Кращі подкасти про Walking Home (2024)

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Episode 170: A Timeline Through the History of ABCDEF Bundle- Building the Future of Awake and Walking ICUs 31:46

5d ago31:46

31:46

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 t…

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Episode 169: Intubated in Your Own ICU 27:56

18d ago27:56

27:56

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. Www.daytonicuconsulting.com--- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support…

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Episode 168: I Was Reported to the Board of Nursing! 1:36:32

1M ago1:36:32

1:36:32

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 nurs…

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Episode 167: Breaking Barriers with Walking with Trans-Femoral IABP/Devices- The Ramsey Protocol with Stephen Ramsey 50:34

2M ago50:34

50:34

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 …

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Episode 166: The Struggle of an ICU Revolutionist to Save Lives 37:41

2M ago37:41

37:41

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 clinician…

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The Safest City in America 1:07:40

2M ago1:07:40

1:07:40

After the officers charged with killing Manny Ellis are acquitted, how does the city of Tacoma move forward?Mayowa Aina, Jared Brown

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Episode 165: "Don't Turn Me Off" - A Survivor's Perspective Of a Medically-Induced Coma 1:06:53

3M ago1:06:53

1:06:53

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"…

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Episode 164: Antipsychotics in the ICU with Dr. Marie Rueve 53:11

3M ago53:11

53:11

Antipsychotics have been a hot topic in the ICU. Do they treat delirium? Can they be used to replace continuous sedation? When and how can we utilize antipsychotics to optimize care and outcomes? Dr. Marie Rueve from episode 160 joins us again to clear the air on antipsychotics in the ICU. ***Early Mobility Conference April 14-16th in Orlando, FL**…

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Episode 163: Early Mobility During COVID19 in Switzerland with Sabrina Eggmann 35:45

3M ago35:45

35:45

Sabrina Eggmann is a PhD physiotherapist with 17 years of experience. She shares with us how her team utilized their years of expertise in early mobility to preserve their practices for COVID19 patients in Switzerland. https://pubmed.ncbi.nlm.nih.gov/33492400/ Check out Sabrina's latest article in the Lancet Journal: https://www.thelancet.com/pdfs/…

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Episode 162: Standardizing ICU Diaries 46:04

3M ago46:04

46:04

In episode 132, David Richards shared with us the life-saving impact of his ICU diary. In this episode, Seth van der Meer from Post-ICU shares with us exciting technological advancements that can help make ICU diaries standardized and accessible for all patients. https://post-icu.com Episode transcriptions and citations at: www.daytonicuconsulting.…

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Episode 161: The Mad Hatter's Tea Party: A Nurse's Journey Through a Medically-Induced Coma 55:07

4M ago55:07

55:07

As a nurse of 22 years, Lynn had been taught that patients were comfortably sleeping while sedated in medically-induced comas. She shares the horrific realities she suffered while intubated and sedated and the months of playing "Truth or Propofol?" after discharge. Episode transcript and citations found at www.daytonicuconsulting.com ***Early Mobil…

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The Verdict 16:15

5M ago16:15

16:15

A Pierce County jury has found Tacoma Police Officers Matthew Collins, Christopher Shane Burbank, and Timothy Rankine not guilty of all charges related to the 2020 killing of Manny Ellis.Mayowa Aina, Jared Brown

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Episode 160: Psychiatrists in the ICU 48:47

5M ago48:47

48:47

How can inpatient psychiatrists help ICU teams prevent and treat delirium? How can their expertise help ICU teams minimize sedation, prevent trauma, and treat the psychiatric needs of ICU patients? Dr. Marie Rueve shares with us the role psychiatrists can play in transforming patient care and outcomes in the ICU. www.daytonicuconsulting.com ***Earl…

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The Jury Deliberates Part 2 33:58

5M ago33:58

33:58

While the jury deliberates, we dive into the defense strategy, the dueling narratives over Manny’s cause of death, and the decisions the jury has to make.Mayowa Aina, Jared Brown

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The Jury Deliberates Part 1 47:11

5M ago47:11

47:11

While the jury deliberates, listen to the different stories the eyewitnesses and the officers tell about what happened the night Manny Ellis died.Mayowa Aina, Jared Brown

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Which Plan Are You On? 1:03:38

5M ago1:03:38

1:03:38

God has a great plan for your life, but the enemy has a competing plan to distract, disarm, and destroy you. Who's plan are you on and how can we help each other stay in the light?Stephen Webb

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Episode 159: Building a Dream Team 43:14

5M ago43:14

43:14

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 P…

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Episode 158: Keeping "Up" With the Times. A Deep Dive Into the Benefits of Verticalization Therapy 1:50:28

5M ago1:50:28

1:50:28

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, AP…

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Episode 157: Sedation is Sleep-Deprivation 1:05:40

6M ago1:05:40

1:05:40

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 50:52

6M ago50:52

50:52

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 learn at t…

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Community and Spiritual Family 51:44

6M ago51:44

51:44

In Christ's Kingdom we are all one spiritual family united by Him. How we treat others and live that out is important. Join us as we discuss our thoughts on healthy church community and spiritual family!Walking Each Other Home

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Episode 155: F- Family Engagement and Empowerment with Lito Rama 57:21

6M ago57:21

57:21

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 the vast evidence supporting …

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Episode 154: E- EARLY Mobility with Heidi Engel 1:07:46

6M ago1:07:46

1:07:46

What is EARLY mobility? Why is it so vital that the ICU community advance past passive range of motion for intubated patients? What are the main barriers that prevent us from mastering the E of the ABCDEF bundle? If we're not doing highest level of mobility for most of our patients, are we truly practicing the ABCDEF bundle? Heidi Engel, DPT, joins…

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Episode 153: D- Assess, Prevent, and Treat Delirium with Dr. Adrian Austin 38:56

7M ago38:56

38:56

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 the "…

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Pride vs. Humility part 2: Humility 39:00

7M ago39:00

39:00

One of the most difficult conundrums for our human minds is the act of humbling ourselves when we've been taught by the world most of our lives to be self-sufficient, self-reliant, selfish, and have pride. Join us as we discuss what a life of humility could and should look like as we walk out our faith.…

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Episode 152: C- Choice of Sedation and Analgesia with John Devlin, PharmD 49:03

7M ago49:03

49:03

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 this episode to share his e…

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A Life of Pride vs. A Life Of Humility 51:14

7M ago51:14

51:14

Join us as we discuss the roots of pride, how it clashes with humility, and how there are forces at work today that have been around for thousands of years.Stephen Webb

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Episode 151: B- Spontaneous Breathing Trials with Karsten Roberts 42:31

7M ago42:31

42:31

Are awakening trials just for breathing trials? How do we set patients up for successful breathing trials to minimize time on the ventilator? What role do sedation and mobility play in prompt liberation from mechanical ventilation?Karsten Roberts, MSc, RRT, FAARC joins us now to dive deep into spontaneous breathing trials in the ABCDEF Bundle. www.…

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Episode 150: B- Awakening Trials- "Rehumanization of the Patient"- With Dr. Wes Ely 31:19

7M ago31:19

31:19

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. Transcriptions and citations at: www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL***https://www.earlymobi…

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Church Hurt part 2 35:55

7M ago35:55

35:55

After our first episode we felt the conversation wasn't over about church hurt so we wanted to wrap it up a little better for everyone.Walking Each Other Home

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Introducing our Podcast and Church Hurt 1:18:47

7M ago1:18:47

1:18:47

We all have experienced pain from our faith community, but it doesn't have to end there. Scripture tells us how to avoid hurting people and how to heal.Stephen Webb

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Episode 149: A- Assess, Prevent, and Treat Pain with Joanna Stollings, PharmD 34:41

8M ago34:41

34:41

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 the ABCDEF Bundle reall…

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Episode 148: The History and True Mission of the ABCDEF Bundle with Michele Balas 40:52

8M ago40:52

40:52

How did the ABCDEF bundle come to be and what is its true objective? What barriers are causing the ICU community to fall short of full compliance with the bundle and what is the future of the ABCDEF bundle? Michele Balas, PhD, RN shares with us her insights as one of the founders of the ABCDEF bundle. This episode kicks of our 8-episode series dedi…

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Episode 147: The Big Picture of Hospital-Acquired Pressure Injuries with Wound Care Karen 56:10

8M ago56:10

56:10

How do hospital-acquired pressure injuries (HAPIs) occur in the ICU and why is the ABCDEF bundle such a powerful tool to prevent HAPIs? How do HAPIs impact healthcare costs, staff workload, patient quality of life, and overall survival?Wound Care Karen joins us in this episode to explore the crisis of hospital-acquired pressure injuries in the ICU.…

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Episode 146: Success Stories from ICU Revolutionists 45:20

8M ago45:20

45:20

Individuals and teams are transforming patient outcomes through the adaptation of the ABCDEF bundle. Hear a compilation of their inspiring successes in this episode! www.daytonicuconsulting.com ***Don't miss the upcoming free webinar, "Financial Benefits of the ABCDEF Bundle", on October 18th at 12pm EST. Register here: https://us02web.zoom.us/meet…

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The Trial Ahead 37:30

8M ago37:30

37:30

The trial of the three Tacoma police officers charged with killing Manny Ellis is about to begin.Mayowa Aina, Jared Brown

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Episode 145: The Trauma of Sedation and Immobility in Families in the ICU 1:21:37

8M ago1:21:37

1:21:37

Sedation and immobility impact more than patient outcomes in the ICU. Family members also suffer the isolation, burden, trauma, and loss from sedation and immobility in and after the ICU. Families are also at risk of developing post-ICU syndrome themselves.Nonetheless, they are left unprepared to care for their loved ones who are suffering the dama…

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Episode 144: Living With a "Sedation-Induced Brain Injury" and PICS 45:45

9M ago45:45

45:45

What if we were as worried about "brain-protective strategies" as "lung-protective strategies" in the ICU? Such an approach will never be standardized until the ICU community truly recognizes the brain injuries survivors are left with after sedation and immobility. Until post-ICU syndrome is widely known and the impact is deeply appreciated, we wil…

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Episode 143: The Impact of Delirium on Stroke Survivors 39:53

9M ago39:53

39:53

We know that stroke patients are at high risk of poor cognitive, physical, and psychological outcomes. How does delirium impact their outcomes and how can we better protect patients from additional brain injury from delirium? Rosa Hart, BSN, RN, SCRN from the "Stronger After Stroke" joins us now to explore the struggles, barriers, and importance of…

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Episode 142: Treating Post-ICU PTSD 47:22

9M ago47:22

47:22

We know that critical illness, sedation, delirium, etc., can leave patients with deep psychological trauma. How can we help them recover? What resources are available to treat post-ICU PTSD?Dr. Brian Peach shares with us his exciting developments and research. Contact information for Dr. Brian Peach found with the transcription for this podcast epi…

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Episode 141: Fighting For Your Life With Your Eyes Open 34:54

10M ago34:54

34:54

Critical illness in the ICU is a battle. It is a fight for life. Sedation is often given with the hopes of sparing patients the discomfort and awareness of the struggles of the ICU. Yet, does that ultimately prevent harm and suffering? Antonette Montalvo, APRN shares with us what it meant to her to be able to fight for her life with her eyes open. …

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Episode 140: Early Mobility in the Burn ICU 35:10

10M ago35:10

35:10

Is early mobility safe and feasible in the burn ICU? Considering the significant barriers such as pain, dressing changes, variable device securement, delicate position needs, etc., how can an ICU team continue to practice early mobility? Physical therapist, Audrey O'neill, DPT, shares with us her recent publication and years of expertise. Vapotherm…

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Episode 139: The Power of RN "Soft-Skills" to Change Outcomes 48:39

10M ago48:39

48:39

It goes without saying that nurses are the gatekeepers of patient outcomes in the ICU. Do ICU nurses *really* aspire to care for unresponsive and atrophying bodies? How does the ABCDEF Bundle impact the nursing role, skillset, and job fulfillment? James Fletcher, BSN, RN seems to fit the mold of a nurse that would thrive solely with the flashy skil…

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Episode 138: EARLY Mobility in the ICU Improves Cognitive Function 1 Year After Discharge 1:11:48

10M ago1:11:48

1:11:48

We know that early mobility is a potent tool to prevent and treat ICU delirium. How does it impact cognitive function 1 year after discharge? What do "Early" and "Mobility" REALLY mean? How has drastic variation in methodology in the research led to the confusion and conflict we now see in early mobility practices?How can we optimize early mobility…

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Episode 137: Physical and Occupational Therapists in the ICU: Working Together But Not Together 58:09

11M ago58:09

58:09

Occupational and Physical Therapists save lives in the ICU with their unique and complementary expertise. Bryan Lohse, DPT, CCS and Paul Arnold, OTR/L, CLT share with us how their Awake and Walking CVICU has developed their therapy teams. They address the question of PT & OT cotreatments in the ICU. PESI Critical Care Rehab Summit: https://catalog.…

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Episode 136: Mastering the ABCDEF Bundle with the ICU Liberation Master, Dr. Juli Barr 1:10:50

11M ago1:10:50

1:10:50

The mission to create Awake and Walking ICUs is not a brand new endeavor. Dr. Juli Barr, an early PAD and ICU liberation founder, shares with us the tools needed to master the ABCDEF bundle. www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support…

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Episode 135: The Contrast Between Awake and Sedated 41:15

11M ago41:15

41:15

The cultural assumption that everyone would rather be sedated is based on the myth that sedation is "sleep". Very few survivors can give us a comparison of being sedated vs. being awake while intubated. Lara, like Susan in episode 3, Caleigh in episode 117, and Mark in episode 87, has had it both ways and shares with us the contrast. www.daytonicuc…

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Episode 134: Are We Sedating Them to Death? 47:18

11M ago47:18

47:18

We know that deep sedation is an independent predictor of mortality. This guides most sedation orders to require a RASS of 0- (-2). Is that what is really happening at the bedside? What percentage of patients are actually lightly sedated to the RASS goal vs. deeply sedated? What is driving oversedation throughout the ICU community? What are the ris…

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Episode 133: "SOAR: Sedation Off Awake and Rehabilitate" with Dr. Fuchita 1:12:12

11M ago1:12:12

1:12:12

When Dr. Mikita Fuchita heard about an Awake and Walking ICU, he had to see it with his own eyes. After visiting the Awake and Walking ICU, how did Dr. Fuchita embark on bringing his colleagues together to update their sedation and mobility practices? He shares his personal conversion and his team's journey with us in this episode. www.daytonicucon…

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Episode 132: The Power of ICU Diaries to Treat Post-ICU PTSD 1:09:55

12M ago1:09:55

1:09:55

Post-ICU PTSD is a life altering and life-threatening condition. ICU diaries have shown promising benefits to helping survivors navigate the trauma they carry with them from the ICU and especially delirium. David Richards shares with us his journey during and after the ICU and how his ICU diary has been a key part of his post-ICU survival. www.dayt…

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