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Taking a survey: What is your extubation criteria? Do you extubate patients on a PEEP 12/70%?

Awake and alert and mobile patients know to stay on their feet and leave the ET tube alone. We talk to them. We let them dance to their favorite music, we let them visit with family & they understand. WesElyMD Kali Dayton SCCM American Thoracic Society (ATS)

CriticalCareDoc Walking Home From The ICU Mobilizing patients in ICU on vents is Safely orchestrated. It’s much more dangerous for pts to stay immobilized. #Teamwork makes the dreamwork & liberates pts from harmful #PICS genesis that ⬆️ death & ⬇️ QOL. Dale Needham, MD, PhD Sapna Kudchadkar, MD, PhD Kali Dayton Heidi Engel, PT, DPT Carla Sevin, MD

Dialing in those EMR work flows and integration. Mobility data that matters where it’s actionable and visible! Johns Hopkins Activity & Mobility Promotion (AMP) Michael Friedman, PT, MBA Kelly Daley, PT, MBA Danny Young uchealth Annette Lavezza

Communication is a basic human right… YET we strip people of this right all the time in the ICU by overuse of sedation. Wake them up & it eases the stress & burden of critical illness on patients & families plus clinicians Listen to Kali Dayton teach - apple.co/37TJYEP

Podcast Episode 105: How does the ABCDEF bundle apply to the CVICU with a variety of diagnoses, acuities, and devices? Anna Dalton in an "Awake and Walking CVICU" shares with us the evolution their team has experienced in improving their mastery of the ABCDEF bundle. 1/2

If you’re at #CHEST2022, come join us for discussions on how to transition to “Awake and Walking ICUs”. event.crowdcompass.com/chest2022/acti…

Need help teaching your #ICU team about the realities of sedation and immobility and the why/how to practice the #A2Fbundle? This site has 109 podcast episodes with transcriptions and citations organized by topics. daytonicuconsulting.com/category/walki…

6/ Why I believe it is fair for him to be mad at doctors is that we definitely cause iatrogenic harm to patients like Sarah Beth (pic w perm) in the ICU by overuse of sedation & mobilization, absence of family, and general lack of adherence to proven #A2Fbundle safety steps.

Genuine out of bed mobilization early for fully awake mechanically ventilated patients is NOT harmful & this study tells us we continue to try having it both ways- sedating people & mobilizing. Sedation is culprit in NEJM. Kali Dayton Mikita

More family visits = less sedation🥇 Remember 📍when we forbade Family Visits in COVID? 📍when we gave gobs of Benzos in COVID? Question: What works to ⬇️ overuse of dangerous sedatives? 💥FAMILY💥 Data: ~40% reduction in benzos when family present bit.ly/3EJKbYO

At number 5 : Kali Dayton - the Awake and Walking ICU An enlightening look at the experience of ICU from the patient perspective osler.app.link/2H2uLqvdSqb Kali Dayton

Giovanni Landoni, MD @AndersPerner Alasdair MacLullich Todd C. Lee CarolinaSoledad Alessandro Belletti Tommaso Scquizzato, MD Puhhhhh-lease don’t use these data to say too much mobilization caused harm 🥺 ✔️“Too much” ICU mobilization was not tested here. Come on. ✔️ “Rest is best” (which in this context means “leave folks sedated in bed”) is a very dangerous poem to echo. #PICS #A2Fbundle

Talia Pollok DPT, CCS #APTACSM APTA Acute Care Kali Dayton My personal take away (after careful attention to the Supplement and the Protocol), is it shows we are all still doing this wrong- we are both sedating & mobilizing. We strive for bed level & not walking #icurehab.

As a nurse, I was culturally trained to respond to this emergence agitation with sedation. This locks and loads patients into the cycle of sedation and delirium. How many lives could be saved by communicating with patients when coming out of induction meds after intubation?

Important message from my hero Dale Needham, MD, PhD the tireless champion for improving #ICU patient lives. Listen here UCSF Critical Care Medicine Kali Dayton SCCM APTA Acute Care And help us come together & train the next generation WesElyMD

yiehl Being with you here in #Singapore at this Critical Care meeting #Apics2023 is edifying for me. Seeing how devoted you are to re-implementing the “awake and walking“ ICU experience for our patients. You inspire me yiehl to become a better physician. #A2Fbundle #EDDB

When a patient is in a coma from a brain injury, everyone is alarmed. So why when we place people in medically induced Comas for days to weeks due to a need for a ventilator are we thinking it is compassionate? Kali Dayton Emily Silverman, MD WesElyMD Walking Home From The ICU

ICYMI: Our neuro ICU team ambulated its 1st intubated patient In January, allowing him to walk.