St Bartholomew’s Hospital, Barts Health NHS Trust

• St Bartholomew’s Adult Critical Care comprises four units.
• Unit 1C caters to patients post-cardiac surgery, Unit 1E serves those undergoing complex cardiac and aortic surgeries, while Unit 1D functions as a high-dependency and step-down unit for surgical patients.
• Our Medical Critical Care Unit on the 6th floor has 16 beds, including seven specialised respiratory isolation rooms.
• We are dedicated to caring for adult patients with intricate surgical and non-surgical cardiac conditions, such as cardiogenic shock, severe respiratory failure, endocrine diseases, and complications from cancer therapies, including haematological malignancies.
• Our medical ICU is a national severe respiratory failure centre providing respiratory extracorporeal membrane oxygenation (ECMO) services.
• Our facility offers advanced cardiac support treatments, including VA-ECMO, intra-aortic balloon pump (IABP), and Impella.
• There is no split site working within this Unit

The medical ICU is experiencing a rise in clinical and translational research, focusing on acute myocardial infarction with cardiogenic shock, echocardiography for critically ill patients, and muscle weakness due to critical illness. Additionally, we are currently enrolling patients in clinical trials related to out-of-hospital cardiac arrest and cardiogenic shock including STEP-CARE and NEAT-ECHO.

On weekdays during the day, the medical ICU will be staffed with at least two long-day and two short-day doctors/staff. Of these, two will be middle-grade doctors trained in airway management, accompanied by two junior-grade staff members. There will be one middle-grade and one junior-grade doctor during nighttime and weekends. The junior-grade doctors consist of internal medicine trainees and advanced critical care practitioners. Meanwhile, the middle-grade medical ICU doctors include intensive care trainees, CESR fellows in anaesthesia and intensive care, and senior clinical fellows.

In the surgical units, staffing during the daytime will consist of three middle-grade doctors trained in airway management and three junior-grade staff members, including junior clinical fellows, internal medicine trainees, and ACCPs. At night and on weekends, the units will have two middle-grade airway-trained doctors and one junior-grade staff supervised by a senior middle-grade doctor. The middle-grade staff in the surgical units are drawn from anaesthesia trainees, clinical fellows, and intensive care trainees and fellows.

• Training in point of care ultrasound 
• Opportunity to attend theatre for airway experience 
• Interhospital transfers 
• Opportunity to attend a Cardiac Catheterisation lab 
• Acting up as an ICM Consultant (for Stage 3 trainees) 

• Weekly intensive care medicine teaching designed to address the FFICM and EDIC curriculum.
• Bi-weekly teaching for the junior staff.
• Weekly echocardiography ward round, where cases are reviewed and teaching is delivered by a consultant cardiologist with an interest in echocardiography.
• Three times per week, microbiology ward rounds, where cases are reviewed and teaching is delivered by a consultant microbiologist.
• Three times per week, radiology ward rounds, where cases are reviewed and teaching is delivered by a consultant radiologist.
• Once per month, FUSIC heart meeting to review and provide feedback on cases.

• Once weekly ICM M&M meeting.
• Monthly audit days.

• St Bartholomew’s Hospital has minimal parking facilities. However, our central London location is served by public transport, including multiple buses and underground lines.

Some rest facilities are available within our units.

• St Bartholomew’s Hospital has a canteen that serves hot food, operating between 7 am and 12 am.
• Non-clinical work areas are limited within our hospital. However, they can be provided if required.