Critical Care Practitioner

Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
  • 4.2 (23)
  • MEDICINE
  • UPDATED BIWEEKLY

As I Learn, You Learn Too

  1. 2D AGO

    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

  2. OCT 31

    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

  3. OCT 24

    DKA- Fluids, Potassium and Insulin

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

    23 min

  4. OCT 13

    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

  5. OCT 1

    DKA in Critical Care

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

    9 min

  6. SEP 24

    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

  7. SEP 16

    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

  8. SEP 12

    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
See All (202)

Ratings & Reviews

4.2
out of 5
23 Ratings

About

As I Learn, You Learn Too

Information

  • 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

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