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83 million Americans get health care through Medicaid.

Exactly- compare the now preferred standard #ICUearlymobility post-prolonged sedation or mobility with sedation switched on & off with the Awake & Walking ICU approach

YES!!! Preparation and prevention are more effective than rehabilitation later:

❓Do your ECMO patients ride bikes? They should! Truly Amazing! 🤩 ❓What amazing things do your patients do on #ECMO or while intubated? Let me know! This should be standard of care 🏥! This is amazing Marco a 9 year old #cancer🎗️survivor who received a lung transplant

(0/5) Correlation does NOT equal Causation 🚫 Here are 5 times this commonly gets confused in the ICU... 🧵

🧠Useful infographic on #delirium treatment.

I was proud to stand with more than 500 people in Stowe today at a No Kings protest. Today, all over the country, tens of thousands of Americans are saying NO to the authoritarianism that has taken hold of our country.

Huge turnout San Francisco.

Spending a Saturday afternoon in the garden with an ICU patient who hasn’t been outside for 3 weeks. His reaction to feeling the sun on his face was the reason why #FreshAirSpaces are so important in hospitals! Zoe van Willigen (picture posted with patient’s consent)

"It was so real, and I was so scared. I was paralyzed on a bed and being burned alive. Just in time, someone rescued her, but suddenly, she was turned into an ice sculpture on a cruise ship buffet. Next, she was in an experiment in a lab in Japan. Then she was being attacked by

O2 ICU - lower mortality with liberal jamanetwork.com/journals/jama/…

We have enrolled 35789 patients into the Mega-ROX so far so we will soon see; we should complete enrolment this year.

🎧‼️TUNE IN NOW‼️🎧- ICU Nutrition Podcast with myself, Nick Mark MD & Cyrus Askin, MD, FACP 🎧 See full podcast at: youtu.be/mU7TQ-L7uWI 🔎 We cover a LOT & debunk many myths: ✅-it’s OK to start TF while on pressors ✅-it’s OK to feed while prone or on neuromuscular blockers

Yes- this is what happens when people are not just left lying in bed all day, but are tied down to bed rails and sequential leg devices.. they lose vestibular balance function and SO much postural strength, proprioception, reaction timing & dignity

Falls prevention in over 65s. #falls

I'm thrilled about our new American Delirium Society logo 😍 What does it say about ADS? 1⃣ #Delirium matters 2⃣ The brain is central to delirium 3⃣ ...but so is confusion 4⃣ We embrace the tension b/t mind & brain 5⃣ We hope this starts conversations 🎩/t instagram.com/designpaul/ 🙌💪👏

🙋‍♂️ AMAZING intubated ICU patient playing volleyball 👉NOTICE only 1 physical therapist needed 🎯 Early mobility should be standard of care in all ICU’s 🌎 👉Sedation can allow pts to be awake w/o pain-see WesElyMD A-F bundle! ❓Does your ICU walk intubated patients? H/T

3/3 12 Key ICU trials I teach each week cont... 10. APROCCHSS NEJM PMID 29490185 11. Schweickert Early Mobility @Lancet PMID19446324 12. ABC Trial The Lancet PMID 18191684 What others would you add? #FOAMcc #FOAMed #SCCMSoMe #medtwitter #MedEd #medstudenttwitter #ICU

🌟Will you partner with us to advance the #Walk4PICS movement? We have 14 confirmed partner walks across 4 countries -- and we are just getting started! Join us as we raise awareness and build community for ICU survivors and their families! walk4pics.com WesElyMD

#Walk4PICS happens on the same day as our Humanizing ICU Care Virtual and Live course UCSF Health on September 27, 2025. Join us to stroll during lunch break and to learn from expert leaders in #ICURehab Walking Home From The ICU Peter Nydahl Paul Wischmeyer MD