Walking You Through The ICU Episode 11: Families Can Save Lives
Families can advocate for evidence-based and humane care can deeply impact patient outcomes and truly save lives. Kerry shares with us her journey to saving her sister’s life. Episode Transcription Kali Dayton Kerry, thank you so much for coming on the podcast. Can you introduce yourself? Kerry Yes. My name is Carrie Scarda. And
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Walking You Through The ICU Episode 10: The ABCDEF Bundle
In this episode, Kali explains how families should understand the ABCDEF bundle as the gold standard of care to prevent delirium and muscular atrophy in the ICU. Episode Transcription Alright, now that you have quite the foundation of understanding behind the principles of delirium prevention and mobility- let’s tie it all together into a neat
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Walking You Through The ICU Episode 9: Mobility is a Life-Saving Intervention
Mobility is a life-saving intervention. In this episode, Kali will discuss the lethal risks of Immobility and muscular atrophy and how mobility (even and especially on the ventilator) can help your loved one survive and thrive. Episode Transcription Ok, episode 9. I know this is a lot and I commend you for sticking with this
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Walking You Through The ICU Episode 8: Sedation and Medically-Induced Comas
Despite the high risks and harm of prolonged deep sedation, why do most ICUs place every patient on a ventilator into a medically-induced coma? Let’s talk straight about the history and big picture of our ICU sedation culture. Episode Transcription Now that you understand delirium, we have to address medically-induced comas. In all honesty, this
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Walking You Through The ICU Episode 7: ICU Delirium
Helping to prevent and treat the life-threatening complication of ICU delirium is one of your most important missions in the ICU. Let’s dive deep into everything you need to know about ICU delirium. Episode Transcription Ok, let’s talk about some hard and important things- starting with delirium. Your loved one is at risk of developing
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Walking You Through The ICU Episode 6: Ventilators
In this episode, Kali discusses ventilators, including the risks, how they work and how they can be vital in saving lives in the ICU. Episode Transcription Ok, let’s talk ventilators. Your loved one may need to be on a ventilator. Don’t panic. Despite the misinformation and fear out there… ventilators do not kill people. Ventilators
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Walking You Through The ICU Episode 5: Tools for Patient Advocacy
Kali’s guest is Sara Merwin, an MPH level epidemiologist, who shares her perspective about helping patients navigate a hospital and the emergency department. Episode Transcription Kali Dayton Sarah, thank you so much for coming on the podcast. Do you mind introducing yourself? Sara Merwin I’d be delighted to so my name is Sarah Merwin. I
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Walking You Through The ICU Episode 4: Your Role On the ICU Team
Being a family member or loved one of an ICU patient can make you feel extremely overwhelmed and very out of place. In this episode, Kali gives you the tools so you can play a pivotal role on the ICU team. Episode Transcription Welcome to the ICU team. You as a family member or loved
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Walking You Through The ICU Episode 3: Quick! Risks of Medically-Induced Comas
In this episode, Kali dives deeper into the reality, history, and culture of medically-induced comas including the risks of prolonged sedation. Episode Transcription Episode 2: Quick! What you need to know about medically induced-comas. The next few episodes, we will dive deeper into the reality, history, and culture of medically-induced comas. Yet, if you or
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Walking You Through The ICU Episode 2: Welcome to the ICU
The ICU is not a very warm and welcoming place, so in this episode Kali gives you a quick tour into the intensive care unit and the ICU team. Episode Transcription Welcome to the ICU. You likely don’t feel so welcome. It’s not a very warm and welcoming place. No one chooses to go there
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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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