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cover of episode Episode 197: Raging Tigers and Merciful Angels- The Fight to Humanize Critical Care

Episode 197: Raging Tigers and Merciful Angels- The Fight to Humanize Critical Care

2025/5/2
logo of podcast Walking Home From The ICU

Walking Home From The ICU
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Kaylee Dayton
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Kaylee Dayton: 作为一名ICU革命者，我致力于推广A, B, C, D, E, F捆绑式服务，使患者尽可能保持清醒、沟通、自主和活动能力。我深知过去ICU的镇静和固定模式存在诸多弊端，可能导致大脑损伤、终身残疾，甚至使患者被困在自己的身体里，经历扭曲的恐怖体验。我听到了幸存者因心理痛苦而哭泣，并意识到肌肉功能的丧失会降低患者的生存和独立能力。尽管我努力倡导早期活动和减少镇静，但却面临着巨大的阻力，甚至遭受人身攻击和职业威胁。我看到许多ICU革命者正遭受着与过去革命者相似的反对，这让我感到无比的痛心和无奈。我呼吁ICU团队成员能够团结合作，共同为患者提供最佳的护理，而不是互相指责和排斥。我希望通过我的努力，能够改变ICU的文化，让更多的患者受益于早期活动和减少镇静的理念。 Kaylee Dayton: 我认为，ICU革命者面临的挑战不仅来自同事的反对，还来自管理层的漠视和制度的束缚。我曾因倡导早期活动和减少镇静而被护士威胁举报，甚至被管理层告知停止与家属讨论谵妄、活动和镇静的风险。我看到许多ICU革命者因无法改变现状而感到沮丧和疲惫，甚至选择离开ICU。我认为，要改变ICU的文化，需要从教育入手，让更多的医护人员了解镇静的危害和早期活动的益处。同时，还需要管理层的支持和制度的保障，为ICU革命者提供更多的空间和支持。我相信，只要我们坚持不懈，就一定能够改变ICU的文化，为患者带来更好的预后。

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In this powerful episode, we hear raw, heartfelt stories from ICU revolutionists who are bravely challenging the status quo in critical care. Amidst threats to their jobs, personal attacks, and widespread resistance, these clinicians refuse to turn a blind eye to the harm caused by sedation, immobilization, and dehumanization. From battling bullying by colleagues to risking their careers, they stand as fierce tigers and compassionate angels- fighting for dignity, autonomy, and humane care for our most vulnerable patients. Join us as we explore their courage, struggles, and unwavering dedication to transforming ICU culture against all odds.

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