Subbe, Christian Peter - Bangor University - School of Medical Sciences

个人简介

Current position Senior Clinical Lecturer in Acute and Critical Care Medicine since 2009 Consultant in Acute, Respiratory and Intensive Care Medicine at the Ysbyty Gwynedd, Bangor, since 2011. Educational background 1986 - National Medical School Entry Test: 97th percentile 1986-92 - Westfälische Wilhelms Universität Münster, Medical School and Cologne University, Medical School, both in Germany. Academic qualifications 1992 - MB.BS. (3. Staatsexamen), University of Cologne 1994 - D.M. University of Cologne, Doctor of Medicine by Thesis (with honours) 1998 - MRCP Membership of the Royal College of Physicians, London 2006 - CCT Certificate of Completion of Training in General, Respiratory and Intensive Care Medicine External academic activities Faculty for Rapid Response to Acute Illness (RRAILS) for the 1000 lives plus campaign. Member Royal College of Physicians Working Party on NHS Early Warning Score (ongoing). Peer reviewer for Resuscitation, Emergency Medicine, Critical Care Medicine, Critical Care, Mayo Proceedings, European Journal of Internal Medicine, Journal of the Royal College of Physicians, Edinburgh. Study Steering Group for: “SPOT (light)”, a multi-centre study of critical illness prior to admission to Intensive Care, sponsored by ICNAR and the Wellcome Trust Grants INVENT grant for AMPLiFIRE, a software interface for patients and carers in 2012. VITAL II study on intelligent bedside monitoring, sponsored by Philips Healthcare in 2011. Award of SHINE grant (£ 75,000,-) by the Health Foundation for a program to use triage data to reduce hospital length in acute medical admissions as project with Bangor University in 2010. Prospective observational study of a Simple Clinical Score in a District General Hospital (Grant by North-East Wales NHS Trust over £5.000,- in 2008) Development of a course for Health Care Assistants to improve recognition of critical illness. (Grant by North-East Wales NHS Trust over £4500,- in 2006) Evaluation of outreach services in critical care in England (NHS R&D Service Delivery & Organisation Programme SDO/74/2004, under the lead of Intensive Care National Audit and Research Centre (ICNARC) over £250.000,-) Awards/Fellowships Scadding-Morriston-Davies Joint Fellowship in Respiratory Medicine to investigate the function and functioning of weaning centres in the USA, June and July 2004 Travelling Fellowship from the Welsh Intensive Care Society to present at the European Intensive Care Society Meeting in Barcelona 2002 Travelling Fellowship from North-East Wales NHS Trust to the Ecole National de Santé Publique in Rennes, France in 2002 Fellowship at the Lungen-Fachklinik Hemer, Germany 2002 Harold Thomas Travelling Scholarship for best presentation, Welsh Thoracic Society and West Midlands Thoracic Society, Shropshire, 2002 Presentation prize, Welsh Intensive Care Society Meeting, Porthmeirion, 2001 Presentation prize, Welsh Thoracic Society and West Country Chest Physicians Meeting, Cardiff, 2001 Presentation prize Hospital Symposium, Wrexham Maelor Hospital, Wrexham 2000

研究领域

Recognition of acute illness Identification of critically ill patients on general wards The interface of Acute and Critical Care Medicine Critical care outreach teams & Rapid Response Systems Recovery from critical illness Smoking cessation in hospitalized patients

近期论文

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Le Jeune I, Masterton-Smith C, Subbe CP, Ward D. "State of the Nation" – The Society for Acute Medicine’s Benchmarking Audit 2013 (SAMBA ,13). Acute Med. 2013;12(4):214-9. Eccles SR, Subbe C, Hancock D, Thomson N. CREWS: Improving specificity whilst maintaining sensitivity of the National Early Warning Score in patients with chronic hypoxaemia. Resuscitation. 2014;85(1):109-11. Subbe CP, Baudouin SV. "Bigger is better?" what drives outcomes in management of acute exacerbations of chronic obstructive pulmonary disease?*. Crit Care Med. 2013;41(8):2038-9. Subbe CP, Ward D, Latip L, Le Jeune I, Bell D. A day in the life of the AMU--the Society for Acute Medicine's benchmarking audit 2012 (SAMBA '12). Acute Med. 2013;12(2):69-73. Morris A, Owen HM, Jones K, Hartin J, Welch J, Subbe CP. Objective patient-related outcomes of rapid-response systems - a pilot study to demonstrate feasibility in two hospitals. Crit Care Resusc. 2013;15(1):33-9. Subbe CP, Thorpe CM, Hancock C. Not getting better means getting worse - trends in Early Warning Scores suggest that there might only be a short time span to rescue those threatening to fall off a "physiological" cliff? Resuscitation. 2013;84(4):409-10. Morris A, Owen HM, Jones K, Hartin J, Welch J, Subbe CP. Objective patient-related outcomes of rapidresponse systems - a pilot study to demonstrate feasibility in two hospitals. Crit Care Resusc. 2013;15(1):33-9. Subbe CP, Thorpe CM, Hancock C. Not getting better means getting worse - Trends in Early Warning Scores suggest that there might only be a short time span to rescue those threatening to fall off a "physiological" cliff? Resuscitation. 2013;84(4):409-10. Subbe CP, Hillman K. "To live and let die" - the search for the best way to identify at-risk patients? Resuscitation. 2013;84(4):407-8. Soar J, Subbe CP. Identifying the patient at risk of deterioration, intensive care unit admission, or cardiac arrest: stop predicting, start preventing*. Crit Care Med. 2012;40(7):2243-4. Jepson J, Whitley S, Subbe CP, Grundy L. Where do AMU nurses perceive their educational needs? Results of the 20:10 project. Acute Med. 2012;11(1):18-22. Peebles E, Subbe CP, Hughes P, Gemmell L. Timing and teamwork—an observational pilot study of patients referred to a Rapid Response Team with the aim of identifying factors amenable to re-design of a Rapid Response System. Resuscitation. 2012;83:782-7. Oglesby KJ, Durham L, Welch J, Subbe CP. 'Score to Door Time', a benchmarking tool for rapid response systems: a pilot multi-centre service evaluation. Crit Care 2011;27;15(4):R180. Subbe CP, Bottle RA, Bell D. Acute Medicine: triage, timing and teaching in the context of medical emergency admissions. Eur J Intern Med 2011;22(4):339-43. Subbe CP, Jishi F, Hibbs R. The Simple Clinical Score: A tool for Benchmarking of Emergency Admissions in Acute Internal Medicine; Clin Med. 2010;10:352-7. Subbe CP. Better ViEWS ahead? It is high time to improve patient safety by standardizing Early Warning Scores. Resuscitation 2010 Aug;81:923-4. Subbe CP, Gauntlett W, Kellett J. Collaborative Audit of Risk Evaluation in Medical Emergency Treatment (CARE-MET I) - an international pilot. Eur J Intern Med. 2010;21(3):222-5. Subbe CP, Gemmell L. Numbers needed to hospitalize- Risks and benefits of admission in the new decade. Eur J Intern Med. 2010;21(3):233-5. Gao H, Mcdonnell A, Harrison DA, Moore T, Adam S, Daly K, Esmonde I, Goldhill DR, Parry GJ, Rashidian A, Subbe CP, Harvey S. Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Intensive Care Medicine 2007;33:667-79. Subbe CP, Gao H, Harrison DA. Reproducibility of physiological track-and-trigger warning systems for identifying at-risk patients on the ward. Intensive Care Med. 2007;33:619-24. Gao H, Harrison DA, Parry GJ, Daly K, Subbe CP, Rowan K. The impact of the introduction of critical care outreach services in England: a multicentre interrupted time-series analysis. Crit Care. 2007.18;11(5):R113. Subbe CP, Criner GJ, Baudouin SV. Weaning units: lessons from North America? Anaesthesia. 2007;62(4):374-80. Subbe CP, Slater A, Menon D, Gemmell L. Validation of physiological scoring systems in the accident and emergency department. Emerg Med J. 2006;23(11):841-5. Subbe CP, Williams E, Fligelstone L, Gemmell L. Does earlier detection of critically ill patients on surgical wards lead to better outcomes? Ann R Coll Surg Engl. 2005;87(4):226-32.