What barriers do we have in our ICU culture that prevent us from appropriately addressing delirium? What can we do to foster a better approach to helping delirious patients that are difficult to care for? Dr. Swamy gets real as we discuss the reality of delirium from our side of the bed. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check...
Apr 07, 2021•49 min•Season 1Ep. 61
For decades we have sedated patients with the belief that it is more humane to “sleep” through critical illness. Survivors have told us their experiences were not “sleep” to them. What do neurologists and researchers say about the quantity and quality of sleep during medically-induced comas? Dr. Williams Roberson shares with us her research and invaluable insights into sedation and sleep. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credi...
Apr 01, 2021•39 min•Season 1Ep. 60
How can 1 nurse make bring the change? What can happen when a team catches the vision? How can a team transition their culture from deep sedation and immobility to awake and walking? Nora tells us about igniting her team's fire and the changes they are celebrating. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUCo...
Mar 26, 2021•37 min•Season 1Ep. 59
Louise, ACNP, has dedicated her career to preserving lives in the Awake and Walking ICU. So what was it like for her to have her own loved one die from sedation and immobility? She tells it like it is and gives us a sobering insight into both sides of the bedside during COVID19. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out w...
Mar 19, 2021•1 hr 8 min•Season 1Ep. 58
When all you’ve ever known is walking patients on ventilators, what is it like to enter a time machine and go back to sedation and immobility? What did Tara learn taking care of COVID19 patients outside of her “Awake and Walking ICU”? She shares with us her reaffirmed empowerment to change patients’ outcomes through evidence-based practice. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do her...
Mar 14, 2021•31 min•Season 1Ep. 57
What does it mean to you to be able to toilet yourself? What happens to patient dignity when they are deprived of the capacity to “mind their own business”? Rachel shares with us what is happening to patients even when they are not on mechanical ventilation. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsultin...
Mar 09, 2021•32 min
Where in the world do patients walk on ventilators and ECMO? Providers from 22 countries share with us their experiences with helping patients walk home from the ICU. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Feb 25, 2021•42 min•Season 1Ep. 55
After decades of research revealing the price patients pay from benzodiazepines, where are we now in the ICU? Dr. Wes Ely and Brenda Pun share with us the latest COVIDD study and how COVID19 patients are being cared for around the world. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Feb 05, 2021•35 min•Season 1Ep. 54
How do we bring changes to the ICU? What barriers impede the progress of our culture? Heidi Engel, PT, DPT, shares with us her continuous journey to humanizing her ICU. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Nov 30, 2020•1 hr 6 min•Season 1Ep. 53
What truly happens during delirium? When do the hallucinations and terror stop? Survivors give us a sobering reality check of what caused the deep psychological trauma during their ICU stays and how their lives are forever impacted. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Oct 25, 2020•19 min•Season 1Ep. 52
What does research reveal about the most common contributing factors of post-ICU PTSD? Does sedation prevent or inflict trauma? Dr. Jackson shares with us his decades of research and experience with post-ICU PTSD. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Sep 19, 2020•39 min•Season 1Ep. 51
What causes Post-ICU PTSD? What is it like to live with this trauma? How does it impact life after the ICU? Spencer Freeman shares with us intimate insight into living with Post-ICU PTSD. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Aug 31, 2020•1 hr 10 min•Season 1Ep. 50
How do Hospital Acquired Pressure Injuries (HAPI) impact patient outcomes and quality of life? How can they be better prevented? Cami, our wound care specialist, shares with us penetrating insight into the reality of rotting in the ICU. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Jul 12, 2020•22 min•Season 1Ep. 49
What do you want to know about the Awake and Walking ICU? Join the facebook group, "Walking Home From the ICU Discussion Group". Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Jul 10, 2020•1 hr 3 min•Season 1Ep. 48
What does an awake and walking ICU patient look like walking back into the pulmonology clinic? Dr. Shilling shares what this process has meant for his practice in the clinic. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Jun 28, 2020•21 min•Season 1Ep. 47
What was it like for a seasoned ICU nurse with decades of valuable experience to completely change their sedation practices? What was it like to then re-enter a “normal” environment and strive to continue the best practice? Paula shares with us her personal shock and conversion. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out w...
Jun 19, 2020•37 min•Season 1Ep. 46
What roles do physical and occupational play in helping COVID19 patients survive and thrive? How have they changed their approaches during the challenges of COVID19? Why should we never remove their therapies from ICU care? Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Jun 11, 2020•26 min•Season 1Ep. 45
When 69-year-old Dr. Ken Hurwitz was intubated for COVID19, how was his life saved and even preserved? After 3 weeks on the ventilator, why was he able to walk away and go straight home? Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting 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...
Jun 06, 2020•50 min•Season 1Ep. 44
Now that we know what happens to patients after sedation and immobility, do we know what it is really like? Do we understand what happens to patient dignity, autonomy, and identity when they lose control of their bodies? Eileen Rubin shares with us what it was like as a 33-year-old trial attorney to wake up and not be able to lift a finger. @DaytonICUConsulting Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.Dayt...
Jun 05, 2020•51 min•Season 1Ep. 43
When good nursing care is not possible during a pandemic, what happens to patient outcomes? Makenzie tells her tales as an ICU nurse in NY as we explore the role nursing care plays in saving and restoring lives. @DaytonICUConsulting 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...
Jun 03, 2020•18 min•Season 1Ep. 42
www.DaytonICUConsulting.com @DaytonICUConsulting
May 19, 2020•3 min
What happens to our culture and practice when patient volumes and needs exceed our ICU capacity? How does this impact short and long-term outcomes? Dr. Dixie Harris shares with us the reality of ICU care in NY during the COVID19 pandemic. @DaytonICUConsulting 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...
May 17, 2020•37 min•Season 1Ep. 41
What was it like in the early phases of the “Awake and Walking ICU?” How was the new practice introduced? How was the culture revolutionized in spite of opposition? Who rejected the change? How did nurse Patty go from incredulous to emphatic? @DaytonICUConsulting 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...
May 16, 2020•18 min•Season 1Ep. 40
What is it like to be “born” into an awake and walking ICU and then be immersed in a different culture? Jim shares with us his culture shock and ethical turmoil as he strives to maintain his best practice in a new environment. @DaytonICUConsulting 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...
May 13, 2020•43 min•Season 1Ep. 39
What is it like to jump into an awake and walking ICU as a travel nurse? Alex shares with us her first shock and impressions upon entering a different culture. She teaches us the changes and wisdom her practice has gained. @DaytonICUConsulting 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...
May 11, 2020•12 min•Season 1Ep. 38
How much of our practice is driven by culture vs. evidence? What role does ICU culture play in our perspective, knowledge, and patient outcomes? How often do we dare to ask “Why?”, “What if?” or, “Why not?” @DaytonICUConsulting 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...
May 11, 2020•12 min•Season 1Ep. 36
What if we expected to be able to communicate with all patients on mechanical ventilation? How would that impact our practices? What role does communication play in patient survival and outcomes? @DaytonICUConsulting 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...
May 09, 2020•36 min•Season 1Ep. 34
What happens after patients are sedated and immobilized for weeks? What will the rehabilitation process for COVID19 survivors be like? How long will it take for them to be able to sit, stand, and walk again? Christiane Perme, the post-ICU rehabilitation specialist, shares with us how to prevent such outcomes and help patients thrive in their lives again. @DaytonICUConsulting Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check o...
May 05, 2020•41 min•Season 1Ep. 35
Ann Bannon was intubated four times and awake on the endotracheal tube and ventilator for months. She gives us valuable insight into how to help the new flood of ventilated patients. @DaytonICUConsulting 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...
Apr 02, 2020•21 min•Season 1Ep. 34
What can we do to improve mortality in the midst of a pandemic? As times have changed, our practices must change as well. @DaytonICUConsulting 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...
Mar 24, 2020•10 min•Season 1Ep. 33
