James chats to Dr Luke Collett about how to prepare for your first ICU rotation night shift as a junior doctor. In this podcast, we’ll also talk about what to expect from a typical day when working in the ICU rotation.
Summary Writer: Claudia Hurwitz
Script Writers: Luke Collett & Sam Orton
Editors: Luke Collett & Sam Orton
Interviewee: Luke Collett
Dr Luke Collett is an ICU Clinical Fellow at Royal North Shore Hospital. After separate diversions into Emergency Medicine and Infectious Diseases, he completed his ICU clinical training in 2016. He has recently returned from a fellowship year in Severe Respiratory Failure and ECMO at Guy’s and St Thomas’ Hospitals in London.
Luke is a keen educator, trained simulation instructor, and faculty on a number of courses. He has previously run the MET calls workshop at the NSW Pre-Intern Conference.
With Dr Luke Collett, Intensive Care Unit Fellow at Royal North Shore Hospital Sydney, Australia
Intensive Care is a sought after and exciting rotation for junior medical staff. From varied clinical experience to unique procedures, organ supports and drugs, all junior medical staff can gain a lot from a rotation in ICU. The long hours and high acuity of care can be taxing on residents and it is important to seek assistance clinically and emotionally if required.
You are a first-year Resident doing an ICU rotation. It is your first week of nights on a general ward and you are asked to review a 55-year-old male admitted through the Emergency Department. He is intubated following a motor vehicle accident. He has lots of rib fractures, is intubated and difficult to ventilate. The patient starts to desaturate and the team is troubleshooting the cause of this desaturation, including cuff leaks.
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