Physical Therapist ICU/Critical Care/Oncology Trying to restore patients to their full potential with preventative and empathic care
San Francisco, CA
Joined December 2017
- Tweets3.6K
- Following530
- Followers1.8K
- Likes3.9K
Heidi Engel, PT, DPT retweeted
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
Heidi Engel, PT, DPT retweeted
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.
Heidi Engel, PT, DPT retweeted
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…
Heidi Engel, PT, DPT retweeted
(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!
Proud to announce that my textbook Post-Intensive Care Syndrome: A Practical Approach, published by @CambridgeUP, will be out 1/22/26.
Authored by over 125 international experts, it’s the most comprehensive and multidisciplinary #PICS text to date!
cambridge.org/core/books/pos…
Heidi Engel, PT, DPT retweeted
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/r…
Heidi Engel, PT, DPT retweeted
Delirium: A Guide For Families
Generated by @NotebookLM from a book chapter I wrote.
#delirium #MedTwitter
Heidi Engel, PT, DPT retweeted
🧬 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/ar…
#ICURehab #ICUNutrition #FOAMcc #sccm
@ICUnutrition
@HeidiEngel4 @DrDaleNeedham @YukiKotani5 @IM_Crit_ @drshahrul80 @CStoppe @jlvincen @fisioprecoce @DaytonKali
Heidi Engel, PT, DPT retweeted
Predictors of Patient-Reported Financial Hardship in Patients Hospitalized With Critical Illness and Its Association With Patient Outcomes tinyurl.com/54hamxz6 #icurehab #A2Fbundle
Heidi Engel, PT, DPT retweeted
“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
Heidi Engel, PT, DPT retweeted
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.
This study provides a reality check- a real record of actual sedation practices rather than a record of what we believe in #ICU :
In 10,204 patients on MV, "lighter sedation, allowing for recognition of emotional distress and for patient mobility, was associated with a lower risk of loss of independent living."
Excellent @DrDaleNeedham and team
sciencedirect.com/science/ar…
Heidi Engel, PT, DPT retweeted
“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.”
Heidi Engel, PT, DPT retweeted
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
Heidi Engel, PT, DPT retweeted
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
Heidi Engel, PT, DPT retweeted
"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.
Heidi Engel, PT, DPT retweeted
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
Heidi Engel, PT, DPT retweeted
Happiest of birthdays to the one and only @yoyoma!
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#classicalmusic
