THURSDAY 11 TH APRIL 2019 SCHEDULE PAGE 1 16 TH ANNUAL CRITICAL CARE SYMPOSIUM ROYAL NORTHERN COLLEGE OF MUSIC, MANCHESTER

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1 THURSDAY 11 TH APRIL 2019 SCHEDULE PAGE Registration Introduction Dr Peter Spronk KEYNOTE ADDRESS On the other side of the stethoscope: when the intensivist becomes sick Dr Don Chalfin SEPSIS - BASICS Chairpersons: Dr Peter Spronk & Biology of vascular responsiveness in sepsis - lessons from ADRENAL Prof Bala Venkatesh Microcirculation is the motor of organ failure Chronic alcohol and sepsis Sepsis 3 - three years on Questions Coffee Break TUTORIALS / WORKSHOPS / ROUND TABLE CARDIOVASCULAR Chairpersons: & Dr Ravi Kumar SESAME protocol: a focused whole-body approach to cardiac arrest Use of adrenaline in out of hospital cardiac arrest Dr Michael Kuiper ECMO - CPR Dr Tim Hayes Deep dive into diastolic heart failure: why nothing works? CONTROVERSIES Chairpersons: Dr Francesca Rubulotta & Dr Antonios Liolios Vit C / steroids / thiamine in sepsis Gender equality means that conferences should not name speakers Dr Adrian Wong Permissive anaemia Hypovolaemia does not exist in ICU Dr Ashley Miller Personalised care is just an excuse for people to ignore guidelines and best practice Dr Adrian Wong PRACTICAL ASPECTS IN ICU 1 Chairpersons: Dr Tony Thomas & Dr Tony Whitehouse Abdominal emergencies in ICU Dr Deepak Govil Mechanical insufflation-exsufflation (cough assist) Ms Raechel Moses Emergency front of the neck access - another victory for ultrasound Dr Justin Kirk-Bailey Extubation in ICU Clinical frailty - what is it, why do we need to know? Round Table Sepsis - the challenge Moderator: Prof Tim Buchman Prof Rui Moreno Prof Ruth Kleinpell Prof Kathy Rowan Questions Round Table Tracheostomy - all you need to know Moderator: Dr Jose Chacko Ms Rachael Moses Questions Lunch Questions Lunch Small Meeting Room: Workshop

2 THURSDAY 11 TH APRIL 2019 SCHEDULE PAGE 2 TUTORIALS / WORKSHOPS / ROUND TABLE Chairperson: Prof Paolo Pelosi Steriods in ICU PRO CON Dr Jean-Louis Vincent Questions Lunch NEURO CRITICAL CARE Chairpersons: Dr Michael Kuiper & Prof Fang Gao Smith Early brain injury in ICU: too little too late Dr Matthew Rowland ICP - more than a number Prof Rui Moreno Intracranial haemorrhage: emerging research in minimally invasive options for intensivists to know Associate Prof Aarti Sarwal Ketones as neuro protective agents Prof Bala Ventakesh Questions Coffee Break SEPSIS - MANAGEMENT Chairpersons: Dr Rob MacSweeney & elements that can improve outcome in sepsis How we optimized vasopressor use in sepsis Beta blockers in septic shock Dr Tony Whitehouse Quality improvement in sepsis management Prof Tim Buchman Questions Coffee Break ICU ISSUES 1 Chairpersons: Dr Ruth Kleinpell & How bed availability drives care WHO s in Critical Care Dr Tony Thomas Quality improvement and evidence based practice SLT in critical care Addressing burnout in critical care providers Prof Ruth Kleinpell COMMUNICATIONS / ETHICS / HEALTH ECONOMICS Chairpersons: Associate Prof Leslie Whetstine & Dr Niels Van Regenmortal Basic concepts and philosophy of health economics: why is it relevant for clinicians? Dr Don Chalfin Cost of preventable cardiac arrests Dr Francesca Rubulotta Current controversies in ethics Associate Prof Leslie Whetstine Communications in the ICU Questions Coffee Break NUTRITION Chairpersons: & Dr Matthew Rowland Topic to be arranged Muscle mass and physical recovery in ICU: innovations for targeting nutrition and exercise Monitoring a medical nutrition intervention in ICU Dr Alex Katanakis Questions Round Table Rehabilitation in ICU Moderator: Dr Peter Spronk Ms Rachael Moses Tutorial ICU rounds with Frank-Starling Small Meeting Room: Tutorial Haemostatis - all you need to know Round Table Research: Practical aspects Writing a grant / fellowship application Designing a trial / reporting results Moderator: Prof Bala Venkatesh Prof Fang Gao Smith Prof Kathy Rowan

3 THURSDAY 11 TH APRIL 2019 SCHEDULE PAGE 3 TUTORIALS / WORKSHOPS / ROUND TABLE TOPICS 2 Chairpersons: & Lactate metabolism Dr Marek Nalos EPIC 3: how our ICU world has changed The gut-brain connection and the psychobiome ICU ISSUES 1 (continued) Chairpersons: Dr Ruth Kleinpell & Safety profiles of the ACCP and their contributions to ICU Mr Gavin Denton Questions UPDATES IN INTENSIVE CARE Chairpersons: Prof Rui Moreno & Updates on the latest literature and landmark papers Dr Rob MacSweeney Updates on rehabilitation Questions Tutorial Acid-base Stewart approach Dr Niels Van Regenmortal Small Meeting Room: Workshop Sepsis registry in Wales Lessons we can learn from history Questions for Foster & Robinson Room Crowne Plaza Manchester Oxford Road 55 Booth Street West Mancheser M15 6PQ SYMPOSIUM DINNER Admission by pre-booked ticket only AFTER DINNER SPEECH: Tracheostomy in critically ill patients: patients and families will never walk alone Prof Paolo Pelosi

4 FRIDAY 12 TH APRIL 2019 SCHEDULE PAGE Registration KEYNOTE ADDRESS Chairpersons: Dr Don Chalfin & Dr Antonios Liolios The ICU in Europe: the mismatch between demand and supply Prof Rui Moreno TUTORIALS / WORKSHOPS HAEMODYNAMICS Chairpersons: Dr Don Chalfin & Dr Antonios Liolios The cardiovascular response to ECMO, CRRT and cardiac assist devices Limits of fluid responsiveness parameters Prof Michel Slama Ivabradine: a new tool to control tachycardia without affecting inotropism Prof Bernard Cholley Questions Coffee Break Chairperson: Mervyn Singer is wrong: whatever it is I am against it? PRO CON Questions ARDS Chairpersons: Prof Paolo Pelosi & Dr Francesca Rubulotta Mechanisms of ARDS To be announced Impact of BALTI trial Prof Fang Gao Smith Extracorporeal CO2 removal - respiratory dialysis: future of hypercapnic respiratory failure Dr Deepak Govil Recruitment maneuver in ARDS: effect on haemodynamics and on the heart Prof Michel Slama Questions Coffee Break Chairperson: Prof Tim Buckman Deteriorating patient in the ward: the need for monitoring PRO Dr Francesca Rubulotta CON TOPICS 2 Chairpersons: Associate Prof Leslie Whetstine & Dr Ravi Kumar Trauma haemorrhage - management and beyond Conscientious objection Associate Prof Leslie Whetstine Choice of IV fluids: a pragmatic approach Questions Coffee Break ULTRASOUND IN CRITICAL CARE Chairpersons: Associate Prof Aarti Sarwal & From pocket to POCUS Dr Jonathan Wilkinson Pushing POCUS further - beyond heart and lungs Dr Justin Kirk-Bailey All the misconceptions surrounding lung ultrasound Journal Matters: writing, reviewing, associate editing and editor in chief Prof Tim Buchman Crew resource management (CRM) in ICU Dr Alex Katanakis Small Meeting Room: Physiological basis of fluids Interpreting abnormal haematology and coagulation profiles in acutely ill patients Questions

5 FRIDAY 12 TH APRIL 2019 SCHEDULE PAGE 2 TUTORIALS / WORKSHOPS Chairperson: Prof Rui Moreno PA catheter is still the best option in the 21 st Century PRO CON Prof Michel Slama Questions Lunch INFECTIONS AND ANTIBIOTICS Chairpersons: Dr Tony Thomas & Dr Ravi Kumar Inhaled antibiotics Dr Deepak Govil Early antibiotics in sepsis - do they work Antibiotic stewardship Dr Niels Van Regenmortal Faecal transplant for C. difficile and potential other uses in ICU Questions Coffee Break FUTURE ICU Chairpersons: Dr Michael Kuiper & Transfer of ventilated patients in the future Mr Gavin Denton Suspended animation - a reality Precision medicine in sepsis Tailoring nutrition therapy to illness and recovery: the future Questions Lunch Chairperson: Prof Fang Gao Smith Closing the lungs is better than keeping them open PRO Prof Paolo Pelosi CON Dr Rob MacSweeney Questions Coffee Break ULTRASOUND IN CRITICAL CARE (continued) Chairpersons: Associate Prof Aarti Sarwal & Point of care cranial ultrasound and transcranial Doppler in critical care Associate Prof Aarti Sarwal Ventilator induced diaphragm dysfunction Associate Prof Aarti Sarwal Questions Lunch TOPICS 3 Chairpersons: Mr Gavin Denton & Mechanical ventilation in non-ards patients Prof Paolo Pelosi Results from the POPPI (Psychological Outcomes following a nurse-led Preventative Psychological Intervention for critically ill patients) trial Prof Kathy Rowan Shock induced endotheliopathy in critical illness: a new disease entity Questions Coffee Break Social media and knowledge dissemination Moderator: Dr Rob MacSweeney Dr Jonathan Wilkinson Dr Antonios Liolios Dr Adrian Wong Dr Segun Olusanya Airway assessment to wean patients with tracheostomy Ms Rachael Moses Small Meeting Room: Interesting cases in ICU Workshop: Determination of death for organ donation Dr Michael Kuiper Associate Prof Leslie Whetstine

FRIDAY 12 TH APRIL 2019 SCHEDULE PAGE 3 ICU ISSUES 2 Chairpersons: Dr Peter Spronk & Prof Ruth Kleinpell 15.20 15.

50 Unplanned removal of medical devices Dr Tony Thomas 15.50 16.15 Managing an ICU team in crisis - is weakness an option Dr Adrian Wong 16.

6 FRIDAY 12 TH APRIL 2019 SCHEDULE PAGE 3 ICU ISSUES 2 Chairpersons: Dr Peter Spronk & Prof Ruth Kleinpell Promoting family engagement in ICU: lessons learned Prof Ruth Kleinpell from an international study Unplanned removal of medical devices Dr Tony Thomas Managing an ICU team in crisis - is weakness an option Dr Adrian Wong Questions CLOSING LECTURE Chairpersons: Dr Peter Spronk & Prof Ruth Kleinpell Bigger science Closing remarks Dr Peter Spronk ENDORSED BY ICU MANAGEMENT & PRACTICE

Royal Northern College of Music Oxford road Main Auditorium When Intensivist becomes the amongst the sickest patient Dr Don Chalfin

Royal Northern College of Music Oxford road Main Auditorium When Intensivist becomes the amongst the sickest patient Dr Don Chalfin Oxford road Main Auditorium April 11 th 2019 07.45 08.45 Registration 08.45 09.00 Introduction Dr Peter Spronk Keynote Address 09.00 09.30 When Intensivist becomes the amongst the sickest patient Dr Don