Acute Conversations APTA Acute Care

Show Notes 

Guests:

Leslie Ayers PT & Brigid Griffin PT, DPT

APTA Acute Care Nominating Committee Members

Guest Quotes:

15:46 Leslie “ I would say I've really enjoyed the nominating committee so far… And it wasn't necessarily even something that I was thinking about, but I'm so happy that I said yes and took that leap.  You get to see the inner workings of the academy without kind of from the outside, looking in and get an idea of what everybody's doing. Without necessarily having to Jump in full fledged.”

17:30 Brigid “That was actually definitely my motivation for running for the position. So Leo pinged me for it. And the first time I was like, no, I don't really know a lot of people in the Academy. Like most of my like networking and like colleagues and stuff has been in the pediatrics Academy because I'm pediatric acute care. But I really wanted to get involved in the acute care Academy. So after the second email, I was like, you know, you're right,this is my end to like network with people and meet people and start volunteering in a role.”

Links:

2025 APTA Acute Care Nominations & Elections

June 26th, Acute Care Town Hall: House of Delegates

Nominate Yourself

Nominate a Fellow APTA Acute Care Member

Connect with our hosts and the podcast!

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

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series

Join us for a recap of Bridge the Gap 2024



"You know you're in acute care when"



Guest & Subscriber Dan:  "That nothing surprises you anymore in acute care. It is a rare day that I walk away from work shocked of something. Every once in a while it happens, but generally speaking, nothing surprises me anymore. We've got good poker faces."

Links:

2025 APTA Acute Care Nominations & Elections

Position Descriptions

Connect with our hosts and the podcast!

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

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series

Show Notes

Today’s Guests:

Christiane Perme, PT, CCS, FCCM

chrisperme@gmail.com

www.permeseminars.com

Twitter/X: @icuperme

IG: permeicuseminars

LinkedIn: Christiane Perme

Bio: Christiane Perme, PT CCS FCCM is the owner of Perme ICU Rehab Seminars and a Rehab Education

Specialist at Houston Methodist Hospital, where she practiced as a physical therapist exclusively in ICU

for more than 30 years. She is a Fellow of the American College of Critical Care Medicine, the first physical

therapist in the world to receive such recognition, and a Board Certified Cardiovascular and Pulmonary

Clinical Specialist. Mrs. Perme has extensive experience in early mobility in ICU, with special interest in

patients on mechanical ventilation. She has published 23 articles and authored 10 book chapters. Mrs.

Perme is a world-renowned speaker and has presented hundreds of courses and lectures in different

countries, including the United States, Peru, Ukraine, Brazil, United Arab Emirates, Chile, Colombia, Puerto

Rico, Germany, Denmark, Russia, Nigeria, Netherlands, Canada, and Spain.

Links:

Link for the video from the training mission in Ukraine on YouTube: https://youtu.be/ETTLxGNCw7A?si=FScwwD7kHlSAAIO-

2025 Call for Nominations

https://cdn.ymaws.com/www.aptaacutecare.org/resource/resmgr/csm/csm_2024/cycle_2.pdf

Guest Quotes:

9:02 “There was like in high school, one of those profession fairs where the counselors come to talk about different professions and they were talking about the doctor, the nurse, the lawyer. And then all of a sudden I even remember where I was sitting in this auditorium, when they said, and there is a professional physical therapy,  this profession helps patients recover and they set this example. For example, if you have a patient that is in a car accident or if they have a stroke, the physical therapist helped them walk again.  At that moment,  I felt like That is exactly what I want to do.  And I honestly don't even remember what came after that because I kept thinking about, Oh my God, there's somebody that helps people walk again.”

26:25 “The part that was  most impactful to me is they did a phenomenal job  in the bomb shelter, all of the walls in the hallway. Once you get down there, there are pictures of patients  that were injured during the war and have pictures like one family that the whole family had amputations and the physician who is, she's the director of all of the ICUs,  you could see her explaining about that family and what they went through and you could see in her voice, how hard it was for her to talk about that.  She went through all of the pictures on the wall and really educated us about what was happening to that country and how civilians, how people just like us were being affected. So that was a very powerful moment.”

30:20 “I'm going to share with you because this was one of the unique moments:

For all of us, I was teaching one of my classes and the director of the ICU came in with the the director of all of the ICUs with the director of the ICU, one of the ICUs, and then translator came to me and said, Chris, the doctor is asking if you can interrupt your class for a moment. I said, sure. She needs to address all of the doctors.

And she went there, that was, we have been there for about four days at this point.  She went there and she told the physicians.  I want you to please listen to the Americans.

Show Notes

Today’s Guests:

Melissa Hake PT, DScPT

hake.melissa@mayo.edu

William Healey PT,EdD, GCS

b-healey@northwestern.edu

Bridge the Gap Conference Co-Chairs

Links:

https://www.aptaacutecare.org/page/bridgethegap

Attendee Pricing: APTA Acute Care Members $225, Non-Members $325, Students/Residents/Fellows $75

May 7th Webinar: The Path Isn’t Clear: The Complex Ethics of Palliative Care PT in the Hospital

https://www.aptaacutecare.org/events/EventDetails.aspx?id=1849536&group=

2025 Call for Nominations

https://cdn.ymaws.com/www.aptaacutecare.org/resource/resmgr/csm/csm_2024/cycle_2.pdf

Guest Quotes:

What's the origin story of the Bridge the Gap conference?

1:44 Melissa “There were gaps between kind of disseminating and implementing information from the classroom to the clinic, and then also from research published evidence into real world settings with all the barriers and constraints and things that go on within the health care system. And so thinking of those gaps we really sought to have a conference where people could come together around those topics and try to improve and, and bridge those gaps.”

On BTG Speakers

13:33 Melissa: “…we're really, really intentional about trying to get all kinds of different perspectives from different stakeholders. So we had rural, we have large hospital, we have administrators, we have clinicians we have academics who are trying to like take complex patients and how do we weave that into a curriculum? …we did our best to get a comprehensive view of what it means to take evidence and innovative ways and move it into practical application.”

Rapid Responses:

What's your favorite book that you'd recommend?

Bill: “The All Light We Cannot See” by Anthony Doerr

Melissa: “Lord of the Rings”

You know you work in acute care when:

Melissa: “You go to plan Z”

Bill: You’re tired from walking all over the floors.  I’m so tired at the end of the day.”

Connect with our hosts and the podcast!

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

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

a href="https://www.aptaacutecare.

Show Notes

Today’s Guests:

Haley Bento PT, DPT, Assistant Professor (clinical), Department of Physical Therapy and Athletic Training, University of Utah

Haley.bento@utah.edu

IG/“The Gram”: @utahcardioPTresidency ; @utahacutePTresident; @itshaleyDPT

Bryan Douglas Lohse, PT, DPT, Board-Certified Cardiovascular and Pulmonary Clinical Specialist, Therapy Services Mechanical Circulatory Support Advanced Practice Specialist

bryan.lohse@utah.edu

Paul Arnold, MOT, OTR/L

paul.arnold@hsc.utah.edu

Links:

Bento, Haley; Fisk, Elizabeth; Johnson, Emma; Goudelock, Bruce; Hunter, Maxwell; Hoekstra,

Deborah; Noren, Christopher; Hatton, Nathan; Magel, John. Inspiratory Muscle Training While

Hospitalized With Acute COVID-19 Respiratory Failure: A Randomized Controlled Trial. Journal of

Acute Care Physical Therapy ():10.1097/JAT.0000000000000217, May 01, 2023. | DOI:

10.1097/JAT.0000000000000217

Bento, Haley A. DPT1; Mayer, Kirby P. DPT, PhD2 Active Mobilization for Patients Requiring

Continuous Renal Replacement Therapy: Let Us Get Moving, Critical Care Medicine: January 2021 -

Volume 49 - Issue 1 - p e117-e118 doi: 10.1097/CCM.0000000000004670

Bento, H. A., Dummer, D., Lohse, B. D., Noren, C., & Tonna, J. E. (2020). Walking While Dialyzing: A

Retrospective Observation of Early Mobility and Ambulation for Patients on Continuous Renal

Replacement Therapy. Critical Care Explorations, 2(6). https://doi.org/10.1097/cce.0000000000000131

Tonna, J. E., Johnson, J., Presson, A., Zhang, C., Noren, C., Lohse, B., Bento, H., Barton, R., Nirula,

R., Mone, M., Marcus, R. (2019). Short-Term Clinical and Quality Outcomes Have Inconsistent

Changes From a Quality Improvement Initiative to Increase Access to Physical Therapy in the

Cardiovascular and Surgical ICU. Critical Care Explorations, 1(10).

https://doi.org/10.1097/cce.0000000000000055

Johnson, J. K., Lohse, B., Bento, H. A., Noren, C. S., Marcus, R. L., & Tonna, J. E. (2019). Improving

Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing.

Archives of Physical Medicine and Rehabilitation, 100(2), 270–277.

https://doi.org/10.1016/j.apmr.2018.07.437

Improving Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing - https://pubmed.ncbi.nlm.nih.gov/30172645/

Walking While Dialyzing: A Retrospective Observation of Early Mobility and Ambulation for Patients on Continuous Renal Replacement Therapy - https://pubmed.ncbi.nlm.nih.gov/32695996/

Too Many Patients, Not Enough Time: Prioritization to Optimize Outcomes  CSM handouts  -https://cdn.ymaws.com/www.aptaacutecare.org/resource/resmgr/csm/csm_2019/handouts/updated-bento-haley-too-many.pdf

Health System Council Webinar - Collaboration Without Co-Treatment: Creating Discipline-Specific Acute Care Therapy Teams - https://learningcenter.apta.org/products/health-system-council-webinar-collaboration-without-co-treatment-creating-discipline-specific-acute-care-therapy-teams

Guest Quotes:

4:50 Haley “We often co treat with OT and we maybe don't have a clear role of if that's beneficial for our professions and our patients.”

8:01 Paul  “But I think as occupational therapists, we maybe haven't been doing a very good job marketing ourselves and what we can do. And by always walking through the door together, PT and OT, I think it kind of muddies our practices, and it reduces our ability to be more specific and more potent with our treatment sessions.”

14:36  Bryan  “we all tell patients frequent, shorter bouts of activity  and, and if. If I know that Paul is going to go focus on this, on whatever he's doing with the patient, I'm going to titrate it so that maybe the patient just need...

Show Notes

Today’s Guests:

Jason Falvey PT, DPT, PhD

jfalvey@som.umaryland.edu

https://www.medschool.umaryland.edu/profiles/falvey-jason/

Twitter: @JayRayFalvey

Please look for Jason’s full speech in a future 2024 Journal of Acute Care Physical Therapy issue.

Guest Quotes:

2:44 “physical function is a really, really important predictor of how successfully people are going to transition to the next level of care. And when I say successful discharge, I don't just mean readmissions…if you ask patients what they care about, that's not necessarily what they're going to say is they're not going to say, I don't want to visit the hospital in the next 30 days. And then after that, I don't care.  They really care about being at home, being able to age in place successfully, being able to functionally improve. So PTs have a lot to do with, you know, helping patients reach their goals and things that are maybe not exactly the same as the things your hospital system says are important.”

6:54 “Acute care PTs never know what happens to that person when they leave. They can't close the loop on equipment or modifications or caregiver training that they recommend. And you're hoping that everything goes smoothly with a care, you know, transition where that person gets the home care that you recommended or goes to outpatient that you recommended. But you don't have You know value from your organization to say we're going to consider it productive time for you to call and follow up …”

15:26 “I think one of the issues I have with productivity systems that are built on touching people is we really have created a volume based model. And do you really feel like you're able to address every person's need comprehensively? When, you have, you know, more credit for initial evaluations or new patients or metrics to see every patient within 24, 48 hours, right, it's, if we started highlighting the value of these other things, maybe there's advocacy and support and budgets at the hospital for more therapists or people to take on different roles.”

Rapid Responses:

If you had to co treat with a cartoon character on a home health visit, which cartoon character would you co treat with?

“Oh, the genie from Aladdin for sure.”

You know you work in Post-acute care when:

You are working on a Sunday to get your last visit slash minute slash whatever you need to hit your metrics for the week are.

Connect with our hosts and the podcast!

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

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

a href="https://www.