Acute Conversations

APTA Acute Care
Acute Conversations

We share engaging conversations about acute care physical therapy so you can connect to your profession. Our hosts are Dr. Leo Arguelles and Dr. Ashley Poole. Dr. Arguelles is a physical therapist and educator at University of Illinois Chicago and Dr. Poole is a physical therapist and educator at Duke University. They have come together across time zones to build a space for conversation and support for other acute care therapists. Connect with us and our hosts! Leo Arguelles (LEE-O R-GWELL-IS) Twitter @LeoArguellesPT Ashley Poole Twitter @AshleyPooleDPT APTA Acute Care Twitter @AcuteCareAPTA Facebook: APTA Acute Care Instagram @AcademyAcutePT APTA Acute Care Resources APTA Adult Vital Signs (https://www.aptaacutecare.org/store/viewproduct.aspx?id=18270240) APTA Lab Values Document (https://www.aptaacutecare.org/store/viewproduct.aspx?id=10758036) APTA Acute Care https://www.aptaacutecare.org/ Journal Access: https://journals.lww.com/jacpt/pages/default.aspx

  1. 4 DAYS AGO

    Unlocking Better Outcomes in High-Risk Pregnancy

    What happens when physical therapy enters the high-risk pregnancy unit? Erin Locati, PT, DPT, joins us to break down how acute care therapists can make a meaningful impact on maternal health—far beyond what most expect. In this episode, Erin shares her unique path from chemical engineering to acute care PT, and how her own pregnancies shaped her clinical mission. We explore the misconceptions around bedrest, how to support OB teams without overstepping, and why physical therapy should be standard in high-risk pregnancy and postpartum care. Whether you’re a hospital-based PT, student, or someone curious about expanding care for pregnant patients—this episode will challenge assumptions and spark ideas. Today’s Guests: Erin Locati PT, DPT erin@risepelvicpt.com LinkedIn Instagram: @erinlocati_pt Guest Quotes: 9:11 “ …So I really felt alone navigating.  Kind of my postpartum recovery and my injuries and return to activity and exercise. And then during my second pregnancy, I was diagnosed with a couple serious complications. And again, I just really felt alone and frustrated and not really knowing, well, what does it say for me to do? I don't wanna accidentally hurt my baby by doing too much, and my doctor wasn't super helpful about it. I knew that pelvic physical therapy was a specialty that existed.  Where PTs work with pregnant and postpartum patients, but it was really more of an outpatient specialty as far as I knew. And I was in acute care and I wanted to stay in acute care. Yeah. So I thought about, well, how can I help these populations where I am? I mean, all these patients are here in the hospital. Almost everybody gives birth in a hospital in the US. So maybe there's a way that I can provide skilled care  in the setting I'm already in to pregnant and postpartum patients, and that's really where it started.” 25:52 “ It's looking at their restrictions and deciding, you know, with your skilled assessment, what level of exercise could they probably be doing within the restrictions they have. And again, going up to the max that it restriction allows them. So that they can minimize the losses they're gonna have from being on bedrest.” Rapid Responses:  Do you have any good book recommendations? “… My favorite book, love In the Time of Cholera by Gabriel Garcia Marquez.” You know you work in acute care when… ” You can treat everything. You go from a cabbage to a knee replacement, to a stroke, to a pregnant patient.” Links: https://enhancedrecoveryafterdelivery.com/ https://www.facebook.com/share/g/1DbQbXixy8/ https://pelvicglobal.com/ Connect with our host and the podcast! Leo Arguelles (LEE-O R-GWELL-IS) largue2@uic.edu Twitter @LeoArguellesPT Interested in being a future guest? APTA Acute Care: Website Awards Journal Access Twitter @AcuteCareAPTA Facebook APTA Acute Care Instagram @AcademyAcutePT YouTube  APTA Acute Care Podcast...

    44 min
  2. 11/12/2024

    The Startling Truth About Falls in Hospitalized Older Adults

    Show Notes: Guests: Mary Fischer, PT, DPT, Board Certified Geriatric Clinical Specialist mary.fischer@nyulangone.org https://www.linkedin.com/in/mary-fischer-pt-dpt-gcs-571994b/ Kristine Josef PT, DPT, Board Certified Cardiovascular and Pulmonary Clinical Specialist Kristine.Josef@nyulangone.org Links: https://journals.lww.com/asaiojournal/fulltext/2022/05000/safety_and_feasibility_of_an_early_mobilization.15.aspx https://aptageriatrics.org/wp-content/uploads/2022/01/GeriNotes-23-6.pdf https://www.cdc.gov/steadi/hcp/clinical-resources/inpatient-care.html https://www.youtube.com/watch?v=qdm7C-fu7o0 https://www.cdc.gov/steadi/hcp/clinical-resources/index.html#cdc_listing_res2-clinical-tools Guest Quotes: Kristine 10:58: What take aways? do you have for clinicians on an everyday basis who maybe would be like, no, sign off on this patient? “If you're gonna see this patient once, you might as well make it worth it. Right? So, You know, you see this patient and they're, they're already walking a lap in the hallway. But what is their fall risk? Right? 150 ft walking isn't gonna tell you much. They can walk on a straight on an even surface in the hospital.  That's very benign.” Mary 23:10  Did this change your practice at all working with your patient population? “Definitely for me. I mean,  doing outcome measures routinely,  whichever ones are appropriate. Now, you know, I  learned a little bit about the strength testing  using a chair stand and we chose the five times to stand, which we talked about in our discussion that maybe wasn't the best one. It's got a very high you know, floor effect. If you can't do one you get a zero. So now we more routinely use the 30m second chair stand.  And so we, so if I would say just for me, it's like, yeah, pushing outcome measures.” Mary 24:03 “Should we be walking our patients more quickly? “ Rapid Responses: What's your favorite outcome measure to use in practice? Mary: “I jump right to the classic chair stand, whether it's 30 or five times” Kristine: “probably the 10 meter. It's easy quick And we have to cross the streets in New York City.” You know you work in acute care when: Mary: “Well you know, you have the extra socks and sneakers in the locker.  Code brown, code yellows…” Kristine: “I pick scrubs with a cargo pocket on my thigh, so that I can hook the Foley catheter onto it. That's nice. And it's clutch. That's so clutch.  You gotta keep it below the waist.” Connect with our hosts and the podcast! Email the show if you would like join our team: aptaacpodcast@gmail.com Leo Arguelles (LEE-O R-GWELL-IS) largue2@uic.edu Twitter @LeoArguellesPT Ashley Poole Twitter @AshleyPooleDPT Interested in being a future guest? APTA Acute Care: Website Awards

    37 min
  3. 27/11/2024

    Postpartum Hemorrhage: Acute PT's Essential Role

    Show Notes  Guests: Rebeca Segraves PT, DPT Board-Certified Clinical Specialist in Women’s Health Physical Therapy rebeca@enhancedrecoverywellness.com https://enhancedrecoveryafterdelivery.com https://www.linkedin.com/in/dr-rebeca-segraves2030/ https://twitter.com/RebecaSegraves https://www.instagram.com/rebecasegraves_/ https://www.instagram.com/pelvichealthnetwork/ Jenna Segraves PT, DPT Board-Certified Clinical Specialist in Neurological Physical Therapy jenna.segraves@gmail.com IG: plant_based_pt Erin Locati PT, DPT erin@risepelvicpt.com IG: erin locati_pt Ann Croghan PT, DPT, CLC, CAPP-OB Certified acroghan12@gmail.com Links: https://journals.lww.com/jwphpt/pages/articleviewer.aspx?year=2023&issue=01000&article=00004&type=Fulltext OB PT & OT Facebook Group Guest Quotes: Jenna 5:32 On postpartum hemorrhagic event: “What I want everyone to really think about or sort of like get, wrap our minds around is that it happens a lot…And so why would we give our services to individuals that have had other hemorrhagic events?  But not to this population when, after they've had a hemorrhagic event, too.” Rebeca 9:09 “80 percent of these cases being preventable, you have to now go back to my hospital, which actually tracked infant drop rate and maternal fall rate. Those are preventable as well. Those are preventable conditions or injuries that have happened as a result of maybe that blood volume being too low of maybe that person having a raging infection that no one was able to actually evaluate properly because they weren't being  Provided an evaluation of their task analysis and the environment that they were expected to return to only rehab therapist can really do that part.” Rebeca 26:17 “I think that was kind of the biggest thing that we focused on in the paper. was enabling therapists with a tool that could really either address their own implicit biases, but then having them use outcome measures that they would use in any other case with any other patient population so that they were actually basing their decisions on evidence and not their own gut feeling.” Erin 33:20 “So I was like, well, how could I do acute care stuff from where I am now for pregnancy and postpartum? And I'm like, well, everybody's here in the hospital having babies. Why can't I go see them there? And that's really when I started to work on. Trying to get in to those units to see those patients, though. I would say  I use pelvic therapy knowledge in acute care for all my populations, like I'm forever talking to people about their peeing and pooping habits in the hospital because they get all jacked up in acute care…” Rapid Responses: Erin, what type of shoes do you wear on a cue care in the hospital? “I wear flux waterproof sneakers. They're amazing.” Ann, name an influential PT. That is, that is changed your life. “Penny Smicken.” Rebeca, what's your favorite holiday? “Thanksgiving for sure. Hands down” Jenna, what's your favorite scrub color to wear in the hospital? “Teal” You know you work in acute care when:

    43 min
  4. 13/11/2024

    Targeted Barriers To Mobility: Opportunities In Fall Prevention

    Show Notes Guests: Emelia McCuen PT, DPT, GCS, CCS emccuen@bgsu.edu linkedin.com/in/emelia-mccuen-45b216255 Brian Hull PT, DPT, MBA Brian.Hull@BSWHealth.org Twitter: @BrianHullDPT LinkedIn: www.linkedin.com/in/brianhulldptmba Guest Quotes: Emelia 2:34 “Other entities within the hospital system didn't feel comfortable with mobilizing patients who didn't have mobility deficits.” Brian 5:44 “So why is it that  when they're in the hospital, they're lying in flat on their back for 23 and a half hours a day  when you're at home, even if you're sick, at the very least you get up to the couch to watch Netflix for 10 hours, right?” Emelia 20:15 “if you look at our study, the mobility tech spent maybe 14 or 15 minutes with each patient. And that was from the time they walked in the door to the time they walked out. So the actual mobility part of it may have only been 10 minutes. I think we took the time to break down a lot of those perceptions of  I'm not qualified to do this. This is going to take too much time. I'm not sure what level the patient is supposed to be mobilizing at. And broke it down. And when they saw that the units started using it over and over again.” Emelia 36:26 “For those who are trying to get this started and you, and you're not sure and you're doing your needs assessment, the biggest thing you could do to help your nursing colleagues, to help the therapy department, to help the hospital is that there has to be some type of standard assessment of how we look at patient mobility. If that is not there, that is a good starting point because you have to speak the same language.” Rapid Responses: What's the last book you read? Emelia “Cardiopulmonary Practice by Ellen Hillsgass Brian “The Leonardo da Vinci biography by Walter Isaacson You know you work in acute care when: Emelia “You don't breathe in through your nose.” Brian “When the unexpected happens every single hour of the day, nothing that you thought was going to happen, happened. And you still roll with it.” Links: An Alternative Approach to Prescribing Sternal Precautions After Median Sternotomy, “Keep Your Move in the Tube” https://doi/abs/10.1080/08998280.2016.11929379 Applying Telehealth Technologies and Strategies to Provide Acute Care Consultation and Treatment of Patients With Confirmed or Possible COVID-19 https://doi.10.1097/JAT.0000000000000143 The Process of Implementing a Mobility Technician in the General Medicine and Surgical Population to Increase Patient Mobility and Improve Hospital Quality Measures: A Pilot Study, https://doi.10.1097/JAT.0000000000000110 Frailty in Acute Care: Not Just Your Grandparents' Medical Condition, https://doi.10.1097/JAT.0000000000000152 Connect with our hosts and the podcast! Email the show if you would like join our team: aptaacpodcast@gmail.com Leo Arguelles (LEE-O R-GWELL-IS) largue2@uic.edu Twitter @LeoArguellesPT Ashley Poole Twitter @AshleyPooleDPT Interested in being a future guest? APTA Acute Care: Website a href="https://www.aptaacutecare.

    47 min

    About

    We share engaging conversations about acute care physical therapy so you can connect to your profession. Our hosts are Dr. Leo Arguelles and Dr. Ashley Poole. Dr. Arguelles is a physical therapist and educator at University of Illinois Chicago and Dr. Poole is a physical therapist and educator at Duke University. They have come together across time zones to build a space for conversation and support for other acute care therapists. Connect with us and our hosts! Leo Arguelles (LEE-O R-GWELL-IS) Twitter @LeoArguellesPT Ashley Poole Twitter @AshleyPooleDPT APTA Acute Care Twitter @AcuteCareAPTA Facebook: APTA Acute Care Instagram @AcademyAcutePT APTA Acute Care Resources APTA Adult Vital Signs (https://www.aptaacutecare.org/store/viewproduct.aspx?id=18270240) APTA Lab Values Document (https://www.aptaacutecare.org/store/viewproduct.aspx?id=10758036) APTA Acute Care https://www.aptaacutecare.org/ Journal Access: https://journals.lww.com/jacpt/pages/default.aspx

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