logo
episode-header-image
Feb 2024
7m 39s

Rethinking Physical Restraints: Unveilin...

Eddy Joe Gutierrez, MD
About this episode

In this episode of The Saving Lives Podcast, we delve into the compelling findings of a recent review on the adverse effects of physical restraint use in ICUs. We discuss the paradoxical nature of restraints, designed for patient safety but linked to significant complications, including skin injuries, delirium, PTSD, and more. Understanding the limitations of our current system, we explore how this research urges a shift towards more compassionate, patient-centered care and the critical need for alternative practices.

The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ⁠⁠https://amzn.to/47qJZe1⁠⁠ (Affiliate Link) Signed & Personalized Copy: ⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠⁠ My website: ⁠⁠www.eddyjoemd.com⁠⁠ Instagram: ⁠⁠www.instagram.com/eddyjoemd⁠⁠ X: ⁠⁠www.x.com/eddyjoemd⁠⁠ Facebook: ⁠⁠www.facebook.com/eddyjoemd⁠⁠ My Amazon store for resources you may find helpful: ⁠⁠www.amazon.com/shop/eddyjoemd⁠⁠ @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com Although great care has been taken to ensure that the information in this podcast is accurate, eddyjoemd, LLC shall not be held responsible or liable for its continued accuracy or any errors, omissions, inaccuracies, or consequences arising from it.


Citation: Sebastian Berger, Pascale Grzonka, Simon A. Amacher, Sabina Hunziker, Anja I. Frei, Raoul Sutter, Adverse events related to physical restraint use in intensive care units: A review of the literature, Journal of Intensive Medicine, 2023,ISSN 2667-100X,

Up next
Jul 3
Sodium Bicarbonate for ICU Acidosis: New Evidence Supporting a Controversial Therapy
In this episode of the Saving Lives Podcast, we break down a 2025 study from Intensive Care Medicine that emulates a target trial on the use of sodium bicarbonate in ICU patients with metabolic acidosis. With over 6,000 patients across 12 Australian ICUs, the study reveals a smal ... Show More
6m 7s
Jul 1
Predicting Mortality in a Pulmonary Embolism: What the Data Really Tells Us
In this episode of the Saving Lives Podcast, we review a comprehensive 2025 meta-analysis on mortality risk factors in pulmonary embolism. Learn which clinical signs, biomarkers, and imaging findings most strongly predict outcomes — and how they can guide triage and therapy decis ... Show More
6m 31s
Jun 26
Hyponatremia Correction: Is Going Too Slow Riskier Than You Think?
In this episode of the Saving Lives Podcast, we review a 2025 NEJM-Evidence study analyzing over 21,000 cases of severe hyponatremia to determine the safest and most effective correction rates. Learn why moderate correction (8–10 mmol/L/day) may actually reduce mortality, and how ... Show More
5m 52s
Recommended Episodes
Jun 2023
Bessel van der Kolk, MD | The Body Keeps the Score [Best of]
Recent years have impacted our mental and physical health significantly. We are constantly faced with unsettling moments that leave a lasting impact, often unnoticed but affecting us all. The question is, how do we address this? My guest this week is renowned trauma researcher, p ... Show More
1h 1m
Feb 2023
How Trauma Impacts Your Physical Health & How To Heal From It with Dr Bessel van der Kolk #336
CAUTION: This conversation contains themes of an adult nature and references to sexual assault. My guest today is someone who I’ve been wanting to speak to for a very long time. Dr Bessel van der Kolk is a professor of psychiatry at Boston University School of Medicine and Presid ... Show More
1h 42m
Aug 2023
159. Rotator cuff tear arthropathy & subscapularis tears. Physio Edge Shoulder Success podcast with Jo Gibson
Rotator cuff tear arthropathy (RCTA) is a pattern of glenohumeral joint degenerative changes following rotator cuff tears, causing shoulder pain and stiffness. Subscapularis tears can also be involved in RCTA, or a significant cause of shoulder pain and disability. How can you id ... Show More
20m 23s
Oct 2022
The Keys to Emotional Regulation and Deescalation
One of the most misunderstood concepts in the mental health field is behavioral challenges. They can be present in both adults and children. Joining Dr. Fedrick on this episode of Calm, Cool and Connected is Noelle Drake. Noelle is a Board Certified Behavior Analyst and has worke ... Show More
10m 37s
Sep 2021
Acute Coronary Syndrome; Roadside to Resus
So this time we're going to be looking at the HUGE topic of acute coronary syndrome (ACS)! ACS ranges from patients who appear well at the time of their presentation, to those that have arrhythmias, haemodynamic instability, to those that are in cardiac arrest! There are around t ... Show More
1h 8m
Dec 2023
Caring in a Broken System; Roadside to Resus
We know it's the festive season but we thought we’d try and cover an issue from which there appears to be no escape and is a particular problem at this time of year, queuing! Whether we like it or not, this has become a factor for all of us working in emergency care, whether its ... Show More
55m 46s
Mar 2022
#244 This Therapy Changed My Life And It Could Do The Same For You: Internal Family Systems with Dr Richard Schwartz
This week's episode is a rather special one. In fact, I would say this is potentially one of the most important episodes I've ever released on my podcast because today, I am talking to Dr. Richard Schwartz. He's the creator of an incredible treatment modality called internal fami ... Show More
1h 57m
May 2020
14: What is the approach to post-extubation stridor in COVID-19?
In this episode, we explore the evidence for various strategies to manage post-extubation stridor and the applications to COVID-19 patients. Our guest today is Dr. Tiara Calhoun (@tiaraforsyth), an internal medicine resident at the Massachusetts General Hospital.  She is an activ ... Show More
25m 41s
Sep 2022
#246: It’s Time to Talk About Trauma Informed Care
Trauma informed care is an approach to practice that strives to understand how past traumas affect why our patients do (or don’t do) what is needed in order to manage their health optimally. This concept of trauma informed care is gaining traction and being extensively studied in ... Show More
22m 18s
Jun 2018
Episode 149.0 – Simplified Approach to Peds Trauma
This week the podcast features a lecture from Dr. Frosso Admakos - Assistant Residency Director at Metropolitan Hospital in NYC https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_149_0_Final_Cut.m4a Download One Comment Tags: All NYC EM, Pediatrics, Trauma Show N ... Show More
15m 40s