Best Immobility Podcasts (2025)

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Episode 208: From Survivor to Revolutionist- an ICU Nurse's Reflections on Both Sides of the ICU Bed 1:01:44

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28d ago1:01:44

1:01:44

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.com Get CE credit for listening …

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Episode 207: Elevating ICU Culture, Practice, and Outcomes Through Verticalization Therapy 1:08:39

2M ago1:08:39

1:08:39

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 Reflect…

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Episode 206: Humanizing the Neuro ICU with Compassion, Teamwork, and Verticalization Therapy 1:12:23

3M ago1:12:23

1:12:23

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 hi…

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Episode 205: Verticalization Therapy- Implementation Strategies and Barriers 54:57

3M ago54:57

54:57

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, M…

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Episode 204: The Power of Communication During Non-invasive Ventilation to Transform Comfort and Outcomes 37:04

4M ago37:04

37:04

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…

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Episode 203: Clinical Nurse Specialist Leading the ICU Revolution in Michigan 55:49

5M ago55:49

55:49

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…

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Episode 202: Speechless in the ICU- an SLP’s Journey 1:01:05

5M ago1:01:05

1:01:05

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.amaz…

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Episode 201: Fighting for the Role and Power of Occupational Therapy in the ICU 53:47

5M ago53:47

53:47

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…

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Episode 200: Culture, Reality, and Real-talk with Dr. Ghionni 1:56:15

6M ago1:56:15

1:56:15

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…

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Episode 199: Awake, Communicative, Autonomous, and Mobile- A Survivor and Nurse’s Experience 52:41

6M ago52:41

52:41

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 ep…

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Episode 198: Age Friendly Care in the ICU- Riding the Wave of 4Ms 36:14

7M ago36:14

36:14

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…

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Episode 197: Raging Tigers and Merciful Angels- The Fight to Humanize Critical Care 38:30

8M ago38:30

38:30

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 bullyin…

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Episode 196: Delirium and Workplace Violence 1:03:32

8M ago1:03:32

1:03:32

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-…

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Episode 195: Public Opinion on Informed Consent and Medically-Induced Comas 31:38

9M ago31:38

31:38

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 …

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Episode 194: Walking While Intubated with an IABP with Bob 28:04

9M ago28:04

28:04

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.com Need help making the business case for your hospital? Check out www.ABCDEFBundle.com ! Get your CE credit for thi…

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Episode 193: Empowering Respiratory Therapists with JJ the RT 53:08

9M ago53:08

53:08

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…

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Episode 192: Debunking Myths- Sedation and Ventilator Asynchrony 27:22

9M ago27:22

27:22

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 benefit…

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Episode 191: Insights from SCCM Congress- Current State of Affairs 50:53

10M ago50:53

50:53

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 episod…

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Episode 190: Healing From Post-ICU PTSD with UCF Restores 33:56

10M ago33:56

33:56

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 Restores Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠! Want to bring the revol…

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Episode 189: The ICU Revolution at Mercy San Juan Medical Center- Part 8 with Dr. Parimal Bharucha 44:58

10M ago44:58

44:58

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 b…

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Episode 188: The ICU Revolution at Mercy San Juan Medical Center - Part 7 with Dr. Jodi Coates 54:49

12M ago54:49

54:49

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? Sched…

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Episode 187: The ICU Revolution at Mercy San Juan Medical Center - Part 6 with Ginger Manss 32:16

12M ago32:16

32:16

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 …

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Episode 186: The ICU Revolution at Mercy San Juan Medical Center Part 5- Respiratory Therapy 48:04

1y ago48:04

48:04

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…

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Episode 185: The ICU Revolution at Mercy San Juan Medical Center- Part 4 with the Trauma ICU RNs 59:00

1y ago59:00

59:00

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?…

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Episode 184: The ICU Revolution at Mercy San Juan Medical Center- Part 3 with Luke Stratigates 44:29

1y ago44:29

44:29

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 ww…

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Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong 37:14

1y ago37:14

37:14

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 …

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Episode 182: The ICU Revolution at Mercy San Juan Medical Center- Part 1 with Jeana Flakes 44:50

1y ago44:50

44:50

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 d…

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Episode 181: Physician Insights at CHEST 52:54

1y ago52:54

52:54

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 ques…

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Episode 180: Leading the ABCDEF Bundle in Bangledash 35:48

1y ago35:48

35:48

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 anti…

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Episode 179: The Legal Liability of Failing to Practice the ABCDEF Bundle 56:24

1y ago56:24

56:24

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…

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Episode 178: The Power of Nursing Leadership to Revolutionize the ICU 1:03:58

1+ y ago1:03:58

1:03:58

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 ⁠…

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Episode 177: New Grad RN Helps Lead the Revolution in His ICU 47:51

1+ y ago47:51

47:51

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 al…

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Episode 176: ICU Survivor to ICU Physical Therapist- Hope’s Journey to Revolutionizing Her ICU 52:16

1+ y ago52:16

52:16

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

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Episode 175: Physiologists Leading the ECMO Revolution! 46:54

1+ y ago46:54

46:54

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/extraco…

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Episode 174: Delirium Mismanagement for LOE Patients Exacerbate Racial Disparities in the ICU 50:37

1+ y ago50:37

50:37

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…

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Episode 173: ICU Outcomes by Dose of Mobility 56:08

1+ y ago56:08

56:08

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.day…

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Episode 172: RN Insights at NTI 54:54

1+ y ago54:54

54:54

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.Dayton…

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Episode 171: The Power of Autonomy and Human Connection During ECMO 29:10

1+ y ago29:10

29:10

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-6gqzsrGNYdgMGXvVAbcjewZpNpc6PC Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠! Wa…

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

1+ y 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

1+ y 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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠! Want to bring the revolution to your ICU? Che…

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

1+ y 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

1+ y 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

2y 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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Episode 165: "Don't Turn Me Off" - A Survivor's Perspective Of a Medically-Induced Coma 1:06:53

2y 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

2y 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

2y 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

2y 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

2y 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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Episode 160: Psychiatrists in the ICU 48:47

2y 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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Episode 159: Building a Dream Team 43:14

2y 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…