Episode 217: Leaders- DON’T Mess it Up!
Revolution in sedation, delirium, and mobility culture in the ICU requires more than a memo, grand rounds, or a weekend symposium. Leaders who provide minimal support without teaching teams the how and why but expect a drastic change in care and outcomes risk a mutiny. Leadership and implementation strategy can inspire innovation, humanity, and transformation
Episode 216: Addressing the Social Media Controversy
Posting a video about the role of communication for sedation management to help prevent post-ICU syndrome sparked important discussion and the sharing of valid concerns. @pulmtoilet comes back to the podcast to address the cultural and educational roots of the the current state of affairs to dissect why communication prior to sedation is a hot
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Episode 215: Penthouse Incarceration – Anjan’s Journey Through Post-ICU Recovery
Anjan Chatterjee shares his journey from surviving a traumatic brain injury and medically induced coma to facing the hidden challenges of ICU recovery. He describes severe physical loss, hallucinations, brain fog, and months of isolation — revealing that surviving critical illness is only the beginning of recovery. Episode Transcription [00:00:00] This is the Walking Home
Learn More > from Episode 215: Penthouse Incarceration – Anjan’s Journey Through Post-ICU Recovery
Episode 214: Translating the ICU with Stephen Ramsey- Part 2
In Part 2 with Stephen Ramsey, physical therapist and ICU mobility expert, the discussion dives into a complex cardiothoracic ICU case Stephen presented at APTA’s CSM conference. Using the MENTOR framework, Stephen walks through how rehab clinicians should approach critically ill patients — from chart review to interdisciplinary communication to real-time clinical decision-making. Episode Transcription
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Episode 213: Translating the ICU with Stephen Ramsey- Part 1
Kali Dayton officially welcomes Stephen Ramsey — CVICU physical therapist, creator of the Ramsey Protocol, and lead author of the ELSO guidelines — as the newest member of the Dayton ICU Consulting team. In this kickoff episode of Translating the ICU, Kali and Stephen explore why physical therapists and occupational therapists are often rotating generalists
Learn More > from Episode 213: Translating the ICU with Stephen Ramsey- Part 1
Episode 212: Awake and Walking ICUs- What’s in it for Nurses?
We know that the ABCDEF Bundle gives patients the best chance to survive and thrive. Yet, persistent hesitation regarding “increased RN workload and burden” remain significant barriers. Is this belief true? Are sedation and immobility better, easier, and safer for nurses? Let’s dive into Awake and Walking ICUs and what’s in it for nurses. Episode
Learn More > from Episode 212: Awake and Walking ICUs- What’s in it for Nurses?
Critical illness impacts not only the patient in the bed but also their entire family during and after the ICU. Eli and Cathy Garrison join us to share their young family’s course of twists and turns of an amniotic fluid embolism to long-term disability. Episode Transcription [00:00:00] This is the Walking Home From the ICU
In this groundbreaking episode, Dr. Paul Wischmeyer returns to share the incredible developments in ICU nutrition and rehabilitation that are transforming patient recovery. As both a critical care physician and ICU survivor, Dr. Wischmeyer brings unique insight into what it takes to truly help patients recover from critical illness. Episode Transcription [00:00:00] This is the
What if we had an expert continually present in the ICU dedicated to caring for the mental and spiritual health of families, patients, and staff in the ICU? How would this impact stress, grief, and trauma in the ICU? How would this kind of support impact patient and family experiences, outcomes, and staff morale and
Episode 208: From Survivor to Revolutionist- an ICU Nurse’s Reflections on Both Sides of the ICU Bed
Erika Breivogel’s journey through the ICU as a patient forever changed her as a person as well as transformed the care she now gives as an ICU nurse. In this episode she inspires up with her reflections of ICU culture vs. patient reality and what moves her to keep fighting the ICU revolution. Episode Transcription
I stumbled upon Kali’s podcast midway through my anesthesia critical care fellowship in February 2021. At our institution, I got the impression that patients in the ICU either got better on their own or had a prolonged and complicated course to LTAC or death. In her podcast, Kali explained that LTAC was rarely the outcome for patients in the Awake and Walking ICU™ in Salt Lake City.
Their ICU survivors hardly ever got trached, PEGed, or sent to LTAC, and literally walked out of the hospital in condition as close to their previous health as they could be. Although the concept of using no sedation on ventilated patients was completely foreign to me, it made sense based on what I had read in the literature. I devoured all of the episodes from the beginning, many of them bringing tears and regret for my ignorance, followed by inspiration and hope in later episodes. Listening to her podcast has been one of the most profound experiences in my short, eight-year career in medicine.
After discovering the no sedation, early mobility practice at the Awake and Walking ICU™, my focus shifted to bringing it to my own institution. I visited Salt Lake City in March to witness it with my own eyes. Since then, I’ve been in touch closely with Kali and Louise to learn the practical approaches to sedation wean and sedation avoidance for newly intubated patients in the ICU.
Mikita Fuchita, MD
Colorado, USA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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