Teaching

Welcome to our new online sessions

I hope you find these materials useful. Please don’t hesitate to get in contact if you have any feedback/suggestions.

Dr Andrew Hitchings – ahitchin@sgul.ac.uk

Functional neuroanatomy. Dr Maresa Santi. (Link to participation/reflection form.)

Post-operative care following elective neurosurgery. Dr Anne Garner. (Link to participation/reflection form.)

Agitation in neurocritical illness. Dr Yun Mak. (Link to participation/reflection form.)

Human factors in ICU – Error and biases. Dr Andrew Hitchings. (Link to participation/reflection form.)

Human factors is a scientific discipline concerned with the interactions between people, the tasks they do, and the context in which they do them. By understanding and manipulating these factors, it aims to improve the reliability, safety and productivity of the systems in which we live and work. This is crucially underpinned by an understanding that humans make errors. This 16-minute session discusses how error can arise, and in particular, how we are cognitively biased to make certain types of error. This is illustrated with reference to a real adverse incident.

Human factors in ICU – Work procedures and ergonomics. Dr Andrew Hitchings. (Link to participation/reflection form.)

In this 18-min session, I discuss how an understanding of human factors can inform the development of guidelines, protocols and pathways (collectively termed ‘work procedures’ in this session). I also briefly touch on the physical aspects of our work environment, and how this can be engineered to optimise reliability, safety and productivity (‘ergonomics’). (

Status epilepticus – Initial management. Dr Andrew Hitchings. (Link to participation/reflection form.)

This 17-min session covers the management basics of early and established status epilepticus.

Status epilepticus – New-onset refractory status epilepticus (NORSE). Dr Andrew Hitchings. (Link to participation/reflection form.)

This 20-min session discusses the management of refractory status epilepticus, and specifically the syndrome of new-onset refractory status epilepticus. This condition is uncommon, but we see several cases a year in this unit, and they can present significant management challenges.

IV fluids – Core concepts. Dr Andrew Hitchings. (Link to participation/reflection form.)

This 20-min session is about the concepts that crucially underpin the use of IV fluids – namely their composition and how they distribute through body water compartments. 

IV fluids – Fluid resuscitation. Dr Andrew Hitchings. (Link to participation/reflection form.)

This 25-min session provides an introduction to the principles and practicalities of fluid resuscitation in a critical care environment, with particular emphasis on assessment of response to a fluid challenge.

IV fluids – Assessing fluid responsiveness without fluid. Dr Andrew Hitchings. (Link to participation/reflection form.)

This 17-min session builds on the Fluid resuscitation session to discuss the methods of assessing fluid responsiveness without giving fluid. Methods discussed include the passive leg raise test, stroke volume variation / pulse pressure variation, and the end-expiratory occlusion test.