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Lynn Schallom is a research scientist at the Barnes-Jewish Hospital in St. Louis. She published a paper ‘Head of Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration, and Pressure Ulcers’ in the American Journal of Critical Care in January 2015.

Head of Bed Elevation

There is a conflict between the need to keep a patients head elevated to reduce the incidence of oesophageal reflux and consequent pneumonia, and the prevention of pressure ulcers. Can we do both? In her very small study Lynn seems to show that head of bed elevation is important and that we can. She also highlights some other areas of concern, one of which is the use of the trendelenberg position when sliding patients up the bed. This would seem to put patients at increased risk of aspiration as their secretions are encouraged to run in the ‘wrong’ direction!

I also recorded a quick video to further break down the study so you can watch that here if you wish.


The Intensive Care Society State of the Art Conference is coming soon and I am quite involved with it this year. If you want to know more this is where you can find the full programme. If you come along I would be happy to meet you and even get an interview out of you. I hope I don’t see a lot of people dodging behind pillars when they see me because of that threat!

I was also at the ACP Conference held by the Heart of England Foundation Trust and recorded some of the presentations I was hoping to be able to live stream using Periscope but as the meeting was sponsored by a drug company this was not possible. The video is below.


Podcast LinkPodcast Episode Name
CCP Podcast 001Introduction and Interview with Teresa Chinn from @WeNurses
CCP Podcast 002Twitter, Google Hang Outs and Speakpipe
CCP Podcast 003Interview with Robin Davies, Lead Resuscitation Officer
CCP Podcast 004Great Medical Podcasts to Listen To
CCP Podcast 005Chat with Ken Spearpoint
CCP Podcast 006Chat with David Barton
CCP Podcast 007Chat with Bethan Bishop
CCP Podcast 008Chat with Claire Flatt
CCP Podcast 009SMACC Me Hard!
CCP Podcast 010Cricoid Pressure: Do it? Do it right? Or do it at all?
CCP Podcast 011Social Media...Use it, don't abuse it!
CCP Podcast 012Get my feet to the floor...please!
CCP Podcast 013Mind and Body
CCP Podcast 014How Much Fluid?
CCP Podcast 015The Power of Practitioners?
CCP Podcast 016The Strong Arm of Eric...YouTube Learning.
CCP Podcast 017Simon is one of the First 2 Act
CCP Podcast 018Mechanical Ventilation...
CCP Podcast 019SepsisPAM analysed. Gav and Jonathan try to work it out!
CCP Podcast 020More Power to Practitioners
CCP Podcast 021Jesse's Show
CCP Podcast 022ACPs Education, Education, Education.
CCP Podcast 023Wash Your Mouth Out!!
CCP Podcast 024Mechanical Ventilation...the basics
CCP Podcast 025Teresa Gets A Gong!
CCP Podcast 026Crew Resource Management...What?
CCP Podcast 027Crew Resource Management Continued
CCP Podcast 028James DuCanto Talks Intubation
CCP Podcast 029Mechanical Ventilation...Phases of the Breath
CCP Podcast 030SMACC it!
CCP Podcast 031Lifesaver to Lightsabre!
CCP Podcast 032Hello South Africa!
CCP Podcast 033Calling all students...
CCP Podcast 034Mechanical Ventilation...Types of breath
CCP Podcast 0355 Tips for Better Presentations
CCP Podcast 036Head of Bed Elevation and Reflux
CCP Podcast 037How to Make Ultrasound Easier!
CCP Podcast 038WeNurses Tweet Chat About Advanced Practitioners
CCP Podcast 039Early Mobilisation- Get Them Moving!
CCP Podcast 040Why Won't We Change?
CCP Podcast 041PTSD in Critical Care
CCP Podcast 042What angle should I sit my patient at?
CCP Podcast 043Why won't my patient sleep?
CCP Podcast 044Helping the ITU patient sleep
CCP Podcast 045Simple Things to Help them Sleep
CCP Podcast 046PTSD in Critical Care II
CCP Podcast 047Advanced Critical Care Practitioner
CCP Podcast 048RSI- Which Drug?
CCP Podcast 049Central Venous Catheter- Which Needle?
CCP Podcast 050LeoPARDS Trial
CCP Podcast 051ICU Follow Up Clinics
CCP Podcast 052Chronic Critical Illness
CCP Podcast 053Nutrition Guidelines
CCP Podcast 054Nutrition Guidelines at ICSSOA 2016
CCP Podcast 055Papers of the Month
CCP Podcast 056Got to help them cough
CCP Podcast 057Papers of the Month
CCP Podcast 058Early Mobilisation. Do we know it works?
CCP Podcast 059Surviving the ICU: The Patient Experience.
CCP Podcast 060My Critical Care Patient Can't Swallow! Why?
CCP Podcast 061Papers of the Month: March 2017
CCP Podcast 062Escalate the Patient!
CCP Podcast 063The Two Jonnys Do Twitter: May 2017
CCP Podcast 064Papers of the Month May 2017
CCP Podcast 065ACCP Presentation- What, Why, How?
CCP Podcast 066The Two Jonnys Do Twitter: May 2017 (2)
CCP Podcast 067Papers of the Month June 2017
CCP Podcast 068The Two Jonnys Do Twitter: June 2017
CCP Podcast 069DasSMACC Day 1
CCP Podcast 070DasSMACC Day 2
CCP Podcast 071DasSMACC Day 3
CCP Podcast 072The Two Jonnys Do Twitter: July 2017
CCP Podcast 073Bariatric Surgery in the Management of the Obese Patient
CCP Podcast 074Lung Ultrasound with SonoPhysio
CCP Podcast 075ACP Conference October 2017
CCP Podcast 076The Two Jonnys Septmber 2017

CCP Podcast 077NCEPOD 2017 Acute NIV
CCP Podcast 078NCEPOD 2017 Acute NIV- A Discussion
CCP Podcast 079The Two Jonnys November 2017
CCP Podcast 080Nitin does FICE….quickly!
CCP Podcast 081The Two Jonnys at ICSSOA 2017 (and Dave)
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Get in touch with Jonathan

I would love to hear from you so that we can start to work together.
  • Send an email to contact@criticalcarepractitioner.co.uk
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Originally posted 2015-09-17 15:11:58. Republished by Blog Post Promoter

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