Heidi Engel, PT, DPT

Post–intensive care syndrome (PICS) is a cluster of physical, cognitive, and psychological impairments that affect more than half of ICU survivors. 💡 Learn more about the diagnosis, treatment, and prevention of PICS in this JAMA Insights. ja.ma/4sy0ij4 #ICURehab

MTT: conductor, composer, pianist, and oboist!

The killing of Alex Pretti is a heartbreaking tragedy. It should also be a wake-up call to every American, regardless of party, that many of our core values as a nation are increasingly under assault.

Proud to announce that my textbook Post-Intensive Care Syndrome: A Practical Approach, published by @CambridgeUP, is available for purchase! Authored by over 125 international experts, it’s the most comprehensive and multidisciplinary #PICS text to date! cambridge.org/core/books/pos…

(2/3) 👉 Even if men were in the bottom half of cardio fitness, those in the top 1/3 of muscle strength had a 48% lower risk of death vs. the weakest men. (PMID: 21527158, JACC) @PeterAttiaMD @mackinprof @drgabriellelyon

Really looking forward to this book! Thank you Dr Butcher for bringing it all together!

In 40 ICU survivors of acute respiratory failure and 10 caregivers, most important outcome domain was: Survival Cognitive recovery Physical function Congratulations @DrDaleNeedham and team liebertpub.com/doi/10.1089/re…

Delirium: A Guide For Families Generated by @NotebookLM from a book chapter I wrote. #delirium #MedTwitter

🧬 New position paper from the GRIP Post-ICU Nutrition Consortium in @Crit_Care ✨Optimising nutrition post-ICU is key to rebuilding muscle, strength & life. 🔎 We outline 10 research priorities for global ICU recovery science. 🔗 ccforum.biomedcentral.com/articles/10.11… #ICURehab #ICUNutrition #FOAMcc #sccm @ICUnutrition @HeidiEngel4 @DrDaleNeedham @YukiKotani5 @IM_Crit_ @drshahrul80 @CStoppe @jlvincen @fisioprecoce @DaytonKali

Predictors of Patient-Reported Financial Hardship in Patients Hospitalized With Critical Illness and Its Association With Patient Outcomes tinyurl.com/54hamxz6 #icurehab #A2Fbundle

“The darkness took me; I strayed out of thought and time, and I wandered far on roads that I will not tell.” -Gandalf, LOTR The Two Towers (JRR Tolkien) Gandalfs description of his victory over the Balrog, precisely describes the battle and victory over #Delirium

In 1992 Peter Ratcliffe received this rejection letter from Nature. His findings were not "a sufficient advance in our understanding". 27 years later he won the Nobel Prize for the same discovery. Don't lose faith in the things you believe in.

Wisdom from Schoolhouse Rock.

This study provides a reality check- a real record of actual sedation practices rather than a record of what we believe in #ICU :

“My brain was the enemy; it told me the nurses were killers.” — Delirium survivor Psychological care of delirium starts with reality anchoring: “You’re safe, you’re in hospital, I’m your nurse.”

We found that older adults of Black race and dual-eligible for Medicare and Medicaid were ⬇️ likely to get rehabilitation services at home compared to those of non-Hispanic White race and no Medicaid insurance, respectively

1/2 of older adults with ICU-associated functional decline do NOT recover; those with social vulnerability do worse Rehabilitation can improve recovery, but is it delivered equitably? In @AnnalsATS, we investigate the association between SDOH and post-hospitalization rehab

"I can't remember" – Patients who have had #delirium often experience a feeling of 'lost time'. You can help by clearly explaining what delirium is & answering their questions. Give them a narrative of what has happened to them.

This is an iron lung for polio victims. Remember these? Me neither. It's now in a museum..where it should stay. Why? Because vaccines work

Happiest of birthdays to the one and only @yoyoma! ___ #classicalmusic