Building a foundation for culture change
Insights from Industry Experts
Leading the Way in Early Mobility and Rehabilitation in the ICU
Mrs. Perme has extensive experience in treating adult patients in Intensive Care Unit with special interest in patients
requiring mechanical ventilation. She is an experienced speaker nationally and internationally, including Russia (2014), Brazil (2010, 2012, 2013, 2015), Nigeria (2011) and at the World
Physical Therapy Congress in Spain (2003), Canada (2007),
The Time is Now
Dr. Dale Needham
Dr Dale Needham is an Intensivist and Medical Director of the Critical Care Physical Medicine & Rehabilitation Program at Johns Hopkins Hospital in Baltimore, MD and a Professor in Pulmonary & Critical Care Medicine, and Physical Medicine & Rehabilitation at Johns Hopkins University. He is Director of the Outcomes After Critical Illness & Surgery (OACIS) group at Johns Hopkins University, that is a multi-disciplinary clinical and research team focused on research and quality improvement projects to improve the outcomes of ICU patients.
Overcoming Barriers to Early Mobility with Dr. Dale Needham
Dr. Dale Needham Part 2
Early Mobility in the Intensive Care Unit is safe and beneficial for patients. However, there are many barriers that can be challenging to overcome. Dr. Needham is the senior author on a recent review of barriers and strategies to help integrate Early Mobility into routine clinical care.
(Dubb et al. Barriers and Strategies for Early Mobilization of Patients in Intensive Care Units. Annals ATS 2016 (May); 13(5): 724-730).
Learning from Space Environments
Studies on Astronauts and space induced elimination of Gravity (Gz-head to toe gravity) versus bed rest elimination of gravity (even though Gx-transverse gravity) still occurs, showed remarkably similar physiological impairments as a result of BED REST ALONE
Even in healthy, peak fitness astronauts
Critical illness complexity of dysfunction
Pavy-LeTraonA,HeerM,NariciMV,Rittweger, J.VernikosJ. From space to Earth: advances in humanphysiology from 20 years of bed rest studies (1986–2006).EurJApplPhysiol2007) 101:143–194