Walking Home From The ICU

Kali
  • 4.8 (72)
  • Medicine
  • Updated Bimonthly

Kali Dayton, DNP, ACNP-BC, is an ICU nurse practitioner and consultant on a mission to create Awake and Walking ICUs. She hands the microphone to ICU survivors and bedside caregivers to reveal the realities of ICU experience and patients' journeys after discharge. The big picture of sedation and immobility is discussed and we explore how to improve short and long-term patient outcomes. We shift the vision from transferring out of the ICU to walking straight home after the ICU. www.DaytonICUconsulting.com

  1. 2d ago

    Episode 215: Penthouse Incarceration: Anjan's Journey Through Post-ICU Recovery

    From 180 lbs at peak athleticism, intelligence, and financial prosperity — to 120 lbs, isolated and locked in his penthouse. Anjan Chatterjee tells the harrowing reality of life during and after prolonged sedation in the ICU. Most people think surviving the ICU is the hard part. For Anjan, it was only the beginning. On August 14th, 2022, a routine run ended with a slip, a fall, and a traumatic brain injury that left him clinically dead — resuscitated only because his dog, Kingston, wouldn't stop barking. What followed was two weeks in a medically induced coma, seizures, facial fractures, and a mind that couldn't tell dreams from reality. He woke up convinced he'd been arrested, shot at by police, and sentenced to death. He burst through hand restraints. It took 14 nurses to hold him down. Then he was discharged — to a psychiatric ward — still hallucinating, still terrified, and completely alone. "I sat in this lavish penthouse, and I was a prisoner. I didn't talk to a single soul for six months." In this episode, Anjan opens up about the psychological and physical toll of post-ICU syndrome — the delirium, the 60-lb muscle loss, the cardiac deconditioning, the brain fog, and the crushing isolation that followed. No referrals. No support. No one who believed him. Just a man, his trauma, his dog, and four walls at the top of a building. This is a story about what it really means to survive — and what it takes to actually come back. Stay tuned for upcoming online courses! www.DaytonICUConsulting.com

    30 min

  2. May 11

    Episode 214: Translating the ICU with Stephen Ramsey- Part 2

    Walking Home from the ICU Translating the ICU with Stephen Ramsey Part 2: ICU Case Study Guest: Stephen Ramsey, PT In Part 2 with Stephen Ramsey, physical therapist and ICU mobility expert, the discussion dives into a complex cardiothoracic ICU case Stephen presented at APTA's CSM conference. Using the MENTOR framework, Stephen walks through how rehab clinicians should approach critically ill patients — from chart review to interdisciplinary communication to real-time clinical decision-making. A structured approach for PT/OT clinical reasoning in the ICU: M – Map the Story: Thorough chart review and understanding the patient's full historyE – Expose the Unknowns: Identify gaps and questions before entering the roomN – Narrate Your Reasoning: Verbalize your clinical thinking to colleagues and the medical teamT – Test the Theory: Treat PT/OT as an assessment, not just an intervention — mobilize to observe physiologic responseO – Observe for Signals: Monitor real-time hemodynamic and respiratory responsesR – Review with the Team: Debrief after every session, whether it went well or notStephen walks Kali and the audience through a real case study using the MENTOR framework.

    54 min

  3. Apr 7

    Episode 213: Translating the ICU with Stephen Ramsey- Part 1

    Walking Home from the ICU PodcastTranslating the ICU with Stephen Ramsey — Series 1, Episode 1 Episode Summary Kali Dayton officially welcomes Stephen Ramsey — CVICU physical therapist, creator of the Ramsey Protocol, and lead author of the ELSO guidelines — as the newest member of the Dayton ICU Consulting team. In this kickoff episode of Translating the ICU, Kali and Stephen explore why physical therapists and occupational therapists are often rotating generalists in the ICU rather than dedicated specialists, and what needs to change to elevate rehab's impact on critically ill patients. Key Topics Covered ​Introducing "Translating the ICU" — a new podcast series focused on physiology, pathophysiology, and critical thinking applied to real and theoretical ICU case studies​CSM 2024 recap — Stephen’s talks on redefining PT's role in the ICU and point-of-care ultrasound; Kali's panel on what early mobility should actually look like​The case for dedicated ICU rehab staffing — why rotating therapists undermine momentum, relationships, and patient outcomes​PT/OT education gaps in critical care — invasive hemodynamics, pharmacology, diagnostic imaging, and ventilator management are largely absent from training​Competency vs. potential — why redefining practice standards matters more than questioning individual intelligence or capability​Mobility as a physiology test — Steven's framework for PT as "physiology tester," using mobilization to generate clinical data and drive medical decision-making​Johnson 2019 data — dedicated CVICU PT/OT staffing increased from 2 to 4 clinicians → ICU length of stay decreased by 3.6 days​The 2025 meta-analysis (60+ RCTs, ~8,500 patients) — timing matters more than intensity in early mobility​Ventilator management and SBTs — why PTs need to understand spontaneous breathing trials and provide physiologic feedback before extubation decisions​Building trust on the ICU team — demonstrating competency through relationships, not just credentials​Barriers facing revolutionists — fear of mistakes, leadership pressure, staffing rotations, and how to push forward anywayResources & People Mentioned - Steven Ramsey — @ThePOCUSPT | The Ramsey Protocol | ELSO Guidelines ​Kali Dayton — DaytonICUConsulting.com​Christina Perme's ICU Rehab Course​Heidi Engel & Jenna Hightower​Johnson 2019 CVICU staffing study​2025 early mobility meta-analysis (60+ RCTs)Connect & Work With Us ​Consult with Kali on transforming your ICU's sedation and mobility practices → DaytonICUConsulting.com​Coaching with Stephen Ramsey — one-on-one or team sessions for ICU rehab staff → www.DaytonICUConsulting.com and @ThepocusPT​Online courses — coming soon from both Kali and Stephen​Critical care ultrasound course for ICU clinicians — available now at ThePocusPT.comFollow Kali on Instagram for open discussion, anonymous Q&A, and cross-disciplinary ICU conversations.

    55 min

  4. Mar 26

    Episode 212: Awake and Walking ICUs- What's in it for Nurses?

    We know that the ABCDEF Bundle gives patients the best chance to survive and thrive. Yet, persistent hesitation regarding "increased RN workload and burden" remain significant barriers. Is this belief true? Are sedation and immobility better, easier, and safer for nurses? Let's dive into Awake and Walking ICUs and what's in it for nurses. Listen to more nurses share their comparison in workload and burden in episodes 76, 114, and 185! Nursing Video  https://youtu.be/5zBdDVo2pyY?si=eDJxid0A5aWLwc0y Interested in consulting, training, online courses and/or symposiums in your ICU? Check out www.DaytonICUConsulting.com!

    26 min

  5. Mar 6

    Episode 211: The Proper Care and Feeding of Families and Survivors - Cathy and Eli's Journey Through an Amniotic Fluid Embolism and ECMO

    Critical illness impacts not only the patient in the bed but also their entire family during and after the ICU. Eli and Cathy Garrison join us to share their young family's course of twists and turns of an amniotic fluid embolism to long-term disability. Check out Cathy's podcast at: Birth Trauma Stories www.DaytonICUConsulting.com

    1h 37m

  6. Feb 3

    Episode 210: Beds Are Evil: Revolutionizing ICU Recovery with Personalized Nutrition, Exercise, and Anabolic Therapy with Dr. Paul Wishmeyer

    In this groundbreaking episode, Dr. Paul Wischmeyer returns to share the incredible developments in ICU nutrition and rehabilitation that are transforming patient recovery. As both a critical care physician and ICU survivor, Dr. Wischmeyer brings unique insight into what it takes to truly help patients recover from critical illness.www.DaytonICUConsulting.com Get your CE credits from listening to this episode here: SapienCE

    53 min

  7. Jan 7

    Episode 209: Pioneering the Role of a Licensed Mental Health Therapist in the ICU with Stephanie Jacques, LMT

    What if we had an expert continually present in the ICU dedicated to caring for the mental and spiritual health of families, patients, and staff in the ICU? How would this impact stress, grief, and trauma in the ICU? How would this kind of support impact patient and family experiences, outcomes, and staff morale and burnout? Stephanie Jacques, LMT, joins us now to share her expertise, experience, and pioneer legacy. www.DaytonICUConsulting.com Get CME for this episode at SapienCE!

    52 min

  8. 11/28/2025

    Episode 208: From Survivor to Revolutionist- an ICU Nurse's Reflections on Both Sides of the ICU Bed

    Erika Breivogel's journey through the ICU as a patient forever changed her as a person as well as transformed the care she now gives as an ICU nurse. In this episode she inspires up with her reflections of ICU culture vs. patient reality and what moves her to keep fighting the ICU revolution. www.DaytonICUConsulting.com Get CE credit for listening to this episode and unlimited other learning experiences here: SapienCE Reflecting Learning | Unleash Your Inner Sage

    1h 2m
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Kali Dayton, DNP, ACNP-BC, is an ICU nurse practitioner and consultant on a mission to create Awake and Walking ICUs. She hands the microphone to ICU survivors and bedside caregivers to reveal the realities of ICU experience and patients' journeys after discharge. The big picture of sedation and immobility is discussed and we explore how to improve short and long-term patient outcomes. We shift the vision from transferring out of the ICU to walking straight home after the ICU. www.DaytonICUconsulting.com

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