Episode 166: The Struggle of an ICU Revolutionist to Save Lives
Walking Home From The ICU
by Kali
2w ago
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 --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support ..read more
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Episode 165: "Don't Turn Me Off" - A Survivor's Perspective Of a Medically-Induced Coma
Walking Home From The ICU
by Kali
1M ago
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 ..read more
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Episode 163: Early Mobility During COVID19 in Switzerland with Sabrina Eggmann
Walking Home From The ICU
by Kali
1M ago
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 --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support ..read more
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Episode 162: Standardizing ICU Diaries
Walking Home From The ICU
by Kali
1M ago
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 --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support ..read more
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Episode 161: The Mad Hatter's Tea Party: A Nurse's Journey Through a Medically-Induced Coma
Walking Home From The ICU
by Kali
2M ago
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 --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support ..read more
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Episode 160: Psychiatrists in the ICU
Walking Home From The ICU
by Kali
3M ago
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 --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support ..read more
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Episode 159: Building a Dream Team
Walking Home From The ICU
by Kali
3M ago
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 Norris share with us the exemplary work happening at Trivent care. Episode transcriptions and citations found at: www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024confe ..read more
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Episode 158: Keeping "Up" With the Times. A Deep Dive Into the Benefits of Verticalization Therapy
Walking Home From The ICU
by Kali
4M ago
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. --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support ..read more
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Episode 157: Sedation is Sleep-Deprivation
Walking Home From The ICU
by Kali
4M ago
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 ..read more
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Episode 156: Nurses Are Willing, but Unsupported and Untrained in Practicing the ABCDEF Bundle
Walking Home From The ICU
by Kali
4M ago
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 real ..read more
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