Talking All Things Cardiopulm

In this episode, Dr. Burriesci breaks down her recently released Contraindication study guide for students prepping for the NPTE. In an attempt to make a clear-cut, hard stop, red light, contraindication guide, but she was quickly reminded that there is much more yellow/caution/“it depends” than hard stops.  Unfortunately,  “It depends” is not an answer you can pick on the NPTE.

This episode is part 2 of 2, so if you missed Part 1, Hard stop, Red Light and Grab Part 1 first.

Part 2 wraps up possible red lights in the ICU setting, including specific lines and tubes, specific diagnoses and high levels meds.

Join me to break down what is definitely a "Red Light" and what truly "depends."

If you are a student studying for the NPTE, listen for the black and white, and if you are a clinician, listen to all the gray.

Haven't grabbed your Contraindication study guide? Click the link below:
https://allthingscardiopulm.ck.page/683e1f6f42

Want to join the Cardiopulm Check Point Webinar? Nov 28th 5pm CST
https://allthingscardiopulm.ck.page/products/cardiopulmcheckpointnpte

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

In this episode, Dr. Burriesci breaks down her recently released Contraindication study guide for students prepping for the NPTE. In an attempt to make a clear-cut, hard stop, red light, contraindication guide, but she was quickly reminded that there is much more yellow/caution/“it depends” than hard stops.  Unfortunately,  “It depends” is not an answer you can pick on the NPTE.

This podcast is an attempt to read between the lines, give rationale and thought process behind the clinical decisions you may be faced with day to day in your setting while giving guidance to the student sitting for the NPTE trying to navigate safety questions or the new grad getting their footing in a complex environment.

She attempts to pull out the hard stops (red light), but explains the rationale behind most of the yellow lights and when to proceed with caution as clinical judgments will play a pivotal role in most of the decisions you are faced with.


In this episode:
- Contraindications to exercise (Red light)
- Precautions to exercise (Yellow light)
- Guidelines on BP, HR, spO2, lab values, VTE
- Role of clinical decision-making and making decisions based on your patient
- Student vs. Clinician
- Acute Care Section CPG: Lab Values & Vital Signs
- Cardiopulmonary Section: VTE CPG & Oxygen Supplementation

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring


Did you grab your FREE Cardiopulm NPTE Contraindication Study Guide?
https://allthingscardiopulm.ck.page/683e1f6f42

Podcast episode: When is a PVC NOT just a PVC
https://podcasts.apple.com/us/podcast/episode-21-when-is-a-pvc-not-just-a-pvc/id1658078171?i=1000614336763


Sponsor Information:
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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In this episode, Dr. Burriesci chats with Justine Feitelson about Dysautonomia and Chronic Regional Pain Syndrome (CPRS). Justine is a business owner, health coach, podcast host, and a CRPS warrior.

Justine takes us on her journey of being diagnosed with CRPS, dysautonomia and likely (h)EDS. She describes the difficulty in the unknown, the rarity of the disease and the long 8-month process of getting a diagnosis.  Justine describes her battle of overcoming the pain of her limb and the resilience to return to her life. Justine is passionate and living proof. She has dedicated her life to doing better for people with CRPS.

Rachele and Justine pull together the similarities in the unknown, the rarity, the frustration and even the loneliness of dysautonima, POTS and CRPS. Join us just in time to close out Dysautonomia month.

In this episode:

• CRPS
• EDS/hEDS
• Dysautonomia
• Parasympathetic/Sympathetic Nervous System
• Breathing - physiologic benefits
• Benefits of exercise w CRPS/POTS

More on Justine:
Justine is a movement professional and health coach who works specifically with Complex Regional Pain Syndrome patients.

Once she was diagnosed with CRPS in 2019, she set forth on learning everything she could about pain and human movement so she’d have more tools to expose, desensitize and change the way her nervous system had become with CRPS - and help others do the same.

She realized our own bodies are the greatest tool to create change, yet as patients we often miss taking advantage of our most powerful asset - ourselves. Justine helps chronic pain patients optimize variables that effectively decrease pain through conservative pain management strategies even in the most complex cases using her signature MARSMethod.

You can check out her programs and work with the Empower You Chronic Pain Foundation, as well as the It's Not in Your Head podcast coming soon below.

Websites: www.resilientwarriorcoachingllc.com

Email: [email protected]

IG: @resilientwarriorcoaching

Facebook: facebook.com/justine.feitelson

LinkedIn: LinkedIn.com/justine-feitelson

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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In this episode, Rachele gets real and straight to the point. (as if she has ever beaten around the bush in her lifetime).  However, some recent student experiences brought this podcast to the forefront.

Dr. Burriesci has been in the Acute Care Setting for 14 years, she believes in the work that she does and she loves the setting.   She believes PTs have a vital role in the acute care setting and can make a difference in a patient's recovery, length of stay, return to independence and education. She has been hearing and fighting against the stereotype for years and even had many students excited for their upcoming clinicals.

But what happens when the stereotypes exist and even worse what happens when they are pushed onto students as the standard of care?

TUNE IN for more, I promise this one is a bit spicy....

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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In most episodes we hear how Dr. Burriesci treats patients and her vast knowledge of Cardiopulmonary care. Today is different! We have the pleasure of getting to hear about Postural Orthostatic Tachycardia syndrome (POTS), but in a different light than we are used to.

In this episode, Dr. Burriesci shares her story of being diagnosed with POTS. She starts at the beginning of her journey and explains what those beginning moments felt like when she was in the emergency room with minimal answers. She takes us with her on journey of what she did to get a diagnosis and how she best manages her symptoms in her daily life. Along the way, she sprinkles in little nuggets of knowledge and glimmers of hope for others who battle the same diagnosis.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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In this episode, Dr. Burriesci describes the 4 phases of a cough, ways to assess cough sequencing, and how to implement proper cough techniques into our physical therapy practice to improve overall aerobic conditioning. 

She guides us through different diagnoses which may impact cough mechanics and how to tailor it for the patient’s needs. These clinical pearls will have your patients implementing good strong effective coughs. 💪🏻

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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You could brush your teeth for 28 minutes every Sunday, but would you? It may be more efficient to perform this task in one sitting, but rather we do it every day to continue the cycle of taking care of ourselves. It’s a daily task that has compounding benefits to our overall well-being and health.

This same ideology can be applied to nervous system hygiene, keeping our nervous system healthy on a daily basis, so we can manage the highs and lows of our day-to-day lives.  

In this episode, Dr. Burriesci welcomes Jessica Patching-Bunch, JPB, to discuss a missing piece in regulating the autonomic nervous system: nervous system hygiene. JPB explains what nervous system hygiene means, what that can look like, how much time it actually takes out of our daily lives to perform, and the importance of this topic. Dr. Burriesci links how this can impact physical therapy students, clinicians, and our patients when we begin to incorporate the daily task of nervous system hygiene.

In this Episode:

• Breakdown of the autonomic nervous system (ANS)
• The power of breath to tap into ANS control
• Defining nervous system hygiene
• Utilizing nervous system hygiene to regulate the ANS
• The importance of small compounding efforts in our daily practice
• The simple yet complex benefits of breath control

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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Come in!!  Rachele is taking us behind the scenes of what it’s like to set-up for sauce (marinara) day. She tells us the adventures of finding a tomato vendor, long hours and walls covered in sauce to make her family’s recipe. She explains the importance of digging through the rotten tomatoes to find the best ones. When you want an outcome, you have to lean into the process. 

 In this episode, Dr. Burriesci defines what stacked breathing is and how to fit it into clinical practice. Just like making sauce, we get to break our current tomatoes down to redefine them. In physical therapy terms, with our patients who have impaired inspiration, we get to break down their current pattern to rebuild something better. She explains how to group exercises with stacked breathing so you get the perfect recipe and best bang for your buck.

In this episode:
- Discus family tradition
- The process of sauce day
- Stacked breathing
- When and how to incorporate stacked breathing into your practice

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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The world around us never settles down and while we understand it to be commonplace, our bodies can sense the rising stress. This impacts our breathing and is known to increase respiratory rate. This increase with rate can also increase the upper chest breathing, making us (and our patients!) be less efficient breathers. So what can we as physical therapists do? Teach our patients how to adequately diaphragmatic breath.

In this episode, Dr. Burriesci breaks down the do’s and don’ts of diaphragmatic breathing with patients. She teaches applicable ways to set our patients up for success, long-term, when it comes to properly engaging the diaphragm.  She tweaks the usual cues and explains that our words do matter. These simple changes to our language and understanding the “why” behind the various breathing sequences will impact our patients in a multitude of different ways.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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A, B, C, oh wait, ABG?

In this episode, Dr. Burriesci hosts Briana Drapp of PT Elevation and teaches the ABC’s of Arterial Blood Gases (ABG’s). Dr. Burriesci explains what PaO2, PaCO2, HCO3 and SaO2 means, why we should care and how to extrapolate the information of each of these numbers into real world, clinical information to benefit our patients. She breaks down the numbers into metabolic vs pulmonary and alkalosis vs acidosis by finding who the “problem child” is.

By the end of this episode, you’ll have interpreted multiple examples and have a better understanding of why this matters to you as a clinician. She gives you information in small bites rather than getting lost in the whole alphabet soup.

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494