Episode 214: Translating the ICU with Stephen Ramsey- Part 2
MAY 11, 202653 MIN
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Description
Walking Home from the ICU
Translating the ICU with Stephen Ramsey Part 2: ICU Case Study
Guest: Stephen Ramsey, PT
In Part 2 with Stephen Ramsey, physical therapist and ICU mobility expert, the discussion dives into a complex cardiothoracic ICU case Stephen presented at APTA's CSM conference.
Using the MENTOR framework, Stephen walks through how rehab clinicians should approach critically ill patients — from chart review to interdisciplinary communication to real-time clinical decision-making.
A structured approach for PT/OT clinical reasoning in the ICU:
M – Map the Story: Thorough chart review and understanding the patient's full history
E – Expose the Unknowns: Identify gaps and questions before entering the room
N – Narrate Your Reasoning: Verbalize your clinical thinking to colleagues and the medical team
T – Test the Theory: Treat PT/OT as an assessment, not just an intervention — mobilize to observe physiologic response
O – Observe for Signals: Monitor real-time hemodynamic and respiratory responses
R – Review with the Team: Debrief after every session, whether it went well or not
Stephen walks Kali and the audience through a real case study using the MENTOR framework.


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