This is a chat about the ICU patient with problems with their swallow or dysphagia, I had with Martin Brodsky (@MBBrodskyPhD), who is an Assistant Professor of Physical Medicine and Rehabilitation at the Johns Hopkins University School of Medicine. He is a clinician, researcher and educator with interests in swallowing and swallowing disorders, head and neck cancer, neurologic communication disorders, and ethics. Jackie McRae (@Daisy_project) also joined us and she is a speech and language therapist and an NIHR research fellow undertaking a PhD to investigate intensive care practice in identifying and managing swallowing problems in cervical spinal cord injury (The Daisy Project).
Lots of food for thought and perhaps raises many questions for us to ponder.
Summary:In this episode, we spotlight a stealthy ICU disruptor — hypophosphataemia. Based on a 2024 narrative review in the Journal of Clinical Medicine, we explore why phosphate matters, how it goes missing in critically ill patients, and why you should care even when it’s just “a little low.”What’s Covered:The vital role of phosphate in energy,
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Mobilisation in the ICU raises two big questions: is it safe, and will staff embrace it?In this discussion, Jonathan explores both sides of the story:Safety first:Large prevalence studies show mobilisation is happening, though often inconsistently.A systematic review of 1,800+ sessions found serious adverse events in only 0.6% — most minor and short-lived.Even patients on CRRT can safely mobilise
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