Walking Home From The ICU

Walking Home from the ICU Translating the ICU with Stephen Ramsey Part 2: ICU Case StudyGuest: Stephen Ramsey, PT In Part 2 with Stephen Ramsey, physical therapist and ICU mobility expert, the discussion dives into a complex cardiothoracic ICU case Stephen presented at APTA's CSM conference. Using the MENTOR framework, Stephen walks through how rehab clinicians should approach critically ill patients — from chart review to interdisciplinary communication to real-time clinical decision-making.A structured approach for PT/OT clinical reasoning in the ICU:M – Map the Story: Thorough chart review and understanding the patient's full historyE – Expose the Unknowns: Identify gaps and questions before entering the roomN – Narrate Your Reasoning: Verbalize your clinical thinking to colleagues and the medical teamT – Test the Theory: Treat PT/OT as an assessment, not just an intervention — mobilize to observe physiologic responseO – Observe for Signals: Monitor real-time hemodynamic and respiratory responsesR – Review with the Team: Debrief after every session, whether it went well or notStephen walks Kali and the audience through a real case study using the MENTOR framework.

Walking Home from the ICU PodcastTranslating the ICU with Stephen Ramsey — Series 1, Episode 1Episode SummaryKali Dayton officially welcomes Stephen Ramsey — CVICU physical therapist, creator of the Ramsey Protocol, and lead author of the ELSO guidelines — as the newest member of the Dayton ICU Consulting team. In this kickoff episode of Translating the ICU, Kali and Stephen explore why physical therapists and occupational therapists are often rotating generalists in the ICU rather than dedicated specialists, and what needs to change to elevate rehab's impact on critically ill patients.Key Topics Covered​Introducing "Translating the ICU" — a new podcast series focused on physiology, pathophysiology, and critical thinking applied to real and theoretical ICU case studies​CSM 2024 recap — Stephen’s talks on redefining PT's role in the ICU and point-of-care ultrasound; Kali's panel on what early mobility should actually look like​The case for dedicated ICU rehab staffing — why rotating therapists undermine momentum, relationships, and patient outcomes​PT/OT education gaps in critical care — invasive hemodynamics, pharmacology, diagnostic imaging, and ventilator management are largely absent from training​Competency vs. potential — why redefining practice standards matters more than questioning individual intelligence or capability​Mobility as a physiology test — Steven's framework for PT as "physiology tester," using mobilization to generate clinical data and drive medical decision-making​Johnson 2019 data — dedicated CVICU PT/OT staffing increased from 2 to 4 clinicians → ICU length of stay decreased by 3.6 days​The 2025 meta-analysis (60+ RCTs, ~8,500 patients) — timing matters more than intensity in early mobility​Ventilator management and SBTs — why PTs need to understand spontaneous breathing trials and provide physiologic feedback before extubation decisions​Building trust on the ICU team — demonstrating competency through relationships, not just credentials​Barriers facing revolutionists — fear of mistakes, leadership pressure, staffing rotations, and how to push forward anywayResources & People Mentioned- Steven Ramsey — @ThePOCUSPT | The Ramsey Protocol | ELSO Guidelines​Kali Dayton — DaytonICUConsulting.com​Christina Perme's ICU Rehab Course​Heidi Engel & Jenna Hightower​Johnson 2019 CVICU staffing study​2025 early mobility meta-analysis (60+ RCTs)Connect & Work With Us​Consult with Kali on transforming your ICU's sedation and mobility practices → DaytonICUConsulting.com​Coaching with Stephen Ramsey — one-on-one or team sessions for ICU rehab staff → www.DaytonICUConsulting.com and @ThepocusPT​Online courses — coming soon from both Kali and Stephen​Critical care ultrasound course for ICU clinicians — available now at ThePocusPT.comFollow Kali on Instagram for open discussion, anonymous Q&A, and cross-disciplinary ICU conversations.

We know that the ABCDEF Bundle gives patients the best chance to survive and thrive. Yet, persistent hesitation regarding "increased RN workload and burden" remain significant barriers. Is this belief true? Are sedation and immobility better, easier, and safer for nurses? Let's dive into Awake and Walking ICUs and what's in it for nurses. Listen to more nurses share their comparison in workload and burden in episodes 76, 114, and 185! Nursing Video  https://youtu.be/5zBdDVo2pyY?si=eDJxid0A5aWLwc0yInterested in consulting, training, online courses and/or symposiums in your ICU? Check out www.DaytonICUConsulting.com!

Critical illness impacts not only the patient in the bed but also their entire family during and after the ICU. Eli and Cathy Garrison join us to share their young family's course of twists and turns of an amniotic fluid embolism to long-term disability.Check out Cathy's podcast at: Birth Trauma Storieswww.DaytonICUConsulting.com

In this groundbreaking episode, Dr. Paul Wischmeyer returns to share the incredible developments in ICU nutrition and rehabilitation that are transforming patient recovery. As both a critical care physician and ICU survivor, Dr. Wischmeyer brings unique insight into what it takes to truly help patients recover from critical illness.www.DaytonICUConsulting.comGet your CE credits from listening to this episode here: SapienCE

What if we had an expert continually present in the ICU dedicated to caring for the mental and spiritual health of families, patients, and staff in the ICU?How would this impact stress, grief, and trauma in the ICU?How would this kind of support impact patient and family experiences, outcomes, and staff morale and burnout? Stephanie Jacques, LMT, joins us now to share her expertise, experience, and pioneer legacy. www.DaytonICUConsulting.com Get CME for this episode at SapienCE!

Erika Breivogel's journey through the ICU as a patient forever changed her as a person as well as transformed the care she now gives as an ICU nurse. In this episode she inspires up with her reflections of ICU culture vs. patient reality and what moves her to keep fighting the ICU revolution. www.DaytonICUConsulting.comGet CE credit for listening to this episode and unlimited other learning experiences here: SapienCE Reflecting Learning | Unleash Your Inner Sage

What does verticalization therapy look like at the bedside?What does it take to get the entire ICU team engaged in optimizing verticalization beds?Jessica Cafferty, OTR/L and Jennifer Babb, PT, DPT join us to share case studies and insights into verticalization therapy in their ICUs! Get CE for listening to this episode and more! SapienCE Reflecting Learning | Unleash Your Inner Sagewww.DaytonICUConsulting.com

With the complex mobility needs of patients in the neuro ICU, how did Dr. Tarek Dakakni standardize patient standing for 8 hrs a day? As acting medical director, how did Dr. Dakakni bring all disciplines together to customize care and optimize outcomes for each patient as a person? Dr. Dakakni joins us now to share how the ABCDEF bundle looks in his Neuro ICU.Dr. Dakakni’s verticalization orderset: https://docs.google.com/document/d/1IbWAlHqEVTgHyH1tI7Kp5lVcJw-OSgWJ/edit?usp=drivesdk&ouid=100517257919214330248&rtpof=true&sd=trueWww.DaytonICUConsulting.com

As described in episode 158, verticalization therapy (VT) has vast and powerful benefits to patient care and outcomes. Having technology to increases access to VT is a big first step towards giving all patient early and routine doses of gravity. In this episode, Heather M. Fudala, PhD, RN, CCRP, Audrey Roberson, PhD, RN, CPAN, NPD-BC, Elisa Winn, MSN, RN, AMB-BC, CWON, and Alice Peay, DPT, PT, MS join us to share lessons learned during their verticalization therapy study. Obtain your CE credits for this episodes and other learning experiences with SapienCE!Www.DaytonICUConsulting.com

A key part of symptom management, agitation management, and humanizing care is communication. Throughout the podcast, we have discussed non-verbal communication during mechanical ventilation. ....but what about non-invasive ventilation? How does the inability to communicate impact care, patient experience, and outcomes for patient on BIPAP? Dr. Ian Wong shares with us his research and innovation that is transforming communication during non-invasive ventilation. Randomized Controlled Trial of a Novel Communication Device Assessed During Noninvasive Ventilation Therapy - PubMedAtaia Medical – Empowering Patients with the Freedom to Speakwww.DaytonICUConsulting.com

What is the role of a Clinical Nurse Specialist (CNS) in the ICU? How did Lynette LaBine, MSN, RN, CNS, CCRN leverage her CNS role to win buy-in and guide her team to become an Awake and Walking ICU? Lynette shares with us how consulting and training services opened the doors for her to fully lead the revolution in her ICU. Listen and watch Lynette's RN colleagues HERE and rehab colleagues HERE! Get your CE credit for this episode and all learning you do here!Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Vanessa Abraham is an expert speech language pathologist. She had given innumerable youth access to communication. Then she found herself speechless in the ICU. Dr. Jared Rosen was a medical student with Vanessa and was a key player in humanizing her journey through critical illness. Buy and share Vanessa’s book, “Speechless” here: https://www.amazon.com/Speechless-Therapist-Ability-Struggle-Reclaim/dp/B0DS96R6XTGet your CE credit for this episode and all learning you do ⁠here⁠!Want to bring the revolution to your ICU? Check out ⁠www.DaytonICUConsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Get unlimited CE credits for this podcast and any learning experience here: SapienCE Reflecting Learning | Unleash Your Inner SageIn this podcast episode, we introduce Amanda Luper, an experienced occupational therapist with over 13 years in acute care ICU. Amanda shares her journey, starting from her field placement at Vanderbilt, which shaped her career path, to her current focus on early mobility and cognitive care in the ICU. She discusses the innovative approaches she has championed, including mobilizing patients early, even building protocols for cognitive assessments. Amanda also emphasizes the importance of interdisciplinary collaboration in the ICU and highlights the critical role OTs play in patient care. The episode touches on her experiences advocating for better OT training and competency in ICUs and her work in post-ICU support groups. Through detailed examples and heartfelt patient stories, Amanda illustrates the significant impact occupational therapists can have on patient recovery and outcomes.Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What is the current state of affairs with the ABCDEF bundle in many ICUs? What is it like to be trained to have patients awake after intubation to later be begging for awakening trials? Dr. Nick Ghionni, The Floating Vent Guy, shares incredible insights, stories, and thoughts in this episode. Get CE credits for all podcast episodes and a variety of your own determined learning experiences at Sapien HERE! Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

When Molly suffered a severe stroke requiring mechanical ventilation and an EVD, what did Kaira do to prevent further neurological injury? What role did Molly’s ability to communicate while intubated play in her survival? Molly and Kaira both join us to share their perspectives from both sides of the ICU bed. Get unlimited CE credits for podcast episodes and a variety of your own learning experiences here! SapienCEGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

CMS is rolling out a new initiative to require hospitals to have age-friendly care: 4Ms. This means that we must prioritize: Medications, Mentation, Mobility, and What Matters. Karen Mack, DNP, MBA, APRN, executive director at NICHE, shares with us how leverage age-friendly care in advocating for Awake and Walking ICUs! Join the upcoming webinar on Verticalization Therapy in the ICU. Register here: https://tr.ee/-o9iVL3ErDwww.DaytonICUConsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

In this powerful episode, we hear raw, heartfelt stories from ICU revolutionists who are bravely challenging the status quo in critical care. Amidst threats to their jobs, personal attacks, and widespread resistance, these clinicians refuse to turn a blind eye to the harm caused by sedation, immobilization, and dehumanization. From battling bullying by colleagues to risking their careers, they stand as fierce tigers and compassionate angels- fighting for dignity, autonomy, and humane care for our most vulnerable patients. Join us as we explore their courage, struggles, and unwavering dedication to transforming ICU culture against all odds. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Does sedation improve safety in the ICU? What is the relationship between delirium and workplace violence? Nurse and survivor of workplace violence, Kelsey Springer, MSN, RN, CCRN join us now to share her experiences and the research. Join me for the pre-conference delirium simulation training at ADS! https://americandeliriumsociety.org/events/ads-conference-2025/Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

If the choice between being sedated or awake and mobile was provided prior to intubation with the risks disclosed, what would the general public choose? Do patients and families have a right to know the risks of continuous sedation? I interviewed strangers in airports throughout the USA to learn more about their preferences. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU. www.DaytonICUConsulting.comNeed help making the business case for your hospital? Check out www.ABCDEFBundle.com !Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What does JJ the RT have to say about last episode’s exploration of sedation and ventilator asynchrony? Are respiratory therapists prepared and empowered to optimize their role in Awake and Walking ICUs? How can create an environment that fosters RT excellence? JJ explores it all in this episode. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

For years we have been taught at the bedside that sedation “improves ventilator asynchrony”. We have believed that patients must be sedated to be compliant with the ventilator. Is that true? What does the research show? Sylvia Stefanos, PharmD, BCCCP joins us armed with the evidence and ready to debunk the myths. Want to share the financial benefits of an Awake and Walking ICU with your leadership? Check out: Www.ABCDEFBundle.com Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What do ICU clinicians really know about patient perspective of sedation and immobility? What are their personal wishes if they were intubated in the ICU? What do ICU providers really understand about the ABCDEF bundle and how is it going in the ICU community at large? I hit the halls at SCCM Congress to find out. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

After 51 days of sedation and immobility in the ICU and on ECMO, Angela Leggett spent almost 2 decades battling post-ICU PTSD. She shares with us her journey and the impact of UCF Restores to give her a new chance at quality of life! UCF RestoresGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What is the ethical and moral responsibility of a medical director to personally practice, lead, and support their ICU to keep patients as awake and mobile as possible? Dr. Parimal Bharucha shares with us the incredible revolution that has happened in his ICU. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

When the harm of “normal practices” shifts the perspective of an ICU revolutionist and medical director, what is the next course of action? Dr. Jodi Coates shares how her personal convictions inspired her to lead her trauma ICU to radically transform their sedation and mobility practices. Want to help your ICU become an Awake and Walking ICU? Schedule a consultation at www.DaytonICUConsulting.com!Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What is the role of the critical care director in leading ICU teams to become Awake and Walking ICUs? How can directors use the evidence to win executive leadership support for their teams to have what they need to succeed? Ginger Manss, DNP shares with us her key role as senior director of critical care in the revolution at MSJMC. Check out their ICU Liberation video at: https://www.youtube.com/watch?v=LFJPlZazah8Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What role do respiratory therapists play in creating Awake and Walking ICUs? How did Candace Wistrich, RRT, BSRT and Nelya Kapitula, RRT, BSRT lead their respiratory therapy department to move the revolution forward? They join us now to share their team’s journey! Vote for “Awake and Walking ICUs” as “best nurse innovation” and Kali Dayton as “best nurse leader” before 12/31 here! Www.nurse.org/nominateGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

How does the Awake and Walking ICU approach apply to the trauma ICU? How did education, training, leadership support, and deep compassion empower these experience trauma nurses to transform their ICU culture and practices? What successes have they had and how has keeping patients awake and mobile impacted their career fulfillment and team dynamics? Jessica Williams, BSN, RN, Adrienne Craig, BSN, RN, and Amber Brandt, BSN, RN share their team’s journey in this episode! Want to revolutionize your ICU? Check out www.daytonicuconsulting.com. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Safe patient handling(SPH) is a fairly new and rapidly growing field. Mercy San Juan Medical Center is fortunate to have a strong SPH department and leadership. Luke Strategates, DPT shares with us the key role he plays in the ICU Revolution as the safe patient handling leader. Want to bring the revolution to your ICU? Schedule a consultation at www.DaytonICUConsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What happens when a medical director really sees the reality of “normal practices” and becomes a revolutionist? Dr. Bistrong shares his personal conversion and the key role he has playing in his team’s transformation. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Standardized sedation and immobility are rooted in a gap in education. What is the power of a nurse educator in transforming knowledge, culture, and practice in the ICU? Jeana Flakes, MSN, RN shares how she helped lead the ICU Revolution as a nurse educator at Mercy San Juan Medical Center. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What do physicians understand of the ABCDEF bundle? What are their perceptions of early mobility? How are their teams practicing the ABCDEF bundle in their own units? What do physicians need to be able to lead an Awake and Walking ICU approach in their units?I interviewed physicians while attending the CHEST conference to find answers to these questions. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What happens when a visionary physician in a low-resource hospital in Bangledash leads his team to practice the ABCDEF bundle? How did this passionate team of ICU clinicians transform their care from automatic sedation and immobility to standardized mobility three times a day? How did they come to treat mobility as important and optional as an antibiotic? Dr. Mohammad Jhahidul Alam shares their story in this episode! Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Fear of “liabilities” is often a barrier to keeping patients awake and mobile in the ICU. Yet, we know that the ABCDEF is evidence-based best practices. So what are the legal liabilities to a hospital, leadership, and bedside clinicians of current cultural practices? Maggie Ortiz, MSN, RN joins us now to share her expert perspective. Find Maggie at: www.advocatesfornurses.com Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Although the ABCDEF bundle does not solely rest on the shoulders of nurses, their leadership is KEY. Andrea Silva, BSN, RN shares with his her journey to revolutionizing care in her ICU as an assistant nurse manager. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

The ICU is an overwhelming and daunting environment to start a new career. While learning so many new skills from experienced mentors, how did Michael Glade, RN, BSN also see past “what is done” to “what should be done” in his ICU? Michael shares with us what led him to help lead the revolution in his ICU. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

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. Check out Ilija's upcoming 30-credit ECMO mobility courses here:https://cme.ahn.org/content/extracorporeal-membrane-oxygenation-ecmo-education-and-simulation-0#group-tabs-node-course-default1Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

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 medicine. Episode citations and transcripts at: www.DaytonICUConsulting.com Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

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. Episode transcripts and citations at: Www.daytonicuconsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

While walking the halls full of critical nurses at AACN’s NTI conference, I had get their insights and perspectives. This episode is full of interviews with anonymous ICU nurses from all over the USA. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

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: https://us02web.zoom.us/meeting/register/tZ0oc-6gqzsrGNYdgMGXvVAbcjewZpNpc6PCGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

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 after the ICU. Episode citations and transcript at www.daytonicuconsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

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 I was reported to the board of nursing. Episode transcript and citations: www.daytonicuconsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

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. Episode transcript and citations at:www.daytonicuconsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

What is it like for one lone ICU clinician to truly understand the risks of sedation and immobility? What it is like for them to try to implement interventions like awakening trials that have been supported by decades of research? How does lack of support and success increase moral injury, burnout, and the loss of expert and compassionate clinicians?"Kara" joins us to share her journey as an ICU pharmacist and revolutionist. Podcast episode transcripts and citations:www.daytonicuconsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠

Are patients sleeping during medically-induced comas? Are they more comfortable and free of trauma while sedated? Can patients hear, feel, and understand their surroundings while in a medically-induced coma? Do patients know when sedation is turn up higher? Do they know which providers will let them wake up and which ones will try to "turn you off"? Drew Brophy is a world-renown artist that found himself intubated with COVID19. Drew and Maria Brophy share their astounding journey through critical illness and post-ICU syndrome. ***Early Mobility Conference April 14-16th in Orlando, FL***https://www.earlymobility.com/2024conferencePodcast episode transcripts and citations at:www.daytonicuconsulting.comGet your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠!Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www.DaytonICUConsulting.com⁠