Emergency Department Critical Care Boarding.

Abstract

e118 www.ccmjournal.org January 2021 • Volume 49 • Number 1 standard of care in their cardiovascular and surgical ICUs. Specifically, the authors contribute a strong ICU rehabilitation culture led by a multidisciplinary team combined with continuous monitoring of patient hemodynamics, priori decision to place dialysis catheters in internal jugular vessels, and equipment with an internal battery to support ambulation with patients requiring CRRT. This article (2) was not included in the recent systematic review due to timing of the initial search, but should be highlighted for significantly advancing critical care rehabilitation by demonstrating higher levels of mobility can be achieved, safely, for patients requiring CRRT. More research is needed to understand if active mobilization can be implemented in all patients requiring CRRT, not just patients in the cardiovascular and surgical ICUs. Furthermore, research is required to understand the benefits of active mobilization for this patient population. We suggest that physical rehabilitation and active mobilization being extended for patients requiring CRRT in all ICUs. The team by Bento et al (2) at Utah should not be the exception, but the rather the norm. We highly suggest multidisciplinary critical care teams work together to establish implementation protocols that are attentive to safety and teamwork to implement higher levels of mobility for this patient population. We must remember, “Walking is man’s best medicine,”—Hippocrates.