Below is fantastic Hopkins ICU Rehab resource

created by having a medical librarian

(the amazing Carrie Price )

embedded in a medical conference

The dose-dependent effects of aerobic exercise on systolic and
diastolic blood pressure and haemodynamic factors in adults with
hypertension:
nature.com/articles/s4144…

Spaces for participants are filling up fast for this wonderful small conference that allows for connection & conversation in person with leading experts- including amazing keynote speaker Dr Bhakti Patel a true # ICURehab champion. C U There!

Adequate delirium management in the ICU starts with delirium assessment
Mark vd Boogaard Intensive and Critical Care Nursing
sciencedirect.com/science/articl…

It's all connected. 🌍

✨ Tune into the 2024 #GoldmanPrize ceremony livestream on Monday, April 29, at 5:30 pm PDT / 8:30 pm EDT, to discover the stories of environmental heroes.

👉 Learn more: bit.ly/3GtAu0p

Anyone who is upset that California fast food workers at major national chains will start earning $20/hr needs to realize that the minimum wage would actually be at least $24/hr if it had been raised at the same pace as worker productivity gains since the 1960s.

🙋‍♂️ Discovery of gut microbiome 🦠 constituents that lower cholesterol levels could be used to reduce risk for heart disease in Cell

#Microbiome #HeartFailure #MedX H/T Eric Topol
🔗 cell.com/cell/abstract/…

I have never considered a walker to be a torture device. Survivor testimonials here help me understand where torture lies in the ICU:

These are not the patients we have walking and after many years of walking patients on ventilators, nothing like this has happened.

Balazs Paul Wischmeyer MD,EDIC,FCCM⎪ #NutritionMatters 💪 Heidi Engel, PT, DPT Ashish K. Khanna, MD,MS,FCCP,FCCM,FASA Segun Olusanya (He/Him) [email protected] Walking Home From The ICU WesElyMD Lakshman Swamy ([email protected]) Avraham Z. Cooper, MD Tamas Szakmany MBE Nick Mark MD Ann-Marie Brown PhD-ACPNP Kate Tantam (She/her) Ambulation. There is good evidence for it, and probably staves of much critical neuromyopathy. It may seem scary and counterintuitive. Much of the data about traches shows they are not the panacea that we once thought... And not without morbidity

Very sick me 2016 vs me now. At the 2024 Early Mobility Conference, I’ll be explaining PRECISELY how I got from there to here & what lessons I’ve learned from living 2 months in the ICU and even more in step down.

Go to Earlymobility.com to find out more #ICU #PICS …

Mohsin Khan Heidi Engel, PT, DPT Ashish K. Khanna, MD,MS,FCCP,FCCM,FASA Segun Olusanya (He/Him) [email protected] Walking Home From The ICU WesElyMD Lakshman Swamy ([email protected]) Avraham Z. Cooper, MD Tamas Szakmany MBE Nick Mark MD Ann-Marie Brown PhD-ACPNP Kate Tantam (She/her) It is easy with adequate opiate and precedex. Here I am personally tolerating tube awake on these drugs as a patient in my own ICU.

And it improves outcomes in The Lancet 👇

🔗 thelancet.com/journals/lance…

Not true- early mobility studies of bed bikes show no difference, brain-vestibular system and muscle-bone require vertical and weight bearing in standing: Walking is a survival skil, bed bikes get you no where WesElyMD Walking Home From The ICU Paul Wischmeyer MD,EDIC,FCCM⎪ #NutritionMatters 💪

Paul Wischmeyer MD,EDIC,FCCM⎪ #NutritionMatters 💪 Heidi Engel, PT, DPT Ashish K. Khanna, MD,MS,FCCP,FCCM,FASA Segun Olusanya (He/Him) [email protected] Walking Home From The ICU WesElyMD Lakshman Swamy ([email protected]) Avraham Z. Cooper, MD Tamas Szakmany MBE Nick Mark MD Ann-Marie Brown PhD-ACPNP Kate Tantam (She/her) We walk our ECMOs even if they have femoral cannulas. And usually play some music they enjoy. Yesterday I had an adorable patient who shimmied to Gloria Estefan 🎶

Modern Health Paul Wischmeyer MD,EDIC,FCCM⎪ #NutritionMatters 💪 Heidi Engel, PT, DPT Ashish K. Khanna, MD,MS,FCCP,FCCM,FASA Segun Olusanya (He/Him) [email protected] Walking Home From The ICU WesElyMD Lakshman Swamy ([email protected]) Avraham Z. Cooper, MD Tamas Szakmany MBE Nick Mark MD Ann-Marie Brown PhD-ACPNP Kate Tantam (She/her) When the lungs are damaged, patients need intubation & ventilator: this doesnt mean the rest of the body need to be dormant. Everyday of immobile lead to at least 7% muscle loss. Every % muscle loss lead to delayed extubation n lungs recovery

Central lines are painful & uncomfortable, PA catheters, dialysis catheters.., people adapt to the sensation of those devices & we walk- same is true of ET tube.. give people a chance. DON’T trach sedate Walking Home From The ICU The Nocturnists WesElyMD Paul Wischmeyer MD,EDIC,FCCM⎪ #NutritionMatters 💪

Have applied this to patients coming off propofol drips on mechanical ventilation.., asking family to spend an hour doing this repeated reminder & holding patient hand.. then mobility session delayed until patient awake #ICURehab

Don’t miss this free webinar dedicated to the training ICU teams to master the ABCDEF bundle through simulation training! us02web.zoom.us/webinar/regist…

And in our lives from conception to death immobility is a never state- unless you are admitted to an ICU and sedated or for surgery. Immobility is deep harm. Even in sleep we move.., WesElyMD SCCM Dale Needham, MD, PhD Walking Home From The ICU Redesign would save cachuchas

'Michael has never lost his curiosity and almost childlike enthusiasm for new music'

John Adams shares his perspective on collaborations with M. Tilson Thomas, his work process, and how he has changed the orchestral art form.

Full article here: buff.ly/3INf4gk