What to do when the tube comes out?? Reviewing post-extubation laryngeal injuries in ICU

"I have a patient X. What should I do?" That's basically what our brain automatically defaults to when we cannot come up with a solution or rationale immediately, right? The good news is we can always go back to the basics (and our favorite EBP triangle) to help us come up with some more updated answers in order to create the best assessment and treatment plan for our patients, which is just what this article attempts to assist with when it comes to intubation and laryngeal injury. But don't worry! The article is NOT like one of those pizzas where you have to pick things apart to get what you actually want (or is that just me with pineapple??😅). Instead, it's much more like a beautifully delicious and authentic margherita pizza, with those basic ingredients that make it OH SO GOOD.🤤👍👍

Should we stop declining the recline for stroke patients?

I don't know about you, but I would absolutely be a patient who would have the hardest time to "eat small bites," "eat slowly," "minimize distractions while eating," and "eat sitting upright 90 degrees." BUT--is this exactly what we should maybe stop telling our patients to do🤔?! Either way, if someone actually tells me to lay back, relax, and swallow my slurpee, I am DOWN to learn more about whatever angle they are prescribing!!😅🤤

Sweet until sour?? Taking a bite out of taste manipulation

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While I could pop 20 in my mouth, chew a few times, and let my sensory nerves run wild with these lil treats, I've never really thought about how the sweet-sour taste-sensation actually impacts how my body manages what I just placed in my mouth...🤔🤔. Why do I enjoy it? How do my tongue and body react to it and why? What makes us make that funny sour face? I don't know if it's because I'm biased since I'm hooked on these lil guys or the fact that I am always fascinated when it comes to sensory dysphagia, either way, this article definitely hit MY sweet spot!😊

Bubbly ideas for the Parkinson’s Disease (Plus) population

While I chugged along reading this article, I found myself with an even greater awareness of the impact our field can have. As clinicians, we're naturally always looking for "the next best thing," and guess what? So are our patients! Sometimes we get that A+ 🏆prize-winning intervention or result, and other times we come home with a dud and disappointed mindset😞. BUT we owe it to ourselves and our patients to continue to be open to new approaches while continuing to have discussions with our patients, colleagues, and medical co-workers.❤️

K is for…Kooky!? The “science” behind how /k/ sounds made their way to swallowing

To start the new year off on the right foot, let's start by dispelling some age-old ideas, k? I've done it before. Yes, I'm guilty, I was once a /k/ sound abuser user for swallowing🙋‍♀️. That was hard to admit, but they say the first step is acceptance.. I've been on the search for why this was ever taught to me as a grad student in the first place, and I had finally found a source from a reputable SLP idol (hint: name rhymes with boil😉😂). Aside from the fact that my name happens to starts with K (😯😮🤯), this was the origin story I've been eagerly waiting for.

Is it as critical as we think? A Systematic Analysis of Dysphagia in Acute and Critical Care

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Because medical status in the acute and critical care environments can change in the blink of an eye for multiple reasons, our evaluations, treatment plans, and recommendations often metamorphosize simultaneously as well. A lot of the times in acute/critical care, we may not be able to implement many strategies, exercises, techniques, or recommendations due to complex reasons. So, what do we do with critical patients? ⚠️⚠️WARNING:⚠️⚠️ This article is not for the faint of mind. I know I definitely had a hard time grappling with some of what I read, but peeling these layers back of what we don’t know keeps pushing us forward as professionals. Please read at your own risk of uncovering reflective questioning, biases, and challenges to any previous notions that “because we are medical professional” (me included), our presence is the end-all-be-all . . 😳🤔

The science behind why positives and negatives don’t mix at bedside

Boy oh boy. If you've been keeping up with latest The Leader lowdown, you might've had many thoughts running rampant in your mind when reading a particular article. Among these very intense thoughts, one might've been, "Where do I even start?!?!" (you may choose your own emoji here😉). Instead of a big deep dive into one article analyzing and critically thinking about a single study, we already know what we're after so, I felt surface-level crumbs of info would suffice for now to help lead others to the big picture.

Breathing with COPD is one thing, Swallowing is another story…

In the spirit of the holidays, there's a lot to be thankful for this year. This article made me incredibly grateful for all the clear, specific, and comprehensive information the authors provided throughout this 🤩MUST-READ🤩 article on the COPD population. Whether you're a #newbie figuring out what to do, or a #seasonedSLP curious of why you're seeing what you're seeing, from the spot-on background on COPD, to the detailed descriptions and colorfully-created graphs that give you a clear picture of what's it all about, this article will make you appreciate what you know, what you don't, and everything you'll learn after reading!🥰

Tom-ay-to, Tom-ah-to, TOMASS! Testing mastication and swallowing

I’d be rich if I had a nickel for every time I assessed (aka observe and internally analyzed) a patient chewing. I’d be even more rich for all the times I did this without actually knowing what was going on, essentially guessing how long it took to chew and swallow, how many times they had to chew, if they were able to move the solid bolus around cohesively, if they were taking a long time to enjoy the food or because of some type of impairment… That's just what the heroic Huckabee planned with this article and validated assessment tool. You know when you're frantically searching for the one shirt or shoe in your closet, only to find something else you completely forgot about? That's how I happened to come back to this approach I'd been meaning to look into (for #IDK how many months🤦‍♀️😬).

How to Read a Clinical Research Article Pt. 2

I for one have always been a sucker for “classics." Classic cars, classic fashion staples, classic movies on a rainy night. The reason why I’m drawn to classic things is because they tend to withstand the test of what we find the enemy these days---TIME. So I found it comforting in Sackett’s article to find that we, as speech-language pathologists, are not alone in the classic fight to keep up with and be informed of research literature. “This article review has been prepared for those clinicians who are behind in their clinical reading.”