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In this episode of the PT Meal Podcast, host Dr. Bobby Bellarmino, a physical therapist specializing in cardiopulmonary care, discusses the decision-making process for mobilizing patients in the ICU. They emphasize the importance of considering the overall risk and benefit, as well as the patient's cognition and goals. Dr. Bellarmino also shares a powerful story about the impact of human connection on comatose patients and highlights the need for skilled services in physical therapy encounters. Additionally, they delve into the different units within the ICU and the importance of ICU rehabilitation. This episode provides valuable insights into ICU rehabilitation and the role of physical therapy in critical care.
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TIMESTAMPS
0:00 In this episode and podcast intro
1:04 Opening intro by Johann
2:14 Guest introduction
3:38 Bobby's PT story
6:58 Origin of his interest in cardiopulmonary specialty
10:25 Role of PTs in the ICU
17:41 Impact of PTs in the ICU decision-making and sedation
22:14 Difference between ICU and critical care units
27:14 Common cases PTs encounter in the ICU
33:52 Challenges PTs encounter
38:34 Relationship between early mobility and length of stay and hospital readmission
40:18 Becoming a Cardiovascular and Pulmonary Clinical Specialist
47:59 Last bites and Takeaway
Bobby Belarmino, PT, DPT, PhD is an Assistant Professor in the Department of Physical Therapy at the UT Health San Antonio in San Antonio, Texas. He has a board certification for cardiovascular and pulmonary physical therapy from the American Board of Physical Therapy Specialties. He has been an active member of APTA since 1996.
Currently, he serves as a member of the Research Committees for the Academy of Acute Care PT and Academy of Cardiovascular and Pulmonary PT. He is a reviewer for the Journal of Acute Care Physical Therapy. Recently, Bobby has been appointed as the Online Education Chair Committee of the APTA Acute Care Academy.
Bobby has been a physical therapist for 30 years plus. During these years, he has practiced across the spectrum of care settings focusing in cardiovascular and pulmonary specialty practice. However, majority of his clinical practice years have been in the Intensive Care Unit (ICU)/Acute Care settings.
He received his bachelor’s degree in Physical Therapy at Virgen Milagrosa University Foundation in the Philippines and his master’s degree in Applied Physiology at Columbia University in New York. He completed his Doctor of Physical Therapy at MGH Institute of Health Professions at Boston, Massachusetts, and completed his PhD in Physical Therapy at Texas Woman’s University in Houston, Texas.
His research interests are as follows: critical care simulation; ICU rehabilitation; reducing hospital readmission in the cardiovascular and pulmonary populations; and improving frailty in elderly population throug… Read More
