Walking Home From The ICU

From 180 lbs at peak athleticism, intelligence, and financial prosperity — to 120 lbs, isolated and locked in his penthouse. Anjan Chatterjee tells the harrowing reality of life during and after prolonged sedation in the ICU. Most people think surviving the ICU is the hard part. For Anjan, it was only the beginning. On August 14th, 2022, a routine run ended with a slip, a fall, and a traumatic bra...

Walking Home from the ICU Translating the ICU with Stephen Ramsey Part 2: ICU Case Study Guest: Stephen Ramsey, PT In Part 2 with Stephen Ramsey, physical therapist and ICU mobility expert, the discussion dives into a complex cardiothoracic ICU case Stephen presented at APTA's CSM conference. Using the MENTOR framework , Stephen walks through how rehab clinicians should approach critically ill...

Walking Home from the ICU Podcast Translating the ICU with Stephen Ramsey — Series 1, Episode 1 Episode Summary Kali Dayton officially welcomes Stephen Ramsey — CVICU physical therapist, creator of the Ramsey Protocol, and lead author of the ELSO guidelines — as the newest member of the Dayton ICU Consulting team. In this kickoff episode of Translating the ICU , Kali and Stephen explore why physic...

We know that the ABCDEF Bundle gives patients the best chance to survive and thrive. Yet, persistent hesitation regarding "increased RN workload and burden" remain significant barriers. Is this belief true? Are sedation and immobility better, easier, and safer for nurses? Let's dive into Awake and Walking ICUs and what's in it for nurses. Listen to more nurses share their compari...

Critical illness impacts not only the patient in the bed but also their entire family during and after the ICU. Eli and Cathy Garrison join us to share their young family's course of twists and turns of an amniotic fluid embolism to long-term disability. Check out Cathy's podcast at: Birth Trauma Stories www. DaytonICUConsulting.com

In this groundbreaking episode, Dr. Paul Wischmeyer returns to share the incredible developments in ICU nutrition and rehabilitation that are transforming patient recovery. As both a critical care physician and ICU survivor, Dr. Wischmeyer brings unique insight into what it takes to truly help patients recover from critical illness. www. DaytonICUConsulting.com Get your CE credits from listening t...

What if we had an expert continually present in the ICU dedicated to caring for the mental and spiritual health of families, patients, and staff in the ICU? How would this impact stress, grief, and trauma in the ICU? How would this kind of support impact patient and family experiences, outcomes, and staff morale and burnout? Stephanie Jacques, LMT, joins us now to share her expertise, experience,...

Erika Breivogel's journey through the ICU as a patient forever changed her as a person as well as transformed the care she now gives as an ICU nurse. In this episode she inspires up with her reflections of ICU culture vs. patient reality and what moves her to keep fighting the ICU revolution. www. DaytonICUConsulting.com Get CE credit for listening to this episode and unlimited other learning...

What does verticalization therapy look like at the bedside? What does it take to get the entire ICU team engaged in optimizing verticalization beds? Jessica Cafferty, OTR/L and Jennifer Babb, PT, DPT join us to share case studies and insights into verticalization therapy in their ICUs! Get CE for listening to this episode and more! SapienCE Reflecting Learning | Unleash Your Inner Sage www. Dayton...

With the complex mobility needs of patients in the neuro ICU, how did Dr. Tarek Dakakni standardize patient standing for 8 hrs a day? As acting medical director, how did Dr. Dakakni bring all disciplines together to customize care and optimize outcomes for each patient as a person? Dr. Dakakni joins us now to share how the ABCDEF bundle looks in his Neuro ICU. Dr. Dakakni’s verticalization orderse...

As described in episode 158, verticalization therapy (VT) has vast and powerful benefits to patient care and outcomes. Having technology to increases access to VT is a big first step towards giving all patient early and routine doses of gravity. In this episode, Heather M. Fudala, PhD, RN, CCRP, Audrey Roberson, PhD, RN, CPAN, NPD-BC, Elisa Winn, MSN, RN, AMB-BC, CWON, and Alice Peay, DPT, PT, MS...

A key part of symptom management, agitation management, and humanizing care is communication. Throughout the podcast, we have discussed non-verbal communication during mechanical ventilation. ....but what about non-invasive ventilation? How does the inability to communicate impact care, patient experience, and outcomes for patient on BIPAP? Dr. Ian Wong shares with us his research and innovation t...

What is the role of a Clinical Nurse Specialist (CNS) in the ICU? How did Lynette LaBine, MSN, RN, CNS, CCRN leverage her CNS role to win buy-in and guide her team to become an Awake and Walking ICU? Lynette shares with us how consulting and training services opened the doors for her to fully lead the revolution in her ICU. Listen and watch Lynette's RN colleagues HERE and rehab colleagues HER...

Vanessa Abraham is an expert speech language pathologist. She had given innumerable youth access to communication. Then she found herself speechless in the ICU. Dr. Jared Rosen was a medical student with Vanessa and was a key player in humanizing her journey through critical illness. Buy and share Vanessa’s book, “Speechless” here: https://www.amazon.com/Speechless-Therapist-Ability-Struggle-Recla...

Get unlimited CE credits for this podcast and any learning experience here: SapienCE Reflecting Learning | Unleash Your Inner Sage In this podcast episode, we introduce Amanda Luper, an experienced occupational therapist with over 13 years in acute care ICU. Amanda shares her journey, starting from her field placement at Vanderbilt, which shaped her career path, to her current focus on early mobil...

What is the current state of affairs with the ABCDEF bundle in many ICUs? What is it like to be trained to have patients awake after intubation to later be begging for awakening trials? Dr. Nick Ghionni, The Floating Vent Guy, shares incredible insights, stories, and thoughts in this episode. Get CE credits for all podcast episodes and a variety of your own determined learning experiences at Sapie...

When Molly suffered a severe stroke requiring mechanical ventilation and an EVD, what did Kaira do to prevent further neurological injury? What role did Molly’s ability to communicate while intubated play in her survival? Molly and Kaira both join us to share their perspectives from both sides of the ICU bed. Get unlimited CE credits for podcast episodes and a variety of your own learning experien...

CMS is rolling out a new initiative to require hospitals to have age-friendly care: 4Ms. This means that we must prioritize: Medications, Mentation, Mobility, and What Matters. Karen Mack, DNP, MBA, APRN, executive director at NICHE, shares with us how leverage age-friendly care in advocating for Awake and Walking ICUs! Join the upcoming webinar on Verticalization Therapy in the ICU. Register here...

In this powerful episode, we hear raw, heartfelt stories from ICU revolutionists who are bravely challenging the status quo in critical care. Amidst threats to their jobs, personal attacks, and widespread resistance, these clinicians refuse to turn a blind eye to the harm caused by sedation, immobilization, and dehumanization. From battling bullying by colleagues to risking their careers, they sta...

Does sedation improve safety in the ICU? What is the relationship between delirium and workplace violence? Nurse and survivor of workplace violence, Kelsey Springer, MSN, RN, CCRN join us now to share her experiences and the research. Join me for the pre-conference delirium simulation training at ADS! https://americandeliriumsociety.org/events/ads-conference-2025/ Get your CE credit for this episo...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠...

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 ! Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the rev...

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...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Wan...