PODCAST · health
Talking All Things Cardiopulm
by Rachele Burriesci, PT, DPT, CCS, GCS
This podcast is designed to discuss heart and lung conditions, treatment interventions, research, current trends, expert opinions and patient experiences.The goal is to learn, inspire and bring Cardiopulm to the forefront of conversation.
Episodes
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Episode 107: From Residency to ICU innovation: Advancing Early Mobility & Verticalization with Jenna Hightower
Early mobility is not just a catch phrase. It’s activity that can change the trajectory of a patient’s condition, hospital stay and potentially life. Join me as we welcome Dr. Jenna Hightower, PT, DPT, CCS, critical care physical therapist, and CVP Emerging Leader award recipient. In this episode...
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Episode 106: The MUSECLS Framework: A Roadmap for developing and sustaining an ECMO mobility program in the ICU
In this episode, Dr. Rachele Burriesci, PT, DPT, CCS, GCS sits down with Dr. Aaron Thrush, PT, DPT, MPH, CCS one of the lead authors behind the groundbreaking article “Development and Application of a Novel Framework for Mobility and Rehabilitation Under Support of Extracorporeal Life Support…
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Episode 105: Part 2 An International PT Journey with Dr. Aaron Thrush
Lucky for us, I was able to get more time with Aaron to discuss his life abroad. We had some time after discussing his newest publication to dig further into the regular day life in Abu Dhabi and into to another world of culture and cultural competency. Join us for an episode of common ground,...
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Episode 104: An international PT Journey with Dr. Aaron Thrush
Have you ever wondered what it would be like to treat patients internationally as a physical therapist? Does that opportunity feel just out of reach? Have you considered being more involved in the APTA or the Cardiovascular & Pulmonary (CVP) Academy or other leadership roles and just don’t know...
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Episode 103: Welcome Back
Returning to the mic after a summer hiatus, Rachele recaps summer fun, garden woes, new collaborations and the joy of being in the room. Follow PrO2: Instagram Facebook Linked-In Website Newsletter Coupon Code for PrO2: ALLTHINGS15 (I do not receive commission just sharing a 15% off coupon code…
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Episode 102: Innovation, Invention and IMT with Ken Chatham
One word. Legacy. When one looks back on their career they might question: did I do enough, did I make a difference, did I leave a legacy? There is no question in mind that Ken is a person that has left his mark on the respiratory muscle training world, with his passion for understanding and...
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Episode 101: Clinical Decisions in Orthostatic Hypotension
Orthostatic hypotension (OH) is a common finding in the acute care setting. So, the question is, are there any hard and fast rules surrounding orthostatic hypotension? Are there cut-offs for activity / exercise? The quick answer is: it’s complicated and it depends. It requires knowledge…
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Episode 100 of Talking All Things Cardiopulm
Happy 100th episode of Talking All Things Cardiopulm! My mission from day one was to bring Cardiopulm to the forefront of conversation, to give clinicians tools to use in their own practice and to help bridge the gap between research and the clinician. I created this podcast, because I felt like…
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Episode 99: The Woes and Wows of Documentation
Documentation continues to be one of the biggest frustrations across physical therapy. Despite the many changes in technology over the past 20 years, it can still feel time consuming and an overall arduous task. Shifting our perspective to an opportunity to showcase our clinical expertise and...
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Episode 98: Do Experts Know Everything?
What makes an expert an expert? Is it their experience? Is it their knowledge? Is it their ability to teach/mentor? I can argue that it’s a compilation of all of the above. But do experts know everything? Is it even possible? I think the question is a set up for the most obvious answer. But maybe...
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Episode 97: Measles Resurgence: The comeback no one needed
I love a good comeback story, and typically cheer for the underdog, but the Measles can go ahead and stay in the past. As cases continue to rise, it’s time to take a look at overall pathophysiology and transmission of this very contagious virus. Join me as we discuss yet another virus taking the...
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Episode 96: RSV is it Droplet? or Contact? or Both?
As the winter season comes to an end, we review 1 of the 4 major viruses that has been rampant this year. Though RSV is officially on the decline, it is still very present in our communities and hospitals. Join us as we discuss virus transmission and possible precautions, that you may say in your...
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Episode 95: Influenza A Continues to Climb
Influenza cases and hospitalizations continue to be the leading respiratory disease nationwide this season. As of Jan 25, 2025, there have been 20 million illnesses, 250,000 hospitalizations, and 11,000 deaths (including 47 pediatric deaths). At the time of this recording Feb 6th, the CDC had not...
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Episode 94: TB Outbreak – What you need to know
We currently have a tuberculosis (TB) outbreak across the US and Kansas recently made national news in this regard. I’m here to break down the pathology of TB, and review the incidence to give some assurance, as well as, real concerns with this diagnosis. In this episode: Incidence of TB in the…
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Episode 93: Is snow shoveling safe for the cardiac patient?
What might seem like a simple task in the winter months could lead to devastation without the right education. What do we need to consider to keep our patients with heart disease safe? The concern lies in the compounding effect. The effect of cold weather on the cardiopulmonary system, age,...
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Episode 92: Cold Weather’s Effect on the Cardiopulmonary System
As the temperature drops across the country it is important to understand the impact the cold air will have on the cardiopulmonary system. Similar to pipes in a house, the cold affects both the pipes in the lungs and body in the same way, constriction. Although these changes occur in healthy...
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Episode 91: Value what we do
Leaving the last day of 2024 with a little spice. Since most of this audience is PTs, PTAs and PT(A) students, I just want to remind us to value what we do. Stand up for your skill set, educate others on the benefits and continue to advocate! Want to sign up for a mentoring call with Dr.…
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Episode 90: Evaluating Diaphragm excursion via Dynamic MRI, an article review
Review of the literature brings us an article from Japan, evaluating diaphragm and chest wall excursion in four different positions in healthy adults. Dynamic MRI was utilized for excursion measurements throughout all four positions in quiet breathing. The initial hypothesis was disproved…
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Episode 89: Have you seen the Nuss Bar Protocol?
Have you seen the Nuss Bar Protocol? If not, this will prepare you if you ever do. This procedure is more common in the pediatric population but is a growing surgical option for patients in their 40th and 50th decade of life. Though considered a “minimally invasive technique,” it is quite an...
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Episode 88: Tracheal Deviation, to the Left or to the Right?
Tracheal Deviation, to the Left, to the Right, which way does it go? This is probably one of the most common questions that I get from students studying for the NPTE. As it often does, the answer comes down to pressures. Tune into this episode to learn ipsilateral vs. contralateral movement of…
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Episode 87: Considerations of the Automatic Blood Pressure
It would be unfair of me to dismiss automatic blood pressure measurements as they are used in most settings, including the ICU. It’s important to understand their normal guestimate error range and when you should consider taking a manual BP. Similar to manual blood pressures, there are a number…
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Episode 86: Improving Accuracy with Blood Pressure Measurement
Want some tips to improve the accuracy of your blood pressure technique? I’ve got you covered. It all starts with a manual cuff, the obliteration technique and a few simple setup tips. Join me in this episode as we break down the step-by-step technique of improving accuracy with blood pressure...
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Episode 85: Assessing MIP and MEP
Respiratory muscle training is by far one of my favorite interventions and continues to show itself in research. Anytime RMT is added, you can hypothesize that your patient will improve in a number of different categories (gas exchange, respiratory strength, 6MWD, QOL scales, blood pressure, and...
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Episode 84: Breaking Down High-Flow O2 Devices
In today’s episode, we break down 3 of the most common high-flow oxygen devices that you may see in the hospital setting: typical high-flow nasal cannula, venturi mask, and heated high-flow nasal cannula devices. Each device varies on the level of flow and FiO2 available, as well as, how the FiO2...
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Episode 83: Nomenclature Matters
Time and time again, across my career, whether I’ve been in the clinic or teaching, I have come across words in healthcare that are either used interchangeably, go by different names, or simply have changed over time. Nomenclature issues can lead to confusion, errors, and miscommunication, while...
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Episode 82: Breaking Down Low Flow Oxygen Devices
Working with patients on oxygen can feel overwhelming with all the possible devices that can be utilized. Whether or not you are a clinician who helps in making those decisions or you are actively working with patients using these devices, it’s important to understand their range of use, the…
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Episode 81: Let’s Talk Oxygen Titration
There are many steps when dealing with oxygen titration. In this episode, we set the stage for what clinicians need to consider when dealing with a patient on oxygen, including our state practice act, MD orders, available devices, and titration concepts. As PTs we can take an active role in...
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Episode 80: ‘Mow’ your limits
An episode about mowing, MET levels, and knowing your (your patient’s) limitations. Have you ever been asked, “Can I get back to….?” How do you help your patients make these decisions? Do you consider MET levels, HR response, or overall aerobic capacity? Using MET levels for a specific activity…
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Episode 79: Ortho trauma case is a Cardiopulm Case in Disguise
Today we discuss a recent acute care evaluation of a 52yo male s/p motocycle crash, despite multiple orthopedic injuries, both the lung and the heart played a bigger role than the initial case synopsis would think. Let’s dive into a cardiopulmonary assessment and treatment interventions for this...
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Episode 78: Enhancing Breath Control with Lateral Costal Breathing
Lateral costal breathing exercise technique is a versatile approach that can be used to help improve lateral costal (side ribs) movement in a variety of patient populations. It is a go-to technique to improve motor control and expansion, as well as decrease anxiety and dyspnea. Join me in this...
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Episode 77: All Things Pulmonary Rehab
Join me today as we discuss all things pulmonary rehab, its structure, accepting diagnoses, benefits and even its continued underutilization. Join my main newsletter: https://allthingscardiopulm.ck.page/9bb2730421 Want to sign up for a mentoring call with Dr. Burriesci? Sign up here:...
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Episode 76: How to Improve an Ineffective Cough
There are a number of reasons why a cough may be ineffective. It all starts with assessing the four phases of a cough. Once the inefficiency is highlighted it’s time to work on improving it. Pending which phase is most affected, depends on how you will approach the interventions. Whether you are...
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Episode 75: New Semester, Same Advice
It’s that time of year, the start of a new semester. For some it’s their first-ever semester, for others, it may be their last. No matter where you are in your journey, my advice for the semester typically stays the same. Tune in for some real-life tips and study advice, to make the most of your...
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Episode 74: Managing Aspergillus Fungal Pneumonia: A PT perspective
In today’s episode, we break down the priorities of seeing a patient with Aspergillus pneumonia (PNA). When coughing and shortness of breath are the primary limitations, what should be your primary focus during your session? As much as mobility is a huge priority in the acute care setting, it is...
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Episode 73: COVID-19 Summer Surge & Variant Updates
As we cruise through August we are amidst the middle to end of the COVID summer surge. With each new surge comes a new variant. And with each new variant comes new info or old info updated. Today we discuss the nomenclature of the newest variants, symptomatology, PPE, ongoing discussion of…
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Episode 72: Preventing COVID in your own Home
Has COVID entered your home? Are you trying to prevent spreading COVID to your family members or are you trying to prevent getting COVID in your own home? Four years in, I’m sure we are all well versed in COVID transmission and how to prevent spread, but what options do we have once it has…
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Episode 71: Breaking Down the Respiratory Metaboreflex
Halfway through the year, have you checked in with your personal goals? I certainly have been sitting and reflecting on the speediness of the last 6months and setting some new intentions for the upcoming year. But after a short dialogue about self-reflection, we jump back into all things…
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Episode 70: Understanding the Impact of Hypo and Hyperkalemia
Have you ever had to make a decision about seeing a patient with hypo or hyperkalemia? Have you been a part of the conversation? Do you want to be a part of that conversation? Do you want to understand the concerns that exist for both ends of the spectrum? Join me as we break down the risks…
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Episode 69: The Deleterious Effects of Bed Rest
Has your patient ever been surprised by the level of debility that has occurred in such a short period of time? The amount of change that occurs in such a short period is of no surprise but is still profound and can cause major changes in a person’s life, including but not limited to falls,...
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Episode 68: Why you care about the ANS
Do not underestimate the value of foundational knowledge. Understanding the basics, the foundation allows you to piece together multiple complex diagnoses, medications, theories and much more. Join me, as we break down the impact of intrinsic and extrinsic factors that impact the cardiopulmonary...
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Episode 67: Who would benefit from a breathing assessment?
Who would benefit from a breathing assessment? Is it just patients in the hospital setting? Is it just patients with lung disease? The answer is an overwhelming no. Breathing is for everyone. Even high-level athletes can benefit from a breathing assessment and definitely breathing interventions....
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Episode 66: Can Diaphragmatic Breathing Help Decrease Blood Pressure?
Hypertension (HTN) is known as the silent killer because of its silent damage over years and years, leading to the number one cause of death coronary artery disease. We know lifestyle change has significant effect on preventing and decreasing HTN, but pharmacologic management is typically the...
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Episode 65: NPTE Prep - PAD Breakdown
Giving you the quick and dirty breakdown of PAD for your NPTE prep. Join my main newsletter: https://allthingscardiopulm.ck.page/9bb2730421 Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring Interested in Jane? Jane, is an…
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Episode 64: Navigating 3 Types of Anesthesia in the Acute Care Setting
Are you new to acute care, maybe a student ready to approach their first acute care rotation or maybe just an OG PT that wants to corroborate this story? Post-op rehab can be very affected by the type of anesthesia that is used. The best way to deal with this as a PT is to understand the…
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Episode 63: What you did not know about RPE...
Are you familiar with the RPE scale? Do you have a preference on the 6-20 or 0-10 scale? Have you utilized this scale in your practice or teaching? Me too! And yes I 100% have a preference. But did you know that this scale has been around since the 1960s and was created by Dr. Gunnar Borg and…
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Episode 62: Order of Operations for Optimizing Airway Clearance
Ever wonder if there is a more effective strategy for helping patients clear their secretions? What you do and how you do that intervention matters, but what if when you did them, was even more important? Join me in this episode, where we will break down the order of operations to optimize your...
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Episode 61: Atrial Fibrillation – Controlled vs. Uncontrolled, That is the question!
Atrial fibrillation is one of the most common arrhythmias you may see in practice. It can be both safe to work with and dangerous. Therefore, it’s important to understand the rhythm at its base and the concerns that exist with this rhythm. Let’s break down a-fib at its core, identify its main...
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Episode 60: Optimizing NPTE Prep: Study Tips & Strategies for Success
The NPTE is too important of a test to try and wing it or attempt to cram. It’s a fine balance of attacking your weaknesses and using your strengths to develop momentum and confidence. Prepping for the NPTE takes organization, planning, discipline and a dose of consistency. Tune into this episode...
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Episode 59: Patience and Pacing
Have you ever made dough from scratch? If you have, you know it’s all about the long game and a ton of patience. This is not a hobby that you can practice quickly, nor a skill you can rush through. It takes time to get it right and it takes patience to work through it. Patience is not always an...
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Episode 58: Part 4 Tackling the MOSC: Building your Case!
Are you procrastinating on completing your MOSC application or just feeling overwhelmed? Don’t worry I got you. Check out this 4 part series of tackling the MOSC to help you plan, prepare and successfully complete your specialty portfolio. Learn from my mistakes along the way, and hit this...
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ABOUT THIS SHOW
This podcast is designed to discuss heart and lung conditions, treatment interventions, research, current trends, expert opinions and patient experiences.The goal is to learn, inspire and bring Cardiopulm to the forefront of conversation.
HOSTED BY
Rachele Burriesci, PT, DPT, CCS, GCS
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