Tilt Talk

Jarett Armstrong, Jenna Hightower, Phillip Gonzalez, Becky Rimert

Tilt Talk – The Future of Critical Care Tilt Talk is the podcast where we explore how verticalization therapy is transforming the ICU. Each episode dives into the science, stories, and strategies behind the Total Lift Bed and the growing movement toward early mobility in critical care. From ECMO and ARDS patients to complex cases requiring advanced support, Tilt Talk brings you insights from clinicians, innovators, and thought leaders who are reshaping outcomes and setting new standards of care.

Episodes

  1. 12/11/2025

    Tilt Talk Episode 6 (Guest Stephen Ramsey)

    🎙️ VitalGo’s Tilt Talk — Episode: Advancing ECMO Mobility: Inside the New ELSO Rehabilitation & Mobilization Guidelines Guest: Dr. Stephen Ramsey In Part 2 of our special series with Dr. Stephen Ramsey, Tilt Talk explores one of the most significant recent advancements in critical care: the development of the ELSO ECMO Rehabilitation and Mobilization Guidelines. As a key contributor, Dr. Ramsey provides an insider’s look at how these landmark guidelines came together—and why they matter now more than ever. In this episode, we unpack:     •    The origin story of the guidelines: how the idea formed, the clinical questions that drove the initiative, and the collaborative process that shaped the final document     •    The multidisciplinary team behind the work, highlighting the global experts who brought diverse perspectives and frontline experience     •    The evidence base: what current research shows about early mobility, safety, and functional outcomes for ECMO-supported patients     •    What the guidelines include, from risk stratification to progression pathways to best practices for mobilizing even the sickest patients     •    Why verticalization matters—and how Dr. Ramsey emphasizes its role as a cornerstone of modern ECMO care, supporting early physiologic engagement and safer mobilization in complex cases Dr. Ramsey also shares remarkable patient stories that illustrate the power of thoughtful, compassionate, mobility-focused care—from day-one humanization to the moment of discharge. His insights offer both practical guidance and meaningful reminders of the “why” behind advancing rehabilitation in critical care. Whether you’re implementing ECMO mobility practices or looking to elevate your current program, this episode sheds light on the science, collaboration, and heart behind the newest ELSO standards—and the evolving future of ECMO care.

    40 min
  2. 12/02/2025

    Tilt Talk Episode 5 (guest Stephen Ramsey)

    🎙️ VitalGo’s Tilt Talk — Episode: The Ramsey Protocol for Safe Ambulation of Femoral IABP Patients Guest: Dr. Stephen Ramsey In this powerful and highly practical episode of Tilt Talk, we sit down with Dr. Stephen Ramsey—the driving force behind what is now widely known as The Ramsey Protocol for the safe and progressive ambulation of patients supported by femoral Intra-aortic Balloon Pumps (IABPs). Dr. Ramsey takes us on a journey from the early days of the protocol’s development to its current use across leading cardiovascular units. We explore the clinical questions that sparked the protocol, the evolution of key milestones, and the real-world data now validating its impact on patient mobility, safety, and outcomes. Listeners will hear:     •    The history of The Ramsey Protocol and why traditional mobility restrictions needed to be challenged     •    The step-by-step progression, from first tilt to full ambulation, including essential safety considerations     •    Practical modifications clinicians have adopted to tailor the approach to unique patient populations     •    Up-to-date evidence demonstrating improved patient outcomes and reduced complications     •    Humanizing mobility, with stories of patients who regained autonomy, confidence, and hope through structured early ambulation     •    And of course, how the Total Lift® Bed plays an integral role—supporting gradual mobilization, standardizing practice, and making safe mobility possible even for the most fragile patients. Whether you’re new to IABP mobilization or looking to refine your current practice, this episode delivers everything from “how-to” protocol specifics to high-level insights on culture change and patient-centered care. Join us as Dr. Ramsey shares the wisdom, data, and heart behind a protocol that is reshaping what’s possible in critical care mobility.

    40 min

About

Tilt Talk – The Future of Critical Care Tilt Talk is the podcast where we explore how verticalization therapy is transforming the ICU. Each episode dives into the science, stories, and strategies behind the Total Lift Bed and the growing movement toward early mobility in critical care. From ECMO and ARDS patients to complex cases requiring advanced support, Tilt Talk brings you insights from clinicians, innovators, and thought leaders who are reshaping outcomes and setting new standards of care.