Sepsis Trust; he developed his passion for improving systems for Sepsis during his Role as a Consultant in Critical Care and Anaesthesia, and his parallel role as CEO of the Global Sepsis Alliance. He is a recognised world expert in sepsis and lectures internationally.

¦ UK Sepsis Trust ¦ JICS Cast: Daniels – UK Sepsis Trust ¦

Andy Johnston



Lt Col Andy Johnston is an Intensivist at the Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham. He graduated from the University of Dundee in 1993, and trained in Scotland, the North of England and the West Midlands. He has experience in managing high volume, high acuity combat trauma, both in Afghanistan and at QEHB. In his role as a specialist in Chemical, Biological, Radiological and Nuclear medicine he was part of the training team for UK military, NHS, and international medical personnel deploying to Sierra Leone to treat Ebola patients. At the beginning of 2015 he worked at the specialised MOD run Ebola Treatment Unit in Sierra Leone, caring for health care workers with suspected and confirmed Ebola infection.

Jozef Kesecioglu


Jozef Kesecioglu is Professor of Intensive Care Medicine at the Department of Intensive Care Medicine, University Medical Center, Utrecht, the Netherlands. He completed his medical education and training in anesthesia and intensive care at the Medical School of University of Istanbul, Turkey, where he was later appointed as the head of the intensive care. After moving to the Netherlands in 1989, he worked in Erasmus Medical Center and Sophia Children’s Hospital Rotterdam as anesthetist and pediatric intensivist respectively. He moved to Academic Medical Center in Amsterdam as the deputy director and has become interim director in the same department, before taking up his current position in 2002 in University Medical Center in Utrecht. He has re-organised the four intensive cares and made one department of it before designing and moving to the new, award winning, state-of-the-art ICU. He is currently the chair of the Management Team of the Division of Anesthesiology, Intensive Care and Emergency Medicine.

Professor Kesecioglu was Chairman of the Ethics Section of the European Society of Intensive Care Medicine (ESICM). After finishing his term, he was elected as the Chair of the Division of Scientific Affairs of ESICM. He has also represented ESICM in the workgroup concerning “An official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units”.

Professor Kesecioglu has authored around 100 published or in-press peer-reviewed papers and has been giving lectures in various scientific meetings. His main interests are ethics, intensive care environment and selective decontamination of the digestive tract.