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Walking Home From The ICUAuthor: Kali
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 Language: en Genres: Health & Fitness, Medicine Contact email: Get it Feed URL: Get it iTunes ID: Get it Trailer: |
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Translating the ICU with Stephen Ramsey: Part 1
Tuesday, 7 April, 2026
Walking Home from the ICU PodcastTranslating the ICU with Stephen Ramsey — Series 1, Episode 1Episode SummaryKali 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 CoveredIntroducing "Translating the ICU" — a new podcast series focused on physiology, pathophysiology, and critical thinking applied to real and theoretical ICU case studiesCSM 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 likeThe case for dedicated ICU rehab staffing — why rotating therapists undermine momentum, relationships, and patient outcomesPT/OT education gaps in critical care — invasive hemodynamics, pharmacology, diagnostic imaging, and ventilator management are largely absent from trainingCompetency vs. potential — why redefining practice standards matters more than questioning individual intelligence or capabilityMobility as a physiology test — Steven's framework for PT as "physiology tester," using mobilization to generate clinical data and drive medical decision-makingJohnson 2019 data — dedicated CVICU PT/OT staffing increased from 2 to 4 clinicians → ICU length of stay decreased by 3.6 daysThe 2025 meta-analysis (60+ RCTs, ~8,500 patients) — timing matters more than intensity in early mobilityVentilator management and SBTs — why PTs need to understand spontaneous breathing trials and provide physiologic feedback before extubation decisionsBuilding trust on the ICU team — demonstrating competency through relationships, not just credentialsBarriers facing revolutionists — fear of mistakes, leadership pressure, staffing rotations, and how to push forward anywayResources & People Mentioned- Steven Ramsey — @ThePOCUSPT | The Ramsey Protocol | ELSO GuidelinesKali Dayton — DaytonICUConsulting.comChristina Perme's ICU Rehab CourseHeidi Engel & Jenna HightowerJohnson 2019 CVICU staffing study2025 early mobility meta-analysis (60+ RCTs)Connect & Work With UsConsult with Kali on transforming your ICU's sedation and mobility practices → DaytonICUConsulting.comCoaching with Stephen Ramsey — one-on-one or team sessions for ICU rehab staff → www.DaytonICUConsulting.com and @ThepocusPTOnline courses — coming soon from both Kali and StephenCritical 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.
