Episode 175: Physiologists Leading the ECMO Revolution!
Ilija Klipa MS, ACSM-CEP,ACSM-EP,ACSM EIM III, AACVPR-CCRP is a cardiac/pulmonary physiologist a high-acuity cardiac ICU. He shares his journey in pioneering physiology in the ICU as well as leading the revolution to create an Awake and Walking ICU. Episode Transcription Kali Dayton 0:05 This is the walking home from the ICU Podcast. I’m Kali Dayton,
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Episode 174: Delirium Mismanagement for LOE Patients Exacerbate Racial Disparities in the ICU
When patients have a primary language other than English (LOE), how does this impact their access to the ABCDEF bundle? Is it standardized to provide nonverbal communication in other languages in the hospital? Emily Ahrens, MS, RN, CCRN joins us now to dive deep into her post-doctoral studies dedicated to this gap in critical care
Walking Home From The ICU Episode 173: ICU Outcomes by Dose of Mobility
We know that for each additional 10 minutes of early mobility in the ICU, hospital length of stay decreases by 1.2 days. What else do we know about the relationship between dose of mobility and time on the ventilator? Sarina Fazio, PhD, RN, shares with us her exciting discoveries in her latest research. E Episode
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Prehab vs. Rehab: Which Approach Should be Prioritized in the ICU?
For the past five years, I have been engrossed in exploring the history and current culture of the ICU, as they relate to the ABCDEF Bundle. As a result, I’ve been faced with having to compare my ingrained understanding of early mobility to the cultural “norms” I see at the bedside, as well as in
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Walking Home From The ICU Episode 171: The Power of Autonomy and Human Connection During ECMO
Check out this episode with @Christinecasiano as she shares the contrast between being sedated vs. being awake while on ECMO. Register for the monthly ICU Revolutionists zoom meetings here. Episode Transcription Kali Dayton 0:00 Kristina, welcome to the podcast. I’m thrilled to have you on Can you introduce yourself to us? Christine Casiano 0:04 Yes,
It has been claimed that ICU early mobility is a “new and temporary fad”. Is walking intubated patients really that new? Let’s start in 1970 and work our way through decades of research that continues to reaffirm that true mastery of the ABCDEF bundle gives patients the best chance to survive and thrive in and
Why ICU Culture Is a Barrier to Early Mobility
While it’s clear that the ABCDEF Bundle saves lives and helps to restore the quality of life for ICU survivors, many intensive care units continue to standardize deep sedation and immobility. But why is this? Why does one ICU use sedation on less than 20% of intubated patients, while another sedates 100% of these patients
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Walking Home From The ICU Episode 169: Intubated in Your Own ICU
What is like to be intubated in your own ICU? Even when the environment and team are well known, what does an intensivist turned patient experience? Dr. Meta van der Woude shares with us her personal journey through the ICU. Episode Transcription Kali: Dr. Van der Woude, thank you so much for coming to the
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Walking Home From The ICU Episode 168: I Was Reported to the Board of Nursing!
What happened when I was reported to the board of nursing for advocating for early mobility in the ICU? What are the roots of these concerns and this report? How does social media impact culture and practices in the ICU? Jess Hren, BSN, RN, Jenna Hightower, DPT, CCS, Phillip Gonzalez, MOT, OTR/L, BCPR discuss why
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Is it save to mobilize patients with trans-formal devices such as balloon pumps, impellas, and ECMO? Who was the first person to dare to ask, “Why can’t we mobilize patients with trans-femoral balloon pumps?” Stephen Ramsey, PT, DPT, CCS shares with us his journey to developing the Ramsey protocol and revolutionizing mobility in the CVICU.
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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