最高の Walking Home ポッドキャスト (2024)

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Episode 181: Physician Insights at CHEST 52:54

5d 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

17d 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

1M 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 1:06:06

2M ago1:06:06

1:06:06

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

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

2M 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. Www.DaytonICUConsulting.com --- Support th…

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

3M ago52:16

52:16

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

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

3M 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

4M 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

4M 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

5M 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. Www.DaytonICUConsulting.com--- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support…

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

5M 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--- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromth…

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

6M 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

6M 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

7M 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

7M 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

8M 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

8M 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 による

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

8M 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

8M 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

9M 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

9M 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

10M 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

10M 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 による

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Episode 160: Psychiatrists in the ICU 48:47

11M 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

11M 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 による

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The Jury Deliberates Part 1 47:11

11M 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 による

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Which Plan Are You On? 1:03:38

11M 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 による

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Episode 159: Building a Dream Team 43:14

11M 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

11M 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

11M 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

12M 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

12M 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 による

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

12M 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

12M 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

1y 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

1y 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

1y 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

1y 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 による

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

1y 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

1y 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

1y 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 による

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Introducing our Podcast and Church Hurt 1:18:47

1y 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 による

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

1y 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

1y 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

1y 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

1y 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

1y 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 による

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

1y 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

1y 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

1y 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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