Podcast Acnp terbaik (2024)

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Lightning rounds 46: Nick Ghionni on combating cognitive bias 55:40

6h ago55:40

55:40

We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 181: Physician Insights at CHEST 52:54

4d ago52:54

52:54

What do physicians understand of the ABCDEF bundle? What are their perceptions of early mobility? How are their teams practicing the ABCDEF bundle in their own units? What do physicians need to be able to lead an Awake and Walking ICU approach in their units?I interviewed physicians while attending the CHEST conference to find answers to these ques…

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Episode 123 - To Treat or Not to Treat: Hypertension 1:00:03

9d ago1:00:03

1:00:03

It can be difficult to determine whether you should treat undifferentiated hypertension or not. Many clinicians are distracted the number rather than focusing on the patient in front of them. Asymptomatic hypertension, in particular, is often benign. In fact, treating asymptomatic hypertension in a patient who a primary medical history of hypertens…

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Episode 80: Implementing the A-F bundle with Kali Dayton 58:08

14d ago58:08

58:08

We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@daytonicu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!…

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Episode 180: Leading the ABCDEF Bundle in Bangledash 35:48

16d ago35:48

35:48

What happens when a visionary physician in a low-resource hospital in Bangledash leads his team to practice the ABCDEF bundle? How did this passionate team of ICU clinicians transform their care from automatic sedation and immobility to standardized mobility three times a day? How did they come to treat mobility as important and optional as an anti…

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Lightning rounds 45: Noelia Bischoff on transitioning nursing roles 38:55

28d ago38:55

38:55

We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 179: The Legal Liability of Failing to Practice the ABCDEF Bundle 56:24

29d ago56:24

56:24

Fear of “liabilities” is often a barrier to keeping patients awake and mobile in the ICU. Yet, we know that the ABCDEF is evidence-based best practices. So what are the legal liabilities to a hospital, leadership, and bedside clinicians of current cultural practices? Maggie Ortiz, MSN, RN joins us now to share her expert perspective. Find Maggie at…

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Episode 122 - Stay Positive When Preoxygenating (PREOXI Trial) 1:01:23

1M ago1:01:23

1:01:23

The principles of preoxygenation and passive oxygenation should be familiar to any experienced intubator. Best practice recommends the use of a nasal cannula in conjunction with either a non-rebreather mask or bag-valve mask (BVM) to prevent hypoxemia during the apneic phase of Rapid Sequence Intubation (RSI). In the PREOXI Trial, the authors pushe…

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Episode 79: Transfusion reactions with Joe Chaffin 55:54

1M ago55:54

55:54

We discuss transfusion reactions, risks, and management, including infection, consent, TRALI, TACO, and hemolytic reactions—with Dr. Joe Chaffin (@bloodbankguy), the “Blood Bank Guy” and transfusion medicine specialist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons…

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Levophed: What you need to know 35:07

1M ago35:07

35:07

We dive deep into everything you need to know about Levophed. From how it works to how we use it.

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Episode 178: The Power of Nursing Leadership to Revolutionize the ICU 1:06:06

2M ago1:06:06

1:06:06

Although the ABCDEF bundle does not solely rest on the shoulders of nurses, their leadership is KEY. Andrea Silva, BSN, RN shares with his her journey to revolutionizing care in her ICU as an assistant nurse manager. Www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support…

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Lightning rounds 44: Post-intubation sedation roundup 32:00

2M ago32:00

32:00

Experts in critical care share their approach to post-intubation sedation. Contributors: Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 177: New Grad RN Helps Lead the Revolution in His ICU 47:51

2M ago47:51

47:51

The ICU is an overwhelming and daunting environment to start a new career. While learning so many new skills from experienced mentors, how did Michael Glade, RN, BSN also see past “what is done” to “what should be done” in his ICU? Michael shares with us what led him to help lead the revolution in his ICU. Www.DaytonICUConsulting.com --- Support th…

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Episode 121 - Outside the Box: Cardiac Arrest Management 46:51

2M ago46:51

46:51

Not all cardiac arrests are created equal. Whether the presenting rhythm is asystole, ventricular fibrillation, or PEA, these patients require tailored interventions beyond "blanket" protocol and ACLS/PALS algorithms. When refractory to conventional therapy, the pulseless V-Tach/V-Fib patient, in particular, requires critical thinking "outside the …

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Episode 78: Echoing the RV with Matt Siuba 55:29

2M ago55:29

55:29

We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba (@msiuba), intensivist at the Cleveland Clinic and master of zentensivism. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessonsOleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 176: ICU Survivor to ICU Physical Therapist- Hope’s Journey to Revolutionizing Her ICU 52:16

3M ago52:16

52:16

https://Www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

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Lightning rounds 43: AI in medicine, with Nawar Shara 56:43

3M ago56:43

56:43

We explore the fascinating world of artificial intelligence and its role in medicine, with Nawar Shara (@NawarShara), PhD, Chief of Research Data Science at Medstar Health Research Institute and cofounding director of the AI Collab between Medstar and Georgetown. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch her…

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Special episode: The Intensive Care Academy 22:10

3M ago22:10

22:10

We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 175: Physiologists Leading the ECMO Revolution! 46:54

3M ago46:54

46:54

Ilija Klipa MS, ACSM-CEP,ACSM-EP,ACSM EIM III, AACVPR-CCRP is a cardiac/pulmonary physiologist a high-acuity cardiac ICU. He shares his journey in pioneering physiology in the ICU as well as leading the revolution to create an Awake and Walking ICU. Check out Ilija's upcoming 30-credit ECMO mobility courses here: https://cme.ahn.org/content/extraco…

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Episode 77: Mastering APRV with Rory Spiegel 1:02:11

3M ago1:02:11

1:02:11

We discuss the practicalities of using airway pressure release ventilation (APRV) with Dr. Rory Spiegel (@EMnerd_), emergency physician and intensivist at MedStar Washington Hospital Center (and EMNerd at Emcrit). Find us on Patreon here! Buy your merch here! Takeaway lessonsOleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 174: Delirium Mismanagement for LOE Patients Exacerbate Racial Disparities in the ICU 50:37

4M ago50:37

50:37

When patients have a primary language other than English (LOE), how does this impact their access to the ABCDEF bundle? Is it standardized to provide nonverbal communication in other languages in the hospital? Emily Ahrens, MS, RN, CCRN joins us now to dive deep into her post-doctoral studies dedicated to this gap in critical care medicine. Episode…

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Lightning rounds 42: Hospital chaplains, with Christine V. Davies 47:49

4M ago47:49

47:49

We learn about the training, role, and benefits of hospital chaplains, with Christine V. Davies, MDiv, MSW, Director of Chaplaincy at Robert Wood Johnson University Hospital. Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 120 - Sorry, We Are Closed: Interfacility Transfers w/Austin Wingate 1:04:17

4M ago1:04:17

1:04:17

Interfacility transfers are not always indicated at the time and place of which they are being requested. Whether it's referring provider misinformation or a lack of advocacy by the transport agency, these transfers can result in unnecessary risk for crew members and patients. Specifically, weather conditions, time of day, crew fatigue, and other i…

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Episode 173: ICU Outcomes by Dose of Mobility 56:08

4M ago56:08

56:08

We know that for each additional 10 minutes of early mobility in the ICU, hospital length of stay decreases by 1.2 days. What else do we know about the relationship between dose of mobility and time on the ventilator? Sarina Fazio, PhD, RN, shares with us her exciting discoveries in her latest research. Episode transcripts and citations at: Www.day…

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Episode 76: Rehabilitation psychology, with Megan Hosey 42:42

4M ago42:42

42:42

We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyPhD), clinical psychologist and assistant professor at Johns Hopkins School of Medicine, where she practices in the medical ICU. Find us on Patreon here! Buy your merch here! Takeaway lessons Resources…

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Founders, Leaders and Futurists in Palliative Care: Connie Dahlin, Jay Vanston, Mary Lynn McPherson 27:41

4M ago27:41

27:41

Constance Dahlin, MSN, ANP-BC, ACHPN®, FPCN, FAAN is a consultant to the Center to Advance Palliative Care, a palliative nurse practitioner at North Shore Medical Center and co-director of the Palliative APP Externship. Vincent Jay Vanston, MD FAAHPM HMDCB has been working in the field of Hospice and Palliative Medicine for over 25 years. His work …

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Episode 172: RN Insights at NTI 54:54

5M ago54:54

54:54

While walking the halls full of critical nurses at AACN’s NTI conference, I had get their insights and perspectives. This episode is full of interviews with anonymous ICU nurses from all over the USA. Www.DaytonICUConsulting.com--- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support…

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Lightning rounds 41: Respiratory therapy with Keith Lamb 40:14

5M ago40:14

40:14

We explore the profession of respiratory therapy in the US, including their role and training and how to optimize our clinical relationships, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Keith is an RT at the University of Virginia in Charlottesville, working clinically in neuro/surgical/trauma critical care, who has been active in resea…

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TIRBO 62: The sweet spot for learning 17:22

5M ago17:22

17:22

Responsible self-directed learning occurs in a zone between comfort and novelty. Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 171: The Power of Autonomy and Human Connection During ECMO 29:10

5M ago29:10

29:10

Check out this episode with @Christinecasiano as she shares the contrast between being sedated vs. being awake while on ECMO. Register for the monthly ICU Revolutionists zoom meetings here: https://us02web.zoom.us/meeting/register/tZ0oc-6gqzsrGNYdgMGXvVAbcjewZpNpc6PC--- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromth…

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Episode 75: Automatic tube compensation, with Ben Fabry 56:54

5M ago56:54

56:54

We discuss the principles and application of automatic tube compensation (ATC) on modern ventilators, with its creator Ben Fabry. Dr. Fabry is a professor and chair of biophysics at University of Erlangen-Nuremberg, originally trained as an electrical engineer, who originally developed ATC as part of his PhD program. Find us on Patreon here! Buy yo…

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TIRBO 61: How to use POCUS (our expert consensus) 23:06

5M ago23:06

23:06

Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 74: Obstructive shock, with Sarah Lorenzini (Nurses’ Podcrawl 2024) 49:54

6M ago49:54

49:54

Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock. Check out the other episodes on shock in the Nurses’ Podcrawl 2024! Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Lightning rounds 40: Critical care medicine fellowships with Nicholas Ghionni 39:10

6M ago39:10

39:10

We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here!…

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Episode 170: A Timeline Through the History of ABCDEF Bundle- Building the Future of Awake and Walking ICUs 31:46

6M ago31:46

31:46

It has been claimed that ICU early mobility is a "new and temporary fad". Is walking intubated patients really that new? Let's start in 1970 and work our way through decades of research that continues to reaffirm that true mastery of the ABCDEF bundle gives patients the best chance to survive and thrive in and after the ICU. Episode citations and t…

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Episode 119 - Losses and Gains: Antidiuretic Hormone 43:50

6M ago43:50

43:50

Antidiuretic hormone (ADH) plays an essential part in the body's osmotic/fluid balance, sodium homeostasis, and blood pressure regulation. This hormone is synthesized in the hypothalamus and released from the posterior pituitary gland. In conditions such as Diabetes Insipidus (DI) and Syndrome of Inappropriate ADH (SIADH), there is a lack of synthe…

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Toxicity in Critical Care, NCLEX Prep, and Building Community Online with Kevin Gibson, The Boot Nurse 53:09

6M ago53:09

53:09

Join us for an enlightening and candid conversation with the remarkable Kevin Gibson, better known as The Boot Nurse, in his triumphant return appearance on the show! In this episode, Kevin opens up about his challenging experiences working in the ICU, navigating through toxic workplace dynamics, grappling with unresponsive management, and confront…

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TIRBO 60: They don’t care about you 13:00

6M ago13:00

13:00

The difference between people and institutions. Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 169: Intubated in Your Own ICU 27:56

6M ago27:56

27:56

What is like to be intubated in your own ICU? Even when the environment and team are well known, what does an intensivist turned patient experience? Dr. Meta van der Woude shares with us her personal journey through the ICU. Www.daytonicuconsulting.com--- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support…

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Episode 73: POCUS for nephrology, with Abhilash Koratala 53:51

6M ago53:51

53:51

We discuss the role of point-of-care ultrasound in evaluating the patient with kidney injury and assessing volume status, with Abhilash Koratala (@nephroP), nephrologist, Director of Clinical Imaging for Nephrology at the Medical College of Wisconsin, and champion of nephrology-focused ultrasound. Find us on Patreon here! Buy your merch here! Takea…

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(re)Introductions 4:46

7M ago4:46

4:46

A little teaser on what to expect from the podcast relaunch.

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TIRBO 59: How we make the podcast 20:35

7M ago20:35

20:35

The nuts and bolts of how we produce the show. Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 168: I Was Reported to the Board of Nursing! 1:36:32

7M ago1:36:32

1:36:32

What happened when I was reported to the board of nursing for advocating for early mobility in the ICU? What are the roots of these concerns and this report? How does social media impact culture and practices in the ICU? Jess Hren, BSN, RN, Jenna Hightower, DPT, CCS, Phillip Gonzalez, MOT, OTR/L, BCPR discuss why I was reported to the board of nurs…

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Lightning rounds 39: Understanding flight medicine with Jace Mullen 52:09

7M ago52:09

52:09

We explore critical care transport medicine from both a clinical and career perspective, including helicopters (HEMS), fixed wing jet, and ground ambulance transports, with Jace Mullen, flight paramedic and airway educator out of Denver. Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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TIRBO 58: Difficult cases 13:02

7M ago13:02

13:02

When do patients deaths bother us?Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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Episode 167: Breaking Barriers with Walking with Trans-Femoral IABP/Devices- The Ramsey Protocol with Stephen Ramsey 50:34

7M ago50:34

50:34

Is it save to mobilize patients with trans-formal devices such as balloon pumps, impellas, and ECMO? Who was the first person to dare to ask, "Why can't we mobilize patients with trans-femoral balloon pumps?" Stephen Ramsey, PT, DPT, CCS shares with us his journey to developing the Ramsey protocol and revolutionizing mobility in the CVICU. Episode …

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Episode 72: CPR-induced consciousness with Jack Howard 41:21

7M ago41:21

41:21

Find us on Patreon here! Buy your merch here! We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert g…

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Episode 118 - Trigger Warning: Angioedema 46:54

7M ago46:54

46:54

Angioedema is defined by upper airway swelling secondary to an immune response. The trigger and subsequent physiological response are how we categorize it. In this podcast, we discuss how to diagnose and treat both types: IgE/Histamine-mediated and Bradykinin-mediated. We also touch on how to address the difficult airway that may or may not lead to…

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Building a Business and a Legacy with Nurse Stephanee Beggs 44:56

7M ago44:56

44:56

🌟Stop what you’re doing, because today we're diving into the life of the one and only Stephanee Beggs, CEO of RNExplained, Forbes 30 under 30 sensation, social media influencer, and ER nurse. Yeah, she does it all and she’s really cool, too. 🚀 In this episode, Steph tells Adrianne about how she unexpectedly transformed her personal study methods in…

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TIRBO 57: Volume vs pressure control 19:14

7M ago19:14

19:14

Should you use volume or pressure control ventilation? Find us on Patreon here! Buy your merch here!Oleh Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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