#A2Fbundle need to be implemented & reinforced on a daily basis. That’s probably one of the few things we do in #ICU that make a real difference. No matter the sedation agent used
Do you wonder what your ICU patients are thinking when delirious?
We know #delirium is a predictor of longer length of stay, cost of care, acquired #dementia & #death. This patient revealed to us his memory of #ICU:
"I was at the bottom of a large observation space. I knew I had to get out of there if I was going to make it... My mom was w/ me & she helped me find strength to pull myself out of the hole I was in.”
How do we reduce this? Via the evidence-based #A2Fbundle
H/T @CIBScenter
Family at bedside - YES
It’s evidence-based. Not having family allowed at the bedside is actually against the evidence of the #A2Fbundle.
All of us must wake up to the fact that the F in the safety bundle dictates family presence.
As ICUs recover from insanity of #COVID, how can we find our way?
Rebuild the A2F bundle
This construction projects will look ugly for a time before goodness & beauty win. And our patients are worth it‼️
Thanatology - word of the day
“the scientific study of death & the practices associated with it, including the study of the needs of the terminally ill & their families.”
ORIGIN mid 19th century: from Greek thanatos ‘death’
#Palliativemedicine #PalliativeCare #A2Fbundle
@WesElyMD This is like with kids, if you want them to sleep, keep them busy during the day!
We should do the same for our patients! #A2Fbundle
2/ Until she lay like a stone at the bottom of life…a stench of corruption filled her nostrils…she opened
her eyes & saw pale light through a coarse cloth
over her face, knew the smell of death was in her
body & struggled to lift her hand.”
Spare your patient. How?
#A2Fbundle
Mathieu Desgroseilliers
Wes Ely MD 
Mathieu Desgroseilliers