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
Walking Home From The ICU
Claim This Podcastby Kali
4.8(101 reviews)
214 episodes
Updated Weekly
Accepts GuestsHas Sponsors
71
Podcast Authority
BetaGoodBased on show quality, social media presence, reviews, charts, and more
Quality74
Social0
YouTube76
Engagement92
Podcast Overview
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
🇺🇲
Publishing Since
2/1/2020
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71
Podcast Authority
BetaGoodBased on show quality, social media presence, reviews, charts, and more
Quality74
Social0
YouTube76
Engagement92
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excellent
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1h 4m
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Recent Episodes
June 11, 2026
Episode 215: Penthouse Incarceration: Anjan's Journey Through Post-ICU Recovery
Anjan Chatterjee shares his harrowing post-ICU recovery journey, detailing the psychological and physical challenges of delirium, muscle loss, and isolation after a traumatic brain injury.
May 11, 2026
Episode 214: Translating the ICU with Stephen Ramsey- Part 2
<p><strong>Walking Home from the ICU </strong></p><p><strong>Translating the ICU with Stephen Ramsey Part 2: ICU Case Study</strong></p><p><strong>Guest:</strong> Stephen Ramsey, PT </p><p>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. </p><p><br></p><p>Using the <strong>MENTOR framework</strong>, Stephen walks through how rehab clinicians should approach critically ill patients — from chart review to interdisciplinary communication to real-time clinical decision-making.</p><p>A structured approach for PT/OT clinical reasoning in the ICU:</p><ul><li><strong>M – Map the Story</strong>: Thorough chart review and understanding the patient's full history</li><li><strong>E – Expose the Unknowns</strong>: Identify gaps and questions before entering the room</li><li><strong>N – Narrate Your Reasoning</strong>: Verbalize your clinical thinking to colleagues and the medical team</li><li><strong>T – Test the Theory</strong>: Treat PT/OT as an assessment, not just an intervention — mobilize to observe physiologic response</li><li><strong>O – Observe for Signals</strong>: Monitor real-time hemodynamic and respiratory responses</li><li><strong>R – Review with the Team</strong>: Debrief after every session, whether it went well or not</li></ul><p>Stephen walks Kali and the audience through a real case study using the MENTOR framework. </p>
April 7, 2026
Translating the ICU with Stephen Ramsey: Part 1
<p><br></p><p><strong>Walking Home from the ICU Podcast</strong>Translating the ICU with Stephen Ramsey — Series 1, Episode 1</p><p><strong>Episode Summary</strong></p><p>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.</p><p><strong>Key Topics Covered</strong></p><ul><li><strong>Introducing "Translating the ICU"</strong> — a new podcast series focused on physiology, pathophysiology, and critical thinking applied to real and theoretical ICU case studies</li><li><strong>CSM 2024 recap</strong> — 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</li><li><strong>The case for dedicated ICU rehab staffing</strong> — why rotating therapists undermine momentum, relationships, and patient outcomes</li><li><strong>PT/OT education gaps in critical care</strong> — invasive hemodynamics, pharmacology, diagnostic imaging, and ventilator management are largely absent from training</li><li><strong>Competency vs. potential</strong> — why redefining practice standards matters more than questioning individual intelligence or capability</li><li><strong>Mobility as a physiology test</strong> — Steven's framework for PT as "physiology tester," using mobilization to generate clinical data and drive medical decision-making</li><li><strong>Johnson 2019 data</strong> — dedicated CVICU PT/OT staffing increased from 2 to 4 clinicians → ICU length of stay decreased by 3.6 days</li><li><strong>The 2025 meta-analysis</strong> (60+ RCTs, ~8,500 patients) — timing matters more than intensity in early mobility</li><li><strong>Ventilator management and SBTs</strong> — why PTs need to understand spontaneous breathing trials and provide physiologic feedback before extubation decisions</li><li><strong>Building trust on the ICU team</strong> — demonstrating competency through relationships, not just credentials</li><li><strong>Barriers facing revolutionists</strong> — fear of mistakes, leadership pressure, staffing rotations, and how to push forward anyway</li></ul><p><strong>Resources & People Mentioned</strong></p><p>- Steven Ramsey — <a href="https://www.thefocuspt.com/">@ThePOCUSPT</a> | The Ramsey Protocol | ELSO Guidelines</p><ul><li>Kali Dayton — <a href="https://www.daytonicuconsulting.com/">DaytonICUConsulting.com</a></li><li>Christina Perme's ICU Rehab Course</li><li>Heidi Engel & Jenna Hightower</li><li>Johnson 2019 CVICU staffing study</li><li>2025 early mobility meta-analysis (60+ RCTs)</li></ul><p><strong>Connect & Work With Us</strong></p><ul><li><strong>Consult with Kali</strong> on transforming your ICU's sedation and mobility practices → <a href="https://www.daytonicuconsulting.com/">DaytonICUConsulting.com</a></li><li><strong>Coaching with Ste</strong><strong>phen</strong><strong> Ramsey</strong> — one-on-one or team sessions for ICU rehab staff → www.DaytonICUConsulting.com and @ThepocusPT</li><li><strong>Online courses</strong> — coming soon from both Kali and Stephen</li><li><strong>Critical care ultrasound course</strong> for ICU clinicians — available now at ThePocusPT.com</li></ul><p>Follow Kali on Instagram for open discussion, anonymous Q&A, and cross-disciplinary ICU conversations.</p><p><br></p>
214 total episodes available with 5 transcripts
Recent guests on Walking Home From The ICU
Guests from recent episodes — sign up to see every guest that has ever appeared on this show.
Anjan Chatterjee
Guest
Dr Nick Ghionni
Guest
Molly
Guest
Kaira
Guest
Karen Mack
Guest
Dr. Jodi Coates
Guest
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- What is Walking Home From The ICU?
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This podcast updates weekly.
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This podcast is available on 10 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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