Episode 159: Building a Dream Team

Walking Home From The ICU Episode 159: Building a Dream Team

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

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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 Episode 158: Keeping “Up” With the Times. A Deep Dive Into the Benefits of Verticalization Therapy

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,

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Episode 157: Sedation is Sleep-Deprivation

Walking Home From The ICU Episode 157: Sedation is Sleep-Deprivation

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

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Episode 156- Nurses Are Willing, but Unsupported and Untrained in Practicing the ABCDEF Bundle

Walking Home From The ICU Episode 156: Nurses Are Willing, but Unsupported and Untrained in Practicing the ABCDEF Bundle

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

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Episode 155- F- Family Engagement and Empowerment with Lito Rama

Walking Home From The ICU Episode 155: F- Family Engagement and Empowerment with Lito Rama

How do families impact patient outcomes in the ICU? What does it really mean to engage and empower families in the ICU? Have our teams truly recovered from the strict visitation restrictions from COVID? How does an ABCDEF Bundle culture influence our visitation policies? Lito Rama, RN, MBA joins us now to share with us

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Episode 153 D Assess, Prevent, and Treat Delirium with Dr. Adrian Austin

Walking Home From The ICU Episode 153: D- Assess, Prevent, and Treat Delirium with Dr. Adrian Austin

The normality of delirium in the ICU is often mistaken for benign. What does it really mean to “assess, prevent, and treat delirium”? Are we treating a positive CAM score with the same urgency as a positive tropinin? If we are automatically starting deliriogenic medications on every patient immediately upon intubation, are we truly practicing

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Episode 152 C- Choice of Sedation and Analgesia with John Devlin, PharmD

Walking Home From The ICU Episode 152: C- Choice of Sedation and Analgesia with John Devlin, PharmD

Is the C of the ABCDEF bundle only for avoiding benzodiazepines? How do we fully practice the “C” of the bundle and how does this impact patient care and outcomes? If we are automatically starting sedation without evaluation, are we truly practicing the ABCDEF bundle? John W. Devlin, PharmD, BCCCP, MCCM, FCCP joins us in

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Episode 150: Awakening Trials- "Rehumanization of the Patient"- With Dr. Wes Ely

Walking Home From The ICU Episode 150: Awakening Trials- “Rehumanization of the Patient”- With Dr. Wes Ely

What is the purpose of awakening “trials”? When should awakening “trials” be done? How can we have successful awakening “trials”? Dr. Wes Ely joins us in this episode to crack the code on sedation cessation.   Episode Transcription Kali Dayton: Last week, I did a little survey on social media. I recognize that my followers

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Episode 149: A- Assess, Prevent, and Treat Pain with Joanna Stollings, PharmD

Walking Home From The ICU Episode 149: A- Assess, Prevent, and Treat Pain with Joanna Stollings, PharmD

The A of the ABCDEF Bundle is for “Assess, Prevent, and Treat Pain”. How do we truly master this tool and how does this impact patient outcomes? Can we assess, prevent, and treat pain while simultaneously striving to have all possible patients awake, autonomous, and even mobile? Joanna Stollings, PharmD, shares what the A of

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The service Dayton ICU Consulting provided was exceptional and above expectations.

As an ICU medical director, I have had to unlearn what has been taught to us over the years and what we thought was right. When I started listening to Kali’s Walking Home From The ICU podcast, I felt profound sadness and guilt for what we have done to other human beings while thinking what we’re doing is right.

I have changed my practice and we had Dayton ICU Consulting at our hospital in each of our intensive care units for multiple sessions. It was eye-opening for the staff, especially the bedside RNs.

Lawrence Bistrong, MD, FCCP

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Perception Versus Reality: Debunking The Myths About Medically-Induced Comas

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