Cover art for podcast Walking Home From The ICU

Walking Home From The ICU

106 EpisodesProduced by Kali Website

Kali Dayton, DNP, ACNP-BC, is an ICU nurse practitioner and ICU consultant. She hands the microphone to ICU survivors and bedside caregivers to reveal the realities of ICU experience and patients' journeys after discharge. The big picture of sedation and immobility is discussed and we explore how to… read more

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Episode 105: The ABCDEF Bundle in the CVICU

July 19th, 2022

45:59

Episode 105: The ABCDEF Bundle in the CVICU

How does the ABCDEF bundle apply to the CVICU with a variety of diagnoses, acuities, and devices? Anna Dalton, DNP, ACANP, in an "Awake and Walking CVICU" shares with us the …

Episode 104: ICU Rehabilitation

July 2nd, 2022

55:13

Episode 104: ICU Rehabilitation

When ICU-acquired weakness is not preventable, or we encounter a patient that has not received the ABCDEF bundle, how can we start the rehabilitation process? What approach can one lone …

Episode 103: Communication Is a Basic Human Right- Especially in the ICU

May 17th, 2022

1:03:24

What impact does it have on patients to be lost in solitude while in medically-induced comas? 

How does the inability to communicate impact patients' …

Episode 102: Waking Up in the ED

May 1st, 2022

50:56

102: Waking Up in the ED

When post-intubation wait times increased during the COVID19 crisis, Julie, an ED nurse, took "saving lives in the ED" to a …

Episode 101: The ABCDEF Bundle in the Neuro ICU

April 15th, 2022

48:06

What does the ABCDEF bundle look like in neurocritical care? When patients suffer conditions such as intracranial hypertension that necessitate sedation and immobility, how does the ABCDEF bundle apply? …

Episode 100: Moving the Mission Forward

April 5th, 2022

20:27

After 100 episodes of compelling stories, research, and testimonials, we know what can and should be for intensive care medicine. What is the next …

Episode 99: How Physical Therapists Save Lives in the ICU

March 16th, 2022

1:02:50

Episode 99: When physical therapists are allowed to work at the top of their licenses, how do they save lives? What barriers prevent them from fully …

Episode 98: Occupational Therapists Change Outcomes in the ICU

March 5th, 2022

37:08

Occupational Therapists Change Outcomes in the ICU

How can occupational therapists help decrease time on the ventilator and time in the hospital? How can they preserve function and quality of life? What skills do they …

Episode 97: How To Truly Prevent Ventilator-associated Pneumonias

February 23rd, 2022

43:52

How does ventilator-associated pneumonia occur? 

How does the failure to practice the ABCDEF bundle increase the risks of prolonged time on the …

Episode 96: The Backstory of Ventilator-associated Pneumonia

February 22nd, 2022

33:05

Ventilator-Associated Pneumonia has significant lethal and financial repercussions for patients and our healthcare system. So why aren’t we panicking about it? Are hospitals really liable for the costs incurred from …

Episode 95: The Financial Cost of Sedation and Immobility

February 11th, 2022

31:04

When healthcare systems say they don't have the resources to support proper practices, is that true? How much do deep sedation and immobility cost our ICU teams, hospitals, and healthcare systems? How can we use the …

Episode 94: The ICU Deathtrap

December 17th, 2021

1:19:37

Why are prolonged sedation and immobility lethal? How do our standard practices of automatically sedating every patient on a ventilator deprive them …

Episode 93: The Awake and Walking COVID ICU

December 9th, 2021

27:31

Why is the mortality rate for COVID ICU patients in the Awake and Walking ICU less than half of the other COVID ICUs in the same hospital system in the same community? How have sedation and mobility practices impacted …

Episode 92: Sedated Because She's Intubated and Intubated Because She's Sedated

December 6th, 2021

1:01:41

Susanne was admitted to the ICU for ludwig's angina. When she required intubation only for airway protection, she was placed on the conveyor belt of ICU care. How did deep sedation and immobility impact her physical and …

Episode 91: The Awake and Walking ICU in Denmark

November 14th, 2021

1:19:39

Are there any other “Awake and Walking ICUs” outside of Salt Lake City, Utah? Dr. Thomas Strom shares with us his team’s success and research in …

Episode 90: Registered Dietitian Consultation STAT

November 13th, 2021

43:09

What role do registered dietitians play in patient outcomes in the ICU? Why is malnutrition such an emergency? How can we better utilize the …

Episode 89: Dropping the Grenade On the ICU

November 5th, 2021

50:06

What role does the choice of sedation in the field or ED play in the delirium that unfolds in the ICU? How can inter-departmental collaboration …

Episode 88: Bring In Speech Language Pathology

October 24th, 2021

54:34

How do speech-language pathologists save lives? How can we more fully utilize them in the ICU? How can PT, OT, AND SLP help, halt, or reverse …

Episode 87: Is Their Silence Worth Their Suffering?

October 18th, 2021

1:03:07

Mark Hudson, an ICU survivor podcast host, is all too well acquainted with delirium. He has dedicated himself to advocating for fellow patients and survivors to prevent the torture of delirium. He tells it to us …

Episode 86: Ventilator Management in the Awake and Walking COVID19 Unit

October 3rd, 2021

37:32

How is the “Awake and Walking ICU” keeping their COVID19 patients mentally and physically functional during severe COVID19? Do they face constant ventilator asynchrony and how do they deal with it? Geoff shares with us …

Episode 85: RT Magic

September 20th, 2021

56:20

Does sedation always improve ventilator dyssynchrony, or can it cause it? How does a lack of unity between disciplines impact patient care and outcomes? How can we better support and utilize the expertise of respiratory …

Episode 84: Zentensive Care

September 12th, 2021

51:30

How can we manage ventilators to decrease alarms, avoid misdiagnosing/mistreating asynchrony, and improve patient comfort and outcomes? Dr. Matt …

Episode 83: Paralyze With Fear

September 9th, 2021

25:37

As neuromuscular blockade agents have come back into vogue, let’s talk about the big picture. When we understand the repercussions of this …

Episode 82: Burnout

August 30th, 2021

41:24

Episode 82: Burnout  What role do constant poor patient outcomes play in the pandemic of ICU staff burnout? What if we had a system that supported …

Episode 81: Choose Wisely

August 16th, 2021

41:30

How does the choice to automatically sedate every patient on a ventilator impact patients for the following weeks, months, and years? Let's dive …

Episode 80: Big Picture of Propofol

August 14th, 2021

40:45

How does propofol affect muscles? The brain? Outcomes? ERRXpodcast host and critical care pharmacist, Adis Keric, BCPS, BCCP, shares with us the big …

Episode 79: Step Up and Step Forward

August 6th, 2021

32:40

Episode 79: Step Up and Step Forward

What can happen when a clinician wakes up to the reality of sedation and immobility?

ICU revolutionists around …

Episode 78: “Never Really Over”

July 17th, 2021

54:43

What is it really like to be in a medically-induced coma? As an experienced ICU physiotherapist and war veteran, Aron Welsh provides soul-shaking …

Episode 77: Start Where You Are

July 8th, 2021

40:57

Are lung-protective strategies only implemented when patients are sedated? Is walking on the ventilator safe for the lungs? How do we transition from “sedating to keep patients safe” to “walking to keep patients safe”? …

Episode 76: Less Sedation = Less Work

June 26th, 2021

38:51

Is it *really* easier to sedate patients? Ultimately, does giving patient delirium and ICU acquired weakness actually decrease staff workload? Travel nurse, Alex, gives us the real deal. Photos, transcriptions, and …

Episode 75: Communicate. Don't Sedate.

June 19th, 2021

1:28:26

When Jeff Sweat was about to be intubated, what was he told about what was to come? What information did his wife, Sunny Cannon, receive about the …

Episode 74: Walk Them To Sleep

June 16th, 2021

35:08

What are the main “treatments” or “tools” to prevent and treat delirium? How can we facilitate “quiet nights” without harming patients with sedation? …

Episode 73: Say It Again: Sedation is NOT Sleep

June 11th, 2021

36:40

We habitually lie to ourselves and our patients' families when the word “sleep” leaves our tongues in reference to sedated patients. Why is sleep so vital to survival in the ICU? What prevents our patients from …

Episode 72: Military Veterans and Delirium

June 11th, 2021

43:41

Why is baseline PTSD a risk factor for post-ICU PTSD? What does delirium look and feel like for war veterans? Why should the ICU community understand …

Episode 71: What “Fight To Survive” Truly Means

May 27th, 2021

50:52

When an ICU team started discussing end-of-life with 31-year-old Megan Wakley’s family, they fought to have her transferred to the “Awake and Walking …

Episode 70: Rallying The Troops In The PICU

May 19th, 2021

22:57

What specific approaches help rally the troops to bring change to the ICU?  How have other PICU teams cultivated a rich culture of mobility? When an …

Episode 69: Awake and Playing In The PICU

May 15th, 2021

35:13

What does it take to inspire a PICU team to keep children on mechanical ventilation awake and playing? Who can bring the change? Hannah Child, a …

Episode 68: PICU UP!

May 9th, 2021

48:53

We know that sedation causes and worsens ICU delirium, post-ICU PTSD, post-ICU dementia, and ICU-acquired weakness in adults. The research is vast …

Episode 67: On to LTACH?

May 6th, 2021

34:07

If you were to come out of a medically-induced coma after weeks of delirium and atrophy with a new tracheostomy, only to find yourself unable to hold …

Episode 66: Trach and Peg

May 4th, 2021

25:19

Why do tracheostomy rates fluctuate so drastically between ICUs? What is the true reason for so many tracheostomies? What are the long-term effects …

Episode 65: "Create Survivors, Not Victims"

April 20th, 2021

32:57

Jeroen Molinger, MSc brings the research to the bedside. He ties together the importance of muscle maintenance, nutrition, and how to create …

Episode 64: Nutrition During Critical Illness

April 16th, 2021

35:29

What role does nutrition play in improving outcomes in the ICU? How can we help preserve muscle through appropriate nutrition during critical …

Episode 63: Muscles Matter

April 12th, 2021

39:48

Why is ICU-acquired weakness an independent predictor of mortality? What role does muscular atrophy play in multi-organ failure? When we …

Episode 62: Patient and Families Have the Right to Know the Risks

April 9th, 2021

9:32

We say we respect patient autonomy. We provide patients or families informed consent prior to intubation. Should patients and families be warned of …

Episode 61: "You Can't Sedate Away Delirium"

April 7th, 2021

46:22

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 …

Episode 60: "Just Let Them Sleep"

April 1st, 2021

36:39

For decades we have sedated patients with the belief that it is more humane to “sleep” through critical illness. Survivors have told us their …

Episode 59: One Nurse Bringing Change to a Hospital System

March 26th, 2021

34:23

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 …

Episode 58: Deadly Treatment for a Deadly Virus?

March 19th, 2021

1:05:29

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 …

Episode 57: The Shock of Working in a "Normal ICU"

March 14th, 2021

28:37

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 …

Episode 56: Minding Your Own Business

March 9th, 2021

29:14

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 …

Episode 55: Walking in ICUs Around the World

February 25th, 2021

39:32

Where in the world do patients walk on ventilators and ECMO? Providers from 22 countries share with us their experiences with helping patients walk …

Episode 54: Back To Harmful Practices From the 90's

February 5th, 2021

32:16

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 …

Episode 53: ICU Early Walking with Heidi Engel

November 30th, 2020

1:04:05

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 …

Episode 52: Haunted Beyond the ICU

October 25th, 2020

16:42

What truly happens during delirium? When do the hallucinations and terror stop? Survivors give us a sobering reality check of what caused the deep …

Episode 51: Post-ICU PTSD: Fact vs. Fallacy

September 19th, 2020

36:13

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.

Episode 50: The Reality of Post-ICU PTSD

August 31st, 2020

1:07:41

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 …

Episode 49: The Cost of Rot

July 12th, 2020

20:12

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 …

Episode 48: What is An "Awake and Walking ICU" Q&A

July 10th, 2020

1:00:32

What do you want to know about the Awake and Walking ICU? Join the facebook group, "Walking Home From the ICU Discussion Group". 

Photos, …

Episode 47: Change Practices to Change Lives

June 28th, 2020

18:39

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 …

Episode 46: Waking Up After Decades of Sedation

June 19th, 2020

34:33

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 …

Episode 45: Physical Therapy In the ICU During COVID19

June 11th, 2020

23:21

What roles do physical and occupational play in helping COVID19 patients survive and thrive? How have they changed their approaches during the …

Episode 44: Walking Home From the ICU after COVID19

June 6th, 2020

47:38

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 …

Episode 43: Trapped In My Body As An ARDS Survivor

June 5th, 2020

48:53

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 …

Episode 42: The Power of Nursing Care Against COVID19

June 3rd, 2020

15:23

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 …

Episode 41: Crisis Culture During COVID19

May 17th, 2020

35:08

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? …

Episode 40: Cultural Revolution

May 16th, 2020

15:36

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 …

Episode 39: Ethical Turmoil

May 13th, 2020

40:37

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 …

Episode 38: “THEY’RE AWAKE?!?”

May 11th, 2020

10:04

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 …

Episode 37: Culture Shock

May 11th, 2020

9:43

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 …

Episode 36: We Need To Talk

May 9th, 2020

33:41

What if we expected to be able to communicate with all patients on mechanical ventilation? How would that impact our practices? What role does …

Episode 35: Mobility is EVERYONE’S job

May 5th, 2020

38:39

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 …

Episode 34:Recommendations From a 4-Time Ventilator Survivor

April 2nd, 2020

19:07

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 …

Episode 33: COVID19- The Domino Effect

March 24th, 2020

8:09

What can we do to improve mortality in the midst of a pandemic? As times have changed, our practices must change as well. www.DaytonICUConsulting.com

Episode 32: Delirium Day

March 11th, 2020

38:11

In commemoration of Delirium Day, it is most appropriate to hear from one of the leading delirium experts, Dr. Sharon Inouye! She shares with us her professional and personal experiences with delirium in all aspects of …

Episode 31: Nurse Manager

March 11th, 2020

23:27

Nancy tells us about her transition to the awake and walking ICU as a nurse manager. She explains the nurse manager’s role in preserving a culture of …

Episode 30: Speech Language Pathologists

March 11th, 2020

27:54

Lydia, CCC-SLP, shares with us the vital role speech therapy plays in helping patients get back to their lives. She explains how awake and walking …

Episode 29: Occupational Therapists

March 11th, 2020

13:26

How does occupational therapy get to be utilized when patients are awake and walking on the ventilator? What role does occupational therapy play in …

Episode 28: Pharmacists

March 10th, 2020

30:55

Kathryn, BCCCP, tell us of her culture shock coming to the awake and walking ICU after years in units around the country. She tells about the role …

Episode 27: Physicians

March 10th, 2020

12:46

Dr. Badke, MD, shares what it was like to shift perspective and culture as a new intensivist in the awake and walking ICU. He explains what role the …

Episode 26: Nurse Practitioners

March 10th, 2020

24:58

What does it mean to be the steward of patient outcomes? Louise, ACNP, explains how nurse practitioners are guardians of delirium prevention and …

Episode 25: Respiratory Therapists

March 10th, 2020

17:31

Respiratory therapists are key to helping patients walk on the ventilator. Cash, RRT, shares his tips and secrets to walking and even showering patients on the ventilator. He reveals how having patients awake and …

Episode 24: Physical Therapists

March 10th, 2020

18:22

What is it like for physical therapists that get to do more than a passive range of motion with patients on ventilators? Physical therapists in the awake and walking ICU save lives and enable patients to have their …

Episode 23: Registered Nurses

March 8th, 2020

23:16

What is it like as an RN to care for intubated patients on the ventilator that are AWAKE and WALKING? Brandy, RN shares with us why she is passionate about keeping brains and bodies strong during critical illness. She …

Episode 22: Interdisciplinary Teamwork

March 8th, 2020

4:06

Patients cannot walk out of the ICU without the efforts and expertise of each discipline. What role does each discipline play in returning patients …

Episode 21: What We've "Always Done" Isn't Always Right

March 8th, 2020

36:00

How did this ICU get so off the grid? Decades before the research and in a generation of paralytics and benzodiazepines, a nurse saw a problem and …

Episode 20: A Chance To Say Goodbye

March 8th, 2020

6:47

Though avoiding sedation and mobility decreases mortality, death is not always avoidable. How does being awake and mobile during critical illness impact your last mortal moments? What does it look like to have a chance …

Episode 19: Walking On ECMO Part 2

March 8th, 2020

32:01

Tyler Lintz was admitted for severe septic shock, pneumonia, and ARDS. He eventually needed ECMO but was still allowed to keep walking. Tyler and Amber tell us how he returned to being a firefighter 3 months after ECMO.

Episode 18: Walking On ECMO Part 1

March 8th, 2020

24:21

Tyler Lintz was admitted for severe septic shock, pneumonia, and ARDS. He eventually needed ECMO but was still allowed to keep walking. Tyler and Amber tell us how he returned to being a firefighter 3 months after ECMO.

Episode 17: Walking On The Ventilator For 17 Days

March 6th, 2020

18:30

Joan Johnston was admitted for ARDS and remained on the ventilator for 17 days. She shares with us what it was like to be awake, walking, and even …

Episode 16: Defending the Defenseless

March 5th, 2020

6:18

James was admitted for severe mycoplasma pneumonia that turned into mild ARDS. His downs syndrome and autism inspired the ICU team to get creative to keep him awake and walking on the ventilator. His journey straight …

Episode 15: Walking Through Severe ARDS

March 5th, 2020

34:40

Bryan Carter was admitted for severe pneumonia that became severe ARDS. He was allowed to be awake and walk on the ventilator until he was proned. When he was able to be supine he was right back on his feet. He shares …

Episode 14: Different Treatment Different Outcomes

March 4th, 2020

23:07

If we treated patients differently, would their outcomes be different? What if patients never stopped walking during critical illness? One ICU dared …

Episode 13: Loved Ones Are Survivors Too Part II

March 3rd, 2020

27:29

Caregivers also leave ICU with high rates of PTSD and long-term life impacts. Mike Maranhas shares his side of his wife's ICU stay and recovery.

Episode 12: Loved Ones Are Survivors Too Part I

March 3rd, 2020

22:06

Caregivers also leave ICU with high rates of PTSD and long-term life impacts. Mike Maranhas shares his side of his wife's ICU stay and recovery.

Episode 11: Rehabilitate Rehabilitation

March 1st, 2020

31:58

When we send patients to LTAC or SNF to relearn how to walk, what is that like? Susi Rimkus, DNP, shares with us her experience with rehabilitating …

Episode 10: I Can't Move

February 29th, 2020

29:02

What is it like to wake up with less physical capacity than a newborn? What is it like to be sent to LTAC with no expectations of returning home? When patients have not moved for weeks+, what is the journey to recovery …

Episode 9: The Big Picture of Immobility

February 29th, 2020

10:14

What happens down the road to patients that are on bedrest during their time on the ventilator? Is there another way? Let's put it into the big …

Episode 8: Living With Post-ICU Syndrome Part II

February 28th, 2020

35:50

ICU Survivor, David Burrows, shares his experience of weeks of sedation and the delirium and ICU-acquired weakness that followed. He gives us insight …

Episode 7: Living With Post-ICU Syndrome Part I

February 28th, 2020

16:50

ICU Survivor, David Burrows, shares his experience of weeks of sedation and the delirium and ICU-acquired weakness that followed. He gives us insight …

Episode 6: Broken Brains

February 27th, 2020

9:22

Survivors tell us what "cognitive deficits" really look like and the impact they have on their function and lives. www.DaytonICUConsulting.com

Episode 5: The Big Picture of ICU Delirium with Dr. Wes Ely

February 25th, 2020

29:16

Dr. Wes Ely, the creator of the CAM scoring tool and the ACDEF Bundle, shares with us the realities and consequences of ICU delirium.

Episode 4: Sedation is NOT Sleep

February 23rd, 2020

20:27

68% of nurses believe sedation is for patient comfort. Survivors of prolonged tell us the reality of how "sweet" their sedation dreams really were.

Episode 3: DNS= Do NOT Sedate Me

February 19th, 2020

30:56

Susan East is a three times survivor of ARDS. She tells us why she sought legal protection against sedation after her first experience with ARDS. 

Episode 2: How Did We Get Here??

February 16th, 2020

34:39

Is sedation always a necessity or a habit with history? Dr. Terry Clemmer, one of the founders of critical care, shares the evolution of mechanical …

Episode 1: Start Here

February 1st, 2020

9:16

Kali shares the variation in sedation and mobility practices she witnesses in critical care throughout the USA. ICU survivors changed her perspective …

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