Category: Awake and Walking ICU Clinicians

Walking Home From The ICU Episode 112 Unplanned Extubations

Walking Home From The ICU Episode 112: Unplanned Extubations

What does research reveal about how and why do unplanned extubations occur? How dangerous are unplanned extubations? We dive into it deep in this episode. Episode Transcription One of the common foundational reasons for giving sedation automatically after intubation is for an inherited sense of safety. Between being uneducated about the risks and repercussions of

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Walking Home From The ICU Episode 111 Both Sides of the ICU Bed With Dr. Wischmeyer

Walking Home From The ICU Episode 111: Both Sides of the ICU Bed With Dr. Wischmeyer

What is like to be an ICU delirium survivor and intensivist? How did Dr. Wischmeyer’s own nutrition research transform his outcomes during his most critical ICU stay? He shares his journey with us in this episode. Episode Transcription Kali Dayton 0:00 Being a patient in the ICU brings a breadth of wisdom and insight. I’m

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Walking Home From The ICU Episode 110: Occupational Therapy in the Trauma ICU

Walking Home From The ICU Episode 110: Occupational Therapy in the Trauma ICU

The trauma ICU has unique risks to agitation, delirium, and long-term impairments. How does occupational therapy help the trauma ICU team avoid sedation, maximize mobility, and radically transform patient outcomes? Phillip Gonzalez, OTR, MOT, shares with us his expertise and success as an occupational therapist in the trauma ICU and traumatic brain injuries. Episode Transcription

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Episode 109: The ABCDEF Bundle for Traumatic Brain Injuries

Walking Home From The ICU Episode 109: The ABCDEF Bundle for Traumatic Brain Injuries

Traumatic brain injuries can have distinct exceptions that necessitate deep sedation and immobility. How then can we apply the ABCDEF bundle to protect injured brains and restore lives? Charlotte Davis, BSN, RN, CCRN and Richard Rivera, BSN, RN-BC share their expertise and their team’s incredible success with the ABCDEF bundle in the settings of TBI.

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Walking From ICU 108- The ABCDEF Bundle in the Trauma ICU

Walking Home From The ICU Episode 108: The ABCDEF Bundle in the Trauma ICU

The trauma ICU has a variety of high-acuity and difficult conditions that can cause obstacles and hesitation to change sedation and mobility practices. How does the ABCDEF bundle apply to the trauma ICU? Dr. Gregory Schaefer joins us now to discuss his expertise and team’s success in practicing the ABCDEF bundle in the trauma ICU.

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Walking From ICU Episode 107- Awake and Moving in the CVICU

Walking Home From The ICU Episode 107: Awake and Moving in the CVICU

Critically ill cardiovascular patients can be very high-risk and high-acuity patients with numerous devices and multiorgan failure. How and when can we safely initiate early mobility? What role should physical and occupational therapy play in the CVICU? Jenna Hightower, PT, DPT, CCS shares her incredible expertise and ground-breaking work in early mobility in the CVICU.

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Episode 106 Early Mobility During ECMO

Walking Home From The ICU Episode 106: Early Mobility During ECMO

As ECMO programs have grown in demand and popularity during COVID19, what have we learned about the safety, feasibility, and benefit of early mobility? Why is there such a significant disparity in mobility practices between ECMO teams? Dr. Julian Macedo shares with us his expertise and insights into early mobilization during ECMO. Episode Transcription Kali

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Walking From ICU Episode 103- Communication Is a Basic Human Right- Especially in the ICU

Walking Home From The ICU Episode 103: Communication Is a Basic Human Right- Especially in the ICU

This episode explores the value of communication in the ICU and the impact of our sedation and immobility practices on the basic human right of communication. Episode Transcription Kali Dayton 0:38 This episode is dedicated to communication and the ICU. This has taken me a long time to publish in part because it is so

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Walking From ICU Episode 101- The ABCDEF Bundle in the Neuro ICU

Walking Home From The ICU Episode 101: The ABCDEF Bundle in the Neuro ICU

What does the ABCDEF bundle look like in neurocritical care? When patients suffer conditions such as intracranial hypertension that necessitate sedation and immobility, how does the ABCDEF bundle apply? Neurointensivist, Dr. Neha Dangayach, shares with us her team’s strong ABCDEF culture and practices in the neuro ICU. Episode Transcription Kali Dayton 0:06 In a recent

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Before Kali, our hospital struggled with overly-sedated patients and lack of early mobility. Despite multiple efforts to change the culture, we were at a standstill. In one hour, Kali was able to ignite a flurry of conversations regarding her experience with the Awake and Walking ICU and this immediately led to a change in clinical practice.

Patients with less sedation and other neurotoxic medications are spending fewer days on the ventilator. If you are considering starting an ICU early mobility program at your hospital, your first step needs to be to consult with Kali and absorb as much information as you can!

Matthew McClain, DPT
Florida, USA

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