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Trauma ICU Rounds

Episode 47 - Every Deep-Drawn Breath with Dr. Wes Ely

Trauma ICU Rounds

Dr. Dennis Kim

Emergency General Surgery, Critical Care, Foam, Intensive Care, Education, Health & Fitness, Science, Life Sciences, Acute Care Surgery, Trauma Surgery, Medicine, Medical Education

4.8663 Ratings

🗓️ 11 September 2021

⏱️ 43 minutes

🧾️ Download transcript

Summary

Dr. Wes Ely from Vanderbilt University School of Medicine joins us on Rounds to discuss the evolution of our understanding and the current impact of ICU-acquired brain disease on our patients and their loved ones. In addition to discussing the evidence behind current best practices in the ICU, Dr. Ely shares with us stories from his new book which highlight the importance of listening to, engaging with, and remaining vulnerable to those whom we are so fortunate and blessed to serve-our patien...

Transcript

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0:00.0

From the classroom to the emergency room, O-R and beyond.

0:05.7

You're joining trauma ICU rounds with your host, Dr. Dennis Kim.

0:11.9

When Osler talks about equanimitas and equanimity and distancing ourselves so that we don't get hurt,

0:18.4

I have found that there's a healthy balance between working

0:22.6

through a practice of equanimitas versus holding hands, making eye contact, diving in deep with

0:30.1

my patients. And I call that a burnout prevention program because I can't get burned out if I

0:37.2

immerse myself into the lives of these people

0:40.0

and they also likewise bring me into their inner circle.

0:43.2

That to me is the most robust payback that I could ever ask for in medicine to be considered

0:50.3

in somebody's front row.

0:52.9

And we did away with it in COVID, but it's time to

0:56.1

re-up that, realize this is why we're here. These are the people we're here to serve. And that

1:01.6

essentially is the entire message in every deep-drawn breath is these are real people. I'm a real

1:10.4

person. We're there to serve one another.

1:12.9

That's Dr. Wes Ely. Dr. Ely is a professor of medicine at Vanderbilt University School of

1:17.9

Medicine with subspecialty training in pulmonary and critical care of medicine.

1:22.4

He's also the co-director of the Center for Critical Illness, Brain Disfunction, and Survivorship,

1:27.4

and Dr. Ely's

1:28.3

research over the years has focused on improving the care and outcomes of critically ill

1:33.5

patients with ICU acquired brain disease. For those of you familiar with the CAM ICU tool

1:38.8

for assessing for the presence of ICU delirium, yes, Dr. Ely and his team developed this tool, and it's been translated into over

1:46.6

30 languages and is used to measure delirium in ICU-based clinical trials, as well as clinically

...

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