Thread by @WesElyMD

1/🧵 People ask me, “What’s the main purpose of treating #COVID ICU pts with the #A2Fbundle? (a daily safety checklist of ⬇️ sedation & ⬆️ mobilization). It’s to prevent #PICS related dementia, PTSD, depression & reduce suffering in #LongCOVID.

HOW? What is the philosophy?

2/ For patients it’s about magnifying their #dignity and self-worth by liberating them sooner from us (our treatments that put them through a depersonalization chamber). For HCWs, it’s about purity of service, avoiding hypocrisy, and better self-sacrifice for our patients.

3/ Waking people up and walking them w family at their side in PPE (even inside a room if #COVID+) allows them to feel alive again. Repersonalized! Human. Seen. Drives away #delirium & #brainfog. Wouldn’t you want this?

4/ These are the #A2Fbundle concepts that we built over 25 years, which I explain through patients’ brave stories in 📚 #EveryDeepDrawnBreath, and which were so quickly discarded at patients’ bedside out of fear early in the pandemic. We must find our footing again.

5/ ICU Liberation via the #A2Fbundle for pts is not just a “comfort and healing train” to liberate them from discomfort. It’s also liberation from acquisition of mew diseases acquired by being kept deeply sedated and immobilized.

5/ ICU Liberation via the #A2Fbundle for pts is not just a “comfort and healing train” to liberate them from discomfort. It’s also liberation from acquisition of mew diseases acquired by being kept deeply sedated and immobilized.

6/fin
It’s a moral imperative to put others first. It’s a COMPASS 🧭. Reconnecting w people via eye contact & touch is respect for pts’ autonomy & burnout prevention for HCWs - #nurses #doctors #physicaltherapists #respiratorytherapists etc.

We find our PURPOSE. Our North ⭐️

Ha…the A2Fbundle stops acquisition of “mew” diseases…you heard it right, Folks….no feline pathology! 😂

@SCCM @SCCMPresident @DrDaleNeedham @SapnaKmd @ICU_Recovery