Walking Home From The ICU

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 ne...

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 nurs...

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 f...

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_o...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUConsulting.com⁠

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. Get your CE credit for this episode and all learning y...

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...

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

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

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUC...

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

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

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

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!  Get your CE credit for this episode and all...

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 h...

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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 approac...

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 wi...

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?" Get your CE credit for this episode and all learni...

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. Get your CE credit for this episode and all learn...

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...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUConsulting.com⁠

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUConsulting.com⁠

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUCons...

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.  Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check...