Walking Home From The ICU

Why do tracheostomy rates fluctuate so drastically between ICUs? What is the true reason for so many tracheostomies? What are the long-term effects of tracheostomies? Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. DaytonIC...

Jeroen Molinger, MSc brings the research to the bedside. He ties together the importance of muscle maintenance, nutrition, and how to create survivors not victims. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. DaytonICUCo...

What role does nutrition play in improving outcomes in the ICU? How can we help preserve muscle through appropriate nutrition during critical illness? Jeroen Molinger, MSc continues to upgrade our approach to critical care through exercise physiology. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you...

Why is ICU-acquired weakness an independent predictor of mortality? What role does muscular atrophy play in multi-organ failure? When we unnecessarily sacrifice muscles for other organs, how badly do we damage patients’ chances to survive and thrive? Jereon Molinger, MSc, brings eye-opening information to the discussion. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @Dayto...

We say we respect patient autonomy. We provide patients or families informed consent prior to intubation. Should patients and families be warned of the risks and repercussions of sedation and immobility? When sedation is nonessential, should patients be given the choice to be comatose or awake and moving? Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting G...

What barriers do we have in our ICU culture that prevent us from appropriately addressing delirium? What can we do to foster a better approach to helping delirious patients that are difficult to care for? Dr. Swamy gets real as we discuss the reality of delirium from our side of the bed. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit...

For decades we have sedated patients with the belief that it is more humane to “sleep” through critical illness. Survivors have told us their experiences were not “sleep” to them. What do neurologists and researchers say about the quantity and quality of sleep during medically-induced comas? Dr. Williams Roberson shares with us her research and invaluable insights into sedation and sleep. Photos,...

How can 1 nurse make bring the change? What can happen when a team catches the vision? How can a team transition their culture from deep sedation and immobility to awake and walking? Nora tells us about igniting her team's fire and the changes they are celebrating. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode an...

Louise, ACNP, has dedicated her career to preserving lives in the Awake and Walking ICU. So what was it like for her to have her own loved one die from sedation and immobility? She tells it like it is and gives us a sobering insight into both sides of the bedside during COVID19. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this...

When all you’ve ever known is walking patients on ventilators, what is it like to enter a time machine and go back to sedation and immobility? What did Tara learn taking care of COVID19 patients outside of her “Awake and Walking ICU”? She shares with us her reaffirmed empowerment to change patients’ outcomes through evidence-based practice. Photos, transcriptions, and citations at: www. DaytonICUC...

What does it mean to you to be able to toilet yourself? What happens to patient dignity when they are deprived of the capacity to “mind their own business”? Rachel shares with us what is happening to patients even when they are not on mechanical ventilation. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learn...

Where in the world do patients walk on ventilators and ECMO? Providers from 22 countries share with us their experiences with helping patients walk home from the ICU. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. DaytonIC...

After decades of research revealing the price patients pay from benzodiazepines, where are we now in the ICU? Dr. Wes Ely and Brenda Pun share with us the latest COVIDD study and how COVID19 patients are being cared for around the world. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠...

How do we bring changes to the ICU? What barriers impede the progress of our culture? Heidi Engel, PT, DPT, shares with us her continuous journey to humanizing her ICU. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. Dayton...

What truly happens during delirium? When do the hallucinations and terror stop? Survivors give us a sobering reality check of what caused the deep psychological trauma during their ICU stays and how their lives are forever impacted. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Wa...

What does research reveal about the most common contributing factors of post-ICU PTSD? Does sedation prevent or inflict trauma? Dr. Jackson shares with us his decades of research and experience with post-ICU PTSD. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the rev...

What causes Post-ICU PTSD? What is it like to live with this trauma? How does it impact life after the ICU? Spencer Freeman shares with us intimate insight into living with Post-ICU PTSD. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check...

How do Hospital Acquired Pressure Injuries (HAPI) impact patient outcomes and quality of life? How can they be better prevented? Cami, our wound care specialist, shares with us penetrating insight into the reality of rotting in the ICU. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠...

What do you want to know about the Awake and Walking ICU? Join the facebook group, "Walking Home From the ICU Discussion Group".  Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting 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

What does an awake and walking ICU patient look like walking back into the pulmonology clinic? Dr. Shilling shares what this process has meant for his practice in the clinic. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www....

What was it like for a seasoned ICU nurse with decades of valuable experience to completely change their sedation practices? What was it like to then re-enter a “normal” environment and strive to continue the best practice? Paula shares with us her personal shock and conversion. Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this...

What roles do physical and occupational play in helping COVID19 patients survive and thrive? How have they changed their approaches during the challenges of COVID19? Why should we never remove their therapies from ICU care?  Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to br...

When 69-year-old Dr. Ken Hurwitz was intubated for COVID19, how was his life saved and even preserved? After 3 weeks on the ventilator, why was he able to walk away and go straight home?  Photos, transcriptions, and citations at: www. DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check...

Now that we know what happens to patients after sedation and immobility, do we know what it is really like? Do we understand what happens to patient dignity, autonomy, and identity when they lose control of their bodies? Eileen Rubin shares with us what it was like as a 33-year-old trial attorney to wake up and not be able to lift a finger. @DaytonICUConsulting Get your CE credit for this episode...

When good nursing care is not possible during a pandemic, what happens to patient outcomes? Makenzie tells her tales as an ICU nurse in NY as we explore the role nursing care plays in saving and restoring lives. @DaytonICUConsulting 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