ImproveLTO

Improving Long-Term Outcomes Research for Acute Respiratory Failure: Johns Hopkins Outcomes After Critical Illness & Surgery(OACIS) project funded by NIH/NHLBI

[Hopkins ICU Rehab @icurehab]

Early Respiratory Physiotherapy and Mobilization in Mechanically Ventilated ICU Patients: A Before-After Study of Ventilation, ICU Weakness, and Survival Outcomes https://t.co/zeqrIdEGnq #icurehab #A2Fbundle

[Alasdair MacLullich @A_MacLullich]

A 4AT score can be given even to a person who is too drowsy or unwell to answer questions. The 4AT is a short bedside test for delirium.

If the person is clearly drowsy or agitated, the alertness part scores 4 on its own, and a total of 4 or more suggests delirium.

If the person is unable to answer a part, such as the questions about age, date of birth, place and year, or the months backwards, that part scores 2 instead of being left blank.

The 4AT guide says no patient with delirium is 'unable to assess'. A score can always be given.

[APTA Acute Care @AcuteCareAPTA]

🩺 Join APTA Acute Care tomorrow, Nov. 10, at 7:30 PM ET for Talk with a Doc featuring Dr. Rania Farhat!

Explore Post-ICU Syndrome (PICS), risk factors, and the role of post-ICU clinics in patient recovery.

🔗 Register: https://t.co/L4tI0sZB5J

#APTAAcuteCare

[Alasdair MacLullich @A_MacLullich]

Myth: a score of 4 or more on the 4AT means the person has delirium.

Fact: a score of 4 or more suggests delirium and should lead to a clinical assessment. A clinician makes the diagnosis, using judgement and the whole picture.

People with severe dementia can score 4 without delirium, because they may be unable to do the age and months questions. Staff then look at whether there has been a recent change.

[Spencer Freeman @SGFesquire]

Ten years ago, I couldn’t walk, speak, or scratch my own face.

Today, I spoke at Johns Hopkins about the extraordinary people who helped me reclaim my life.

Rehabilitation is more than movement. It’s dignity, connection, and freedom.

Grateful for @KellyCasey_OT @DrDaleNeedham @icurehab

[Dale Needham, MD, PhD @DrDaleNeedham]

Great oral abstract presentation by
@SGFesquire at @icurehab conference

A vivid discussion of the
patient perspective of
severe critical illness including
delirium & mobility

[Spencer Freeman @SGFesquire]

https://t.co/M8a3ICwM4y

[Arooj Fatima, MD, MPH @Arooj47013193]

Some of the OACIS team at 15th Annual ICU Rehab Conference

@icurehab
@DrDaleNeedham
@improvelto
@HopkinsPCCM

[David Richards @ICU_Diaries]

I was unable to return to work following my #ARDS/#ECMO event and as a single parent to three children and the only income stream into my household, I was placed in a financial straitjacket from which I am yet to emerge.
An under-recognised aspect of #PICS

[Arooj Fatima, MD, MPH @Arooj47013193]

Dr. Parker and Maggie Glass-Lane highlighting the post-ICU recovery, and financial toxicity related challenges in ICU survivors!

@ 15th Johns Hopkins ICU Rehab Conference!

@icurehab
@DrDaleNeedham
@annparker_JHU

[Dale Needham, MD, PhD @DrDaleNeedham]

Now speaking is Ann Parker MD PhD

One of her topics is
financial toxicity after ICU

part of @icurehab conference

Ping @HopkinsPCCM

[Arooj Fatima, MD, MPH @Arooj47013193]

Day 1 of conference started with ICU patient perspective sharing experiences of being in the ICU and post-ICU survival

Lots of learning happening at the 15th Annual ICU Rehab Confrence!

@icurehab
@DrDaleNeedham

[Dale Needham, MD, PhD @DrDaleNeedham]

Next @icurehab speaker:

an amazing social worker from our @HopkinsPCCM ICU follow up clinic:

Maggie Glass Lane, LCSW

…Understand social issues for ICU survivors

[Dale Needham, MD, PhD @DrDaleNeedham]

If a patient has LVAD, learning to change battery is an ADL that is essential to life at home

OTs to the rescue with this LVAD rehab!

See below from @KellyCasey_OT at @icurehab conference

[Spencer Freeman @SGFesquire]

Ten years ago, I was just a few weeks removed from this photograph. I couldn’t walk, speak, or scratch my own face.

Tomorrow at Johns Hopkins, I’ll speak about what happens after survival—and the extraordinary people who help us reclaim our lives.

Rehabilitation is more than movement. It is dignity, humanity, and hope.

Grateful for @DrDaleNeedham @icurehab @KellyCasey_OT

My goal: Making the Invisible Visible.

What is critical care medicine really like for the Patient?

@EmoryRollins @CIBScenter @Walk4Pics

[Arooj Fatima, MD, MPH @Arooj47013193]

House full at Annual Hopkins ICU Rehab Conference happening right now in Baltimore

Litsenting to powerful patient perspective about real challenges of recovery after an ICU stay!

#15th ICU Rehab Conference
@icurehab
@DrDaleNeedham

[Dale Needham, MD, PhD @DrDaleNeedham]

Our #ICUrehab Annual Conference is happening for the next 2 days

Follow & tag @icurehab for tweets

Ping @JHUPCCMFellows @HopkinsPCCM @RehabHopkins @HopkinsAMP @HopkinsMedicine @HopkinsMedNews

[Nursing in Critical Care Journal @niccjournal]

🫁 Extubation is a milestone, but does it mean recovery?

A new article draws attention to an often-overlooked concern: frailty in post-extubated patients.

🔗 https://t.co/aQM06HnXaA

#Frailty #ICURecovery #EvidenceBasedPractice #PatientOutcomes

[Hopkins ICU Rehab @icurehab]

Rehabilitation and the post-intensive care syndrome across the recovery continuum: a narrative review https://t.co/49pPMIGmkV #icurehab #A2Fbundle

[Alasdair MacLullich @A_MacLullich]

Anyone can use the 4AT without permission, payment or registration. It is licensed under CC BY 4.0, which allows copying and adapting with credit, and it has been translated into more than 20 languages.

The form, the user guide and worked examples are at https://t.co/1SbqWeG7Hn