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A 🧵 of 2 papers… The 1st has been a while in coming. Our survey of SLT service provision in UK ICUs: content.iospress.com/articles/advan… Thank you to all the SLTs who participated. Apologies it took so long to publish. RCSLTTracheCEN RCSLTResearch Advances in Communication and Swallowing Intensive Care Society 💙

Fabulous day presenting with our ICU rehab team at the 19th annual critical care symposium in Manchester. Everyone did amazing. So proud to work in such an incredible service. Now to the bar!

FREE @ICURehab Webinar *Integrating PT, OT, SLP & RT in the ICU: It takes a Village!* Moderated by Kelly OT May 17 2023, 12 to 1pm (Eastern Time, USA) Register: jhjhm.zoom.us/webinar/regist… Archive will be at: icurehabnetwork.org

A pleasure to visit with you! Wishing you much success!

Another well done to Emily who presented at our Therapies link the introduction of the ITU communication stations👏👏 An amazing project she has been leading on to improve the patient experience and help them communicate via any means🤩🙌RCSLT 💙 BHRUT_CriticalCareEducation ruth dando

Demystifying Delirium #SOA23 1. Mobility cuts delirium in half 2. Family involvement reduces delirium 3. Don’t underestimate the impact of taking patients outside 4. Listen and Silent share the same letters….let’s listen to our patients more 🤐 WesElyMD Intensive Care Society 💙

A pilot study of FEES in trached ECMO patients by Elicia Jones and swallaceobeslt. No adverse effects in any of the 10 patients & 7/10 patients returned to oral intake with cuff up. Risk of bleeding while on anticoags discussed with intensivists who made decision re proceeding.

Study presented by Laura Harbert of 15 trached patients unable to tolerate cuff down w/ whom ACV was trialled: - 74% demonstrated improved ICU FCS score with most going from 1 to 4 - 67% demonstrated increased frequency in saliva swallows - Only 1 patient reported discomfort

Would love to be there in person but at 36 weeks pregnant it's virtual #SOA23 for me. Some truly inspiring talks from all MDT members. Thank you. SLTsinCC Intensive Care Society 💙

OT is such a crucial element of critical care rehab. We love our OTs Martin Torres Christa Latham. Thank you Sarah Dzumbira for sharing your evidence on unmet need. 15 patients per month referred vs 53 patients who require input. Good luck in continuing to develop your service.

Great talk by Laura Harbert on above cuff vocalisation. Following with interest as would love to get this implemented Martin Torres #SOA23 Esther Norton (she/her) Ram Matsa

Great talk from Rebekah Haylett demonstrating the value of physio and early mobilisation in critical care. MMS score on ICU discharge was independently associated with discharge to usual residence. @AshYouLikeIt Laura Swinscoe #SOA23

I knew rates of PTSD were high post critical care particularly following the pandemic but the results from PIM-COVID study (in press) are eye opening. Truly highlights the need for more psychologists in critical care and better follow up. #SOA23

Learning lots #SOA23 Intensive Care Society 💙. Really enjoyed the talk by Fiona Kelly on ICU airway mx and how video laryngoscopy vs. direct laryngoscopy leads to better intubation success. Also interesting to note that Propofol worsens cardiovascular instability and intubation outcomes.

5 iv) Fenestrations: Have higher rate of complications (56% vs. 16%) Longer average weaning duration (12 vs. 7 days) Risks include: -Granulation tissue (Stuck TT; TT partial/complete TT obstruction) -Surgical emphysema -Tracheal stenosis -Tracheomalacia

There’s still a week to apply for our B6 SLT job in Critical Care at Royal Stoke Hospital! Come join our lovely, supportive rehab MDT (including Keith the therapy dog!). Lots of opportunities for CPD & clinical development 🧠🤓 See link below 👇 jobs.nhs.uk/candidate/joba…

Is trans-laryngeal #ultrasound a useful tool for #screening the #abnormal #vocal #fold #movements seen in #inducible #laryngeal #obstruction #ILO? Congratulations to our very own Claire Slinger on the BRAND NEW publication of her protocol: content.iospress.com/articles/advan… 🤩🤩🤩

Time spent in ICU and PICS. link.springer.com/epdf/10.1186/s… Critical Care Research Group ICURecovery Hopkins ICU Rehab

Really useful paper providing evidence that DELAYED SLT intervention is associated with persistence of post extubation dysphagia and death ⁦RCSLTTracheCEN⁩ ⁦Intensive Care Society 💙⁩ ccforum.biomedcentral.com/articles/10.11…

Excellent talk by Hannah Lawrence, Respiratory consultant University Hospitals of Derby and Burton NHS FT on the difficulties in diagnosing AP, CAP, HAP and VAP and why it even matters. Thank you for a great day of learning @trentdysphagiacen