Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong

Walking Home From The ICU

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Pushing Past Stagnation & Business Plateaus 30:21

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Hitting plateaus is a common milestone in business, but there’s a difference between stability and a rut. In the last installment of this season, we’ll dive into the ways small business owners push beyond plateaus and find new ways to achieve revenue growth. Jannese and Austin wrap up their time in Nashville, Tennessee with a wonderful visit to N.B. Goods to speak with owner Camille Alston . Camille details the times where she hit a wall with profits, the strategies she implemented to increase revenue, what worked, what didn’t, and the important lessons she learned in the process. You won’t want to miss this informative final chapter! Learn more about how QuickBooks can help you grow your business: QuickBooks.com See omnystudio.com/listener for privacy information.…

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What happens when a medical director really sees the reality of “normal practices” and becomes a revolutionist? Dr. Bistrong shares his personal conversion and the key role he has playing in his team’s transformation.

Www.DaytonICUConsulting.com

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Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong

Walking Home From The ICU

published vor etwa einem Jahr

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Www.DaytonICUConsulting.com

195 Episoden

#Fitness #Medicine #Kali

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Episode 195: Public Opinion on Informed Consent and Medically-Induced Comas 31:38

vor 5 Tagen31:38

31:38

If the choice between being sedated or awake and mobile was provided prior to intubation with the risks disclosed, what would the general public choose? Do patients and families have a right to know the risks of continuous sedation? I interviewed strangers in airports throughout the USA to learn more about their preferences. www.DaytonICUConsulting.com…

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Episode 194: Walking While Intubated with an IABP with Bob 28:04

vor 13 Tagen28:04

28:04

What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU. www.DaytonICUConsulting.com Need help making the business case for your hospital? Check out www.ABCDEFBundle.com !…

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Episode 193: Empowering Respiratory Therapists with JJ the RT 53:08

vor 19 Tagen53:08

53:08

What does JJ the RT have to say about last episode’s exploration of sedation and ventilator asynchrony? Are respiratory therapists prepared and empowered to optimize their role in Awake and Walking ICUs? How can create an environment that fosters RT excellence? JJ explores it all in this episode. Www.DaytonICUConsulting.com…

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Episode 192: Debunking Myths- Sedation and Ventilator Asynchrony 27:22

vor 5 weeks27:22

27:22

For years we have been taught at the bedside that sedation “improves ventilator asynchrony”. We have believed that patients must be sedated to be compliant with the ventilator. Is that true? What does the research show? Sylvia Stefanos, PharmD, BCCCP joins us armed with the evidence and ready to debunk the myths. Want to share the financial benefits of an Awake and Walking ICU with your leadership? Check out: Www.ABCDEFBundle.com Www.DaytonICUConsulting.com…

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Episode 191: Insights from SCCM Congress- Current State of Affairs 50:53

vor 6 weeks50:53

50:53

What do ICU clinicians really know about patient perspective of sedation and immobility? What are their personal wishes if they were intubated in the ICU? What do ICU providers really understand about the ABCDEF bundle and how is it going in the ICU community at large? I hit the halls at SCCM Congress to find out. www.DaytonICUConsulting.com…

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Episode 190: Healing From Post-ICU PTSD with UCF Restores 33:56

vor 7 weeks33:56

33:56

After 51 days of sedation and immobility in the ICU and on ECMO, Angela Leggett spent almost 2 decades battling post-ICU PTSD. She shares with us her journey and the impact of UCF Restores to give her a new chance at quality of life! UCF Restores Www.DaytonICUConsulting.com

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Episode 189: The ICU Revolution at Mercy San Juan Medical Center- Part 8 with Dr. Parimal Bharucha 44:58

vor 8 weeks44:58

44:58

What is the ethical and moral responsibility of a medical director to personally practice, lead, and support their ICU to keep patients as awake and mobile as possible? Dr. Parimal Bharucha shares with us the incredible revolution that has happened in his ICU. Www.DaytonICUConsulting.com

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Episode 188: The ICU Revolution at Mercy San Juan Medical Center - Part 7 with Dr. Jodi Coates 54:49

vor 14 weeks54:49

54:49

When the harm of “normal practices” shifts the perspective of an ICU revolutionist and medical director, what is the next course of action? Dr. Jodi Coates shares how her personal convictions inspired her to lead her trauma ICU to radically transform their sedation and mobility practices. Want to help your ICU become an Awake and Walking ICU? Schedule a consultation at www.DaytonICUConsulting.com!…

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Episode 187: The ICU Revolution at Mercy San Juan Medical Center - Part 6 with Ginger Manss 32:16

vor 15 weeks32:16

32:16

What is the role of the critical care director in leading ICU teams to become Awake and Walking ICUs? How can directors use the evidence to win executive leadership support for their teams to have what they need to succeed? Ginger Manss, DNP shares with us her key role as senior director of critical care in the revolution at MSJMC. Check out their ICU Liberation video at: https://www.youtube.com/watch?v=LFJPlZazah8 Www.DaytonICUConsulting.com…

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Episodes 186: The ICU Revolution at Mercy San Juan Medical Center Part 5- Respiratory Therapy 48:04

vor 18 weeks48:04

48:04

What role do respiratory therapists play in creating Awake and Walking ICUs? How did Candace Wistrich, RRT, BSRT and Nelya Kapitula, RRT, BSRT lead their respiratory therapy department to move the revolution forward? They join us now to share their team’s journey! Vote for “Awake and Walking ICUs” as “best nurse innovation” and Kali Dayton as “best nurse leader” before 12/31 here ! Www.nurse.org/nominate…

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Episode 185: The ICU Revolution at Mercy San Juan Medical Center- Part 4 with the Trauma ICU RNs 59:00

vor 19 weeks59:00

59:00

How does the Awake and Walking ICU approach apply to the trauma ICU? How did education, training, leadership support, and deep compassion empower these experience trauma nurses to transform their ICU culture and practices? What successes have they had and how has keeping patients awake and mobile impacted their career fulfillment and team dynamics? Jessica Williams, BSN, RN, Adrienne Craig, BSN, RN, and Amber Brandt, BSN, RN share their team’s journey in this episode! Want to revolutionize your ICU? Check out www.daytonicuconsulting.com.…

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Episode 184: The ICU Revolution at Mercy San Juan Medical Center- Part 3 with Luke Stratigates 44:29

vor 21 weeks44:29

44:29

Safe patient handling(SPH) is a fairly new and rapidly growing field. Mercy San Juan Medical Center is fortunate to have a strong SPH department and leadership. Luke Strategates, DPT shares with us the key role he plays in the ICU Revolution as the safe patient handling leader. Want to bring the revolution to your ICU? Schedule a consultation at www.DaytonICUConsulting.com…

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Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong 37:14

vor 22 weeks37:14

37:14

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Episode 182: The ICU Revolution at Mercy San Juan Medical Center- Part 1 with Jeana Flakes 44:50

vor 23 weeks44:50

44:50

Standardized sedation and immobility are rooted in a gap in education. What is the power of a nurse educator in transforming knowledge, culture, and practice in the ICU? Jeana Flakes, MSN, RN shares how she helped lead the ICU Revolution as a nurse educator at Mercy San Juan Medical Center. Www.DaytonICUConsulting.com…

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Episode 181: Physician Insights at CHEST 52:54

vor 25 weeks52:54

52:54

What do physicians understand of the ABCDEF bundle? What are their perceptions of early mobility? How are their teams practicing the ABCDEF bundle in their own units? What do physicians need to be able to lead an Awake and Walking ICU approach in their units? I interviewed physicians while attending the CHEST conference to find answers to these questions. Www.daytonICUConsulting.com…

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Episode 180: Leading the ABCDEF Bundle in Bangledash 35:48

vor 27 weeks35:48

35:48

What happens when a visionary physician in a low-resource hospital in Bangledash leads his team to practice the ABCDEF bundle? How did this passionate team of ICU clinicians transform their care from automatic sedation and immobility to standardized mobility three times a day? How did they come to treat mobility as important and optional as an antibiotic? Dr. Mohammad Jhahidul Alam shares their story in this episode!…

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Episode 179: The Legal Liability of Failing to Practice the ABCDEF Bundle 56:24

vor 28 weeks56:24

56:24

Fear of “liabilities” is often a barrier to keeping patients awake and mobile in the ICU. Yet, we know that the ABCDEF is evidence-based best practices. So what are the legal liabilities to a hospital, leadership, and bedside clinicians of current cultural practices? Maggie Ortiz, MSN, RN joins us now to share her expert perspective. Find Maggie at: www.advocatesfornurses.com Www.daytonicuconsulting.com…

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Episode 178: The Power of Nursing Leadership to Revolutionize the ICU 1:03:58

vor 31 weeks1:03:58

1:03:58

Although the ABCDEF bundle does not solely rest on the shoulders of nurses, their leadership is KEY. Andrea Silva, BSN, RN shares with his her journey to revolutionizing care in her ICU as an assistant nurse manager. Www.daytonicuconsulting.com

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Episode 177: New Grad RN Helps Lead the Revolution in His ICU 47:51

vor 33 weeks47:51

47:51

The ICU is an overwhelming and daunting environment to start a new career. While learning so many new skills from experienced mentors, how did Michael Glade, RN, BSN also see past “what is done” to “what should be done” in his ICU? Michael shares with us what led him to help lead the revolution in his ICU. Www.DaytonICUConsulting.com…

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Episode 176: ICU Survivor to ICU Physical Therapist- Hope’s Journey to Revolutionizing Her ICU 52:16

vor 35 weeks52:16

52:16

https://Www.daytonicuconsulting.com

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Episode 175: Physiologists Leading the ECMO Revolution! 46:54

vor 38 weeks46:54

46:54

Ilija Klipa MS, ACSM-CEP,ACSM-EP,ACSM EIM III, AACVPR-CCRP is a cardiac/pulmonary physiologist a high-acuity cardiac ICU. He shares his journey in pioneering physiology in the ICU as well as leading the revolution to create an Awake and Walking ICU. Check out Ilija's upcoming 30-credit ECMO mobility courses here: https://cme.ahn.org/content/extracorporeal-membrane-oxygenation-ecmo-education-and-simulation-0#group-tabs-node-course-default1 www.DaytonICUConsulting.com…

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Episode 174: Delirium Mismanagement for LOE Patients Exacerbate Racial Disparities in the ICU 50:37

vor 39 weeks50:37

50:37

When patients have a primary language other than English (LOE), how does this impact their access to the ABCDEF bundle? Is it standardized to provide nonverbal communication in other languages in the hospital? Emily Ahrens, MS, RN, CCRN joins us now to dive deep into her post-doctoral studies dedicated to this gap in critical care medicine. Episode citations and transcripts at: www.DaytonICUConsulting.com…

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Episode 173: ICU Outcomes by Dose of Mobility 56:08

vor 42 weeks56:08

56:08

We know that for each additional 10 minutes of early mobility in the ICU, hospital length of stay decreases by 1.2 days. What else do we know about the relationship between dose of mobility and time on the ventilator? Sarina Fazio, PhD, RN, shares with us her exciting discoveries in her latest research. Episode transcripts and citations at: Www.daytonicuconsulting.com…

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Episode 172: RN Insights at NTI 54:54

vor 44 weeks54:54

54:54

While walking the halls full of critical nurses at AACN’s NTI conference, I had get their insights and perspectives. This episode is full of interviews with anonymous ICU nurses from all over the USA. Www.DaytonICUConsulting.com

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Episode 171: The Power of Autonomy and Human Connection During ECMO 29:10

vor 46 weeks29:10

29:10

Check out this episode with @Christinecasiano as she shares the contrast between being sedated vs. being awake while on ECMO. Register for the monthly ICU Revolutionists zoom meetings here: https://us02web.zoom.us/meeting/register/tZ0oc-6gqzsrGNYdgMGXvVAbcjewZpNpc6PC

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Episode 170: A Timeline Through the History of ABCDEF Bundle- Building the Future of Awake and Walking ICUs 31:46

vor 49 weeks31:46

31:46

It has been claimed that ICU early mobility is a "new and temporary fad". Is walking intubated patients really that new? Let's start in 1970 and work our way through decades of research that continues to reaffirm that true mastery of the ABCDEF bundle gives patients the best chance to survive and thrive in and after the ICU. Episode citations and transcript at www.daytonicuconsulting.com…

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Episode 169: Intubated in Your Own ICU 27:56

vor 51 weeks27:56

27:56

What is like to be intubated in your own ICU? Even when the environment and team are well known, what does an intensivist turned patient experience? Dr. Meta van der Woude shares with us her personal journey through the ICU. Www.daytonicuconsulting.com

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Episode 168: I Was Reported to the Board of Nursing! 1:36:32

vor 1 year1:36:32

1:36:32

What happened when I was reported to the board of nursing for advocating for early mobility in the ICU? What are the roots of these concerns and this report? How does social media impact culture and practices in the ICU? Jess Hren, BSN, RN, Jenna Hightower, DPT, CCS, Phillip Gonzalez, MOT, OTR/L, BCPR discuss why I was reported to the board of nursing. Episode transcript and citations: www.daytonicuconsulting.com…

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Episode 167: Breaking Barriers with Walking with Trans-Femoral IABP/Devices- The Ramsey Protocol with Stephen Ramsey 50:34

vor 1 year50:34

50:34

Is it save to mobilize patients with trans-formal devices such as balloon pumps, impellas, and ECMO? Who was the first person to dare to ask, "Why can't we mobilize patients with trans-femoral balloon pumps?" Stephen Ramsey, PT, DPT, CCS shares with us his journey to developing the Ramsey protocol and revolutionizing mobility in the CVICU. Episode transcript and citations at: www.daytonicuconsulting.com…

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Episode 166: The Struggle of an ICU Revolutionist to Save Lives 37:41

vor 1 year37:41

37:41

What is it like for one lone ICU clinician to truly understand the risks of sedation and immobility? What it is like for them to try to implement interventions like awakening trials that have been supported by decades of research? How does lack of support and success increase moral injury, burnout, and the loss of expert and compassionate clinicians? "Kara" joins us to share her journey as an ICU pharmacist and revolutionist. Podcast episode transcripts and citations: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 165: "Don't Turn Me Off" - A Survivor's Perspective Of a Medically-Induced Coma 1:06:53

vor 1 year1:06:53

1:06:53

Are patients sleeping during medically-induced comas? Are they more comfortable and free of trauma while sedated? Can patients hear, feel, and understand their surroundings while in a medically-induced coma? Do patients know when sedation is turn up higher? Do they know which providers will let them wake up and which ones will try to "turn you off"? Drew Brophy is a world-renown artist that found himself intubated with COVID19. Drew and Maria Brophy share their astounding journey through critical illness and post-ICU syndrome. ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference Podcast episode transcripts and citations at: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 164: Antipsychotics in the ICU with Dr. Marie Rueve 53:11

vor 1 year53:11

53:11

Antipsychotics have been a hot topic in the ICU. Do they treat delirium? Can they be used to replace continuous sedation? When and how can we utilize antipsychotics to optimize care and outcomes? Dr. Marie Rueve from episode 160 joins us again to clear the air on antipsychotics in the ICU. ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference Podcast episode transcripts and citations at: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 163: Early Mobility During COVID19 in Switzerland with Sabrina Eggmann 35:45

vor 1 year35:45

35:45

Sabrina Eggmann is a PhD physiotherapist with 17 years of experience. She shares with us how her team utilized their years of expertise in early mobility to preserve their practices for COVID19 patients in Switzerland. https://pubmed.ncbi.nlm.nih.gov/33492400/ Check out Sabrina's latest article in the Lancet Journal: https://www.thelancet.com/pdfs/journals/eclinm/PIIS2589-5370(24)00018-X.pdf Episode citations and transcriptions found at www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 162: Standardizing ICU Diaries 46:04

vor 1 year46:04

46:04

In episode 132, David Richards shared with us the life-saving impact of his ICU diary. In this episode, Seth van der Meer from Post-ICU shares with us exciting technological advancements that can help make ICU diaries standardized and accessible for all patients. https://post-icu.com Episode transcriptions and citations at: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 161: The Mad Hatter's Tea Party: A Nurse's Journey Through a Medically-Induced Coma 55:07

vor 1 year55:07

55:07

As a nurse of 22 years, Lynn had been taught that patients were comfortably sleeping while sedated in medically-induced comas. She shares the horrific realities she suffered while intubated and sedated and the months of playing "Truth or Propofol?" after discharge. Episode transcript and citations found at www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 160: Psychiatrists in the ICU 48:47

vor 1 year48:47

48:47

How can inpatient psychiatrists help ICU teams prevent and treat delirium? How can their expertise help ICU teams minimize sedation, prevent trauma, and treat the psychiatric needs of ICU patients? Dr. Marie Rueve shares with us the role psychiatrists can play in transforming patient care and outcomes in the ICU. www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 159: Building a Dream Team 43:14

vor 1 year43:14

43:14

What happens when resources and staffing are dedicated to providing high touch and high compliance with the ABCDEF bundle? How does adequate staffing, interdisciplinary team dynamics, and quality protocols impact patient outcomes and financial benefits? What is the "secret sauce" of successfully weaning patients from the ventilator? Sam Nimah and Phillip Morris share with us the exemplary work happening at Trivent Healthcare. Episode transcriptions and citations found at: www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 158: Keeping "Up" With the Times. A Deep Dive Into the Benefits of Verticalization Therapy 1:50:28

vor 1 year1:50:28

1:50:28

What happens to the body at the cellular, neurological, pulmonary, musculoskeletal, and cardiovascular levels when it remains supine for days to weeks? What is verticalization therapy and what does current research reveal about its benefits during critical illness? Verticalization experts, Phillip Gonzalez, MOT, OTR/L, BCPR, Nikki Stephens, DNP, APRN, FNP-C, and Jenna Hightower, PT, DPT, CCS dive deep into the science and beauty of verticalization therapy.…

Walking Home From The ICU

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Episode 157: Sedation is Sleep-Deprivation 1:05:40

vor 1 year1:05:40

1:05:40

For decades, we have culturally passed on the myth that patients are sleeping while sedated into medically induced comas. We have assured ourselves and each other that sedation "prevents PTSD". Research has proven that sedation makes true restorative sleep impossible and real recall of the reality of the ICU is protective against post-ICU PTSD. So what is really happening under sedation? If patients are not in sweet oblivion and restful slumber, what is their reality? Chuck Evans joins us to share his startling story of being sedated and sleepless for weeks in the ICU. www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 156: Nurses Are Willing, but Unsupported and Untrained in Practicing the ABCDEF Bundle 50:52

vor 1 year50:52

50:52

After decades of research and effort, why is there a persistent struggle to truly practice the ABCDEF bundle? Are antiquated sedation practices because nurses are unwilling to change, or is it because they are unsupported and untrained in the risks and realities of sedation? Even when training is provided in the classroom, what do nurses learn at the bedside? How does poor leadership impact sedation and mobility practices at the bedside? Are nurses safe to question long-held habits and beliefs? "April" joins us now to share her experiences entering the ICU and how the ABCDEF bundle is really being practiced. www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 155: F- Family Engagement and Empowerment with Lito Rama 57:21

vor 1 year57:21

57:21

How do families impact patient outcomes in the ICU? What does it really mean to engage and empower families in the ICU? Have our teams truly recovered from the strict visitation restrictions from COVID? How does an ABCDEF Bundle culture influence our visitation policies? Lito Rama, RN, MBA joins us now to share with us the vast evidence supporting families in the ICU. Podcast episode transcript and citations at: www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 154: E- EARLY Mobility with Heidi Engel 1:07:46

vor 1 year1:07:46

1:07:46

What is EARLY mobility? Why is it so vital that the ICU community advance past passive range of motion for intubated patients? What are the main barriers that prevent us from mastering the E of the ABCDEF bundle? If we're not doing highest level of mobility for most of our patients, are we truly practicing the ABCDEF bundle? Heidi Engel, DPT, joins us now to clear the air about early mobility. Podcast citations and transcripts found at ⁠www.daytonicuconsulting.com⁠ ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 153: D- Assess, Prevent, and Treat Delirium with Dr. Adrian Austin 38:56

vor 1 year38:56

38:56

The normality of delirium in the ICU is often mistaken for benign. What does it really mean to "assess, prevent, and treat delirium"? Are we treating a positive CAM score with the same urgency as a positive tropinin? If we are automatically starting deliriogenic medications on every patient immediately upon intubation, are we truly practicing the "D" of the ABCDEF Bundle? Dr. Adrian Austin shares with us the full picture of the "D" of the ABCDEF bundle. Citations and transcriptions for all episodes found at www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 152: C- Choice of Sedation and Analgesia with John Devlin, PharmD 49:03

vor 1 year49:03

49:03

Is the C of the ABCDEF bundle only for avoiding benzodiazepines? How do we fully practice the "C" of the bundle and how does this impact patient care and outcomes? If we are automatically starting sedation without evaluation, are we truly practicing the ABCDEF bundle? John W. Devlin, PharmD, BCCCP, MCCM, FCCP joins us in this episode to share his expertise on best sedation and analgesia practices in the ICU. Episode citations and transcriptions found at: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 151: B- Spontaneous Breathing Trials with Karsten Roberts 42:31

vor 2 years42:31

42:31

Are awakening trials just for breathing trials? How do we set patients up for successful breathing trials to minimize time on the ventilator? What role do sedation and mobility play in prompt liberation from mechanical ventilation? Karsten Roberts, MSc, RRT, FAARC joins us now to dive deep into spontaneous breathing trials in the ABCDEF Bundle. www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 150: B- Awakening Trials- "Rehumanization of the Patient"- With Dr. Wes Ely 31:19

vor 2 years31:19

31:19

What is the purpose of awakening “trials”? When should awakening “trials” be done? How can we have successful awakening “trials”? Dr. Wes Ely joins us in this episode to crack the code on sedation cessation. Transcriptions and citations at: www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 149: A- Assess, Prevent, and Treat Pain with Joanna Stollings, PharmD 34:41

vor 2 years34:41

34:41

The A of the ABCDEF Bundle is for "Assess, Prevent, and Treat Pain". How do we truly master this tool and how does this impact patient outcomes? Can we assess, prevent, and treat pain while simultaneously striving to have all possible patients awake, autonomous, and even mobile? Joanna Stollings, PharmD, shares what the A of the ABCDEF Bundle really means and how to master it for each patient. www.DaytonICUConsulting.com ***Financial Benefits of the ABCDEF Bundle Webinar*** October 18th, 2022 at 12pm EST Register here: https://us02web.zoom.us/j/4173781755?pwd=RHFhYml0Vlc2ZTNJcEJiVURIS1hrQT09 ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference…

Walking Home From The ICU

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Episode 148: The History and True Mission of the ABCDEF Bundle with Michele Balas 40:52

vor 2 years40:52

40:52

How did the ABCDEF bundle come to be and what is its true objective? What barriers are causing the ICU community to fall short of full compliance with the bundle and what is the future of the ABCDEF bundle? Michele Balas, PhD, RN shares with us her insights as one of the founders of the ABCDEF bundle. This episode kicks of our 8-episode series dedicated to each element of the ABCDEF bundle. We're going to be going back to the basics and diving deep into how to truly practice the ABCDEF bundle in our ICUs. www.DaytonICUConsulting.com…

Walking Home From The ICU

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Episode 147: The Big Picture of Hospital-Acquired Pressure Injuries with Wound Care Karen 56:10

vor 2 years56:10

56:10

How do hospital-acquired pressure injuries (HAPIs) occur in the ICU and why is the ABCDEF bundle such a powerful tool to prevent HAPIs? How do HAPIs impact healthcare costs, staff workload, patient quality of life, and overall survival? Wound Care Karen joins us in this episode to explore the crisis of hospital-acquired pressure injuries in the ICU. Check out the Wound Care Karen Podcast here! Episode transcript and citations found at www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 146: Success Stories from ICU Revolutionists 45:20

vor 2 years45:20

45:20

Individuals and teams are transforming patient outcomes through the adaptation of the ABCDEF bundle. Hear a compilation of their inspiring successes in this episode! www.daytonicuconsulting.com ***Don't miss the upcoming free webinar, "Financial Benefits of the ABCDEF Bundle", on October 18th at 12pm EST. Register here: https://us02web.zoom.us/meeting/register/tZIufuGsrTwjE9Lg_pK5i_Fslap7KYHuw63o…

Walking Home From The ICU

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Episode 145: The Trauma of Sedation and Immobility in Families in the ICU 1:21:37

vor 2 years1:21:37

1:21:37

Sedation and immobility impact more than patient outcomes in the ICU. Family members also suffer the isolation, burden, trauma, and loss from sedation and immobility in and after the ICU. Families are also at risk of developing post-ICU syndrome themselves. Nonetheless, they are left unprepared to care for their loved ones who are suffering the damage of sedation, delirium, and ICU-acquired weakness while struggling through their own personal trauma. Stefan Becker, a professional psychotherapist, shares intimate insight into the journey he and his wife have suffered in the ICU. Episode transcription and citations at: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 144: Living With a "Sedation-Induced Brain Injury" and PICS 45:45

vor 2 years45:45

45:45

What if we were as worried about "brain-protective strategies" as "lung-protective strategies" in the ICU? Such an approach will never be standardized until the ICU community truly recognizes the brain injuries survivors are left with after sedation and immobility. Until post-ICU syndrome is widely known and the impact is deeply appreciated, we will continue to fall short of evidence-based sedation and mobility practices. Only true experts can help us understand. The real experts on post-ICU syndrome (PICS) are those that live with it. Carol Billian joins us now to share her personal expertise. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 143: The Impact of Delirium on Stroke Survivors 39:53

vor 2 years39:53

39:53

We know that stroke patients are at high risk of poor cognitive, physical, and psychological outcomes. How does delirium impact their outcomes and how can we better protect patients from additional brain injury from delirium? Rosa Hart, BSN, RN, SCRN from the "Stronger After Stroke" joins us now to explore the struggles, barriers, and importance of the ABCDEF bundle for stroke patients in the neuro ICU. Check out the "Stronger After Stroke Podcast" here! Episode transcription and citations found at: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 142: Treating Post-ICU PTSD 47:22

vor 2 years47:22

47:22

We know that critical illness, sedation, delirium, etc., can leave patients with deep psychological trauma. How can we help them recover? What resources are available to treat post-ICU PTSD? Dr. Brian Peach shares with us his exciting developments and research. Contact information for Dr. Brian Peach found with the transcription for this podcast episode at: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 141: Fighting For Your Life With Your Eyes Open 34:54

vor 2 years34:54

34:54

Critical illness in the ICU is a battle. It is a fight for life. Sedation is often given with the hopes of sparing patients the discomfort and awareness of the struggles of the ICU. Yet, does that ultimately prevent harm and suffering? Antonette Montalvo, APRN shares with us what it meant to her to be able to fight for her life with her eyes open. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 140: Early Mobility in the Burn ICU 35:10

vor 2 years35:10

35:10

Is early mobility safe and feasible in the burn ICU? Considering the significant barriers such as pain, dressing changes, variable device securement, delicate position needs, etc., how can an ICU team continue to practice early mobility? Physical therapist, Audrey O'neill, DPT, shares with us her recent publication and years of expertise. Vapotherm webinar: https://vtherm.com/0803 Ebook and newsletter: www.daytonicuconsulting.com Sign-up for ICU Revolutionists Meetings: https://ka8j42zmhi0.typeform.com/to/oVstW9jU…

Walking Home From The ICU

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Episode 139: The Power of RN "Soft-Skills" to Change Outcomes 48:39

vor 2 years48:39

48:39

It goes without saying that nurses are the gatekeepers of patient outcomes in the ICU. Do ICU nurses *really* aspire to care for unresponsive and atrophying bodies? How does the ABCDEF Bundle impact the nursing role, skillset, and job fulfillment? James Fletcher, BSN, RN seems to fit the mold of a nurse that would thrive solely with the flashy skills of an ICU RN. He shares with us the impact nurses can make by using "soft-skills" and human touch in the ICU. He is brining joy back to nursing with the ABCDEF bundle. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 138: EARLY Mobility in the ICU Improves Cognitive Function 1 Year After Discharge 1:11:48

vor 2 years1:11:48

1:11:48

We know that early mobility is a potent tool to prevent and treat ICU delirium. How does it impact cognitive function 1 year after discharge? What do "Early" and "Mobility" REALLY mean? How has drastic variation in methodology in the research led to the confusion and conflict we now see in early mobility practices? How can we optimize early mobility in the ICU? Is it safe and feasible to mobilize most patients within 48 hrs after intubation? Is there evidence to support restrictive mobility parameters by ventilator settings, vasopressors, etc.? How can intensivists lead and support their teams to master the full ABCDEF bundle? Dr. Bhakti Patel shares with us her recent research and invaluable insights. See transcript and citations for this episode at: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 137: Physical and Occupational Therapists in the ICU: Working Together But Not Together 58:09

vor 2 years58:09

58:09

Occupational and Physical Therapists save lives in the ICU with their unique and complementary expertise. Bryan Lohse, DPT, CCS and Paul Arnold, OTR/L, CLT share with us how their Awake and Walking CVICU has developed their therapy teams. They address the question of PT & OT cotreatments in the ICU. PESI Critical Care Rehab Summit: https://catalog.pesi.com/sales/rh_s_001719_criticalcarerehab_organic-629440?cmp_id=312&utm_source=Kali+Dayton&utm_medium=affiliate&utm_campaign=SUM001719&_ef_transaction_id=5ed922945678429c8b90a496ebefd68d www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 136: Mastering the ABCDEF Bundle with the ICU Liberation Master, Dr. Juli Barr 1:10:50

vor 2 years1:10:50

1:10:50

The mission to create Awake and Walking ICUs is not a brand new endeavor. Dr. Juli Barr, an early PAD and ICU liberation founder, shares with us the tools needed to master the ABCDEF bundle. www.daytonicuconsulting.com

Walking Home From The ICU

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Episode 135: The Contrast Between Awake and Sedated 41:15

vor 2 years41:15

41:15

The cultural assumption that everyone would rather be sedated is based on the myth that sedation is "sleep". Very few survivors can give us a comparison of being sedated vs. being awake while intubated. Lara, like Susan in episode 3, Caleigh in episode 117, and Mark in episode 87, has had it both ways and shares with us the contrast. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 134: Are We Sedating Them to Death? 47:18

vor 2 years47:18

47:18

We know that deep sedation is an independent predictor of mortality. This guides most sedation orders to require a RASS of 0- (-2). Is that what is really happening at the bedside? What percentage of patients are actually lightly sedated to the RASS goal vs. deeply sedated? What is driving oversedation throughout the ICU community? What are the risks to patients and nurses when RASS orders are not followed? We dive deep into this with Alexis Nowling, MSN. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 133: "SOAR: Sedation Off Awake and Rehabilitate" with Dr. Fuchita 1:12:12

vor 2 years1:12:12

1:12:12

When Dr. Mikita Fuchita heard about an Awake and Walking ICU, he had to see it with his own eyes. After visiting the Awake and Walking ICU, how did Dr. Fuchita embark on bringing his colleagues together to update their sedation and mobility practices? He shares his personal conversion and his team's journey with us in this episode. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 132: The Power of ICU Diaries to Treat Post-ICU PTSD 1:09:55

vor 2 years1:09:55

1:09:55

Post-ICU PTSD is a life altering and life-threatening condition. ICU diaries have shown promising benefits to helping survivors navigate the trauma they carry with them from the ICU and especially delirium. David Richards shares with us his journey during and after the ICU and how his ICU diary has been a key part of his post-ICU survival. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 131: Occupational Therapists as Leaders In the ICU 46:09

vor 2 years46:09

46:09

When Brenna's ICU set out to become an "Awake and Walking ICU", Brenna, OTR/L, accepted the challenge. She shares with us her journey to leading her team to have the skills and culture to optimize mobility during critical illness. www.daytonicuconsulting.com

Walking Home From The ICU

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Episode 130: Becoming an Awake and Walking ICU With Dr. Bellucci 45:09

vor 2 years45:09

45:09

After visiting the original Awake and Walking ICU, how did Dr. Brian Bellucci help bring these changes to his ICU? What is the physician's role in supporting a team's sedation and mobility practices? How can we increase physician buy-in? Dr. Bellucci shares with us his team's journey to becoming an Awake and Walking ICU. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 129: Cognitive Rehabilitation After the ICU with Dr. Jim Jackson 42:05

vor 2 years42:05

42:05

When patients suffer from delirium in the ICU, what resources are available to them to support their cognitive rehabilitation? Psychologist, Dr. Jim Jackson, from episode 51, returns to the podcast. He shares with us his journey to writing his new book, "Clearing the Fog" as a roadmap to recovery for survivors. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 128: Delirium Severity By ICU and Race 21:59

vor 2 years21:59

21:59

Let's talk about delirium severity. Does the severity of delirium vary by ICU specialties or by ICU treatment? What role does sedation play in delirium severity? What role does race play in delirium severity? Dr. Damaris Ortiz shares with us key findings from her important research. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 127: How to Save Lives and Over $1 Million 1:00:21

vor 2 years1:00:21

1:00:21

When the ICU at St. Joseph's Hospital in Colorado invested less than $100,000 into becoming an Awake and Walking ICU, what was their return on investment? How has supporting the training, education, and support of their team impacted their team dynamics, morale, and patient outcomes? Nancy Mcgann, PT, shares with us her team's exciting success! www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 126: Delirium Podcrawl Episode 55:14

vor 2 years55:14

55:14

This week leading nursing podcasts are teaming up to confront delirium head-on. Podcasts including Up My Nursing Game, Rapid Response RN, Good Nurse Bad Nurse, Cup of Nurses, and How to Not Kill Your Patient will dive deep into the reality and impact of delirium throughout the hospital from the ED to the acute care floor. This episode, Tina from Good Nurse Bad Nurse co-hosts with Kali to explore how gaps in delirium education and support can turn lethal by a "Bad Nurse" and how a "Good Nurse" can change and save innumerable lives for generations to come. www.daytonicuconsulting.com .…

Walking Home From The ICU

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Trailer 2:15

vor 2 years2:15

2:15

Trailer

Walking Home From The ICU

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Episode 125: Responding to Agitation in the ICU 1:08:05

vor 2 years1:08:05

1:08:05

When patients are delirious and agitated, how can we keep patients and clinicians safe? How do we avoid and even discontinue sedation while keeping lines and tubes intact? What role do restraints play in agitation and trauma for patients? Are soft wrist restraints our best and only options? Dr. Marie Pavini, intensivist, and innovator of Exersides shares with us more tools and insights for approaching sedation and delirium management in the ICU through updated restraint technology. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 124: Alcohol Withdrawal and Phenobarbital 57:36

vor 2 years57:36

57:36

Alcohol withdrawal can send our patients into a spiral of delirium and downstream complications in the ICU. What are the risks of benzodiazepines for our patients even during alcohol withdrawal? How can we give our patients the best chance to walk away from ETOH withdrawal and critical illness? Dr. Obiajulu Anozie, MD joins us in this episode to explore the benefits of phenobarbital for alcohol withdrawal. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 123: Updating 50 Years of Perspective and Practices 1:12:59

vor 2 years1:12:59

1:12:59

Medicine is a field of evolution. Are we open to learning, changing, and progressing? Dr. Peter Murphy has worked in critical care for nearly 50 years. As a seasoned expert in the field, he shares with us his own wake-up call to the reality of decades-old sedation practices. He provokes the question: "Am I leading or fighting evolution?" www.daytonicuconsulting.com…

Walking Home From The ICU

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Episodes 122: Caleigh’s Voice Through Critical Illness 46:16

vor 2 years46:16

46:16

Caleigh has had it both ways in the ICU. She has been sedated and immobilized which led to battling delirium and ICU acquired weakness. She has also been awake and mobile while intubated and walked out the doors. Listen to Caleigh share her insights and what meant to her to be communicative, connected, and autonomous during her fights for her life. Www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 121: Tips and Tricks 1:25:31

vor 2 years1:25:31

1:25:31

Episode 121: Having patients awake during mechanical ventilation can require a new skillset and approach to patient care. Let's talk about some of the tips and tricks for improving patient comfort and care. We'll hear it from an RN/podcast listener/ICU survivor and Louise Bezdjian, APRN from the original Awake and Walking ICU. Citations and transcription: www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 120: Walk Like Your Life Depends On It 33:28

vor 2 years33:28

33:28

What does being awake and mobile mean to current ECMO patient, Denise Bazalda? From her ICU room with a tracheostomy and connected to ECMO, @88deniseb, gives us incredible insight into how she is fighting for her life. Www.daytonicuconsulting.com

Walking Home From The ICU

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Episode 119: The Trauma of Delirium After a Traumatic Birth 40:33

vor 2 years40:33

40:33

Episode 119: How can delirium contribute to the trauma of a traumatic birthing experience? Midwife and ICU survivor, Amber, shares with us her personal journey through and after the ICU. Www.daytonicuconsulting.com

Walking Home From The ICU

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Epsiode 118: Mobility Saves Lives During ECMO 50:24

vor 2 years50:24

50:24

During the worst of the COVID pandemic, how did this Baylor Scott and White The Heart Hospital- Plano CVICU decrease their COVID mortality rates by 30%? Jenelle Sheasby, MSN, RN, tells us about the transformation in their mobility practices. Www.Daytonicuconsulting.com

Walking Home From The ICU

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Episode 117: Diving Deep Into the TEAM Study 1:11:30

vor 2 years1:11:30

1:11:30

The ICU community is buzzing with talk about the recent NEJM "TEAM Study". What do the methods and findings of the study tell us? The author of the study, Dr. Carol Hodgson, as well as Dr. Wes Ely and Heidi Engel, DPT join us to dissect and discuss this study. www.daytonicuconsulting.com

Walking Home From The ICU

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Episode 116: “In Shock” with Dr. Rana Awdish 46:14

vor 2 years46:14

46:14

How does a personal fight for life in the ICU impact a survivor-intensivist’s approach to patient care? Dr. Rana Awdish, author of “In Shock”, shares intimate experiences in and after her ICU stay. Episode transcripts and citations at www.daytonicuconsulting.com .

Walking Home From The ICU

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Episode 115: Sedation By Race 48:58

vor 2 years48:58

48:58

We know that deep sedation and immobility are lethal. We also know that outcomes in the ICU vary between races. How does race impact sedation practices? What role does sedation management play in the racial disparities seen in the ICU? Dr. Tom Valley shares with us his invaluable research into sedation by race. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 114: From the Eyes of a Travel Nurse 57:32

vor 2 years57:32

57:32

What was it like as a travel COVID ICU nurse to jump into an “Awake and Walking COVID ICU”? How does true mastery of the ABCDEF bundle impact RN workload, burnout, safety, and career fulfillment? Travel RN, Laurelai, shares with us her experiences and insights. Www.DaytonICUConsulting.com

Walking Home From The ICU

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Episode 113: Introducción a una “UCI Despierta y Caminando” 27:02

vor 2 years27:02

27:02

Introduction to an “Awake and Walking ICU” - An Episode in Spanish. Que experimentan a los pacientes durante sus comas inducidas? Porque y como debemos evitar a la sedation continua durante a la enfermedad crítica? Que es una “UCI Despierta y Caminando”? Este episodio cambiará a la perspectiva de nuestras prácticas en la UCI. Www.DaytonICUConsulting.com…

Walking Home From The ICU

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Episode 112: Unplanned Extubations 40:36

vor 2 years40:36

40:36

What does research reveal about how and why do unplanned extubations occur? How dangerous are unplanned extubations? Does sedation really keep patients safer from unplanned extubations? We dive into it deep in this episode. Transcriptions and citations found at www.DaytonICUConsulting.com

Walking Home From The ICU

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Episode 111: Both Sides of the ICU Bed With Dr. Wischmeyer 50:53

vor 2 years50:53

50:53

What is like to be an ICU delirium survivor and intensivist? How did Dr. Wischmeyer’s own nutrition research transform his outcomes during his most critical ICU stay? He shares his journey with us in this episode. Www.DaytonICUConsulting.com

Walking Home From The ICU

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Episode 110: Occupational Therapy in the Trauma ICU 51:01

vor 2 years51:01

51:01

The trauma ICU has unique risks to agitation, delirium, and long-term impairments. How does occupational therapy help the trauma ICU team avoid sedation, maximize mobility, and radically transform patient outcomes? Phillip Gonzalez, OTR, MOT, shares with us his expertise and success as an occupational therapist in the trauma ICU and traumatic brain injuries. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 109: The ABCDEF Bundle for Traumatic Brain Injuries 1:02:56

vor 2 years1:02:56

1:02:56

Traumatic brain injuries can have distinct exceptions that necessitate deep sedation and immobility. How then can we apply the ABCDEF bundle to protect injured brains and restore lives? Charlotte Davis, BSN, RN, CCRN and Richard Rivera, BSN, RN-BC share their expertise and their team's incredible success with the ABCDEF bundle in the settings of TBI. www.DaytonICUConsulting.com…

Walking Home From The ICU

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Episode 108: The ABCDEF Bundle in the Trauma ICU 28:51

vor 3 years28:51

28:51

The trauma ICU has a variety of high-acuity and difficult conditions that can cause obstacles and hesitation to change sedation and mobility practices. How does the ABCDEF bundle apply to the trauma ICU? Dr. Gregory Schaefer joins us now to discuss his expertise and team’s success in practicing the ABCDEF bundle in the trauma ICU. www.daytonicuconsulting.com…

Walking Home From The ICU

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Episode 107: Awake and Moving in the CVICU 40:00

vor 3 years40:00

40:00

Critically ill cardiovascular patients can be very high-risk and high-acuity patients with numerous devices and multiorgan failure. How and when can we safely initiate early mobility? What role should physical and occupational therapy play in the CVICU? Jenna Hightower, PT, DPT, CCS shares her incredible expertise and ground-breaking work in early mobility in the CVICU. www.daytonicuconsulting.com…

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Walking Home From The ICU « » Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong

Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong

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Walking Home From The ICU « »
Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong