Why ICU Patient Outcomes Must Go Beyond Survival
Improving ICU patient outcomes cannot stop at survival. Every ICU team understands the urgency of keeping a patient alive, whether they’re suffering from shock, respiratory failure, sepsis, trauma, surgery, or multi-organ failure. But survival alone does not tell the whole story. A patient can survive the ICU and still leave with serious weakness, delirium-related trauma,
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Checking the Boxes but Missing the Mark: ICU Rounds
After working in 11 ICUs and training 14 others, I have seen multidisciplinary rounds conducted in many different ways. And I’ve also witnessed how easy it is to check the boxes but still miss the mark. Even in teams that are more progressive with the ABCDEF Bundle who “check the boxes” during ICU rounds, the
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Daily Doses of Gravity in the ICU
Throughout my journey in this ICU revolution, I have come to learn that the simplest concepts can be the most profound and the most important. This is going to sound too basic to be significant but hear me out. Gravity needs to be considered a standard “medication” in the ICU. Gravity is the grounding force
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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