Walking Home From The ICU Episode 41: Crisis Culture During COVID19
What happens to our culture and practice when patient volumes and needs exceed our ICU capacity? How does this impact short and long-term outcomes? Dr. Dixie Harris shares with us the reality of ICU care in NY during the COVID19 pandemic. Episode Transcription Kali Dayton 0:00 You were listening to walking home from the
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Walking Home From The ICU Episode 40: Cultural Revolution
Kali talks with Patty, a nurse, about what was it like in the early phases of the “Awake and Walking ICU” and how the new practice was introduced. We ask how the culture revolutionized in spite of opposition and who rejected the change? How did nurse Patty go from incredulous to emphatic? Episode Transcription Kali
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Walking Home from The ICU Episode 39: Ethical Turmoil
Kali talks to Jim, about what is it like to be “born” into an awake and walking ICU and then be immersed in a different culture. Jim shares with us his culture shock and ethical turmoil as he strives to maintain his best practice in a new environment. Episode Transcription Kali Dayton What is it
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Walking Home from The ICU Episode 38: “THEY’RE AWAKE?!?”
Kali talks to Alex, about what is it like to jump into an awake and walking ICU as a travel nurse. Alex shares with us her first shock and impressions upon entering a different culture and she teaches us the changes and wisdom her practice has gained. Episode Transcription Kali Dayton What is it like
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Walking Home from The ICU Episode 37: Culture Shock
Kali talks about how much of our practice is driven by culture vs. evidence. What role does ICU culture play in our perspective, knowledge, and patient outcomes? How often do we dare to ask “Why?”, “What if?” or, “Why not?” Episode Transcription Kali Dayton The first time I ever stepped into an ICU was as
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Walking Home from The ICU Episode 36: We Need To Talk
Kali discusses what would happen if we expected to be able to communicate with all patients on mechanical ventilation. How would that impact our practices? What role does communication play in patient survival and outcomes? Episode Transcription Kali Dayton What would happen if we expected to be able to communicate with all of our mechanically
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Walking Home from The ICU Episode 35: Mobility is EVERYONE’S job
Kali talks with Christiane Perme, the post-ICU rehabilitation specialist, who shares with us what happens after patients are sedated and immobilized for weeks, what the rehabilitation process for COVID19 survivors will be like, and how long will it take for them to be able to sit, stand, and walk again. Episode Transcription Kali Dayton Today,
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When patients are so ill that they require a ventilator in the ICU, the antiquated approach of heavy sedation and immobilization should be avoided in order to help prevent the immense burden of physical and cognitive disabilities suffered during survival. To understand this better, listen to Walking Home From The ICU. You will see what ICU consultant Kali Dayton provides to your team.
Her training will catalyze changes in your practice to improve outcomes, decrease costs, and allow your patients to return to their full lives. Learn to love your job again as you embrace whole person care instead of caring for inert sedated bodies. Kali is leading ICU teams to become Awake and Walking ICUs through true mastery of the ABCDEF Bundle.
I endorse her mission and look forward to the standardization of this evidence-based approach in ICUs all over the world.
Dr. Wes Ely, author of "Every Deep Drawn Breath," leading founder of the ABCDEF Bundle and ICU CAM delirium screening tool, and Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University Medical Center
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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