Critical Care Practitioner

Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.

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As I Learn, You Learn Too

13/11/2025

Non Invasive Ventilation

This episode offers a structured, bedside-focused exploration of Non-Invasive Ventilation (NIV) for acute hypercapnic respiratory failure in COPD, aligned with NICE NG115 and BTS/ICS 2016 guidance. Aimed at early-career critical care nurses, it breaks the topic down into physiology, practical setup, monitoring, and escalation.Key Topics CoveredMechanisms behind acute-on-chronic hypercapnic respiratory failure in COPD.How NIV improves […] The post Non Invasive Ventilation appeared first on Critical Care Practitioner.

15 min
31/10/2025

HHS (Hyperosmolar Hyperglycaemic State)

HHS (Hyperosmolar Hyperglycaemic State) is the quiet counterpart to DKA. It develops slowly in older type 2 diabetics with residual insulin, leading to extreme hyperglycaemia and dehydration without ketosis. In this 2-hour deep dive, Jonathan explains why HHS kills through water loss and hyperviscosity rather than acid, and how to manage it safely.Key Learning Points:· Pathophysiology: Relative […] The post HHS (Hyperosmolar Hyperglycaemic State) appeared first on Critical Care Practitioner.

32 min
24/10/2025

DKA- Fluids, Potassium and Insulin

The post DKA- Fluids, Potassium and Insulin appeared first on Critical Care Practitioner.

23 min
13/10/2025

Hypophosphatemia in Critical Care

Summary:In this episode, we spotlight a stealthy ICU disruptor — hypophosphataemia. Based on a 2024 narrative review in the Journal of Clinical Medicine, we explore why phosphate matters, how it goes missing in critically ill patients, and why you should care even when it’s just “a little low.”What’s Covered:The vital role of phosphate in energy, […] The post Hypophosphatemia in Critical Care appeared first on Critical Care Practitioner.

6 min
01/10/2025

DKA in Critical Care

The post DKA in Critical Care appeared first on Critical Care Practitioner.

9 min
24/09/2025

Mobilisation in Critical Care- Barriers and Culture

Mobilisation in the ICU raises two big questions: is it safe, and will staff embrace it?In this discussion, Jonathan explores both sides of the story:Safety first:Large prevalence studies show mobilisation is happening, though often inconsistently.A systematic review of 1,800+ sessions found serious adverse events in only 0.6% — most minor and short-lived.Even patients on CRRT can safely mobilise […] The post Mobilisation in Critical Care- Barriers and Culture appeared first on Critical Care Practitioner.

5 min
16/09/2025

Episode 1- Mobilisation in the ICU

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 […] The post Episode 1- Mobilisation in the ICU appeared first on Critical Care Practitioner.

7 min
12/09/2025

Episode 6: Guidelines and the Future of Sedation in Critical Care

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 […] The post Episode 6: Guidelines and the Future of Sedation in Critical Care appeared first on Critical Care Practitioner.

7 min

As I Learn, You Learn Too

Creator

Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
Years Active

2014 - 2025
Episodes

202
Rating

Clean
Copyright

© Copyright: Critical Care Practitioner 2014
Show Website

Critical Care Practitioner

Medicine

Medicine

Twice monthly