Halfway through the year, have you checked in with your personal goals? I certainly have been sitting and reflecting on the speediness of the last 6months and setting some new intentions for the upcoming year. But after a short dialogue about self-reflection, we jump back into all things Cardiopulm and break down the respiratory metaboreflex. What it is, when it kicks in, its overall impact on the body and the role in RMT to ward off its response. There is still a lot of unknown about the physio...
Aug 03, 2024•18 min
Have you ever had to make a decision about seeing a patient with hypo or hyperkalemia? Have you been a part of the conversation? Do you want to be a part of that conversation? Do you want to understand the concerns that exist for both ends of the spectrum? Join me as we break down the risks, causes and signs of both hypo and hyperkalemia. Join my main newsletter: https://allthingscardiopulm.ck.page/9bb2730421 Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allt...
Jul 24, 2024•35 min
Has your patient ever been surprised by the level of debility that has occurred in such a short period of time? The amount of change that occurs in such a short period is of no surprise but is still profound and can cause major changes in a person’s life, including but not limited to falls, weakness, cardiovascular changes and much more. Tune into this episode to explore the physiologic changes that occur with “bed rest.” J oin my main newsletter: https://allthingscardiopulm.ck.page/9bb2730421 W...
Jul 18, 2024•38 min
Do not underestimate the value of foundational knowledge. Understanding the basics, the foundation allows you to piece together multiple complex diagnoses, medications, theories and much more. Join me, as we break down the impact of intrinsic and extrinsic factors that impact the cardiopulmonary system. The autonomic system plays an intricate role in second-to-second adaptations of the heart and lungs to the environment, exercises, stressors, heat and even meds. Understanding the why, will alway...
Jul 10, 2024•37 min
Who would benefit from a breathing assessment? Is it just patients in the hospital setting? Is it just patients with lung disease? The answer is an overwhelming no. Breathing is for everyone. Even high-level athletes can benefit from a breathing assessment and definitely breathing interventions. What you will find may surprise you… Tune into this episode to discuss the breathing mechanics of a soon-to-be D1 athlete. Join my main newsletter: https://allthingscardiopulm.ck.page/9bb2730421 Want to ...
Jul 03, 2024•13 min
Hypertension (HTN) is known as the silent killer because of its silent damage over years and years, leading to the number one cause of death coronary artery disease. We know lifestyle change has significant effect on preventing and decreasing HTN, but pharmacologic management is typically the primary driver. So what if there was another tool that could help decrease blood pressure in a non-pharmacologic way? What if we incorporate a breathing technique that will not only help BP control but also...
Jul 01, 2024•32 min
Giving you the quick and dirty breakdown of PAD for your NPTE prep. Join my main newsletter: https://allthingscardiopulm.ck.page/9bb2730421 Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring Interested in Jane? Jane, is an all-in-one practice management software with helpful features to power your practice. Head to https://meet.jane.app/more-time?utm_medium=rachele_burriesci&utm_source=ambassador&utm_campaign=more_time_cam...
Jun 27, 2024•15 min
Are you new to acute care, maybe a student ready to approach their first acute care rotation or maybe just an OG PT that wants to corroborate this story? Post-op rehab can be very affected by the type of anesthesia that is used. The best way to deal with this as a PT is to understand the potential outcomes or common trends. The more you know, the better you will be able to anticipate what will/could happen aka look like you’re carrying a crystal ball. Join me in this episode as we discuss common...
Jun 12, 2024•41 min
Are you familiar with the RPE scale? Do you have a preference on the 6-20 or 0-10 scale? Have you utilized this scale in your practice or teaching? Me too! And yes I 100% have a preference. But did you know that this scale has been around since the 1960s and was created by Dr. Gunnar Borg and later updated with his daughter? Have you ever checked the original reference of the Borg scale you use? Is it in color? What words are assigned to the numbers? What instructions are given for use? If you’r...
Jun 05, 2024•33 min
Ever wonder if there is a more effective strategy for helping patients clear their secretions? What you do and how you do that intervention matters, but what if when you did them, was even more important? Join me in this episode, where we will break down the order of operations to optimize your treatment techniques and your patient’s mucus clearance. In this episode: Importance of assessment techniques Order of techniques to optimize mucus clearance Breathing exercises: inspiratory holds, stacke...
Jun 01, 2024•39 min
Atrial fibrillation is one of the most common arrhythmias you may see in practice. It can be both safe to work with and dangerous. Therefore, it’s important to understand the rhythm at its base and the concerns that exist with this rhythm. Let’s break down a-fib at its core, identify its main characteristics on EKG, common symptoms, as well as, acute and long terms concerns. As a physical therapist, you may be the first person to identify this rhythm and you may have to make judgment calls about...
May 26, 2024•33 min
The NPTE is too important of a test to try and wing it or attempt to cram. It’s a fine balance of attacking your weaknesses and using your strengths to develop momentum and confidence. Prepping for the NPTE takes organization, planning, discipline and a dose of consistency. Tune into this episode to learn how to set yourself up for success and learn about the new updates coming to the All Things Cardiopulm NPTE Prep Course. Get on the wait list now! Just drop your email below! In this Episode: D...
May 22, 2024•33 min
Have you ever made dough from scratch? If you have, you know it’s all about the long game and a ton of patience. This is not a hobby that you can practice quickly, nor a skill you can rush through. It takes time to get it right and it takes patience to work through it. Patience is not always an easy skill to master, especially if you feel short of breath, but it is a necessary skill to conquer to prevent the perpetual cycle of panic and recovery. In the world of pulmonary disease, patients don’t...
May 08, 2024•25 min
Are you procrastinating on completing your MOSC application or just feeling overwhelmed? Don’t worry I got you. Check out this 4 part series of tackling the MOSC to help you plan, prepare and successfully complete your specialty portfolio. Learn from my mistakes along the way, and hit this application with efficiency and confidence! In this episode, we get down to the nitty-gritty of building your case. Go through section by section, to describe what’s needed and ideas on how to use your ICF and...
May 01, 2024•37 min
Time to dust off those cobwebs if you have been in the field for some time, and re-investigate the patient-client management model. Why do you care about this verbiage? Because you will need to overlay the ICF model and the patient-client management model when writing up your MOSC Case. Although they are separate entities they very much intertwine and share a common theme, with very different words. Let’s make life easy by breaking down the verbiage up front, so you can tackle your case with eas...
Apr 24, 2024•37 min
Are you an ABPTs certified specialist? Are you knee-deep in the MOSC or are you not sure where to start?? Join me as I break down the MOSC application. Learn from my early shortcomings and take advantage of the inside tips to take on your application cycle with ease. Organization is key. Let me help lay the groundwork to set you up for success for years to come. In this episode: Direct qualifications for patient care hours Discuss the 3 categories of professional development. Number of MOSC cred...
Apr 17, 2024•45 min
Are you a board-certified physical therapy specialist? Have you started the MOSC process yet? MOSC is the Maintenance of Specialty Certification process utilized by the ABPTS to help PTs re-certify in their specialty area. It’s essentially a portfolio to showcase your competence in your specialty area. Before I go into the ins and outs of the MOSC application I wanted to first tackle the ICF model as this will be integrated within the case application. If you never learned about the ICF in schoo...
Apr 10, 2024•49 min
In this episode Dr. Burriesci discusses the common question about sternal precautions: Is there a Standard? As simple as this question may seem, there is a ton of nuance and a ton of variation across the country, across hospital systems and across surgeons. This is then followed up with the question: are these standards to restrictive? Are there other options? Should we be moving away from these “precautions”? This is not a new question. We will go back to 2011 and discuss the evolution of this ...
Apr 05, 2024•50 min
This episode starts with a little recap from the past week. The astrological world came in with a vengeance and Dr. B definitely felt the wild energy last week. We learn more about Remy, the cute pup you will likely see on her IG stories, and the highs, lows and plateaus of training. All is good, just a hiccup in time, a slight low after an appreciated plateau. But as we all know with anything we are going after, progress is not linear. The same is true for breathing exercises and many times it ...
Mar 27, 2024•38 min
Have you ever had a new job? Have you ever had an expectation of what the orientation process would look like? Ever expect mentorship and didn’t get it? Me too! The primary reason I was in search of a residency 4 years into my career, was because I was search of mentorship. I wanted to be challenged, I wanted to be guided, I wanted to be a better mentor. I truly believe mentorship is a progression and it should be structured and it should be evolving. What does mentorship mean to you? Tune in, t...
Mar 22, 2024•48 min
Have you ever wondered what a cardiopulmonary residency would look like? The pros, the cons, the real insights? Join us today for our candid conversation about residency life, the rigors and the many rewards. I am joined by two mentors from the VA Ann Arbor Residency program, Crystal and Jessica, who share their personal stories of choosing residency, their life within residency and their continued role post-residency. If you are interested in cardiopulmonary residency, check out the VA Ann Arbo...
Mar 13, 2024•1 hr 9 min
It is as simple as that. Assessment is key. Taking vitals is paramount. Get those baseline values, so you know whether your person is tolerating or having an inappropriate response. Join Dr. Rachele Burriesci, as she discusses the importance of vital sign assessment via case examples.’ Interested in Jane? Jane, an all-in-one practice management software with helpful features to power your practice. Head to jane.app/guide to book a personalized demo. Don't forget, you can use the code CARDIOPULM1...
Mar 09, 2024•24 min
RMT (respiratory muscle training) is a simple intervention with a lot of punch. Dr. Burriesci breaks down the benefits of utilizing an intervention like RMT with patients across the spectrum and with a wide variety of diagnoses. Breath training, specifically, resistance training can have a profound impact on the entire system. Come join me on this episode as we define RMT, MIP, and MEP. Determine objective measures and devices available to measure MIP and MEP and devices that provide resistance ...
Feb 28, 2024•40 min
Welcome back from CSM, join Dr. Burriesci as she recaps her time at CSM. A dicey start with a near nor'easter, but all faired well as 16,000 people attended CSM in Boston. Whether you were there to present, learn, or enjoy an ultimate reunion, CSM brings energy and rejuvenation. Switch gears to an objective measure that is sure to show benefit over time. Grip strength! What's the first thing you think of when you hear grip strength? Is it overall wellness or prediction of morbidity and mortality...
Feb 22, 2024•23 min
Review a case with Dr. Rachele Burriesci, 76yo male s/p tracheostomy revision on heated humidified air at FiO2 21%. Join me as we break down fundamental chest exam techniques and findings present in this case. We will then navigate through breathing exercises and airway clearance techniques that will maximize his overall picture while building rapport and confidence in this patient. Interested in Jane? Jane, an all-in-one practice management software with helpful features to power your practice....
Feb 14, 2024•32 min
Join Dr. Rachele Burriesci as she welcomes you into her dining room to discuss a common question about airway clearance in the hospital setting. Who is responsible for "chest PT"? Rachele breaks down the nuance of "chest PT" and dissects the potential underlying questions within the question. She is transparent about possible challenges met when introducing "new" techniques and is honest about the reality of making changes within existing cultures. In this episode: - defining "chest PT" - respon...
Feb 08, 2024•27 min
Have you ever worked with a patient with a tracheostomy (trach)? Do you want to feel more comfortable working with this population? Are you worried that you won’t know how to manage the trach itself? Are you not sure what cues to give? Working with this patient population can be one of the most rewarding experiences, but it can also feel very overwhelming if you don’t know what to expect or understand how you can facilitate their progress. Join me on this episode, as we break down the anatomy, p...
Jan 30, 2024•42 min
In this episode, Dr. Burriesci, breaks down pulmonary arterial hypertension (PAH) via a young 22yo acute care case. We discuss the potential causes of pulmonary HTN, diagnostic findings and concerns regarding pulmonary hypertension-specific meds. Lastly, we discuss important components of PT treatment in this patient population. In this episode: Discuss PAH pathophysiology Diagnostic criteria for PH PAH meds Interventions to help progress PH Join my main newsletter: https://allthingscardiopulm.c...
Jan 26, 2024•1 hr 9 min
Join me on a complex case discussion, as we dive into assessment, intervention and rationale for a patient with COPD, prior amputation and new oxygen needs. In this episode: The acute care patient COPD Pulmonary HTN Possible HF diagnosis Implications of above-knee amputation Oxygen titration Interested in Jane? Jane, an all-in-one practice management software with helpful features to power your practice. Head to jane.app/guide to book a personalized demo. Don't forget, you can use the code CARDI...
Jan 17, 2024•26 min
Welcome back and Happy New Year! It was not the start of year that I intended on, but we’re back and trying to get back in the groove. This episode is specific to a student question, but as always there’s a few clinical pearls for the clinician as well. What is the difference between upper extremity and lower extremity exercise in regards to hemodynamic response? Tune in to find out… In this episode: Identify “rhythmic” exercise Difference between upper extremity and lower extremity rhythmic exe...
Jan 13, 2024•30 min
