Show Notes

Today’s Guest: Kevin Brueilly, PT, PhD  Editor-In-Chief, Journal of Acute Care Physical Therapy

Linkedin: kevin-e-b-27711920

Episode Takeaways

• Acute Care is Sales
• It is very normal for journal reviewers to request revisions and corrections on article submissions; thus the need for thick skin!
• Mentoring is Key
• “Just because someone doesn’t accept your paper or wanna move it forward doesn’t mean it isn’t valuable.” Kevin
• Increased rejections are actually good for the journal and the profession >a sign of increased quality of work produced.

Three Questions

1. Why Acute Care?
   1. “It felt good to me simply because I enjoyed the pace, number one of having a fast environment really. I mean, you’re in charge of your own schedule. But when they put 12 or 14 cases on your, on your schedule during the day you, you. Spend an hour with every person, obviously, or you wouldn’t go home at night.   But it allowed me the opportunity to have new diagnoses every day, new comorbidities, new challenges to use my anatomy and physiology every day in the knowledge that I had. And I really enjoyed being around other healthcare workers…And I learned so much every day that I went to work. I’d never came home that I hadn’t learned something that day. So it was very rewarding to me.”
2. What advice would you give to a clinician that has some clinical questions that they would want to investigate at their hospital?
   1. “I would say find someone who has some background in doing it and partner with them first.  Cuz the person who’s most dangerous in any patient care activity is the one who doesn’t know what they don’t know.  So find somebody that at least can steer you and help guide you and, and walk you through the process.  You really need somebody to help you with the guiding questions and in the process of how to do it… but if you had a clinical question that you were trying to answer and you believed that it was worthy of research, then the first step is that you have to have data collection.  And that data collection can’t just be something that you decide you’re gonna go to. Because if you’re gonna publish it, one of the first things that, as an editor that I look for in any manuscript that’s submitted with original research is a statement from the IRB.”
3. What do you foresee for the future of the for the journal, especially as it relates to supporting the mission for the Academy of Acute Care physical ? 
   1. “The primary source of scientific resources for advancing the practice of acute care, physical therapy among clinicians and promoting physical therapy as an integral part of acute care practice. And so what that means to me is as editor and what I have, have proposed to the board of directors of the, of the academy is one of my main goals in the next three to five years is to get the journal indexed in Medline.  And what that means is that it would be searchable and included in any kind of search you would do on PubMed with the National Institute of Health.”

Rapid Response “You know you work in acute care when…”

“When I show up at the door and I say, are you Mr. Smith? And he says, I’m what’s left of him.” 

Journal of Acute Care Physical Therapy

Facebook: Journal of Acute Care Physical Therapy

Linkedin: JACPT

APTA Acute Care Resources

APTA Adult Vital Signs (https://www.aptaacutecare.org/store/viewproduct.aspx?id=18270240)

APTA Lab Values Document (https://www.aptaacutecare.org/store/viewproduct.aspx?id=10758036)

APTA Acute Care  https://www.aptaacutecare.org/

Journal Access: https://journals.lww.com/jacpt/pages/default.aspx

Podcast: Play in new window | Download

Leo Arguelles is a physical therapist and educator at University of Illinois Chicago and Ashley Poole is a physical therapist and educator at Duke University. They have come together across time zones to build a space for conversation and support for other acute care therapists. Acute Conversations is the official podcast of APTA Acute Care and we welcome you to the official launch to join the conversation.

Episode Takeaways

• What to expect from this podcast
• The importance of connection within our profession
• How to connect with us and subscribe!!!

Three Questions

1. Most Memorable Moment of your career?
   1. Leo “I’ve had plenty. The biggest was probably getting a 200+ serbian grandfather taking some steps when no one was willing to try because others were too afraid to get him moving and or give him an opportunity to try standing. I remember saying to myself, I can get this guy walking if I can just get him in the right environment. I brought rehab to him and get him to take his fist steps when created a positive feedback loop for him to keep participating in PT. Later I come to find out he is the relative of one of my good childhood friends whose wedding I attended years ago.”
   2. Ashley “- Achieving my board-certified clinical specialist status
      – Landing my first job in academia at one of the leading DPT programs in the country
      – Receiving the Merit Award from the Academy of Cardiovascular & Pulmonary Physical Therapy (this will be at CSM 2023)”
2. What made your chose acute care and/or your profession?
   1. Leo “I grew up exposed to hospitals. My mother was a NICU nurse for 30 years, which led to hospital volunteer opportunities in highschool. I volunteered at what was formerly known as RIC, now shirley Ryan ability lab, in highschool. I knew early on I wanted to work in healthcare, and PT seemed a perfect fit with my experience in sports and martial arts. After my clinical rotation at Swedish Covenant hospital in Chicago’s north side, I was hooked. Being the fist PT to initiate mobility has always been an inspiration for me.”
   2. “I initially wanted to be a medical doctor but switched to physical therapy after a high school mentorship program where I spent time with various PTs. I realized that PTs spend more time with their patients, develop stronger relationships, and do not accumulate as much college debt.   It was a win-win.
      I have worked in ALL settings (SNF, OP, IRF, HH, & acute).  So my decision to work in acute care was well-informed after many years of experimenting and dabbling.  Acute care excites me for so many reasons.  It is rewarding to help patients in their most vulnerable times and to potentially be a patient’s first introduction to physical therapy.  My passion is critical care and patients with complex medical needs, likely because of my previous interest in medicine.  I also really enjoy the unpredictability of acute care, the fast pace, the team environment, and the flexible schedule.”
3. What has been the funniest moment working in Acute Care?
   1. Leo “There was a felician sisters convent near the hospital I worked at. My old high school librarian actually lived there. Very often we would have injured and infirmed nuns come into the hospital. After I would evaluate the nuns, I would tell them the OT or the PTA that was going to work with them later was interested in a vocation to religious life. Those nuns, no matter how sick they were, became sharks detecting blood. They had lots of questions for my co-workers!”
   2. Ashley ” It was VERY difficult to disconnect the oxygen cannulas from the wall in one ICU where I worked.  Once, I had to pull so hard that I banged my head on a table and fell into the patient’s recliner chair.  The patient did not even notice.”

Rapid Response “You know you work in acute care when…”

Leo “you have shoes you leave at work and back up scrubs”

Ashley “discussing bodily functions at mealtimes does not make you lose your appetite.”

Connect with us and our hosts!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

APTA Acute Care

Twitter @AcuteCareAPTA

Facebook: APTA Acute Care

Instagram @AcademyAcutePT

Journal of Acute Care Physical Therapy

Facebook: Journal of Acute Care Physical Therapy

Linkedin: JACPT

APTA Acute Care Resources

APTA Adult Vital Signs (https://www.aptaacutecare.org/store/viewproduct.aspx?id=18270240)

APTA Lab Values Document (https://www.aptaacutecare.org/store/viewproduct.aspx?id=10758036)

APTA Acute Care  https://www.aptaacutecare.org/

Journal Access: https://journals.lww.com/jacpt/pages/default.aspx

Podcast: Play in new window | Download