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Topics - Quick Links

Videos

Rehabilitation-Related Perspectives for the COVID-19 Pandemic: Hospital-Wide Mobility Approach (*NEW*)

Rehabilitation-Related Perspectives for the COVID-19 Pandemic: Pediatric ICU Approach (*NEW*)

Rehabilitation-Related Perspectives for the COVID-19 Pandemic: Adult ICU Approach (*NEW*)

Rehabilitation Related Perspectives for the COVID-19 Pandemic: Post-ICU Recovery Clinics Approach (*NEW*)

The Importance of Rehabilitation During and After the ICU Stay: Mitigating Negative Outcomes in COVID-19 Patients (*NEW*)

Dr. Dale Needham as part of an expert panel representing the Society of Critical Care Medicine and the American Academy of Physical Medicine and Rehabilitation teamed up for a webcast, to discuss the importance of rehabilitation during and after the ICU stay, including strategies for effective transitions across the continuum of care.

Treating COVID-19 Patients with a Focus on Rehabilitation in the ICU (*New*)

The Australian and New Zealand Intensive Care Society presents a video podcast of, Meet the Expert featuring Dr. Dale Needham discussing his experiences of treating COVID-19 patients in the ICU with a specific focus on rehabilitation.

Understanding & Improving Post-Intensive Care Syndrome (PICS): A Rehabilitation Perspective (*New*)

A webinar presented by the Johns Hopkins @ICURehab and @HopkinsAMP Programs featuring Michael Friedman PT, MBA, Dale Needham FCPA, MD, PhD, Jennifer Zanni PT, DScPT and Megan Hosey PhD.

5^th Annual Asia Pacific Conference on Early Mobilization and Rehabilitation in the ICU (*New*)

Highlights from the 5^th Annual Asia Pacific Conference on Early Mobilization and Rehabilitation in the ICU, held in Kuching, Sarawak, Malaysia on August 23 & 24 2019.

Patient Perspective on ICU Rehab (*New*)

A 17 year old ICU survivor and his mother describe their experience in the pediatric ICU and thoughts on the importance of rehab in his recovery during the Eighth Annual Johns Hopkins Critical Care Rehabilitation Conference.

Short Version (7:20) / Full Length (41:37)

Critical Illness Survivors Commonly Experience Job Loss During Recovery

An Interview with Dr. Biren Kamdar on KUSI News in San Diego discussing a recent study, looking at the prevalence of job loss among ICU survivors.

Video / Article

Patient Perspective on ICU Rehab (*New*)

A 48 year old ICU survivor describes her experience in the ICU and her thoughts on the importance of rehab in her recovery during the Eighth Annual Johns Hopkins Critical Care Rehabilitation Conference.

Short Version (4:35) / Full Length (37:24)

Dr. Dale Needham gives two back to back presentations at the 72 hour virtual End PJ Paralysis Global Summit 2019

“Impact of ICU-Acquired Weakness on Patient Survivorship ” & “Quality Improvement Methods for Changing Clinical Practice to Promote Early ICU Rehabilitation”
Presentations

Patient Perspective on ICU Rehab

A 46 year old woman describes her experience in the ICU and her thoughts on the importance of rehab in her recovery during the Seventh Annual Johns Hopkins Critical Care Rehabilitation Conference
3 Minute Version (3:12) / Full Length (39:09)

Adolescent Patient Perspective on ICU Rehab

A previously-healthy adolescent boy describes his experiences in the ICU and his thoughts on rehab during the Seventh Annual Johns Hopkins Critical Care Rehabilitation Conference
3 Minute Version (3:57) / Full Length (43:24)

Delirium in the ICU

An animated video from IC Connect that explains delirium in the Intensive Care Unit.
Video

ICU Early Mobility: Cowboy’s Recovery

A video case study from Cornerstone Hospital in Conroe, TX shows a patient’s 8-week long recovery progress after a car crash and brain injury with the help of intensive Physical Therapy interventions in the ICU.
Video

Evaluating Agitation

A video from Medtronic, discussing key elements of evaluating agitation in ICU patients.
Video

Evaluating Anxiety

A video from Medtronic, discussing how to assess patients in the ICU for anxiety.
Video

Pediatric Patient and Family Perspective on Pediatric ICU Experience & Survivorship

A 7-year old who spent 662 days in the PICU after a severe burn injury requiring ECMO sits down with her parents to detail their journey with critical illness and recovery during the 6th Annual Johns Hopkins Critical Care Rehabilitation Conference.
Abridged (20:17) / Full Length (41:10 minutes)

Halo, a Retired Rescue Dog

A short video from Carilion Clinic featuring Halo, a retired rescue dog, who provides support to patients and staff in the neuro-ICU.
Video

Cash, a Mini Horse, Visits Patients

Here is a feature from Carilion Clinic highlighting Cash, a mini horse, visiting patients in the ICU.
Video

ICU Survivor on the Important Role of Clinician Communication

A short video from Hearts in Healthcare in which Kathy, an ICU survivor gives a highly compelling first-person account of the important role of clinician communication with patients.
Video

Webinars: Early Mobility Matters: In & Out of the ICU, Evidence Based Practices for Early Rehabilitation, Creating a Culture of Mobility

A webinar from the Hospital Improvement Innovation Network and Health Research & Educational Trust, “Early Mobility Matters: In & Out of the ICU”. The webinar features Dr. Dale Needham, “Evidence Based Practices for Early Rehabilitation” (9:48-34:25). Also featured, Brooke Nack, PT, MHS, “Creating a Culture of Mobility” (34:27-55:23).
Video

LIBER8: An Eight-Part Care Bundle for Pediatric Intensive Care Unit (PICU)

A brief feature from Hamilton Health Sciences discussing, LIBER8 an eight-part care bundle specifically created for Pediatric Intensive Care Unit (PICU) patients to promote early rehabilitation, minimize PICU acquired complications, and aid in recovery.
Video

Post-Intensive Care Syndrome (PICS) in Acute Respiratory Distress Syndrome Survivors

A news feature from an ABC TV affiliate featuring a recent study, looking at the prevalence of Post-Intensive Care Syndrome (PICS) in Acute Respiratory Distress Syndrome survivors.
Video

Concept ICU Bed with Integrated Leg Press

From the Johns Hopkins 5th Annual Critical Care Rehabilitation Conference, a case report of a patient bedridden in ICU for 3 months using a prototype bed with integrated leg press. Testing was done at the Cornerstone Hospital in Conroe, Texas.
Video

Adolescent Patient’s Perspective on Pediatric ICU Experience & Survivorship

An 18 year old with cystic fibrosis details her journey with critical illness and recovery during the Fifth Annual Johns Hopkins Critical Care Rehabilitation Conference.
Abridged (4:39 minutes) / Full Length (38:38 minutes)

Patient’s Perspective on Survivorship after Critical Illness

A 38 year old marathon runner details his critical illness and recovery during the Second Annual Johns Hopkins Critical Care Rehabilitation Conference.
Video

Patient’s Perspective on Post-Intensive Care Syndrome

A 39 year old, previously-healthy man describing his ICU stay – the physical, mental, and cognitive impairments after hospital discharge, and effects on his return to work.
Abridged (6 minutes) / Full Length (22 minutes)

Benefits of pet therapy in the Intensive Care Unit

News feature from NBC Nightly News, looking at the benefits of pet therapy in the Intensive Care Unit.
Video

Early Neurocognitive Platform for Cognitive Rehabilitation in ICU Patients

A short video from the Neuro psychology research team from the Institut d’Investigació i innovació Parc Taulí, Sabadell (Barcelona, Spain) in collaboration with the BetterCare monitoring system, about their early neurocognitive platform for cognitive rehabilitation in ICU patients.
Video

The Basics-Creating and Sustaining an Early Rehabilitation Program

A trailer for The Basics-Creating and Sustaining an Early Rehabilitation Program from the 3rd Annual Johns Hopkins Critical Care Rehabilitation Conference
Video

Advanced Topics in Early Rehabilitation of Critically Ill Patients

A trailer for Advanced Topics in Early Rehabilitation of Critically Ill Patients the 3rd Annual Johns Hopkins Critical Care Rehabilitation Conference
Video

Walking a Mechanically Ventilated Patient

A Multi-Disciplinary Team Walking a Mechanically Ventilated Patient in the Johns Hopkins Medical ICU
Video

Importance of Staying Active during Hospitalization

A short patient education video from Johns Hopkins Medicine regarding the importance of staying active during hospitalization
Video

Launch of an ICU Diary Project

Video of the launch of an ICU Diary Project, in the Johns Hopkins Medical ICU, designed to reduce PTSD in ICU survivors.
Video

Empathic communication in the ICU – A survivor’s story

Rana Awdish, MD, a pulmonary and critical care doctor, explains her life-threatening critical illness and first-hand experience as a patient in ICU. She vividly emphasizes the importance of empathic communication of clinicians with patient and their family at the time of critical illness.
Video

Recovering from the ICU: A Survivor’s Story

From Alison Clay, MD, sharing her experience as an ICU patient and survivor during the Society of Critical Care Medicine’s 43rd Critical Care Congress..
Video

Executing a Multi-disciplinary Approach to Mobilization of Critically Ill Patients

A video excerpt from The University of Chicago Medical Center on executing a multi-disciplinary approach to mobilization of critically ill patients.
Video

Patient’s Perspective on Using an iPad to Communicate

A video of a patient’s perspective on using an iPad to communicate while mechanically ventilated in the ICU.
Video

Interview with Jan Hoffman on Post-Traumatic Stress Disorder after ICU

Interview with Jan Hoffman, New York Times reporter regarding her recent front-page Science Times article on Post-Traumatic Stress Disorder after ICU.
Article / Interview

ICU-Acquired Weakness: Obstacles and Interventions in Recovery

SCCM 2013 Plenary Lecture: ICU-Acquired Weakness: Obstacles and Interventions in Recovery – A Patient Perspective by Cheryl J. MISAK, MA, DPhil, Vice President and Provost, University of Toronto, Toronto, Canada (MP4 player required)
ICU-Acquired Weakness: Obstacles and Interventions in Recovery

Interview with Drs. Bienvenu and Jackson regarding PTSD in Post-Intensive Care Syndrome

An interview conducted by the Radio Health Journal with psychiatrist, Dr. Joe Bienvenu and psychologist, Dr. James Jackson regarding long-term mental health outcomes after ICU and post-intensive care syndrome (PICS).
Interview

Working with a Mechanically Ventilated Patient in The ICU

An occupational therapist working with a mechanically ventilated patient in the ICU
Dressing / Grooming

Delirium in the ICU

A brief interview with an ICU survivor regarding the delirium she experienced while in ICU
Video

Early Mobilization in the ICU: A Case Study in the Johns Hopkins Medical ICU

A 9-minute interview of a patient who underwent early rehabilitation while mechanically ventilated. This video highlights the patient’s perspective and includes video of him ambulating in the ICU, while mechanically ventilated
Video / Abbreviated Video (Approx. 2 minutes)

Psychiatric Problems in Patients Who Survive Critical Illnesses

By Joseph O. Bienvenu, MD, PhD and Dale M. Needham, MD, PhD | PsychiatricTimes.com | December 17, 2012 - Few psychiatrists know about the phenomena involving delusional and hallucinatory experiences of patients who survive critical illnesses. Often patients come out of the ICU with horrifying memories (of being tortured, raped, assaulted, or imprisoned) and don't know what happened to them. Not only are the patients debilitated by the physical illness, they are traumatized by the false memories resulting from delirium.

Drs. Bienvenu and Needham discuss the effects of critical illness and the need for collaborative interventions in the ICU that will improve long-term patient outcomes.
Part 1 / Part 2 of the interview.

Interview with a Patient receiving Early Rehabilitation

News feature from an NBC TV affiliate featuring an interview with a study patient, a MICU patient receiving early rehabilitation, and Dr. Needham, OACIS director
Video

Early Mobility in the ICU

Video interview with Dr. Needham and CCPMR physical therapist Jen Zanni about early rehabilitation
Video

ICU & Acute Care Physical Therapy: Phyllis' Recovery

This video, provided by Darin Trees, DPT shows a patient who was admitted to Solara Hospital Conroe (Long-term Acute Care Hospital) after a 6-week ICU stay for respiratory failure, necrotizing pneumonia, septic shock, and profound muscle weakness due to prolonged bed rest. It captures the PT initial assessment, various stages of her recovery during therapies, and the final outcome- 10 weeks post admission.
Full Length Version / Shortened version

Manual Muscle Testing Protocol

A recent video publication that demonstrates the Manual Muscle Testing protocol employed in OACIS research and clinical programs.
Article

Radio

ICU Sedation, Mobility, and Delirium with Dr. Dale Needham (Critical Care Scenarios podcast) (*NEW*)

Dr. Dale Needham: Awake in the ICU

Critical Perspective: Management of Post-Intensive Care Syndrome in the Era of COVID-19

Breathe Easy Podcast from the American Thoracic Society featuring Dr. Needham discussing the diagnosis and management of post-intensive care syndrome in the era of COVID-19.
Podcast

Academic Career Tips: From My Mentors to You

Intensive Care Society Podcast presents Academic Career Tips: From My Mentors to You featuring the 2018 David Bennett Speaker Dr. Dale Needham.
Podcast

Dr. Dale Needham discussing ongoing issues with delirium in the critical care patient

A Critical Care Practitioner podcast featuring Dr. Dale Needham discussing ongoing issues with delirium in the critical care patient and how providers might help prevent them.
Podcast

Dr. Dale Needham discussing the new 2018 SCCM PADIS guidelines

A presentation from Dr. Dale Needham discussing the new 2018 SCCM PADIS guidelines with recommendations for sedation, delirium, and mobility.
Presentation

Hope for Swallowing: Dr. Martin Brodsky on rehabilitation for patients with difficulty swallowing

Hope for Swallowing: In an interview featured on the Johns Hopkins Medicine Podcast, Speech Language Pathologist, Dr. Martin Brodsky discusses rehabilitation for patients with difficulty swallowing after being removed from a breathing machine with host Elizabeth Tracey.
Podcast

Dysphagia: Dr. Martin Brodsky speaks about dysphagia, or difficulty swallowing

Dysphagia: Speech Language Pathologist, Dr. Martin Brodsky speaks with Elizabeth Tracey, host of the Johns Hopkins Medicine Podcast, about a symptom known as dysphagia, or difficulty swallowing, that many patients experience after a breathing tube is removed.
Podcast

Dogs in the ICU at Johns Hopkins

Dogs in the ICU at Johns Hopkins, a segment featured on the Johns Hopkins Medicine Podcast, Joy in Medicine with host Elizabeth Tracey and Dr. Charles Cummings looks at how dogs are playing a role in patient care in the ICU at Johns Hopkins.
Podcast

Dr. Megan Hosey about how dogs may help people with longer ICU stays

An interview featured on the Johns Hopkins Medicine Podcast, with host Elizabeth Tracey, talking to Dr. Megan Hosey about how dogs may help people with longer ICU stays coping with demoralization.
Podcast

Dogs in the ICU

A Johns Hopkins Medicine Podcast, entitled Dogs in the ICU, featuring Dr. Megan Hosey discussing some the unique roles dogs can play in the ICU.
Podcast

Dr. Dale Needham discussing the benefits of early rehabilitation in the ICU

A PMReport Podcast from The University of Texas Health Science Center at Houston, McGovern Medical School, entitled Rehab in the ICU setting with Dr. Dale Needham discussing the benefits of early rehabilitation in the ICU.
Podcast

Joblessness and Lost Earnings After ARDS in a 1-Year National Multicenter Study

An ATS Journals Podcast featuring Dr. Biren Kamdar and Dr. Dale Needham discussing their paper in AJRCCM: Joblessness and Lost Earnings After ARDS in a 1-Year National Multicenter Study.
Podcast
*Disclaimer: the audio quality of voices has some distortion due to recording problems.

Decreasing delirium by mobilizing patients in the ICU

An NPR radio Marketplace story discussing decreasing delirium by mobilizing patients in the ICU.
Interview

Dr. Alison Turnbull discusses depression in care givers of ICU survivors

A brief interview with Dr. Alison Turnbull featured on Johns Hopkins Medicine Podcasts, examining depression in care givers of ICU survivors.
Interview

Dr. Dale Needham discusses depression following an ICU stay

A brief interview with Dr. Dale Needham featured on Johns Hopkins Medicine Podcasts, regarding depression following an ICU stay.
Interview

Dr. Dale Needham discusses mental health issues following an ICU stay

A brief interview with Dr. Dale Needham featured on Johns Hopkins Medicine Podcasts, regarding mental health issues following an ICU stay.
Interview

Post Traumatic Stress Disorder in Intensive Care Units

An interview featured on CKNW The Jill Bennertt Show, regarding Post Traumatic Stress Disorder in Intensive Care Units.
Interview

Dr. Dale Needham discusses PTSD after the ICU and the use of ICU diaries to help reduce PTSD in ICU survivors

An interview featured on WHYY The Pulse with Dr. Dale Needham, Dr. Ann Parker and ICU Survivor, Garfield Griffin, regarding PTSD after the ICU and the use of ICU diaries to help reduce PTSD in ICU survivors.
Interview

Dr. Dale Needham discusses the early mobilization of critically ill patients

The first English edition of “Die Intensivrundschau” featuring an interview with Dr. Dale Needham, discussing the early mobilization of critically ill patients.
Audio / Website

Dr. Bienvenu discusses post-traumatic stress disorder (PTSD) experienced after ICU stay

Radio interview by WTOP 103.5 with Dr. Bienvenu regarding post-traumatic stress disorder (PTSD) experienced after ICU stay.
Audio

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Dr. Joe Bienvenu discusses post-traumatic stress disorder (PTSD) in ICU

In this YPR radio interview, Dr. Joe Bienvenu discusses post-traumatic stress disorder (PTSD) in ICU survivors and the results of our new study evaluating risk factors for PTSD in ARDS survivors.
YPR Link

Dr. Needham discusses changes for positive impact on patients

On March 2, 2011, Dr. Needham was on the Diane Rehm Show. He participated in a discussion of changes in the ICU that are having positive impact on patients in the ICU and during the recovery process.
Transcript

News

Research studies and medical education conferences that seek to improve outcomes for critically ill patients

A brief article from Johns Hopkins Medicine featuring Dr. Dale Needham, director of the Outcomes After Critical Illness and Surgery (OACIS) group discussing some of their many research studies and medical education conferences that seek to improve outcomes for critically ill patients.
Article

Importance of early mobility in the Pediatric ICU

This article from the JHU Hub features Dr. Sapna Kudchadkar discussing the importance of early mobility in the Pediatric ICU, and the team of Johns Hopkins students who are developing a walker designed to help facilitate mobilization. ​
Article

Benefits of animal therapy for ICU patients

This blog post from Biomedcentral features Dr. Megan Hosey discussing the benefits of animal therapy for ICU patients.
Article

Issues surrounding Post-ICU syndrome

This article from Healthy Debate discusses the issues surrounding Post-ICU syndrome and the need for follow up care after discharge.
Article

A third of patients after an ICU stay, experience symptoms of depression

This is a brief article by Johns Hopkins Medicine on a recent study that found a third of patients after an ICU stay, experience symptoms of depression.
Article

A systematic review and meta-analysis of depressive symptoms after critical illness

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This is a press release by Johns Hopkins Medicine on a systematic review and meta-analysis of depressive symptoms after critical illness.
Article

Dr. Michael Wang’s first-hand experience with post-operative delirium

A brief article exploring Clinical Psychologist, Dr. Michael Wang’s first-hand experience with post-operative delirium.
Article

Three IPad Apps for assisting with patient communication in the ICU

An article from ATS News describing three IPad Apps for assisting with patient communication in the ICU.
Article

Early mobility in the Pediatric Intensive Care Unit

An article from Johns Hopkins Medicine detailing early mobility in the Pediatric Intensive Care Unit.
Article

The impact of delirium and post-hospital syndrome

An article from Forbes detailing the psychological, physical and economic impact of delirium and post-hospital syndrome, along with an outline of preventive measures.
Article

The growing awareness of the dangers of delirium in the intensive care unit

An article fromThe Washington Post detailing the growing awareness of the dangers of delirium in the intensive care unit.
Article

ARDS survivor detailing his experiences in the ICU with delirium

An interview with a severe ARDS survivor detailing his experiences in the ICU with delirium and weakness, and his recovery back to marathon running.
Article

The experience of delirium in ICU patients

A feature article highlighting the experience of delirium in ICU patients, and the challenge faced by clinicians in addressing and preventing associated poor long-term outcomes like PTSD, by changing ICU practice and using ICU Diaries.
Article

Post Traumatic Stress Disorder (PTSD) after a stay in the ICU and use of diaries in the ICU to help prevent PTSD

New York Times articles about Post Traumatic Stress Disorder (PTSD) after a stay in the ICU and the use of diaries in the ICU to help prevent PTSD.
PTSD / ICU Diary

Need for early mobility for hospitalized geriatric patients

A New York Times article reporting on the need for early mobility for hospitalized geriatric patients.
Article

Treating the Trauma of Intensive Care

This brief article, titled “Treating the Trauma of Intensive Care,” discusses original research conducted by Drs. Needham and Bienvenu’s that evaluated post-traumatic stress disorder symptoms in acute lung injury survivors from the ICU.
Article

Post-traumatic stress disorder in ICU survivors

An article in the Boston Globe discussing post-traumatic stress disorder in ICU survivors.
News Article

Delirium issues, ICU delirium, and work being done at Johns Hopkins to improve delirium

A New York Times article discussing delirium issues, including ICU delirium, and the work currently being done at Johns Hopkins and other centers across the country to improve delirium.
Article

Infrastructure, equipment, and challenges in providing early rehabilitation in the ICU

This is a commentary (pp. 10-11) published in Chest Physician- The Newspaper of the American College of Chest Physicians. It discusses the infrastructure and equipment required and challenges in providing early rehabilitation in the ICU.
Commentary

Early exercise in the Medical ICU

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This is a press release by Johns Hopkins Medicine on early exercise in the Medical ICU.
Article

The development of the ICU Mover Aid

This is a New York Times article featuring the development of the ICU Mover Aid to assist with mobilization of mechanically ventilated patients.
Article

A Tactic to Cut I.C.U. Trauma: Get Patients Up

“A Tactic to Cut I.C.U. Trauma: Get Patients Up” is a New York Times article discussing benefits of early rehabilitation in the ICU.
Article

Post-traumatic stress disorder in ICU survivors

This is an ABCNews.com article about post-traumatic stress disorder in ICU survivors.
Article

Delirium and new changes in ICU care

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A Wall Street Journal publication discusses delirium and new changes in ICU care to improve patients’physical and mental health recovery.
Article / Blog

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ICU delirium and discussions with Dr. Dale Needham

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A Washington Post article about ICU delirium. It features interviews with patients who recall their ICU delirium and discussions with Dr. Dale Needham and Dr. David Hager.
Article