Senior Adult Intensive Care Medicine Fellow (Cardiorespiratory & ECMO)

We are looking for experienced intensive care doctors (ST6 or equivalent level and above) to work as Senior Adult Intensive Care Medicine Fellows with a specialist interest in severe respiratory failure (SRF) and Extracorporeal Membrane Oxygenation (ECMO). You will work as an integral member of the adult intensive care team at Glenfield Hospital. This is a unique opportunity to work in one of the UK's largest and most experienced centres for adult ECMO and the only NHS Trust providing ECMO support to patients on all ages from neonate to adult. The adult intensive care unit admits in excess of 1500 patients annually and has treated more than 1000 patients in the adult ECMO programme This post is suitable for: Intensive Care Medicine trainees who have completed at least intermediate (or equivalent) training in adult intensive care medicine looking to enhance their skills in a specialist cardio-respiratory intensive care unit. ICM trainees wishing to pursue ECMO as part of their special skills year during stage 2 intensive care medicine training. All ICM doctors, regardless of dual speciality interest: Anaesthesia, Respiratory Medicine, Renal or Acute Internal Medicine, Emergency Medicine, Surgery etc. Post-CCT in Anaesthesia, those interested in Cardiac Anaesthesia and those interested in Transport Medicine for critically ill patients.Main duties of the job You will become a key member of a highly skilled multi-disciplinary team providing adult intensive care services and gaining valuable experience in the following key areas: o Air and Road Transport of patients with Severe Respiratory Failure including mobile ECMO. o Initiation and ongoing management of patients on veno-venous and veno-arterial ECMO o Management of surgical and medical Cardiothoracic intensive care patients - elective and emergency o Trans-thoracic and trans-oesophageal echocardiography, lung ultrasound. o Advanced ventilatory techniques - including prone positioning, the use of nitric oxide, APRV and selective lung ventilation. o The use of a variety of vasoactive drugs, pulmonary artery catheter and intra-aortic balloon pump for cardiac output monitoring and mechanical circulatory support. o Competence in key practical skills including percutaneous tracheostomy, ECMO cannulation and decannulation, bronchoscopy, intercostal drain insertion and central venous and pulmonary artery catheter insertion for drug delivery, renal support and invasive haemodynamic monitoring. o Opportunity and support for national presentations of audit / data / research. This is an exciting opportunity for a dynamic and ambitious individual to further develop key critical care medicine skills in the provision of advanced respiratory care including ECMO and transport of the critically ill adult and work in a leading cardio-thoracic intensive care unit.

Our new strategy, 'Leading in healthcare, trusted in communities' was developed with the support and feedback of colleagues, patients, and partners and is our compass for the next seven years (2023-2030). We have four primary goals:

• high-quality care for all,
• being a great place to work,
• partnerships for impact, and
• research and education excellence
And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities. Our strategy is underpinned by new values and we will work to ensure they are an everyday reality for all:
• we are compassionate,
• we are proud,
• we are inclusive, and
• we are one team
This is an exciting moment as we look to the future with clarity on what we already do well and where we need to focus our energies to make an even bigger difference for the people we serve.